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NCT04770766: SKILLmix-ED
Non-medical Practitioner Workforce in the Urgent and Emergency Care System Skill-mix in England
trial testing Non-medical practitioners in Emergencies in 840 participants. Completed in 31 March 2025.
31 March 2025
Quick facts
| Lead sponsor | Kingston University |
|---|---|
| Status | Completed |
| Study type | OBSERVATIONAL |
| Enrollment | 840 |
| Start date | 1 March 2021 |
| Primary completion | 31 March 2025 |
| Estimated completion | 31 March 2025 |
| Sites | 2 locations across United Kingdom |
Drugs / interventions tested
- Non-medical practitioners
Conditions studied
- Emergencies — all drugs for Emergencies →
Sponsor
Kingston University
Who can join
Eligibility, any sex, with Emergencies. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
This study will explore the result of different skill-mix in ED/UTCs in England, to make recommendations about the best balance. Patient and public involvement (PPI) representatives have helped design the study. There will be an independent PPI panel who can feed in their views and experiences to all parts of the study. The panel will be run by an experienced patient and public involvement expert, who is a member of the core study team. The study will be split into four phases over two-and-a-half years. Phase One will find out in detail what the staffing models are in EDs/UTCs. The investigators will look at published research evidence and at NHS public documents, and will interview regional and national senior NHS clinicians, managers, commissioners and lay representatives. Then, information about staff which is already collected regularly across England will be analysed for patterns. What non-medical practitioners do and how independently they work in two different ED/UTCs will also be examined. The panel of patient and public involvement representatives and a panel of non-medical practitioners will help interpret these findings. The study will develop a system for classifying 'skill-mix' in each organisation and a way to measure how much support and supervision non-medical practitioners need. Phase Two will look at figures regularly collected from all NHS Trusts in England between 2017 and 2021, to assess whether different skill mixes lead to different patient outcomes. The number of patients who return again to the ED within a week is the primary outcome. Phase Three will involve looking in detail in six ED/UTCs. The investigators will collect in depth local data to add to the national data we looked at in Phase Two. This will include looking closely at staff records and patients' clinical records to illustrate more detail about skill-mix in the organisations and the outcomes for patients. The study plans to gauge how independently the types of practitioners assess and treat patients and to also survey and interview patients so that their experience can be understood, alongside the views of staff who will also be interviewed. Phase Four will pull all of the results together. The panels of patient and public involvement representatives and non-medical practitioners will help with this synthesis. The study aims to make recommendations on skill-mix and levels of independence that will deliver the best outcomes for patients, for staff and for the NHS.
Publications & conference data
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
Verify or expand the search:
- PubMed search for NCT04770766
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
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Other Kingston University trials
Trials by the same sponsor.
- NCT06289426 — Online Yoga for Improving the Well-being of Desk-based Workers · NA · completed
- NCT03699137 — Pre-hospital ECG in Acute Coronary Syndromes · completed
- NCT03300583 — Toward Self-management in ILD · completed
- NCT03259776 — Experiences of Visitors to a Regional Major Trauma Intensive Care Unit · completed
- NCT03336736 — The Role of Physical Activity and Diet Within Pulmonary Sarcoidosis · completed
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT04770766 (US National Library of Medicine, public domain)
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Kingston University
- Last refreshed: 22 September 2025
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04770766.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing