|PROJECT TITLE||EFFECT OF IMPLEMENTING AN AMBULANCE CLINICIAN DELIVERED HYPOGLYCAEMIA INTERVENTION (‘HYPOS CAN STRIKE TWICE’) ON REPEAT AMBULANCE CALLS, ATTENDANCES AND TRANSPORTATION TO HOSPITAL: NON-RANDOMISED STEPPED WEDGE AND PROCESS EVALUATION (AMBU-HS2)|
|Funding body||National Institute for Health Research Applied Research Collaboration East Midlands|
|Overarching aim||To evaluate the effect of implementing the ‘Hypo’s can strike twice’ intervention to patients with diabetes and hypoglycaemia attended by East Midlands Ambulance Service NHS Trust in the rural East Midlands region.|
|Objectives||To investigate the effect of implementing the ‘Hypo’s can strike twice’ on:
|Methods||Non-randomised stepped wedge design with mixed-methods process evaluation.|
|Outcomes||If the new process of care is found to work, this will help prevent recurrence of “hypo”, improve patients’ future health, reduce unnecessary calls to ambulance services or transport of patients to the Emergency Department, and thus reduce pressures and costs for ambulance services and hospitals nationally by over £1 million.|
|Outputs||Peer reviewed research and conference presentations.
Botan V, Law G, Laparidou D, Rowan E, Smith M, Ridyard C, Brewster A, Spaight R, Spurr K, Mountain P, Dunmore S, James J, Roberts L, Khunti K, Siriwardena AN (). The effects of a leaflet-based intervention, ‘Hypos can strike twice’, on recurrent hypoglycaemic attendances by ambulance services: a non-randomised stepped wedge study. Diabetic Medicine 38:e14612.
Botan V, Law GR, Laparidou D, Rowan E, Smith MD, Ridyard C, Brewster A, Spaight R, Spurr K, Mountain P, Dunmore S, James J, Roberts L, Khunti K, Siriwardena AN. The effects of a leaflet-based intervention, ‘hypos can strike twice’, on recurrent hypoglycaemic attendances by ambulance services: a non-randomised stepped wedge study. EMJ 2021;38: A1. Oral presentation awarded prize for highest quality research (Sponsor – Health and Care Research Wales) at 999EMS research Forum Conference online 23 March 2021.
|Impact||Improved ambulance to community hypoglycaemia care pathways for diabetes have been approved nationally by the Association of Ambulance Chief Executives and National Ambulance Services Medical Directors (NASMed), and this intervention has been shown to be effective, reducing repeat ambulance attendances for hypoglycaemia. It is being implemented by East Midlands and other ambulance services through NIHR ARC East Midlands.|