Overview of the role

Paramedics have many complementary skills to bring to Primary care and there are now many opportunities across a variety of health care settings for these skills to be utilised. Incorporating the Paramedics experience, skills and knowledge into primary care can complement the existing services.

In this role the paramedic will:

  • Deliver a high standard of patient care as an advanced paramedic using advanced autonomous practice with a broad base of theoretical knowledge
  • Manage on a day-to-day basis a clinical case load (Including triage, telephone triage, diagnosis, treatment, referral and review or discharge) using a wide range of advanced skills and expert knowledge for patients presenting with undifferentiated and on diagnosed conditions
  • promote clinical leadership within the practice
  • Mentor/support staff in developing and maintaining skills
  • provide clinical leadership within the practice
  • work as part of the practice team providing care in a variety of clinical and nonclinical settings including residential care homes, patients’ homes, and other settings as necessary
  • Work in accordance with the health & care professionals council (HCPC)standards
  • Practice in accordance with legislation policies and procedures i.e. safeguarding whistleblowing data protection etc.
  • Identify and address ethical issues which may impact on patient care, carers, and society
  • Identify or act when their own or others’ behaviour undermines equality diversity and human rights


Professional conduct, values, behaviour

The paramedic specialist in primary and urgent care will adhere to legal, regulatory and ethical requirements, professional codes, and employer protocols.

Specifically, this means working in accordance with the Health & Care Professions Council (HCPC) Standards of conduct, performance and ethics and Standards of proficiency: Paramedics.

HCPC (2016): Standards of conduct, performance and ethics: https://www.hcpc-uk.org/publications/standards/index.asp?id=38

HCPC (2014), Standards of Proficiency: Paramedics: http://www.hpc-uk.org/assets/documents/1000051CStandards_of_Proficiency_Paramedics.pdf

The paramedic specialist in primary and urgent care will also take account of the NHS Constitution in their decisions and actions. The Constitution sets out rights for service users, public and staff. It outlines NHS commitments to service users and staff, and the responsibilities that the public, service users and staff owe to one another to ensure that the NHS operates fairly and effectively: https://www.gov.uk/government/publications/the-nhs-constitution-for-england


Core Clinical Skills

The following outlines the assessment and management skills that the paramedic specialist in primary and urgent care should be able to perform within the context of the capabilities and are applicable across a variety of service users including adults, children and pregnant women.

These are the core clinical skills, but as the paramedic specialist develops, they may develop additional skills according to the environment in which they work.

  • Respiratory system
  • Cardiovascular system
  • Nervous system
  • Head, Neck, Ears, Nose and Throat
  • Skin
  • Musculoskeletal system
  • Gastrointestinal and Genitourinary system
  • Eyes
  • Mental health
  • Social and psychosocial needs
  • Palliative and End of Life Care
  • Remote consultation (telephone triage, Skype etc)
  • Diagnostics and Procedures
  • Therapeutics
  • Resuscitation


Opportunities/Development Within the Role

  • Training and development in various areas including chronic disease management, independent prescribing etc.
  • Working with a multidisciplinary group
  • Patient facing and continuity of care
  • Working as a team
  • Peer support
Role Description
NEWLY QUALIFIED PARAMEDIC • Reached the entry point for the HCPC register
PARAMEDIC • Autonomous practitioner • Wide range of clinical assessment /diagnostic and treatment skills • Ability to direct and signpost care
SPECIALIST PARAMEDIC • Previously known as Emergency Care Practitioner/Paramedic Practitioner • Academic level= PGCert/PG Dip including advance history taking and decision-making modules • Requires PGDs to administer antibiotics and other medications
ADVANCED PARAMEDICS • Knowledge base and clinical responsibilities is similar to other professionals working at an advanced level • Paramedic independent prescribing • Studying or working toward a masters’ level • Role may include senior management, trainer, research, or lecturer

Paramedic Advanced Practitioner (AP) Pathway

This YouTube video is a useful roadmap outlining the Paramedic Primary Care - First Contact Practitioner (FCP) > Advanced Practitioner (AP) pathway.

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Post-registration Paramedic Career Framework

Background information from the College for Paramedics on the continuing development of paramedics in all four pillars of the paramedic career framework.

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College for Paramedics

The recognised professional body for Paramedics and the Ambulance professions represents its members in all matters affecting their clinical practice and supports them to achieve the highest standards of patient care.

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