Paramedic independent prescribing in primary care: seven steps to success

Abstract

Paramedic practice is evolving and the number of advanced paramedics in primary care roles in the UK has risen dramatically. Recent legislation granting paramedics independent prescribing rights means UK paramedics are the first worldwide to receive this extension in scope of practice – a significant milestone for the paramedic profession. Paramedic prescribing capability is expected to increase autonomy for independent case management and enhance capacity for service development. However, local and national success is likely to depend on skilful implementation and avoidance of historical barriers. This article aims to raise awareness of potential barriers to early adoption of paramedic independent prescribing in primary care. It identifies common pitfalls prior to training and provides seven practical steps for paramedics considering pursuing non-medical prescribing training.

Barriers and facilitators to implementation of non-medical independent prescribing in primary care in the UK: a qualitative systematic review

“…Difficulties with implementation are frequently cited 43 46 59 65–67. Several UK68 69 and international systematic54 70–72 and literature reviews,73 74 have focused on implementation barriers and/or facilitators. However, these have been profession-specific,54 70–72 74 have included international models with varying legislative/jurisdictional levels of prescribing autonomy54 70–72 and/or have addressed prescribing in heterogenous care settings 54 68 69 74.…”

Comparison of Accuracy and Speed in Computer-Assisted Versus Conventional Methods for Pediatric Drug Dose Calculation: A Scenario-Based Randomized Controlled Trial

“…In 2018, the Health & Care Professions Council recommended legislation allowing paramedics who had undertaken prescribing program training to be able to prescribe supplementary medications. Additionally, Edwards et al 20 proposed best practices for allowing paramedics to independently prescribe medications, and the countries that have insufficient health care personnel should consider using this strategy.…”