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Exploring how paramedics are deployed in general practice and the perceived benefits and drawbacks: a mixed-methods
Behnaz Schofield1, Sarah Voss2, Alyesha Proctor1
1University of the West of England UWE Bristol, Bristol, UK.
BJGP Open
|May 14, 2020
Summary
Paramedics in general practice show potential for reducing GP workload, but their safety and cost-effectiveness require further evaluation. Significant variations exist in their deployment, highlighting the need for comprehensive research into this integrated primary care model.
Area of Science:
- Primary Care Workforce Development
- Integrated Health Services
- Paramedic Practice
Background:
- UK general practice faces workforce shortages and rising demand.
- NHS England's GP Forward View promotes multidisciplinary primary care teams, including paramedics.
- Limited evidence exists on the safety, effectiveness, and cost-effectiveness of paramedics in general practice.
Purpose of the Study:
- To explore the deployment of paramedics within general practice settings.
- To investigate the underlying theories and drivers for integrating paramedics into primary care.
Main Methods:
- A mixed-methods approach was employed.
- This included a literature review, a national survey, and qualitative interviews.
- Key informants and staff stakeholders were engaged across three study phases.
Main Results:
- Little evidence is available on paramedic safety and cost-effectiveness in general practice.
- Deployment models for paramedics vary significantly regarding patient groups and conditions treated.
- A positive perception of reduced GP workload exists, alongside concerns about GP training and supervision time.
Conclusions:
- The full impact of paramedics in general practice remains unevaluated.
- Research is needed to address the variations in service models and understand consequences for patients, workforce, and the NHS.
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