Paramedic Practitioner Support Scheme for Older People with Minor Injuries or Conditions - PowerPoint PPT Presentation

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Paramedic Practitioner Support Scheme for Older People with Minor Injuries or Conditions

South Yorkshire Ambulance Service NHS Trust

Sheffield

Rationale for Developing the New Service

State of emergency services

Reforming Emergency Care – new initiatives
Audit Commission Report – appropriate response

Extending the role of health professionals

NHS Plan – opportunities for NHS staff
JRCALC – education

The effects of emergency services on older people

National Service Framework for Older People
Research?

Patient Profile

Patient over the age of 60 taken to hospital by ambulance following a 999 call
Assessed and treated for a minor injury or condition
Discharged the same day
Referred to other agencies – GP D/N

Identify Referral Pathways

GP’s
District Nursing
Social Services
Hospital Departments

Project Group

PCT Lead
Intermediate Care Lead
Clinical – Nursing/Medical
Ambulance Service
Out of Hours Collaborative Lead
Social Services Manager / Team Leader
Community Assessment Lead
Single Assessment Process Manager
Falls Clinic Lead
University Representative

Service User Involvement

Older Peoples Reference Group
Sheffield Churches Council for Community Care
Falls Clinic – Parkinson's
Minor Injuries Unit
Accident and Emergency Departments

Aims of the Service

Provision of community-based clinical assessment for patients >60 years with minor acute conditions including falls
Improve the experience of older people with minor acute conditions
Reduce numbers of older people attending the ED
Reduce waiting times of older people who require ED care
Clinical and economic evaluation of the scheme

Special Skills

Mobility and social needs assessment - CAICS
ENT examination
X-ray requests
Protocol-led dispensing
Referral processes:

GP
District Nurse
Hospital

Update - Service Provision

Primary Call

Disposal

527

Patients

515

patients

Service Evaluation

RCT comparing a new service providing emergency clinical assessment and treatment by Paramedic Practitioners for older people calling 999 following minor acute events with the current standard service which involves ambulance transfer to and management in the nearest ED.