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VARIATION IN INTERPRETATION OF GUIDANCE AS AN EXPLANATION OF BETWEEN-SERVICE VARIATION IN AMBULANCE QUALITY INDICATORS ON NON-CONVEYANCE
  1. Tony Stone,
  2. Alicia O'Cathain,
  3. Emma Knowles, on behalf of the Variation in Ambulance Non-conveyance (VAN) project team
  1. ScHARR, University of Sheffield

Abstract

Background Ambulance Quality Indicators (AQI) are used by NHS England to monitor ambulance services and by Clinical Commissioning Groups to commission services. The aim of this research is to quantify how much between-service variation in the AQI can be explained by the difference in interpretation of the AQI guidance between ambulance services.

Methods Computer Aided Dispatch (CAD) data was requested from the 10 large English ambulance services for a one month period. The AQI relating to Calls closed without transport was selected for this analysis. A ‘standardised’ interpretation of the AQI guidance was applied to the CAD data for each service to recalculate the AQI. Additionally, the supplied CAD data was investigated to identify the cause of any discrepancies between the published AQI and the ‘standardised’ AQI.

Results & Conclusion Analysis of the data is ongoing. We will present a comparison of the between-service variation found using the published figures with the between-service variation found using the ‘standardised’ interpretation of the AQI guidance for the two Calls closed without transport indicators. Thus we will identify if differing interpretations of the AQI guidance between ambulance services explains some of the between-service variation in Calls closed without transport rates. We will go on to explore the differences in interpretation of the AQI guidance, explaining the discrepancies between the published AQI figures and those found using the ‘standardised’ interpretation of the AQI guidance.

  • prehospital care

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