Understanding the roles and work of paramedics in primary care

Abstract

Introduction: This study aimed to explore the clinical roles of paramedics in primary care, focusing on educational attainment and clinical experience. The objective was to analyze the current scope of paramedics' roles within this setting and investigate associations between clinical exposure, education levels, and professional capabilities.

Methods: Surveys were distributed via the College of Paramedics to primary care paramedics across the UK, yielding 341 responses (male=215). Respondents primarily hailed from England (90%), with minor contributions from Northern Ireland (1.7%), Scotland (4.6%), and Wales (2.9%). Job titles, education levels, clinical supervision availability, and statistical analyses were conducted to examine relationships between clinical exposure, education, independent prescribing, clinical presentations, and examinations. Qualitative data analysis captured paramedics' challenges regarding further education and clinical supervision.

Results:Significant variability was observed in job titles, education levels, and clinical supervision among primary care paramedics despite attempts at standardization. Statistical analyses indicated correlations between clinical exposure, education levels, independent prescribing capabilities, encountered clinical presentations, and performed examinations. Qualitative findings revealed frustrations due to limited access to further education and clinical supervision.

Conclusion:This study provides insights into the demographics and diverse clinical roles of primary care paramedics. Recommendations advocate for reforms in education, support structures, governance, and legislation to enable paramedics to maximize their professional capabilities in the primary care setting.