Clinical trial NCT04085939: Referral to Pharmacists - Ambulance Clinician Experience Survey
Official title: Referral to Pharmacists - Ambulance Clinician Experience Survey
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Pharmacist-Patient Relations
Fall Patients
Lead sponsor: Yorkshire Ambulance Service NHS Trust
Sponsor class: OTHER_GOV
First posted: 2019-09-11
Enrollment: 330
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Clinical staff working operationally, providing frontline ambulance care in Yorkshire Ambulance Service NHS Trust during the PREFACES project (24th May, 2019 to 31st May 2020)

Brief summary: Falls in people aged 65 years and over are a common reason for calling the emergency ambulance service. Falls can be serious, with about 1 in 20 people having to be taken to hospital because they have been injured. Thankfully, in more than 4 out of 10 cases, people are not seriously injured and can be left at home. However, it is important that the reason for the fall is found and future falls are prevented where possible.

Yorkshire Ambulance Service can already make a referral to another local service to get specialist practical help for falls prevention when people are left at home after a fall. Research has shown that the safe use of medicines can prevent future falls, but that did not form. Now a new service has been set up for Yorkshire Ambulance Service to refer patients to the Leeds General Practice (GP) Confederation. A pharmacist working in the patients GP surgery will undertake a review of the patient's use of their medicines.

However, it is unknown how ambulance staff identify patients who may be at risk of future falls due to medicines being taken or issues with medicines management at home. This data is not currently collected in any ambulance patient records. It is also not known what their current practice is when a patient who is not managing their medicines well is identified. A literature search has revealed no papers on this topic. This research survey seeks to understand how ambulance clinicians identify and assist patients who are having difficulty in managing their medicines. Therefore, the results of this study are likely to provide new knowledge which will be generalisable to United Kingdom (UK) ambulance service practice.


Eligibility criteria: Inclusion Criteria:

* Clinical staff working operationally, providing frontline ambulance care in Yorkshire Ambulance Service National Health Service (NHS) Trust during the PREFACES project (24th May, 2019 to 31st May 2020)

Exclusion Criteria:

* Clinical staff NOT working operationally, providing frontline ambulance care in Yorkshire Ambulance Service NHS Trust
* Non-clinical staff

Primary outcomes:
measure: Weighted average of factors that identify patients having difficulty managing their medicines, ranked in order of importance by ambulance clinicians
timeFrame: Baseline
Secondary outcomes:
Other outcomes:
Locations:
city: Wakefield
country: United Kingdom
facility: Yorkshire Ambulance Service NHS Trust
state: West Yorkshire
Study officials:
References: