- 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 3600 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
• r 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