Community Paramedic Pilot: A Safe, Sustainable and Shared Alternative to an Accident and Emergency Partnership Approach

Roger John, Adv Paramedic Practitioner & Gwen Kohler, Financial Planning Manager

Welsh Ambulance Service NHS Trust


A joint initiative instigated by the Welsh Ambulance Service NHS Trust (WAST) in partnership with St Johns General Practice and Cwm Taf University Health Board (CTUHB). Exploring the potential to reduce conveyance, accident and emergency attendances, hospital admissions and to increase GP capacity. This is a 12-month pilot where paramedics are supporting the Multi-Disciplinary Team model.


We know that:


Patients are referred to a ‘Virtual Ward’ with reference to their frailty, multiple complex health and social care needs. Individual care plans are developed and agreed through a multi-disciplinary team approach which include allied healthcare professionals, paramedics, social care and GPs.


“The paramedics have been a great help and support to the GPs in managing a large percentage of home visits”

Practice Manager St Johns Medical Practice

“It was nicer to be treated at home rather than the hustle and bustle of hours at A&E”

Extract from patient feedback

“Being Involved in this trial allows me to take multiple high quality health care skills to a patients front door, and if safe to do so treat them at home”

Community Paramedic

Paramedics undertake home visits to deliver care packages on behalf of the practice. There is a focus on providing care which will enable patients wherever possible to remain at home safely. Clinical Supervision is in place, with regular case reviews with both WAST, GP and CTUHB. This is a new way of working together to ensure patients see the “right clinician at the right time”.


Initial outcomes suggest:

Charts showing early data for patient outcomes (Feb to Juy 2017) and severity of patient condition

Part of cohort Bevan Exemplar Projects 2016-17