A total of 61% (n=243) agreed that CPC is the sole responsibility of the registered practitioner (strongly agreed 26%, n=104 and agreed 35%, n=139). Over 78% of respondents (n = 313) believed that their organisation should have input, at least to some extent, into what components should constitute an individual’s CPC, with only 7% (n = 26) stating that the organisation should not have input. Of the EMTs surveyed, (39%, n = 154) disagreed that only the regulatory body (PHECC) should determine the structure of CPC components, while 26% (n = 105) agreed that only the PHECC should determine the structure of CPC. Linking continuous professional competence activities and Inhibitors,research,lifescience,medical registration The majority of EMTs surveyed

(69%, 220/321), although not obligated, maintained a professional portfolio at the time of the survey (Table 3), with 24% (n = 97) stating that they had completed up to 20 hours of CPC over the previous 12-month period. 11% (n = 43) claimed that they had completed over Inhibitors,research,lifescience,medical 100 hours of CPC in the same period. Notably, almost a quarter (23%, n = 91) of those who had completed Inhibitors,research,lifescience,medical their CPC in the previous year had funded participation themselves, while 29% (n = 116) had their costs covered by their organisation either partially

(12%, n = 46) or in full (18%, n = 70). When queried as to appropriate levels of CPC required, given a range of choices: 20 hours; 21–40 hours; 41–60 hours; 61–80 hours and 81–100 hours almost 40% (n=159) believed that an EMT should complete 20–40 hours annually (a combination of the first two categories), with only 8% (n=34) stating that 81–100 hours would be appropriate. Table 3 Attitudes towards CPC and linking CPC activities

and registration Over 78% (273/352) of the Inhibitors,research,lifescience,medical EMTs surveyed stated that EMTs who do not maintain their CPC and continue not to meet the requirements, should not be allowed to re-register. 95% of respondents Inhibitors,research,lifescience,medical either strongly agreed (61%, 218/359), or agreed (34%, 123/359), that evidence of CPC should be a condition for EMT registration. 95% (n= 381) stated that registration with PHECC was of personal importance to them. Consultation regarding specific most continuous professional competence activities Most respondents considered practical type learning relevant (Table 4): training on a simulation manikin 92% (297/321), regular practical assessments 79% (253/319); Cardiac First Response (CFR/CPR) re-validation 97% (311/322); practical training scenarios 97% (313/321); completing a duty with paramedics/E7080 advanced paramedics 95% (306/321) and Annual Major Incident exercises 92% (297/319). Table 4 Relevance of potential CPC activities With regard to access to e-learning followed by related practice: 91% of respondents (291/320) believed this to be very relevant (45%, n = 145) or relevant 46% (n = 146); compared with ‘e-learning modules only and no related practice being very relevant 9% (n = 29) and relevant 26% (n = 80).