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Research

The impact of paramedics working in primary care teams on other professionals and patient experiences: a qualitative study

Georgette Eaton, Stephanie Tierney, Geoff Wong, Veronika Williams, Julia Williams and Kamal R Mahtani
BJGP Open 2025; 9 (3): BJGPO.2024.0152. DOI: https://doi.org/10.3399/BJGPO.2024.0152
Georgette Eaton
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom
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  • ORCID record for Georgette Eaton
  • For correspondence: Georgette.eaton{at}phc.ox.ac.uk
Stephanie Tierney
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom
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Geoff Wong
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom
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Veronika Williams
2 School of Nursing, North Bay, Canada
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Julia Williams
3 School of Health and Social Work, University of Hertfordshire, Hatfield, United Kingdom
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Kamal R Mahtani
1 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom
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    Figure 1. Conceptual framework of findings

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    Table 1. Eligibility criteria for participants
    Inclusion criteriaExclusion criteria
    Participants can converse in EnglishParticipants who cannot converse in English
    Participants are willing and able to give informed consentParticipants aged <18 years
    They will fit one of the following three profiles:
    • Paramedics working in primary care within the UK

    • Adult patients in the UK who have had contact with a paramedic within a 3-month window before the start of data collection around the case (paramedic)

    • Healthcare professionals and administrative staff employed in primary care in the UK or who work alongside a paramedic

    Adult patients experiencing significant psychosocial difficulties that would make it unreasonable to invite them to take part in the research
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    Table 2. Details of paramedic cases
    SiteParticipant typeLength of time as a paramedic
    (years)
    Length of time in primary care (years)Employment typeGeographical information
    UK 1Paramedic practitioner146PCNUrban: town
    UK 2Paramedic practitioner104.5Direct employmentRural: villages
    UK 3Specialist paramedic275Direct employmentUrban: city
    UK 4Paramedic209 monthsPCNCoastal: town
    UK 5Paramedic2.54 monthsPCNUrban: city
    UK 6Paramedic practitioner811 monthsPCNUrban: city
    UK 7Home visiting paramedic123Direct employmentCoastal: town
    UK 8Urgent care practitioner (paramedic)193Rotational (ambulance trust and primary care)Rural: villages
    UK 9Paramedic practitioner144Direct employmentRural: town
    UK 10Paramedic practitioner93Direct employmentRural: town
    UK 11Advanced paramedic practitioner186Rotational (ambulance trust and primary care)Rural: villages
    UK 12Advanced paramedic3022Direct employmentCoastal: rural
    UK 13Advanced paramedic practitioner114Direct employmentUrban: city
    UK 14Advanced paramedic practitioner191.5Rotational (ambulance trust and primary care)Coastal: town
    UK 15Paramedic practitioner235Direct employmentRural: town
    • PCN = primary care network

    • View popup
    Table 3. Participant demographics from focused observations and interviews
    Participant typeNumber
    ParamedicAdvanced paramedic1
    Advanced paramedic practitioner3
    Home visiting paramedic1
    Paramedic2
    Paramedic practitioner6
    Specialist paramedic1
    Urgent care practitioner (paramedic)1
    PatientsPatient13
    Patient carer2
    GPsGP partner and trainer1
    GP partner3
    GP trainer2
    Salaried GP9
    Other healthcare professionals and administrative staffAdministrative support staff1
    Advanced nurse practitioner3
    Clinical pharmacist1
    Healthcare assistant1
    Home visiting district nurse1
    Practice manager4
    Practice nurse1
    Receptionist3

Supplementary Data

  • GE_10.3399BJGPO.2024.0152_supp.docx -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy. 

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The impact of paramedics working in primary care teams on other professionals and patient experiences: a qualitative study
Georgette Eaton, Stephanie Tierney, Geoff Wong, Veronika Williams, Julia Williams, Kamal R Mahtani
BJGP Open 2025; 9 (3): BJGPO.2024.0152. DOI: 10.3399/BJGPO.2024.0152

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The impact of paramedics working in primary care teams on other professionals and patient experiences: a qualitative study
Georgette Eaton, Stephanie Tierney, Geoff Wong, Veronika Williams, Julia Williams, Kamal R Mahtani
BJGP Open 2025; 9 (3): BJGPO.2024.0152. DOI: 10.3399/BJGPO.2024.0152
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Keywords

  • qualitative research
  • paramedics
  • primary health care

More in this TOC Section

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