Rex Hall

Dear entry

Whilst there were no significant changes to the standards of proficiency (SOPs) themselves, the nature of paramedic practice necessitated a raising of the level of learning required to achieve them, as articulated by the revised threshold level of entry. It is important to note that this change would not affect any current registrants who will not trained to the new level: The new level will be applied from September 2021 at which point all training routes into the paramedic profession will be set at degree level (or equivalent): The SOPs for paramedics set out the knowledge, skills and abilities individuals must meet and maintain to register with us, and practice safely and effectively as paramedic. These standards have been revised periodically , to ensure remain relevant to current practice for the paramedic profession. In relation to the specific points regarding the training of the paramedics in question, the SOPs for paramedics include specific reference to the need for paramedics to: understand the structure and function of the human body, together with knowledge of health, disease, disorder and dysfunction, relevant to the paramedic profession (13.1) understand the following aspects of biological science, including: human anatomy and physiology, especially the dynamic relationships of human structure and function and the musculoskeletal, cardiovascular, respiratory , digestive, endocrine, urinary, reproductive, integumentary and nervous systems (13.8) understand the following aspects of clinical science, including: pathological changes and related clinical features of conditions encountered in pre-hospital and out-of-hospital practice & physiological, pharmacological, structural, behavioural and functional changes in patient presentation (13.11) be able to conduct appropriate diagnostic or monitoring procedures, treatment; therapy or other actions safely and effectively (14.3) be able to conduct a thorough and detailed physical examination of the patient using appropriate skills to inform clinical reasoning and guide the formulation of a differential diagnosis across all age ranges (14.12) The SOPs were last revised and republished in 2014, and are applied to all levels of training currently in existence (and in existence at the time of the events in question) , including any of those set at Foundation degree level. We approve education and training programmes that can demonstrate their curriculum and assessment ensures that all individuals who receive the final award leading HCPC registration have successfully met all the SOPs (including those highlighted above): It is on this basis have they

that all individuals are deemed eligible to apply with us for registration. Once registered, all registrants must continue to maintain their adherence to these standards to remain on the register; including showing evidence of their continuing professional development if audited. We are currently undertaking a review of the SOPs and will liaise with the College of Paramedics on the concerns raised in your report to explore whether any amendments should be made in this regard. Where specific concerns are raised around an identifiable registrant's practice , we can investigate and if necessary consider their fitness to practise further: We can also investigate identified approved education and training providers, if there were concerns raised about the teaching and learning being provided. Should any specific concerns be raised as a result of your investigation, we will consider these and take appropriate action.