Publication name: Delivering rural anticipatory care through a paramedic model: pilot evaluation
Date: 28 October 2011
Description: This report presents the findings from the national evaluation of the Rural Anticipatory Care Paramedic Programme (RACPP). The evaluation aimed to test the delivery of Keep Well and Well North health checks by trained Scottish Ambulance Service paramedics. The health checks aim to identify people at risk of developing a cardiovascular condition, refer them to appropriate treatment and give advice about lifestyle change. The programme was tested in NHS Orkney, NHS Highland and NHS Ayrshire and Arran.

The overall aim of the evaluation was to ‘test the effectiveness of the delivery of H8 inequalities targeted health checks within urban and rural settings by specifically trained paramedics.’

The evaluation was largely qualitative and explores: the different models used within Local Health Boards; infrastructure and planning; partnership working at strategic and local levels; service user feedback; costs associated with delivery; performance against objectives and application of learning for future delivery.

The evaluation found some variation in the models of delivery within the Local Health Boards, however there was evidence that paramedics were effective in delivery of the check and supported contribution in the delivery of the H8 target. Patients reported: high levels of satisfaction, and that useful advice was given. In a number of cases the health check identified health issues which patients had not been aware of.

The evaluation also illustrated some of the key challenges that the pilot had experienced including: Information Governance issues relating to patient data transfer and storage, and the relatively short timescales for planning, implementation and delivery of the pilot.
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