Daniel Miles

As a Paramedic Practitioner in an Urgent Treatment Centre (UTC), my role involves delivering high-quality, patient-centred care across a broad range of undifferentiated and undiagnosed conditions. I independently assess, diagnose, treat, and discharge patients, using advanced clinical skills and evidence-based practice to manage both minor injuries and acute illnesses.

In addition to direct patient care, I play a key role in clinical leadership, supporting junior staff and multidisciplinary team members through supervision, education, and role modelling. I contribute to service development and quality improvement initiatives, ensuring care remains safe, efficient, and responsive to patient needs.

My scope of practice includes:

• Performing advanced clinical assessments and decision-making
• Starting medications and initiating treatment plans
• Ordering and interpreting diagnostics
• Managing complex and high-acuity cases within my competence
• Escalating appropriately when necessary

Furthermore, I work collaboratively with primary care, emergency departments, and community services to facilitate seamless care transitions, reduce unnecessary hospital admissions, and promote continuity of care

As an Advanced Paramedic Practitioner working within South East Coast Ambulance Service (SECAmb), my role centres on advanced clinical practice and autonomous decision-making in both primary and pre-hospital care settings.

I specialise in the assessment, diagnosis, and management of patients with urgent and unscheduled care needs, chronic conditions, end-of-life care (EOLC), minor ailments, and minor injuries across the age spectrum. My paramedic background supports a dynamic, holistic, and adaptable approach, enabling me to deliver timely, effective, and patient-centred care across a broad clinical spectrum.

Practising under Patient Group Directions (PGDs), I am authorised to safely administer a wide range of medications. I routinely initiate evidence-based treatment plans, make appropriate referrals to specialist services, and facilitate safe discharge or follow-up care — with a particular focus on emergency department (ED) admission avoidance and the utilisation of alternative care pathways.

My practice is underpinned by clinical reasoning, sound judgement, and current evidence. In addition to frontline care, I contribute to system-level improvements, supporting enhanced patient flow and reducing unnecessary hospital conveyance.

I work in alignment with the four pillars of advanced practice: clinical practice, leadership and management, education, and research. This includes providing clinical supervision and teaching to colleagues and students, participating in service development initiatives, and engaging in quality improvement and research activities that advance practice and patient outcomes.