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COME AND JOIN US WE WOULD LIKE TO INVITE YOU TO THE FIRST JOURNAL OF PARAMEDIC PRACTICE LEADERSHIP WEBINAR The JPP Leadership Webinar is an attempt to demystify leadership, and generate discussion and ideas on the subject of leadership. The aim is to focus on what ‘good’ leadership looks like and to consider the following questions:  What is our role (and responsibility) as individuals, and as leaders, when it comes to providing leadership?  What is (or should be) within our scope of practice and sphere of influence when it comes to leadership?  Is leadership something inherent to key organisational roles, or the preser ve of those with cer tain attitudes, behaviours and characteristics?  Is leadership a type of formal process within organisations, or something that each of us has the ability to provide and contribute to, personally and professionally? We invite you to come along with your ideas, insights and suggestions to engage and help shape the discussion during this webinar, as well as going forward. This webinar is the beginning of our momentum towards building a ‘community of practice’ in relation to paramedic leadership. The JPP Leadership Webinar will be hosted by:  Professor Leo McCann, who has extensively researched the roles of paramedics and ambulance personnel, leadership, management, and the ‘organisation’ of ambulance ser vices  James Taylor, Paramedic, who brings ‘lived experience’ of working within and across a number of clinical and leadership roles and has also researched the concept of clinical leadership among ‘ambulance clinicians’  Lynda Sibson, Consultant Editor, JPP and Telemedicine Manager of the East of England Stroke Telemedicine Par tnership. Volume 16 Number 8 www.paramedicpractice.com August 2024 Journal of PARAMEDIC PRACTICE The clinical monthly for emergency care professionals EDITORIAL Career crossroads RESEARCH Volume 16 Number 7 www.paramedicpractice.com July 2024 Journal of Deprivation links to bystander cardiopulmonary resuscitation and defibrillation rates PARAMEDIC PRACTICE The clinical monthly for emergency care professionals UK prehospital practitioners’ knowledge of heat-related illness and heatstroke EDUCATION EDITORIAL Cheers to you Practice-based education: a scoping review EDUCATION MINDS AND MACHINES Mental wellbeing of student paramedics before and after first ambulance placement Influence of simulation fidelity on student learning in a prehospital setting Innovation and integrity: AI in paramedic education RESEARCH STUDENT COLUMN Experiences of homeless individuals using ambulance services: a narrative review PARAMEDIC DIVERSITY Working as a student Non-binary paramedics and inclusive patient care Homelessness NQP PERSPECTIVE and use of ambulance ECG CASE SERIES | PARAMEDIC TRANSITIONS | NQP PERSPECTIVE Never a dull moment ECG CASE SERIES | PARAMEDIC TRANSITIONS | SPOTLIGHT ON RESEARCH services Heat-related illness and heatstroke www.paramedicpractice.com www.paramedicpractice.com Join us via MS Teams on Wednesday 25th September 2024 6 –7 pm BST
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Consultant Editors Lynda Sibson, Ian Peate, Pete Gregory Editor Aysha Mendes jpp@markallengroup.com Commercial Manager Frankie Bramble frankie.bramble@markallengroup.com Group Classified Manager Daniel Doherty julia.stevens@markallengroup.com Production Manager Kyri Apostolou Production Assistant Jamie Hodgskin Content Development Director Tom Pollard Editorial Director Sophie Gardner Managing Director Anthony Kerr anthony.kerr@markallengroup.com Associate Publisher Mike Shallcross Publisher Anthony Kerr Chief Executive Officer Ben Allen Editorial Board Guillaume Alinier Director of Research, Hamad Medical Corporation Ambulance Service, Doha, Qatar; Professor, Simulation in Healthcare Education, University of Hertfordshire, UK Ayesha Bal Paramedic, West Midlands Ambulance Service Trust, UK Aidan Baron Extended Care Paramedic and Clinical Lead, Community Health Support NSW, Australia; Visiting Researcher in Urgent and Emergency Health Care and Workforce Research, Kingston University London, UK Tony Bleetman Consultant in Emergency Medicine; Honorary Associate Professor, University of Warwick Medical School, Coventry, UK Malcolm Boyle Associate Professor and Academic Lead in Paramedic Education, Program Director Paramedicine Programs Griffith University, Australia Dr Mike Brooke Doctor and Advanced Paramedic, Tameside Hospital NHS Trust/North West Ambulance Service NHS Trust UK Tanoh Asamoah-Danso Paramedic, East of England Ambulance Service Trust, UK David Davis Clinical Lead, Integrated Urgent Care Workforce Development Programme, NHS England; Fellow and Mental Health Spokesperson, College of Paramedics; Founding Fellow, Faculty of Clinical Informatics, UK John Donaghy Senior Lecturer, Paramedic Science, Anglia Ruskin University, UK Georgette Eaton Consultant Paramedic (Urgent Care), London Ambulance Service NHS Trust, UK Kerry Gaskin Principle Lecturer, Advancing Clinical Practice; Academic Lead, CPD and Paramedic Science, Allied Health and Social Sciences Academic Unit, University of Worcester, UK Pete Gregory Head of Allied Health Professions, University of Wolverhampton, Wolverhampton, UK Sigurd Haveland Paramedic and Divisional Clinical Lead, Primary Care and Emergency Services, Gibraltar Health Athority Andrew Kirk Assistant Director for Education and Organisational Development, East Midlands Ambulance Trust, UK Joanne Mildenhall Paramedic Team Leader, South Central Ambulance Service NHS Trust, UK Dr Tom Mallinson Prehospital Doctor, BASICS Scotland, UK Ian Mursell Consultant Paramedic, East Midlands Ambulance Service NHS Trust, UK Ian Peate Viiting Profesor, Northmbria University, UK John Renshaw Senior Lecturer in Paramedic Science, Wolverhampton University, UK Alan Rice Associate Professor, Paramedic Practice, Department of Paramedic Science, Kingston University and St George’s, University of London, UK Lynda Sibson Telemedicine Manager, East of England Stroke Telemedicine Service, Addenbrookes Hospital, Cambridge, UK Ceri Sudron Senior Lecturer and Paramedic Science Course Lead, University of Wolverhampton, UK Kacper Sumera Deputy Head of Education, East Midlands Ambulance Service NHS Trust, Nottingham, UK Sammer Tang Public Health Registrar, Gloucestershire Hospital NHS Foundation Trust, UK James Taylor Project Manager, Cambridge University Hospitals NHS Foundation Trust, UK. Carl Webster Senior Lecturer and Paramedic Science Course Lead, Nottingham Trent University, UK Mark Woolcock Consultant Paramedic; Lead Clinician, Cornwall Health Out-of-Hours Aimee Yarrington FCPara, Clinical Team Mentor and Midwife, West Midlands Ambulance Service NHS University Foundation Trust, Shropshire, UK UK Personal subscription rates (print) Quarterly Direct Debit Annual Direct Debit £48 £192 Annual Credit Card £202 Two year Annual Credit Card £343 Three year Annual Credit Card £485 Subscribe online: www.magsubscriptions.com Subscribe by phone: +44 (0) 1722 716997 Contact institutions@markallengroup.com for institutional pricing part of www.markallengroup.com Journal of Paramedic Practice is published by MA Healthcare Ltd, St Jude’s Church, Dulwich Road, London SE24 0PB Tel: +44 (0)20 7738 5454 Website: www.paramedicpractice.com lthcare Ltd Hea MA 2024 © © MA Healthcare Ltd, 2024. All rights reserved. No part of the Journal of Paramedic Practice may be reproduced, stored in a retrieval system, or transmitted in any form or by any means electronic, mechanical, photocopying, recording, or otherwise without prior written permission of the Publishing Director. The views expressed do not necessarily represent those of the editor or the Journal of Paramedic Practice. Advertisements in the journal do not imply endorsement of the products or services advertised. Please read our privacy policy, by visiting http://privacypolicy.markallengroup.com. This will explain how we process, use & safeguard your data ISSN 1759-1376 Printed by Pensord Press Ltd, Blackwood, NP12 2YA EditorialEditorial Join the arena On 23rd April 1910, as part of an international tour, former US President Theodore Roosevelt arrived at the Sorbonne in Paris to deliver the speech, ‘Citizenship in a Republic’, to an audience of politicians, academics, navy officers and thousands of students. Roosevelt was a powerful orator, with a unique ability to articulate his concept of an education—not just based on knowledge acquisition, but also on the cultivation of virtue and the importance of action: ‘It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat.’ This concept of the ‘man’ (and woman—this was 1910 after all!) in the arena still resonates today. The paramedic, and indeed all those working clinically, can be seen to be working within the modern ‘arena’ often presented with undifferentiated patients in a wide variety of situations and settings and where complex problems require decisions to be made, solutions to be found, and action to be taken. Leadership is often perceived as being the responsibility of those at the top of organisations, such as the Chief Executive, and Directors. Leaders are also often seen as those with additional education, senior staff with university degrees, or those who undertake advanced clinical roles. This is often the case. However, arguably, paramedics, technicians, front-line supervisors, emergency care assistants, call handlers, dispatchers, or operational managers also provide ‘leadership’ as part of their roles. It can be argued that everyone has some form of leadership role, as individuals, and in providing care for patients and members of the public. Health systems are currently facing complex challenges; a rapidly ageing population, escalation of long-term conditions and comorbidity, with an increasing drive for quality, safety and productivity, combined with advances in technology and with the inevitable challenges of prevailing financial and other resourcing constraints. According to NHS England (2024), ‘Given this context, health system leadership is no longer an option for clinicians, it is a responsibility’. What is ‘health system leadership’? No healthcare is delivered in isolation. Care is provided in a broad range of settings, within ‘complex’ systems. The process of providing care often involves clinicians crossing or navigating a way through multidisciplinary, professional and organisational boundaries. Effective clinicians must understand these systems, work within them, and provide leadership to improve them for the benefit of patients and society. Leadership can be defined as a ‘process of influence that occurs in a group setting towards the achievement of a common goal’. There are perhaps as many definitions and models of leadership as there are leaders. There are also individual, collective, professional and organisational considerations when it comes to ‘doing the right thing’ and associated decision-making processes. In an attempt to demystify leadership, and generate discussion, we invite you to the first Journal of Paramedic Practice Leadership Webinar via MS Teams on Wednesday 25th September 2024 6 –7 pm BST. We will focus on the positives of leadership and how we may incorporate effective, compassionate and sound leadership behaviours into all forms of clinical and professional practice. JPP NHS England. Leadership. 2024. https://tinyurl.com/2ey9cafa (accessed 23 August 2024) Lynda Sibson (Consultant Editor), James Taylor (Paramedic), Professor Leo McCann Journal of Paramedic Practice • Vol 16 No 9 https://doi.org/10.12968/jpar.2024.0063 357

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COME AND JOIN US

WE WOULD LIKE TO INVITE YOU TO THE FIRST JOURNAL OF PARAMEDIC PRACTICE LEADERSHIP WEBINAR

The JPP Leadership Webinar is an attempt to demystify leadership, and generate discussion and ideas on the subject of leadership. The aim is to focus on what ‘good’ leadership looks like and to consider the following questions:

 What is our role (and responsibility) as individuals, and as leaders, when it comes to providing leadership?  What is (or should be) within our scope of practice and sphere of influence when it comes to leadership?  Is leadership something inherent to key organisational roles, or the preser ve of those with cer tain attitudes, behaviours and characteristics?  Is leadership a type of formal process within organisations, or something that each of us has the ability to provide and contribute to, personally and professionally?

We invite you to come along with your ideas, insights and suggestions to engage and help shape the discussion during this webinar, as well as going forward. This webinar is the beginning of our momentum towards building a ‘community of practice’ in relation to paramedic leadership.

The JPP Leadership Webinar will be hosted by:  Professor Leo McCann, who has extensively researched the roles of paramedics and ambulance personnel, leadership, management, and the ‘organisation’ of ambulance ser vices  James Taylor, Paramedic, who brings ‘lived experience’ of working within and across a number of clinical and leadership roles and has also researched the concept of clinical leadership among ‘ambulance clinicians’  Lynda Sibson, Consultant Editor, JPP and Telemedicine Manager of the East of England

Stroke Telemedicine Par tnership.

Volume 16 Number 8

www.paramedicpractice.com

August 2024

Journal of

PARAMEDIC PRACTICE The clinical monthly for emergency care professionals

EDITORIAL

Career crossroads

RESEARCH

Volume 16 Number 7

www.paramedicpractice.com

July 2024

Journal of

Deprivation links to bystander cardiopulmonary resuscitation and defibrillation rates

PARAMEDIC PRACTICE The clinical monthly for emergency care professionals

UK prehospital practitioners’ knowledge of heat-related illness and heatstroke

EDUCATION

EDITORIAL

Cheers to you

Practice-based education: a scoping review

EDUCATION

MINDS AND MACHINES

Mental wellbeing of student paramedics before and after first ambulance placement

Influence of simulation fidelity on student learning in a prehospital setting

Innovation and integrity: AI in paramedic education

RESEARCH

STUDENT COLUMN

Experiences of homeless individuals using ambulance services: a narrative review

PARAMEDIC DIVERSITY

Working as a student

Non-binary paramedics and inclusive patient care

Homelessness

NQP PERSPECTIVE

and use of ambulance

ECG CASE SERIES | PARAMEDIC TRANSITIONS | NQP PERSPECTIVE

Never a dull moment ECG CASE SERIES | PARAMEDIC TRANSITIONS | SPOTLIGHT ON RESEARCH

services

Heat-related illness and heatstroke www.paramedicpractice.com www.paramedicpractice.com

Join us via MS Teams on Wednesday 25th September 2024 6 –7 pm BST

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