Can nurse practitioners and physician assistants ease pressure on emergency rooms?
NCT ID NCT04770766
First seen Jun 25, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This completed study examined how using non-medical practitioners (like nurse practitioners and physician assistants) alongside doctors in English emergency departments and urgent treatment centres affects patient outcomes. Researchers analyzed data from 840 participants across multiple NHS trusts, looking at factors like return visits and waiting times. The goal was to recommend the best staff mix to improve care and efficiency.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this study could help hospitals decide the best mix of staff to improve patient care and reduce waiting times in emergency departments.
- What could go wrong
- This is an observational study, not a clinical trial testing a new treatment. It cannot prove cause and effect, and results may not apply to all hospitals.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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840 people
The number who actually took part.
- Started
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Mar 2021
- Finished
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Mar 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population varies for each of the study components, but is encompassed within the following: * patients attended at Emergency Departments and Urgent Treatment Centres in England 2017-2022 * staff working closely with and stakeholders to the non-medical practitioner workforce in Emergency Departments and Urgent Treatment Centres in England
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * All NHS trusts: - all in England * Case study trusts: six NHS trusts in England exhibiting different non-medical practitioner to other clinician skill-mix ratios, and giving board-level consent to participation * Stakeholders: senior NHS clinicians, managers, commissioners and lay representatives with roles and interests in the non-medical practitioner workforce * Staff observation: non-medical practitioners and junior doctors-in-training in one of six NHS case study trusts who volunteer to being observed in practice for specified time periods * Staff interviews: staff working with non-medical practitioners and junior doctors-in-training in one of six NHS case study trusts who volunteer to be interviewed * Patient questionnaire: patients attending the Emergency Department in one of the six NHS case study trusts during specified study data collection periods who agree to take a questionnaire for completion * Patient interviews: patients attending the Emergency Department in one of the six NHS case study trusts during specified study data collection periods who return a completed questionnaire and volunteer to be interviewed Exclusion Criteria: * Patient data outside of the study time periods * Staff or patient volunteers in sub-groups (e.g. personal characteristics or roles) that are already represented /over-represented amongst volunteer participants * those for whom English is difficult to understand or speak/do not have someone with them who can interpret or support.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Faculty of Health, Science, Social Care and Education
Kingston, Surrey, KT2 7LB, United Kingdom
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St George's University Hospital NHS Foundation Trust
London, London, SW17 0QT, United Kingdom
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