About
71
Publications
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Introduction
I am a passionate consultant paramedic and academic. My specific research interests centre around paramedics working within urgent and primary care, and the development of the profession within this sector.
Current institution
Additional affiliations
August 2017 - January 2019
Position
- Lecturer
Description
- Research Lead for Department of Psychology, Health, and Professional Development Module lead for L5 Modules on Clinical Judgement. Module lead for L6 Modules on Minor injury and Minor Illness.
April 2016 - August 2017
Position
- Lecturer
Description
- Module lead for L5 and L6 modules on minor injury and minor illness Simulation lead for paramedic skills and extra curricular activities.
December 2015 - April 2016
Position
- Professor
Description
- Working within the paramedic science programme team to deliver FdSC and BSc studies.
Editor roles
Education
January 2019 - April 2023
October 2017 - September 2018
September 2016 - July 2017
Publications
Publications (71)
Background
Since 2002, paramedics have been working in primary care within the United Kingdom (UK), a transition also mirrored within Australia, Canada and the USA. Recent recommendations to improve UK NHS workforce capacities have led to a major push to increase the numbers of paramedics recruited into primary care. However, gaps exist in the evid...
Objectives
This research aimed to fill a current knowledge gap, namely the current scope of clinical role of paramedics in primary care, in relation to specific constructs such a level of education and clinical experience.
Setting
The survey was distributed to paramedics in primary care across the UK through the College of Paramedics.
Participant...
Background
Paramedics are among the professional groups identified in recent policy initiatives aimed at addressing the unsustainable workload and workforce crises in primary care. Their support aims to enhance patient access to care and alleviate the burden of workload pressures.
Aim
To explore the impact of paramedics working in primary care on...
Background
In response to the unsustainable workload and workforce crises in primary care, paramedics (with their generalist clinical background acquired from ambulance service experience) are increasingly employed in primary care. However, the specific contribution paramedics can offer to the primary care workforce has not been distinctly outlined...
Introduction
Paramedics in the UK are moving from emergency ambulance services into primary care, where they are employed to boost the clinical workforce. Whereas there is emerging research that seeks to understand the contribution of paramedics to the primary care workforce, there is none regarding the perceptions paramedics have regarding their r...
Background Each year in England, 450,000 children and young people (CYP) under 18 years of age are transported by ambulance to emergency departments. Approximately 20% of these suffer acute pain caused by illness or injury. Pain is a highly complex sensory and emotional experience. The intersection between acute pain, unwell CYP and the unpredictab...
Background
Each year in England approximately 90,000 children and young people (CYP) under 18 years of age are transported by ambulance to emergency departments with acute pain. The intersection between acute pain, unwell CYP and the unpredictable prehospital environment is highly convoluted. Studies demonstrate that prehospital pain management in...
Background Each year in England, 450,000 children and young people (CYP) under 18 years of age are transported by ambulance to emergency departments. Approximately 20% of these suffer acute pain caused by illness or injury. Pain is a highly complex sensory and emotional experience. The intersection between acute pain, unwell CYP and the unpredictab...
Background Each year in England, 450,000 children and young people (CYP) under 18 years of age are transported by ambulance to emergency departments. Approximately 20% of these suffer acute pain caused by illness or injury. Pain is a highly complex sensory and emotional experience. The intersection between acute pain, unwell CYP and the unpredictab...
The notion of a paramedic (as a title protected in law) has recently entered its third decade, but the history of the paramedic is considerably older than that. Who are we as a profession? What does it mean to be a paramedic? What makes us who we are? These intriguing and yet seldom asked philosophical questions are at the heart of this article, wh...
This article discusses the creation and evolution of a unifying pledge designed to encapsulate the identity of paramedics and convey the essence of belonging to this professional group.
Background
Over the last decade, paramedics in the United Kingdom (UK) have increasingly taken up clinical employment away from ambulance services, with many moving into primary care settings. Reasons for this move are multifactorial and interwoven. However, in an effort to retain the paramedic workforce, rotational roles between ambulance services...
Background:
The paramedic profession within the United Kingdom has been evolving at pace over the last 20 years. While they are most associated with their work in ambulance services, paramedics are now found throughout a range of clinical and academic settings.
Sources of data:
Literature Review.
Areas of agreement:
Despite emergence of the pa...
Objective: This study aims to investigate the experiences of individuals involved in implementing and delivering community
paramedicine programmes across several different regions internationally, in order to identify key themes that can
inform ongoing development and introduction of community paramedicine programmes.
Methods: In this study, partic...
A case-based discussion around values-based practice illustrates how the elements of values-based practice can be used to: navigate a challenging situation in practice; examine how it intersects with legal considerations; and offer both opportunities and challenges to clinicians.
Background
Paramedics undertake visually demanding tasks, which may be adversely affected by low lighting conditions.
Aims
The study aimed to: identify difficulties paramedics experience carrying out tasks in low light; and establish occupational health standards and adjustments that may improve working practices.
Methods
A scoping review was und...
Community paramedic roles are expanding internationally, and no review of the literature could be found to guide services in the formation of community paramedicine programmes. For this reason, the aim of this restricted review was to explore and better understand the successes and learnings of community paramedic programmes across five domains bei...
Commissioned by the Pre-Hospital Emergency Care Council (Ireland).
We performed a scoping exercise of 34 community paramedicine programmes in Australia, Canada, Finland, New Zealand, the United Kingdom, the United States of America, and the Republic of Ireland. We report on scope of role (including medication prescribing as appropriate); methods of service delivery and program design; entry requirements; education...
Background
Rotational working has been offered as a solution to bridge the retention crises faced by ambulance services in the United Kingdom due to the inception of paramedics working in primary care. One project in North Wales examines the viability of rotating Advanced Paramedic Practitioners employed by Welsh Ambulance Services NHS Trust into p...
Background
Within the UK, there are now opportunities for paramedics to work across a variety of healthcare settings away from their traditional ambulance service employer, with many opting to move into primary care.
Aim
To provide an overview of the types of clinical roles paramedics are undertaking in primary and urgent care settings within the...
Introduction:
In the United Kingdom, changing demands on ambulance services has caused a change in what is expected of a paramedic. As well as advanced life support, paramedics now need to be skilled in managing a range of urgent case presentations, with emphasis on treat-at-scene. The change in the scope of work paramedics can undertake has estab...
Rationale:
While professional values are seen as a fundamental part of element of shared decision-making, there is little research on how they are learnt within the paramedic profession.
Aims and objectives:
This study sought to understand how student paramedics developed their professional values within the ambulance practicum.
Method:
37 par...
Providing a clear and concise overview of applied law and ethics to UK paramedic practice, this book brings together the essential principles from a range of perspectives. Written by paramedics, for paramedics, it includes chapters on information governance, mental capacity, clinical negligence and medical research, with a specific focus on legisla...
As paramedics, we are uniquely positioned
to see patients on numerous ranges of the
spectrum of urgency. We have the opportunity
to provide support, counselling, education and
referral for patients in the comfortable and calm
environment of their homes, and an hour later
provide life saving interventions in the back of
a moving vehicle when seconds...
Presenting headline results of Master's Degree Education
Overview
This article presents an overview of the additional aspects of history-taking that need to be considered when assessing patients presenting with a rash. This relies on strong underpinning anatomy and physiology knowledge to correlate the skin presentation to what may be happening pathophysiologically within the patient's skin. Four case st...
Background
Paramedics routinely rely upon two assessment and treatment algorithms, known as the primary survey and the secondary survey to guide their care. Despite their ubiquity, there is no international consensus for the assessments and interventions that are included in, or omitted from, these algorithms.
Methods
A Delphi process evaluated...
The concept of values within healthcare is not new. The axis of every clinical decision is mediated by the values held by the decision maker. Despite their importance to patient care, professional values are enforced within the paramedic undergraduate curriculum, depending on route values seized from other healthcare disciplines. In depending on th...
Objectives:
Out-of-hospital cardiac arrest has poor prognosis and patients rarely survive unless they receive immediate cardiopulmonary resuscitation from bystanders. In 2012, the British Heart Foundation launched its PocketCPR training application to simplify bystander cardiopulmonary resuscitation training and overcome barriers to resuscitation....
This short essay supports the growing role of paramedics in the clinical and academic workforce. We present a commentary of recent draft consultations by the National Institute for Health and Care Excellence in England that set out how the role of paramedics may be evolving to assist with the changing demands on the clinical workforce. Using these...
Background
To guide their care paramedics routinely rely upon two assessment and treatment algorithms, known as the primary survey and the secondary survey. No clear consensus of the concepts (assessments and interventions) that are, or should be, included in these algorithms exist internationally.
Methods
This paper evaluated Australasian paramedi...
This study aims to determine whether the British Heart Foundation PocketCPR training application can
improve the depth and rate of chest compression and therefore be confidently recommended for bystander
use. A total of 118 candidates were recruited into a randomised crossover manikin trial. Each candidate
performed cardiopulmonary resuscitation fo...
Primary care services in England may be reaching saturation point. Demands to see a GP or practice nurse have increased substantially. Clinical complexity has also increased; patients are living longer, but with more multimorbidity.(1) These demands are mirrored by a decline in the GP workforce, despite political pledges to reverse this.(2) New str...
Primary care services in England may be reaching saturation point. Demands to see a GP or practice nurse have increased substantially. Clinical complexity has also increased; patients are living longer, but with more multimorbidity.(1) These demands are mirrored by a decline in the GP workforce, despite political pledges to reverse this.(2) New str...
As we enter a new year, everyone is making new year's resolutions and working to become the best versions of themselves—the Journal of Paramedic Practice is no exception. In this comment, our Editorial Board Member, Georgette Eaton, together with Will Broughton from the College of Paramedics, introduce the journal's new format and sections aligned...
Introduction
Helicopter emergency medical services dispatch is a contentious issue in modern prehospital services. Whilst the link between helicopter emergency medical services and improved patient outcome is well evidenced, allocation to the most appropriate incidents remains problematic. It is unclear which model of deployment is the most efficie...
Patients are most likely to survive out of hospital cardiac arrest (OHCA) if they receive effective bystander cardiopulmonary resuscitation (CPR) and public access defibrillation1 (PAD). However CPR and PAD is rare and bystanders fear causing harm during resuscitation2. In 2012, the British Heart Foundation (BHF) launched their pocketCPR training a...
This poster summarises our research into the use of the British Heart Foundation PocketCPR training applicaiton during bystander resuscitation
Background: HEMS are a well-established part of trauma systems. However their success depends on the ability of these teams to arrive at appropriate incidents. It is important to determine which dispatch models for HEMS are more efficient at targeting deployment to critically unwell or injured patients, and whether the call screening process is ade...
Matthew Catterall, Keith Bromwich, Alyesha Phillips and Georgette Eaton report on the 13 th Turkish International Paramedic Congress and Rally in Antalya, Turkey.
While the need to keep accurate patient records is acknowledged by the bodies that govern healthcare practice, there is currently little evidence to support a specific standard of record keeping, with advice on following one of several recognised models. For many ambulance Trusts, documentation guidelines are based on expert opinion of what should...
With the growing prevalence of adventure holidays and international travel, exposure to the extremes of altitude is becoming more and more common. With this increase in adventure travel the need for expedition medics is expanding, although education in this area is understandably lacking from most medical and allied health professional core trainin...
Femoral neck fractures affect up to 75 000 elderly people per year, with up to a third of these patients dying within twelve months. While there is a paucity of research specific to the pre-hospital field, current evidence demonstrates that optimal treatments include appropriate and adequate analgesia, fluid management and correct immobilisation of...
