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London Ambulance ServiceNHS Trust
What are the alternatives for patients who are not life threatened?
• Clinical Telephone Advice• Walk in Centres• Minor Injuries Units• Intermediate Care• Falls teams• District nurses• Mental Health Crisis Intervention Teams• Primary care• Social services• NHS Direct
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London Ambulance ServiceNHS Trust
Requires us to change:
• Provide telephone advice to callers with non-serious conditions
• Develop referral pathways
• Send a professional who is trained in the recognition and treatment of non-life threatened, but often complex, patients
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London Ambulance ServiceNHS Trust
N urse
M inor Illness
Applied Pharm acology
D iplom a - Em ergency C are P ractitioner
Chronic Conditions Param edic M odule if neededOr Choice
M inor Injury Paediatric
GO LIVE
Clin ical Decision
Physical Assessm ent
Level 1 APELShort Essay, applicant profile
and d iagnostic in terv iew
Param edicor EM T w ith 4 years A & E experience
O T or Physio
Education for Emergency Care Practitioners
St Georges Medical School/Kingston University
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London Ambulance ServiceNHS Trust
Around the Country
Merseyside – relatively clear care pathways
West Country – strong educational package & some extensions in practice
Warwickshire – v. competent practitioners,open access routes to role, clerking into acute sector
Staffordshire – clear location in demand patches, CPOs senior role in service, patient focused ethos
Sheffield – rotation through control & MIUs, also focus on older peoples needs
East Anglia – strong links with GPs non escalation of cases unless necessary = basic principle, extended practice