ACPIC 2020: The effect of a specialist paramedic primary care rotation on appropriate non-conveyance decisions

About the course

In October 2020, ACP was pleased to deliver our first fully online and interactive paramedic conference. The conference attracted over 1100 attendees, 60 speakers and 36 sessions.

Presented by: Richard Pilbery

Best of the Best: this research submission scored in the top 3 of all received submissions and will be competing to win the 'Best of the Best' award.

Ambulance conveyance rates in UK Emergency Medical Services (EMS) are almost 70%, despite an increase in non-emergency cases. This increases emergency department workload and exacerbates rising ambulance turnaround times. Yorkshire Ambulance Service introduced a specialist paramedic (SP) role to try and address this, but non-conveyance rates in this group have not been as high as expected.

In 2018, a nationally funded a pilot scheme to rotate paramedics into various healthcare settings was introduced. This aimed to create sustainable improvements in patient care, and presented an opportunity to further develop the decision-making of SPs.

In this session, we will present the finding of a study that aimed to evaluate whether SPs who have rotated into primary care appropriately increased the level and trend of non-conveyance decisions in a cost-effective manner.


Richard is a UK paramedic employed by Yorkshire Ambulance Service NHS Trust and an associate lecturer at Sheffield Hallam University. He was the first editor-in-chief of the UK College of Paramedics’ journal, the British Paramedic Journal, and remains an active member of the editorial board. He has also published several books to support the education of community first responders, ambulances service staff and firefighters.

Presented by Richard Pilbery

Course Lessons

Course Information

20 minutes
17th Feb 2021
Member free
Non-member $19
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