Crowd medical services in the English Football League: remodelling the team for the 21st century using a realist approach
Authors
Leary, AlisonKemp, Anthony
Greenwood, Peter
Hart, Nick
Agnew, James
Barrett, John
Punshon, Geoffrey
Affiliation
London South Bank UniversityUniversity of Bedfordshire
British Association for Immediate Care
St. John Ambulance
Association of Millwall Supporters
London Ambulance Service NHS Trust
Issue Date
2017-12-21Subjects
auditorganisational development
risk management
primary care
quality improvement
football
L510 Health & Welfare
Metadata
Show full item recordAbstract
To evaluate the new model of providing care based on demand. This included reconfiguration of the workforce to manage workforce supply challenges and meet demand without compromising the quality of care.Currently the Sports Ground Safety Authority recommends the provision of crowd medical cover at English Football League stadia. The guidance on provision of services has focused on extreme circumstances such as the Hillsborough disaster in 1989, while the majority of demand on present-day services is from patients with minor injuries, exacerbations of injuries and pre-existing conditions. A new model of care was introduced in the 2009/2010 season to better meet demand. A realist approach was taken. Data on each episode of care were collected over 14 consecutive football league seasons at Millwall FC divided into two periods, preimplementation of changes and postimplementation of changes. Data on workforce retention and volunteer satisfaction were also collected. The data were obtained from one professional football league team (Millwall FC) located in London, UK. The primary outcome was to examine the demand for crowd medical services. The secondary outcome was to remodel the service to meet these demands. In total, 981 episodes of care were recorded over the evaluation period of 14 years. The groups presenting, demographic and type of presentation did not change over the evaluation. First aiders were involved in 87.7% of episodes of care, nurses in 44.4% and doctors 17.8%. There was a downward trend in referrals to hospital. Workforce feedback was positive. The new workforce model has met increased service demands while reducing the number of referrals to acute care. It involves the first aid workforce in more complex care and key decision-making and provides a flexible registered healthcare professional team to optimise the skill mix of the team.Citation
Leary A, Kemp A, Greenwood P, Hart N, Agnew J, Barrett J, Punshon G (2017) 'Crowd medical services in the English Football League: remodelling the team for the 21st century using a realist approach', BMJ Open, 7 (12), pp.e018619-.Publisher
BMJ Publishing GroupJournal
BMJ OpenPubMed ID
29273665PubMed Central ID
PMC5778316Additional Links
https://bmjopen.bmj.com/content/7/12/e018619https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5778316/
Type
ArticleLanguage
enISSN
2044-6055ae974a485f413a2113503eed53cd6c53
10.1136/bmjopen-2017-018619
Scopus Count
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