SkillMix-ED: Re-shaping the urgent and emergency care workforce
Shaping the future of emergency care with evidence-based workforce solutions.
SkillMix-ED: workforce innovation in emergency care
What is the study about?
The SkillMix-ED study is transforming how emergency departments (EDs) and urgent treatment centres (UTCs) balance their workforce.
By exploring the best skill-mix of doctors, nurses and non-medical practitioners, the study identifies staffing strategies that enhance patient care and support healthcare professionals.
This research is critical as the demand for emergency care grows, alongside a shortage of doctors. While non-medical practitioners have supported EDs for over 20 years, evidence about the ideal balance between roles remains scarce.
How are we conducting the research?
The study spans four phases over 3.5 years, beginning in March 2021:
- Mapping current staffing models
- Analysis of existing data, policies and interviews with NHS clinicians, managers and public representatives.
- Classifying skill-mix and independence levels of non-medical practitioners.
- Evaluating national data (2017–2021)
- Reviewing patient outcomes tied to different staffing configurations, with a focus on ED return visits within one week.
- Deep dive into six case studies
- Local data collection, clinical records analysis and surveys of staff and patients to understand skill-mix effects.
- Bringing it all together
- Compiling findings to recommend optimal workforce configurations, ensuring the best outcomes for patients, staff and the NHS.
What will the study achieve?
The findings will guide:
- Healthcare professionals and managers in making evidence-based workforce decisions.
- Policymakers on strategies to improve efficiency and patient care.
- The wider healthcare community on cost-effective staffing models.
We will share updates through newsletters, social media and conferences, ensuring the results reach practitioners, patients and public groups.
Meet the team
Dr Mary Halter, Associate Professor of Emergency Research (Joint Chief Investigator)
Professor Vari M. Drennan, Professor of Health Care and Policy Research (Joint Chief Investigator)
Other key members: Researchers, statisticians and clinical experts from leading institutions like Kingston University, St George’s University Hospitals NHS Trust and the University of Surrey.
Key projects under SkillMix-ED
Implementation of the non-medical practitioner workforce
- Focus: Exploring how non-medical practitioners enhance ED skill-mix.
- Award value: £776,000 (NIHR-funded)
- Method: Mixed-methods study analysing national data and conducting case studies on patient and staff outcomes.
TRIage Model (TRIM) study
- Focus: Evaluating ambulance triage models for COVID-19 999 callers.
- Award value: £358,400 (Medical Research Council-funded)
- Collaboration: Swansea University, Public Health Wales, and others.
Kingston University data protection privacy notice for the study
In this research study we will use information from you. We will only use information that we need for the research study. We will let very few people know your name or contact details, and only if they really need it for this study.
Everyone involved in this study will keep your data safe and secure. We will also follow all privacy rules.
We will make sure no-one can work out who you are from the reports we write.
What is this privacy notice about?
This privacy notice explains how Kingston University ("we", "our", "us") collects, uses and shares your personal data (information) and your rights in relation to this data. The notice relates to our processing of personal data we hold about you regarding the above-named study ("you", "your").
Kingston University is the data controller of your personal data and is subject to the General Data Protection Regulation (the "GDPR") and the UK Data Protection Act 2018. We are listed on the Information Commissioner's Office (ICO) register of fee payers. A copy of our Data Protection Policy is available online.
This privacy notice answers the following questions:
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