|UNDERSTANDING VARIATION IN RATES OF AMBULANCE SERVICE ‘NON-CONVEYANCE OF PATIENTS TO AN EMERGENCY DEPARTMENT’ (VAN)
|National institute for Health Research; Health Services & Delivery Research Programme: 13/54/75
|The aim of the VAN study is to need to understand how to increase non-conveyance rates without compromising safety in terms of higher re-contact rates or other adverse consequences. We intend to explore the drivers of variation to identify ways of increasing non-conveyance rates appropriately in the future.
|Sequential mixed methods study.
|The most important expected outcomes of VAN will be to identify the determinants of variation between and within ambulance services for three different types of non-conveyance: ‘hear and treat’, ‘see and treat’ and ‘see and convey elsewhere’.
Peer reviewed publications and presentations to the health service leaders, general public, ambulance services and organisations, Department of Health, commissioners, policy experts and national and international conferences.
Peer reviewed publications:
O’Cathain A, Knowles E, Bishop-Edwards L, Coster J, Crum A, Jacques R, James C, Lawson R, Marsh M, O’Hara R, Siriwardena AN, Stone T, Turner J, Williams J (2018). Understanding variation in ambulance service non-conveyance rates: A mixed methods study. Health Services and Delivery Research 6 (19).
This study aims to identify learning for ambulance services and commissioners of ambulance services.
Increasing non-conveyance rates is a key focus for policy makers, commissioners and ambulance services and is likely to continue to be so in the future
There is a lack of data on patient outcomes following non-conveyance and better understanding is needed to drive up quality of care.