Inclusion Criteria:  - Paramedic Participants  Inclusion criteria:  HCPC registered paramedics employed as advanced practitioners From the selected advanced practitioner team (Sheffield) Able to provide informed consent Willing to undergo training and to deliver intervention Willing to undergo training to participate in study measures and processes Willing to take part in the focus group  Patient Participants  Inclusion criteria:  Adult patients aged 18 years old and over. Registered with a GP Surgery in the Sheffield CCG boundary. In their normal home environment, care home, nursing home or step up intermediate bed service, experiencing an ambulatory sensitive presentation related to falls, frailty, mild to moderate breathlessness, or non-specific general illness and receiving an ambulance service response from participating advanced practitioners (paramedics). Who do not require immediate life-saving intervention/immediate transfer to ED. Able to give written consent during the call-out.  Exclusion Criteria:  -  Paramedic Participants:  • Any HCPC registered advanced practitioner (paramedic) who is currently under investigation for fitness to practice.  Patient Participants  Patients requiring emergency intervention and immediate transfer to hospital. Patient does not have mental capacity. Clinical presentations that should not have any delayed on scene time, meeting the criteria outlined in the YAS policy for the assessment, conveyance and referral of patients, for example detailing the NEWS2 score and other appropriate clinical screening tools that assist in the decision making regarding the decision to convey or refer for community management. Non-English speaking patients. End of life care patients. Patients residing in prison.