Emerg Med J 20:414-417 doi:10.1136/emj.20.5.414
  • Original Article

Mapping the range and scope of emergency nurse practitioner services in the Northern and Yorkshire Region: a telephone survey

  1. S Marr1,
  2. K Steele1,
  3. V Swallow1,
  4. S Craggs1,
  5. S Procter1,
  6. J Newton1,
  7. B Sen2,
  8. A McNabb2
  1. 1Northumbria University, Newcastle upon Tyne, UK
  2. 2Newcastle Hospitals NHS Trust, UK
  1. Correspondence to:
 Mrs S Marr, room D201, Coach Lane Campus (west), Northumbria University, Coach Lane, Newcastle upon Tyne NE7 7XA, UK; 
  • Accepted 14 May 2003


Objective: To map the range and scope of emergency nurse practitioner (ENP) services in the Northern and Yorkshire Region as part one of a three phased study investigating the developing role of the ENP on a multi-professional context.

Methods: A telephone survey was conducted in the 48 hospital trusts within the region. Semi-structured interviews were arranged with the senior nurses responsible for accident and emergency services in responding departments. Data collection entailed completion of a form comprising 14 open-ended questions designed to elicit information about the range and scope of ENP services (as defined by the Royal College of Nursing). Data were analysed using descriptive statistics.

Results: Interviews were conducted at 35 (73%) of the sites, 22 (63%) of which had an ENP service as defined above. Wide variation was found in the range of services in relation to: hours/days of availability; age range and sources of referrals of patients accessing the service; clinical caseloads of ENPs and the referral pathways to other services.

Conclusion: The findings from the survey highlight the organic, context specific nature of ENP role developments in response to national government initiatives, professional agendas, and local service needs.


  • Funding: NHS Executive-Northern and Yorkshire Research and Development Directorate.

  • Conflicts of interest: none declared.

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