	Newly Qualified Paramedic	Paramedic	Specialist Paramedic First Contact Paramedic	Advanced Paramedic (Advance Clinical Practitioners)
	Bachelor degree with honours (BSc Hons)	Bachelor degree with honours (BSc Hons)	Undertaken, or working towards a Post-graduate diploma (PGDip)	Undertaken, or working towards a Master’s degree (MSc).
	Patient Group Directives (PGD’s)	Patient Group Directives (PGD’s)	Patient Group Directives (PGD’s)	Able to undertake Independent Non- Medical Prescribing module
Core clinical skills	Medical history	Medical history	Clinical skills as per Paramedic which may include advanced history taking and minor illness modules.	Clinical Skills as per Paramedic. They will demonstrate expert knowledge base, complex decision- making skills, competence and judgement in their area of advanced practice.
	Perform an appropriate and comprehensive assessment and physical examination across all age ranges	Perform an appropriate and comprehensive assessment and physical examination across all age ranges
	Clinical decision making	Clinical decision making
	Requesting an interpretation of certain investigations. Ie ECG	Requesting an interpretation of certain investigations. i.e ECG
	Formulate differential diagnosis (Illness/Injury)	Formulate differential diagnosis (Illness/Injury)
	Treatment and management plans – with support from decision making tools and senior advice	Treatment and management plans
	Maintaining accurate clinical records	Maintaining accurate clinical records
	Interprofessional working, communication and referral	Interprofessional working, communication and referral
	Structured handover	Structured handover
	Appropriate safety netting	Appropriate safety netting
	Recognition life extinct	Recognition life extinct
Core procedural skills	Pre-hospital advanced life support (resuscitation)	Pre-hospital advanced life support (resuscitation)	As per Paramedic plus some or all of the following additional skills *Additional training may be required.	As per Paramedic plus some or all of the following additional skills
	Airway management (from simple to advanced adjuncts)	Airway management (from simple to advanced adjuncts)	Otoscopy	Otoscopy
	Laryngoscopy	Laryngoscopy	Fundoscopy	Fundoscopy
	Ventilation and capnography	Ventilation and capnography (IF STILL WORKING WITH THE AMBULANCE SERVICE)	Biopsy and swabs	Biopsy and swabs
	Basic observations (Pulse, Respiratory rate, peak flow, oxygen saturations, manual blood pressure, temperature, capillary blood glucose testing)	Basic observations (Pulse, Respiratory rate, peak flow, oxygen saturations, manual blood pressure, temperature, capillary blood glucose testing)	Requesting and interpretation of bloods	Requesting and interpretation of bloods
	Obtain and interpret 12 lead ECG	Obtain and interpret 12 lead ECG	PV examinations	PV examinations
	System-based physical examination skills (to a minimum of auscultation, percussion and palpation)	System-based physical examination skills (to a minimum of auscultation, percussion and palpation)	Catheterisation (male and female)	Catheterisation (male and female)
	Cannulations (IV and intraosseous)	Cannulations (IV and intraosseous) (IF STILL WORKING WITH THE AMBULANCE SERVICE)	Fracture/joint manipulation and reduction	Fracture/joint manipulation and reduction
	Injections (IM and subcutaneous)	Injections (IM and subcutaneous)	Incision and drainage of abscesses	Incision and drainage of abscesses
	Nebulised medicines	Nebulised medicines	Requesting imaging (IRMER)	Requesting imaging (IRMER)
	Musculoskeletal splinting	Musculoskeletal splinting	Interpretation of imaging	Interpretation of imaging
	Spinal immobilisation and clearance	Spinal immobilisation and clearance (IF STILL WORKING WITH THE AMBULANCE SERVICE)	Nerve blocks	Nerve blocks
	Haemorrhage control	Haemorrhage control	Urine dipsticks	Urine dipsticks
	Management of penetrating trauma	Management of penetrating trauma	Venepuncture and blood culture sampling	Venepuncture and blood culture sampling
	Basic wound care	Basic wound care	Wound closure	Wound closure
	Emergency obstetric assessment and management	Emergency obstetric assessment and management	DNACPR decisions and End of Life Care planning	DNACPR decisions and End of Life Care planning
	Preparation and administration of medicines via PGD’s	Preparation and administration of medicines via PGD’s
Autonomy	When first qualified, complete 300 hours working alongside band 6 Paramedic. After 300 hours, utilise support tools to promote safe discharge. Require clinical support to discharge from scene if outside of these tools	Work autonomously, with access to senior support via ambulance service or partner agencies.	Work autonomously with access to support. Provide clinical guidance and leadership to NQP and Paramedic tiers.

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Qualifications, knowledge and skills table