Paramedics should be deployed to prescribe says NICE

  • NICE recommend that staff are trained to be advanced paramedic practitioners
  • Such paramedics specialise in critical care or urgent care at a patient’s home
  • They are also able to administer pain relief and assess if wounds need stitches
  • NICE’s guidance comes as part of NHS England’s Five Year Forward View
  • Other recommendations include reviewing emergency patients every day 

By

Alexandra Thompson Health Reporter For Mailonline


Published:
11:31 EDT, 3 July 2017

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Updated:
11:36 EDT, 3 July 2017

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Paramedics should be given more responsibilities to reduce hospital admissions, according to the National Institute for Health and Care Excellence (NICE).

NICE recommend that the NHS train more staff to become advanced paramedic practitioners (APP) – a move that could reduce hospital admissions by 13 per cent, it claims.

APPs can specialise in critical care, where they treat seriously unwell patients, or urgent care, where they respond to those who could be treated at home.

They are also able to administer enhanced pain relief and assess if wounds need stitches.

NICE’s guidance comes as part of NHS England’s Five Year Forward View for the future of emergency medical services.   

Paramedics should be given more responsibilities to reduce hospital admissions (stock)

Paramedics should be given more responsibilities to reduce hospital admissions (stock)

Paramedics should be given more responsibilities to reduce hospital admissions (stock)

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Why should there be more APPs? 

Professor Julian Bion, chair of the NICE guideline committee, said: ‘We are all too aware of the funding and resource limitations our NHS is facing. 

‘It is essential we spend what money we have wisely, investing in areas where we’ll see a real improvement in care for everyone.

‘Increasing the number of advanced paramedics we have working across the country is one way we can achieve this. 

‘Their skills and expertise can help to ease pressure on emergency departments and ensure patients are cared for in the most appropriate location.’

Other NICE recommendations  

NICE’s guidance comes as part of NHS England’s Five Year Forward View for the future of emergency medical services. 

Aside from increasing the number of APPs, other recommendations include:

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  • People admitted to hospital with a medical emergency should receive coordinated care with different experts. They should also have access to physiotherapy and occupational therapy seven days a week.
  • All people admitted to hospital with a medical emergency should be reviewed every day, including on weekends and bank holidays.
  • Specialist nurse-led community support should be provided for people who are at an increased risk of hospital admission, for example those who have had a stroke or been diagnosed with heart failure.
  • Advance care planning should be offered to people who are approaching the end of life.

Professor Mark Baker, director for the centre of guidelines at NICE, said: ‘We recognise the NHS is facing unprecedented demand. 

‘There are hospitals up and down the country working under immense pressure, being forced to stretch their limited resources further. This is unlikely to change anytime soon.

‘This draft guidance features recommendations that support NHS England’s view of the future of the NHS and will help standardise best practice across our emergency and acute medical services. 

It also highlights where we need more evidence to properly assess what should be done to get the most from the limited resources we have.’ 

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