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 was commissioned by Health Education England. Skills for Health led the framework development working with a project management group comprising Health Education England, NHS England, College of Paramedics and including several paramedics working in practice in primary care at an advanced level.

The framework provides a minimum standard for safe and effective practice within the professionals’ scope of practice e.g.

  • for governance – to provide a benchmark for service managers and commissioners and,
  • for education and training – to indicate minimum learning outcomes from education and training, linking with the existing College of Paramedics postgraduate curriculum.

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

Download the framework here