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Measuring the Benefits of the
Emergency Care Practitioner




                          better skills
                          better jobs
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DH INFORMATION READER BOX




Work Area:          Commissioning

Purpose:            For information

Gateway Ref:        8382

Title:              Measuring the Benefits of the Emergency Care Practitioner

Author:             ECP Team, Skills for Health

Issue Date:         June 2007

Target Audience:    PCT CEs, NHS Trust CEs, SHA CEs, Medical Directors, Directors of Nursing, PCT PEC Chairs,
                    Directors of HR, Allied Health Professionals, Emergency Care Leads.

Circulation List:   PCT CEs, NHS Trust CEs, SHA CEs, Foundation Trust CEs.

Description:        Outlining the benefits of utilising Emergency Care Practitioners in the delivery of urgent
                    and emergency care.

Cross Reference:    The Competence and Curriculum Framework for the Emergency Care Practitioner,
                    Right Skill, Right Time, Right Place, Taking Healthcare to the Patient.

Superseded Docs:    N/A

Action Required:    N/A

Timing:             N/A

Contact Details:    ECP Team
                    Ground Floor
                    Skills for Health
                    2 Brewery Wharf
                    Kendell Street
                    Leeds
                    LS10 1JR

                    Tel: 0113 306 3000

                    www.skillsforhealth.org.uk
Contents



Acknowledgements                                                              2
Measuring the Benefits of the Emergency Care Practitioner                     3
1.   Aims of the Emergency Care Practitioner Role                             4
2.   Quantifying the Benefits                                                 7
     2.1   Benefits Approach                                                  7
     2.2   Measuring Against Target                                           8
     2.3   Reporting                                                          12
     2.4   Cost Effectiveness of ECPs in the Emergency Pathway (999)          14
     2.5   Cost-Effectiveness in Out Of Hours                                 17
3.   Calculating the Business Case  Return on Investment                     19
4.   The Best Way to Deploy Emergency Care Practitioners                      20
     4.1   Measurement during the Growth phase  what would make it better?   20
5.   Ongoing Measures  Is It Still Safe?                                     23
     5.1   Options and range of impact                                        23
6.   If They Only Make This Difference                                        25
7.   References                                                               26




                                                                                   1
    Acknowledgements



    Measuring the Benefits of the Emergency Care Practitioner is the fruition of three years work.
    Originating with the audit of ECP trial sites the overriding objective has been to develop a
    workforce fit for purpose to deliver unscheduled care across healthcare boundaries, by gathering
    evidence of safe and effective practice.

    This work could not have been delivered without the unstinting support of Professor Sir George
    Alberti, the Emergency Care Practitioner Leads from Strategic Health authorities and ECP Trials
    Sites. I am indebted to them all.

    I would especially like to thank Chris Wintle, Belle Connell, John Gosnold and Mark Bilby from
    the Emergency Care Practitioner Team at Skills for Health.

    This document should be read in conjunction with the Competence and Curriculum Framework
    for the Emergency Care Practitioner (2007).

    Dr Hugo Minney




2
Measuring the Benefits of
the Emergency Care Practitioner

`Not everything that can be counted counts, and not everything that counts an be counted' 
Albert Einstein

New, enhanced and extended roles can bring many benefits: however unless they meet the
needs which first initiated them, they are not "Fit for Purpose". In many cases new roles bring
many ancillary benefits, some of which won't have been anticipated at the point that the role was
developed, and ECPs are an excellent example of this. On the other hand, introducing a new role
into an otherwise hopelessly inefficient practice could make the team function much better  the
improvement is caused by change, not by the new role; this aspect is also examined.

It makes sense to start with the need and how far ECPs fulfil this, and then examine what other
benefits ECPs bring.




                                                                                                    3
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