BMJ 1995;310:1409 (27 May)

Letters

Emergency care in general practice

EDITOR,--Andrew Dicker's assertion that "there is an urgent need for a nationwide reactive and effective emergency service, staffed by properly trained paramedics, to respond to medical emergencies at home" encouraged us to collate and analyse some relevant data that we have been collecting.1 We wrote to all chief ambulance officers in the United Kingdom seeking their views on tertiary education for paramedics. To date, 44 (86%) of 51 have responded. Forty supported the introduction of a nationally recognised degree or diploma in ambulance technology, while the concepts of a General Paramedical Council and state registered paramedics were both supported by 39. Reaccreditation and the provision of a national qualifying exam were both supported by 35 respondents. There was not support, however, for the regulation of entry numbers toprotect career progression or for the suggestion that people should not be able to hold senior management positions in the service unless they . . . [Full text of this article]


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