November 2014
Paramedic evidence-based
education project
(PEEP)
Patrick Mitchell
Director of National Programmes
Health Education England
Background
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Commissioned by DH’s National Allied Health Professional Advisory
Board - funded by the College of Paramedics, reporting in August 2013
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Provides an evidence base to progress the strategic direction of the
standardisation of education and training
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Various education and funding models in place across the UK - PEEP
seeks to address these issues
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Delivery lies with Health Education England (HEE), the College of
Paramedics and the Association of Ambulance Service Chief
Executives
www.hee.nhs.uk
www.hee.nhs.uk
PEEP Report
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Passed over to HEE in July 2013
HEE asked College of Paramedics to co-chair an oversight national steering
committee
Devolved nations invited to be active participants to deliver UK solution
The paramedic profession is the only AHP:
o With no single education level entry route to registration with HCPC
o No clearly defined or aligned career structure leaving inconsistency in
titles, scope of practice and purpose
Advanced prescribing necessitates both to be agreed and in place before
the non-medical prescribing board will consider a business case from the
profession
www.hee.nhs.uk
www.hee.nhs.uk
Recommendations from PEEP
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There should be a nationally agreed approach to the commissioning and
funding of paramedic education with access to bursary funding
Models of pre-registration education and training should align with other
non medical professions and lead to an all graduate profession
There should be a review of the College of Paramedics scope of practice
and HCPC standards of proficiency
Evaluate education and development opportunities for the existing
workforce and embed a whole systems approach to enhance the learning
environment for the student paramedic
There should be an enhancement of clinical skills and clinical decision
making developed through the College of Paramedics curricula
www.hee.nhs.uk
www.hee.nhs.uk
Clinical
Skill Enhancement
There should be additions to the clinical skills in pre-registration training in the
areas of:
• Dementia and mental health awareness
• Clinical leadership skills
• Multi-professional learning opportunities
• Integrated care
• End of life care
• Inclusion health
There should be a closer engagement of this workforce with pre-hospital urgent
care, and prevention of hospital admission, should be of benefit to the wider
community.
www.hee.nhs.uk
www.hee.nhs.uk
PEEP report and recommendations
There are two critical interdependencies to the engagement programme:
Consultation on paramedic prescribing
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Intention to commence public consultation on paramedic prescribing by the end of
the calendar year
•
To be delivered in advance or alongside PEEP strategy consultation in order to
ensure stakeholders can present an informed view
The outcomes of Keogh’s urgent and emergency care review
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PEEP is a major contributor to the success of both hear and treat & see and treat
strategies
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New paramedics roles in ED and primary care settings
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Will require a significant increase in training capacity at scale
www.hee.nhs.uk
www.hee.nhs.uk
Delivering PEEP –
project structure
Ways of working
/scope of practice
Workforce planning
Education &
Training
Steering
Group
Finance
Commission-ing
Comms &
engagement
www.hee.nhs.uk
www.hee.nhs.uk
PEEP Report Recommendation
Sub Group Leading
1.0 Standardised approach to
education and training
Scope of practice and ways of
working
1. Nationally agreed approach to
commissioning and funding
Finance
1.2 Access to bursary funding
Finance
2.0 Pre-registration education
development model leading to an all
graduate profession
Scope of practice and ways of
working
3.0 Models of pre-registration
education and training
Scope of practice and ways of
working
3.1 Knowledge and skills enhancement
Scope of practice and ways of
working
3.2 Content
Scope of practice and ways of
working
3.3 Clinical decision making
Scope of practice and ways of
working
4.0 Partnership model
Workforce planning
5.0 Paramedic leadership for England
Scope of practice and ways of
working
6.0 Standardised approach to
identification
Communications
Clinical
models
Urgent Care
Steering
Group
Education
models
Clinical
standards
Ways of working & Scope of practice sub group
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There should be a standardised approach to all aspects of education and training
for paramedics
Paramedic registration should be at BSc level by 2019/20
Supports amendments to the scope of practice and curricula developed by the
College of Paramedics
Supports a national model of commissioning and funding for pre-registration
paramedic education (model still to be determined)
Pre-registration paramedic education should be included in the new National
Standard Education Framework Agreement
Agrees Standards of proficiency and standards of education and training together with
the College of Paramedics curricula guidance and competency framework will be
submitted for independent educational levelling to confirm the standards of education
at BSc level.
www.hee.nhs.uk
www.hee.nhs.uk
Current position
The steering group have recommended further work be undertaken before being
presented to HEE Board for approval
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Steering group with two new groups recently formed to review:
o Educational modelling to develop options programme delivery and
educational funding
o Paramedic employers group supported by NHS Employers to assess
employment implications of the changes of the paramedic role including
union consultation
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Workforce planning and modelling of options based on training commissions
required to meet urgent and emergency care review and other needs of new
models of care.
www.hee.nhs.uk
www.hee.nhs.uk
Transition
recommendations
The steering group has supported:
• That education and development opportunities for the existing workforce
should be considered and a transition plan formed
• That organisations should have mentoring and preceptorship
arrangements in place consistent with the curricula requirements
• That an engagement programme needs to be delivered from a national
platform to have the necessary influence, supported by local delivery plans
Specific consideration in transition planning should be given to:
• The current paramedic workforce • Impact on skill-mix
• The current technician workforce • Impact on employee relations
• Impact on terms and conditions
• Staff engagement
www.hee.nhs.uk
www.hee.nhs.uk
Managing Transition
Education
Development
Employment
Issues
Workforce Planning
www.hee.nhs.uk
www.hee.nhs.uk
Next Steps
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Complete educational levelling
Financial viability to be fully assessed
Assessment of workforce numbers - options
Requirements and transition planning for up-skilling the current workforce
Communications strategy to be developed
Employers group to assess job design and alignment within current
agenda for change framework
NHS commissioner engagement
Union consultation
Discussion with HCPC
Development of an implementation plan
www.hee.nhs.uk
www.hee.nhs.uk
Next Steps
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Further discussions with key stakeholders including employers,
commissioners and unions
HEE Board approval March 2015
Final sign off nationally with employers and commissioners
Formal notice to higher education institutions
Finalise timeline with HCPC
www.hee.nhs.uk
www.hee.nhs.uk
Questions?
www.hee.nhs.uk
www.hee.nhs.uk