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Is there a role for an advanced practitioner in UK military prehospital care?
  1. Elizabeth Paxman1,
  2. D Lamb2 and
  3. S Findlay3
  1. 1 Faculty of health sciences, University of Southampton, Southampton, Hampshire, UK
  2. 2 RCDM (Research and Academia), MOD, Birmingham, UK
  3. 3 Headquarters, Defence Medical Services Group, Lichfield, UK
  1. Correspondence to SqnLdr Elizabeth Paxman, University of Southampton, Southampton SO17 1BJ, Hampshire, UK; elizabeth.paxman{at}


Recruitment and retention of doctors have been highlighted as some of the leading causes of the current perceived crisis within civilian emergency care. Indeed, the NHS recognises the contribution made by other healthcare professionals by supporting accreditation in advanced practice to mitigate the risks associated with these capability gaps. Consequently, roles such as the advanced clinical practitioner are now well established. Previous research and clinical experience in the civilian sector suggest that the advanced practitioner (AP) role could be used within Defence. Operationally, the role could be advantageous for the Defence Medical Services in the delivery of deployed healthcare. However, there is no available research that defines the role of UK military APs and, more specifically, their potential to support deployed prehospital care. Further work is required to determine how an AP might be effectively used within the military prehospital patient care pathway.

  • accident & emergency medicine
  • education & training (see medical education & training)
  • organisational development

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  • Contributors This paper was researched, written and coordinated by EP. DL assisted with further research and formatting. SF reviewed the paper and provided significant feedback to ensure the paper had application for a triservice audience. All authors reviewed and approved the final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.