Rotational Paramedic Scheme

A Primary Care Network (PCN) can recruit a Paramedic under the Additional Roles Reimbursement Scheme (ARRS).

They will receive a Whole Time Equivalent (WTE) paramedic, this will consist of two paramedics who work on rotation between the PCN and Yorkshire Ambulance Service (YAS).

The paramedics will each have a 12 week training module (24 weeks in total) at a Practice/PCN completing their training module.

After the initial 12 week training, the Paramedics will remain employed by YAS while working in the PCN on rotation – each paramedic will work alternate 6 week blocks between the PCN and YAS.

Paramedic Rotation in Primary Care across Yorkshire & The Humber

During the 12 week training where will the Paramedic work?

The Paramedic will work at your PCN, this can either be across your PCN or just in one of your practices in your PCN, which ever works best for your PCN and gives the Paramedic the most support.

Who employs the Paramedics?

The paramedics remain fully employed with YAS throughout.

The cost to the PCN of the paramedic salaries and on costs will be set at the maximum Additional Roles Reimbursement Scheme (ARRS) claimable amount which you will need to claim from NHSE&I/CCG and YAS will invoice your PCN for reimbursement.


Who agrees the Paramedics annual leave, YAS or the PCN?

YAS will agree their annual leave and will provide advanced notification to the PCN of any leave that falls within their time with the PCN.

YAS will do their best to manage this so it is an equal split between YAS and PCN time.

How many hours a week does the WTE Paramedic work and do they have strict protocols over breaks and start and finish times?

The Paramedics will work 37.5hrs. The Paramedics do have strict protocols for breaks when on a 10-12hr shift at YAS but these wouldn’t apply when working 7.5hr days Monday – Friday with your PCN.

If your PCN wanted the Paramedic to work longer shifts but less days this is something YAS would need to agree in advance to cover off any break requirements.

Do the PCN in agreement with the Paramedic have control over the type of work they do or will YAS have any input into this?

The PCN will have full control on what type of work the paramedic picks up while on rotation with them.

Is there a fee to join the rotational scheme?

Originally we thought that there may be some additional administration charge from YAS towards their costs of employing and managing the paramedics and their additional costs (if the scheme numbers grow) of rostering the paramedics between duties.

However, the benefit of this model to wider system has now been acknowledged so we are very hopeful that YAS will be supported with these costs. But should these costs ever need to be recovered they will be capped at 5% of employment costs.

Currently, if required, this fee would have to be paid from your PCN administration funds or other source (it is not a reimbursable cost).

What will the Clinical Supervisor requirements be?

The Clinical Supervisor during the 12 week training will need to discuss and review the paramedics’ case base discussions, clinical examination & procedural skills, consultation observation tool and Personal Development Plan.

The Clinical supervisor will also need to complete a Clinical Supervisor’s Report (all forms along with guidance are provided in the Primary Care Paramedic Preceptorship Programme)

Who can be the Paramedics Clinical Supervisor?

The Clinical Supervisor needs to be either:

A GP Trainer OR an FCP/ACP/GP who has attended the roadmap supervision course

When could my PCN get their Paramedic?

We realise that this is going to take a while to cover all the PCNs who are interested and PCNs are free to go and recruit their own paramedics if they wish, but we would ask PCNs not to do this for two reasons:

Firstly, there is a real risk, of us causing serious destabilisation of the ambulance service if the PCNs cherry pick some of their best paramedics.

Secondly, we passionately believe that this model is the right one for our system. The paramedics will be more effective in their primary care work in your PCN for participating in this rotational model.

There is evidence that shows where Primary Care trained paramedics return to work on ambulances in the same area where they do primary care then there is a significant reduction in their conveyance rates. This means a significant to the local health economy.

Expression of Interest

If your PCN is considering a Paramedic under the Additional Roles Reimbursement Scheme (ARRS) please contact Project Manager Amy Collins

Contact Amy