It is well known and well established in the UK that paramedics, nurses and doctors have very good registration schemes, in fact they are held up across the world as the gold standard and as such keep the public safe, along with other bodies such as the College of Paramedics which lead the field globally in paramedic education.
Currently in the UK not all staff working within pre-hospital emergency medicine are registered and 100% audited (currently only paramedics, doctors and nurses are), add to that the very wide range of courses and skill sets for grades below paramedic, it is difficult for those in the industry to know where one particular individual sits. Also their titles such as "Technician" and "EMT" are not protected, this mean that the variation of the skills of a technician or EMT is very wide.
Therefore, it is almost impossible for the public to understand the various titles because of the described differences and the public assume (especially in the event industry) that every ambulance is the same and if dressed in green you're a "paramedic".
Emergency Medical Technicians are an important resource as part of ambulance crews and in the event sector make up the majority of those practicing in the prehospital care arena. They are highly trained and skilled in their role and they should be recognised as such and should be registered in the same way as paramedics and other healthcare providers.
Recent incidents have highlighted the need for registration, not only to improve the status of an EMT but to reassure the public that when dealing with patients in ambulance situations they can trust the role of an EMT.
The UKREMT would like to see the Government undertake this role and ensure all practising IHCD Technicians, AAPs and FREUC 5s are registered with the HCPC but though this has had good support in the past, we believe that it is still a long way off being a reality. Even if this happens it will still leave a huge amount of practitioners missing out on registration and there are many more prehospital grades that need registering.
The UKREMT has stepped up to fill this void in protecting the public.
The UKREMT registers all those working in prehospital care and matches their skills to the skills framework.
Patron of the UKREMT
"It makes perfect sense to ensure registration of all EMTS"
The PHEM Skills Framework was the output of three Faculty hosted meetings, which brought together a wide spectrum of pre-hospital provider groups from First Aid Societies to Level 8 Pre-Hospital Emergency Medicine (PHEM) practitioners as well as colleagues from non-medical professional organisations such as the Police, Fire & Military Services and multi-representation from the UKSAR group.
The Faculty developed the PHEM Skills Framework with the purpose of developing a series of levels to allow a greater understanding of the clinical skills/competencies of various pre-hospital care providers arriving at an incident.
These levels have been designed specifically for the purpose of facilitating good inter-agency working on scene and are not related to educational attainment or Skills for Health levels. It is also hoped that non medical organisations may use the framework as a benchmarking exercise for any of their staff who have casualty care as part of their role.
Descriptors - To be recognised at any level the practitioner must have all the skills at that level.
Practitioners may have additional skills from higher levels but this does not mean that they are operating at that higher skill or grade level.
The descriptors given relate to public service roles and can be used to benchmark medical and other training requirements, the UKREMT have taken these descriptors and used its own knowledge of prehospital care and current course content to cross reference all the PHEM framework to match to UKREMT GRADES.
A Students, first aider. Certificated by a non national organisation.
B Nationally certificated first aider (qualified to meet statutory requirements within the work place) Holds FAW.
Levels C to H will be operating within a framework of governance and CPD
C Nationally certificated advanced first aider. i.e. FPoS (I), D13 Standard/Module 3 police officers.
D Nationally certificated non health care professional pre hospital provider caring for patients as a secondary role. i.e. D13 Enhanced certificated police officers, Fire Service IEC. Several types of UKSAR trained personnel.
E Nationally certificated non health care professional pre hospital provider caring for patients as a primary role i.e. may give medication. i.e. More specialist UKSAR trained personnel, some military personnel and some D13 Specialist certificated police officers.
F Non registered health care professional – i.e. Ambulance Technician, AAP, FREUC5, CMT1 (Serving).
G Registered health care professional working in pre hospital care.
H Advanced registered pre hospital care practitioner.
A - First Aider EFAW or FAW that is certificated by an organisation that does not have an approved accreditation.
B - Accredited & certificated First Aider - Holds FAW, FPOS(B), D13 standard or similar.
** Please note holding an FAW with a AED certificate does NOT make you an Advanced First Aider
C - Advanced First Aider - Holds FPOS(I), FREC L3, D13 Standard/Module 3 police officer with skills that match the framework.
*** Note: If you only hold an FPOS(I) or a FREC3 you are NOT an EMT - if you hold these qualifications along with a suitable CV, CPD and extended skills / THAT have a 100% match to the FPHC PHEM Skills Framework then you may be eligible to register at UKREMT EMT1 (D) level.
Levels D to F will be operating within a framework of governance and CPD and will be required to submit CPD portfolios every two years either via CPDME, Tibbee, CPD Portfolios or via any approved CPD submission method to remain registered.
All full registrants must agree to and sign the "UKREMT Fitness to Practice Policy 2020" to remain on the register. Level H will require the registrant to remain on their respective professional register.
D - UKREMT EMT 1: Pre hospital provider caring for patients within event or frontline setting or as a secondary role i.e. ECA, RNLI & UKSAR First Aiders, D13 enhanced, CFR, FREC L3 and FPOS(I) with additional skills as per framework.
Note: It is recommended that an EMT1 should not work solo as an EMT. An EMT1 is at a basic level and should work under supervision of an EMT2 or above and we highly recommend that all EMT1s work with an experienced EMT2/3 when employed in an EMT role, unless employed only as an Advanced First Aider (FREC3) UKREMT Grade C only role.
E - UKREMT EMT 2: A health care professional pre hospital provider caring for patients as a primary role i.e. FPOS Enhanced, FREC L4, Certain higher trained ECA's or CFR's (Trust dependant), some military personnel and some D13 specialist certificated police officers. (FREC L4 must have work book sign off complete).
F - UKREMT EMT 3: Non HCPC health care professionals i.e. IHCD Ambulance Technicians, AAP's, Army CMT1s or similar RAF/Navy (Serving) & FREUC L5s - ALL level F registrants must have evidence of a minimum of 750hrs clinical signoff.
You may have the skills to match the level but to be classed as an EMT3 with the UKREMT you MUST HAVE 750hrs supervised clinical sign off.
G - UKREMT EMT 4: Nationally registered health care professionals working in pre hospital care & selected professionals. i.e Paramedics, (HCPC Registered) or IHCD Ambulance Technicians with advanced NHS certified competences that match the FPHC PHEM skills framework profile for grade (Adv Ambulance Practitioner - Trust Dependent) All level G registrants must have evidence of a minimum of 1500hrs clinical signoff.
H - Advanced registered health care professionals working as a pre hospital critical care practitioner. i.e Critical care Paramedics, pre-hospital Doctors, BASIC members - must also be registrants of HCPC, GMC or NMC.
The UKREMT have taken the FPHC PHEM skills framework and adapted it within its outlines to ensure an easier understanding of our grading framework for the public to ensure they have the right staff on site for events and for private providers to understand their staff capabilities.
It is hoped that the UKREMT framework and the registration scheme will be adopted by multi agency pre-hospital providers including the NHS and the private sector for all those staff that are not registered with the HCPC, NMC, BMC, however those practitioners can still also register should they wish with the UKREMT.
The UKREMT framework is ideal to ensure CPD compliance and registration for all levels of pre-hospital practitioners.
* To be recognised at any level the practitioner must have ALL the skills at that level, according to the skills framework.
* Practitioners at any level may have additional skills from higher levels but this does not mean that they are operating at that level.
* Practitioners may indeed have a qualification for a level but not actually have the full skill base and thus be operating at a lower grade. i.e. CMT1 retired now at grade C, D or E but whilst serving may have been at grade F.
Grade A to C are eligible for Associate Registrant.
FREUC Level 5, IHCD Ambulance Aid & APP Students, must have done a minimum of 750 clinical hours, Trainee's will be given the grade below their FREC/FREUC Level, until the clinical hours have been completed.