Davy
You make your points well and I recognise the position that you are in. I do
feel that all non NHS personnel are getting a raw deal from CPSM. I think
they (CPSM) have got themselves a bit confused. To my mind you have to be
registered to work in the NHS but being registered does not necessarily mean
that you do work in the NHS or have the automatic right to do so. I think
they have gotten confused over this issue and basically expect the register
solely to reflect those that do work in the NHS (after all I'm pretty much
certain to lose my registration if I go off and work for someone else other
than the NHS even thought my skills are still there). They seem worried that
if they register a military CMT then they would demand an automatic NHS job
when they come out. Silly, but its just the impression I get from them.
I don't really think it matters what you call yourself, if you have the
skills and experience then I would be happy for you to be a Paramedic, my
point was simply that if you decide to use that title then you should live
up to the same standards as required by the rest of us - the vast majority
of whom are NHS. Whatever you call yourself the standard of the reasonably
skilled man professing to have your skill will apply in court. Basically are
you trained in a skill? If yes has your execution of the skill fallen below
that which could reasonably be expected from someone of your skill level? If
no is your employer negligent in not providing the skill by reference to
similar employers elsewhere? No all round - then bang goes my 10% (sorry,
once a lawyer...)
So yes, you do get a poor deal from the CPSM. The problem at present is
this - suppose we register all the private ambulance paramedics. Should one
be struck from the register for malpractise then at the current time any
unscrupulous employer could reemploy that person and even let him wear a
Paramedic badge! Closure of title does not apply. And even if it did you
would just call him something slightly different - Medic etc. I'm not sure
how the position changes with the revised patient group directive circular
which only includes NHS paramedics - how does this affect private services
who operate under this kind of remote group prescribing?
I was unaware of concerns with the Faculty and non-NHS staff. Obviously NHS
and BASICS make up the biggest numbers so there may be some bias but I would
hate to lose the skills of someone with your kind of wilderness experience
from the group - you could certainly teach me a thing or two I don't know
and I supspect many others. If you have specific concerns then I can put you
in touch with appropriate people, mail me off list at
[log in to unmask]
I think in Steve's case the other issue is educating event organisers. Not
all Ambulance services are the same. That's not to say that only the NHS can
provide the service but organisers must know who they are taking on and what
skills they have. After all if they employ someone who isn't up to the job
they could be sued too (I'll get my 10% somewhere!)
Don't take it personally but I won't be replying to you for ten days or so -
off on holiday tomorrow !
Regards
Ian
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]]On Behalf Of davygunn
Sent: 11 August 2001 08:22
To: [log in to unmask]
Subject: Re: Paramedics
Ian, as a genuine question: I am surrent as a UK ALS provider - Trained in
IV access and canulation - PHECS and PHTLS as well as a diploma in
physiology and one in pharmacology. I have decompressed chests and done
minor ortho work in remote places and under a special licence provided to
mountain rescue I can administer morphine, which I find a great help to
those whom require our help. What should my colleagues and I with similar
experience be called, and do we deserve a better deal from CPSM and the
faculty ?
Davy Gunn
(No title available yet)
Ducking below the parapet for "incoming"
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