The paramedic specialist in primary and urgent care core capabilities framework

This framework describes advanced clinical practice for the paramedic specialist in primary and urgent care. This includes the knowledge, skills and behaviours to safely and effectively manage service users across the lifespan, recognising the need to be adaptable and working in often quite challenging situations, whilst retaining responsibility and accountability for those service users.
The framework:

• enables commissioners of services to specify minimum standards for clinical employment/placement of paramedic specialists
• enables managers to demonstrate that paramedic specialists working in primary and urgent care meet core capabilities or have developmental plans in place and clinical supervision to meet the nationally recognised framework
• helps education and training providers to focus on the key capabilities that learners need to achieve, which in turn will guide the content to be included and the use of appropriate learning and teaching strategies.
• sets out clear expectations for practitioners about the requirements of effective and safe extended practice roles and transferable skills
• can be used by service users and the public to understand the expectations of the paramedic workforce in primary and urgent care and to plan effectively for their own current and future care.

The framework comprises 14 Capabilities in four domains:

• Domain A. Person-Centred collaborative working
• Domain B. Investigation, assessment, advice and clinical impression or diagnosis
• Domain C. Condition management, treatment and prevention
• Domain D. Leadership and management, education and research