- the college stamp of approval November 2015 Andrew Miles - PowerPoint PPT Presentation

New Consultant Appointments - the college stamp of approval November 2015 Andrew Miles Consultant Colorectal Surgeon DPA South Central England

Aetiology of the checklist • Legislation • The creation of Foundation Trusts 2004 • The Appointment of Consultant Regulations 1996 & 2004 • The introduction of the new consultant contract • Regulation • The introduction of revalidation • Service Delivery • The erosion of consultant SpA time • Failure of the concordat • Increasing dissension by Foundation Trusts • Pressure from college representatives at AAC • Loss of RCS and Specialty Association influence • DPA forum call for a kite mark

The Approval Process • Written by Trust Consultant Staff • Agreed by Trust board and Human Resources • Submitted by the Trust to the RCS for approval • Forwarded to RSPA and DPA • With guidance document and checklist • Checklist returned to Trust (via RCS) • Approved or requiring amendment • Either: • RCS gives permission to use Approved logo • Or: • RCS informs college representative at AAC • RCS makes checklist available to candidates

The RCS Approved Logo APPROVED

Guidance • Job Description • Post holder’s duties and the role other departmental members • Support for personal development • Annual appraisal and support for revalidation • Secretarial and admin support • Mentoring arrangements • Post holder’s role in Children’s services

Guidance • The Job plan • Timetable of duties • Breakdown of duties with SpA/DCC allocation to each • On-call requirements • Equity of consultant staff • Weekend working • Travel time between sites • Cover arrangements when off site

Weekend Working • By mutual agreement • If it’s in the job plan it’s agreed unless excluded at the time of appointment • Should ensure that • Clinical support (and mentoring) available • Availability of other clinical services for co-morbidities or synchronous pathology • Supporting services • Specialist nursing • Radiology • Pathology • Post-op physiotherapy and occupational therapy • Admin support • Bed management services

Supporting Activities • Essential for revalidation (1.5 SpA) • Appraisal and preparation time • Attendance at audit meetings • Time for audit, service review and QI activity • Time for 360 0 feedback • Mandatory training • CPD • Clinical supervision • Job planning

Additional Supporting Activities • Examples • Clinical lead • MDT cancer lead • Clinical Tutor • Assigned Educational Supervisor (AES) • Audit lead • Governance lead • Appraising other staff • Undergraduate Lead

Person Specification • Without discrimination • Essential criteria • Full GMC registration • Either on or within 6 months of entry onto the GMC specialist register • A higher surgical qualification appropriate to the post • Desirable criteria • Additional qualifications • Training • Experience • Attributes

The checklist • Yes/No • compliance with each of the guidance items • 1.5 SpA for essential activities • additional supporting activities & SpA time • medical director input if non-compliant • review of job plan • On-call duties in line with specialty intensity recommendations • RSPA general comments • Other issues

The AAC • A lay member ( often the chair of the Trust or another non-executive director ) • An external professional assessor, appointed after consultation with the relevant college • The Chief Executive of the appointing body ( or a Board level Executive or Associate Director ) • The medical or dental director of the Trust ( or person who acts in a similar capacity at that hospital ) • A consultant from the Trust, who, if available, should be from the relevant specialty • Appointments to posts which have either teaching or research commitments or both, the committee must also include a professional member nominated after consultation with the relevant university

The Faculty Assessor • Consultant 6 sessions within NHS • Five years experience at consultant level • Recognised trainer • Work in a unit recognised for training • Completed the RCS AAC training programme • Completed E&D and equal opportunities training

Discussion