|PROJECT TITLE||UNDERSTANDING VARIATION IN RATES OF AMBULANCE SERVICE ‘NON-CONVEYANCE OF PATIENTS TO AN EMERGENCY DEPARTMENT’ (VAN)|
|Funding body||National institute for Health Research; Health Services & Delivery Research Programme: 13/54/75|
|Overarching aim||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.|
|Methods||Sequential mixed methods study.|
|Outcomes||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.