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Emergency medical personnel in the United Kingdom
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Emergency medical personnel in the United Kingdom : ウィキペディア英語版
Emergency medical personnel in the United Kingdom

Emergency medical personnel in the United Kingdom are people engaged in the provision of emergency medical services and this includes paramedics, emergency medical technicians and emergency care assistants. 'Paramedic' is a protected title, strictly regulated by the Health and Care Professions Council,〔(【引用サイトリンク】url=http://www.hcpc-uk.org/aboutregistration/protectedtitles/ )〕 although there is tendency for the public to use this term when referring to any member of ambulance staff.
Emergency medical personnel most often work in an ambulance alongside another member of staff. Typically, an ambulance will be crewed by either a paramedic with another crew member (technician or emergency care assistant), two technicians or a technician with an emergency support worker. No NHS ambulance trust in the country currently offers a paramedic on every ambulance, although some trusts are moving towards this. Further to this ambulance staff at technician or paramedic grade may drive solo responder rapid response vehicles (RRV) after completion of a two day driving course to familiarise them with the RRV's.
The majority of emergency medical personnel are employed by the public ambulance services of the National Health Service, although many are also employed by private ambulance companies and the two voluntary aid societies (British Red Cross and St. John Ambulance), either providing private services such as event medical cover, or providing support to the NHS ambulance services under contract.〔(【引用サイトリンク】title=Annual plan 2011-12 )
As part of a cost-saving exercise NHS is in the process of phasing out the ambulance technician/emergency medical technician (Band 4 on the Agenda for Change) role from the services and replacing it with the Emergency Care Support Worker or Emergency Care Assistant roles (Band 3 on the A4C), and most services are no longer training staff at technician level.〔(【引用サイトリンク】title=Ambulance technician )〕〔(【引用サイトリンク】title=Pay for ambulance service staff )
==Levels of staff==
The specific skills performed by each group of emergency medical personnel will be dictated by a combination of training, the legal framework and the policies of their employer. The most homogenous group is the paramedics, as the framework of practice is largely dictated by their status as registered healthcare professionals, although local policy differences are still in effect.
The other grades, including technicians, support workers and emergency care assistants do not have legal status as health care professionals, and their skill sets and permitted interventions are governed by their employer. This has led to significant differences in training and skill between staff in different services with the same or similar job titles, especially within the private sector.
There are standards in place for all ambulance staff, written by the Joint Royal Colleges Ambulance Liaison Committee (JRCALC), which is a body made up of representatives from a number of expert organisations including medical, nursing, allied health professional and ambulance communities.〔(【引用サイトリンク】url=http://jrcalc.org.uk/guidelines.html )〕 JRCALC publishes guidance based on the principles of evidence based medicine and best practice, but adherence to JRCALC is not mandatory, and organisations and individuals can choose to deviate from it.
All ambulances services, as well as the provision of treatment by health care professionals (paramedics), whether public, private or voluntary are regulated by the Care Quality Commission, and they control the operation of all services.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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