Abstract
Paramedicine is evolving into a graduate occupation underpinned by evidence-based practice and the development of professionalism. There is a disproportionate number of fitness-to-practise concerns against paramedics in the UK compared with other health professions, with the exception of medicine and dentistry. This article details findings from a Delphi process which invited expert responses to questions relating to concerns and preventative measures. The findings highlighted three levels of explanation: societal issues (public expectations and media attention); organisational issues (pressure on services and employer factors); and issues relating to individual paramedics. Preventative measures focused on input from employers, regulators, educators and registrants themselves and included: managing public expectations; more regulatory engagement; increasing organisational support; and changes to the selection and education of the workforce. A Delphi statement that reached 100% consensus pointed to the positive implications of reporting as it suggests increased awareness of avenues for raising concerns.
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