CPD for SAS grade psychiatrists

1. CPD for SAS grade psychiatrists Robert Jackson Head of Postgraduate Education The Royal College of Psychiatrists

2. What’s new Clinical Governance and CPD CPD and Appraisal Appraisal and Revalidation

3. What’s new?

4. ……… and

5. CPD and Clinical Governance Clinical Governance defined as: A framework through which organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish

6. CPD and Clinical Governance Clinical governance is not just “one of those initiatives”, it is here to stay. Since its inception in 1998, the profile and prominence of clinical governance has grown rapidly. It remains at the centre of the NHS drive to create a modern, patient-led health service, with the fundamental aim being the provision of responsive, consistent, high-quality and safe patient care.

7. CPD and Clinical Governance It is easier if we think of clinical governance as an umbrella term. Underneath this umbrella are several key components and themes, all of which, when effective, combine to make up good clinical governance. They include: Education, Training and Continuing Professional Development – Professional re-validation, management development, confidentiality and data protection.

8. CPD and Clinical Governance CPD enables psychiatrists to maintain, develop and remedy any deficits in knowledge, skills and attitudes relevant to their professional work Participation in CPD is central to maintaining standards within Clinical Governance CPD has key role in NHS appraisal and GMC revalidation and re-certification

9. The Framework CPD - peer review process (RCPsych) supports annual appraisal (NHS) forms the basis of re-licensing and re-certification (GMC)

10. Why CPD? GMC’s Good Medical Practice: You must keep your knowledge and skills up to date throughout your working life. You should be familiar with relevant guidelines and developments that affect your work. You should regularly take part in educational activities that maintain and further develop your competence and performance. You must keep up to date with, and adhere to, the laws and codes of practice relevant to your work.

11. Good Medical Practice In providing care you must recognise and work within the limits of your competence You must work with colleagues and patients to maintain and improve the quality of your work and promote patient safety

12. Good Medical Practice In particular, you must: maintain a folder of information and evidence, drawn from your medical practice reflect regularly on your standards of medical practice in accordance with GMC guidance on licensing and revalidation take part in regular and systematic audit take part in systems of quality assurance and quality improvement respond constructively to the outcome of audit, appraisals and performance reviews, undertake further training where necessary

14. The College CPD Process Inclusive Transparent Emphasises importance of individual learning needs Supportive but challenging Peer reviewed Prospective Encourages reflective learning

15. CPD Requirements Form a peer group Generic Compatible (‘not uncomfortable’) Meet at least twice per year Plan Review Produce a Personal Development Plan

16. CPD Requirements Endeavour to achieve agreed educational objectives Undertake required number of CPD hours (minimum 50 p.a.) Recommended 30 internal hours p.a. 20 external hours p.a. Submit form E annuallywww.rcpsych.ac.uk/traindev/cpd/pdpe.htm

17. CPD Requirements Additionally CPD participants are expected to spend at least 100 hours annually on personal reading, study, research etc. – i.e. personal CPD which is not recorded and cannot be quantified or audited

19. Framework for PDPs Levels of practice 1 medical profession 2 psychiatry 3 psychiatric sub-speciality 4 individual job profile

20. Framework for PDPs Domains of learning Knowledge Skills Attitudes

21. On-line CPD College now provides CPD material on-line to members Up to ten hours p.a. of inter-active on-line CPD may count towards the external target This includes material from other educational websites – provided it is interactive and capable of producing a certificate

22. Special Arrangements It is a requirement that individuals complete a minimum of 50 hours on CPD activities (excluding self-directed learning) each year in order to remain in good standing for CPD However, special arrangements may be made for: Doctors on sick leave Doctors on maternity leave Doctors on career breaks Others with special circumstances – e.g. disabled, those on leave - wishing to keep up with CPD

23. Who MUST participate in College CPD? College Tutors and Training Programme Directors College Examiners All those who supervise SHOs and / or SpRs

24. CPD Audit A random 5% of CPD registrants are audited each year This commenced in June 2004  Those randomly chosen will be informed shortly after the return of their Form E  The audit mechanism has two elements:

25. CPD Audit CPD participants who are audited are asked to provide some form of paper evidence relating to the external CPD meetings that they have attended in the previous year. Such evidence might consist of copies of the programmes of meetings attended, or alternatively certificates of attendance detailing the number of hours involved. The total number of hours should tally with the external CPD hours listed on Form E.

26. CPD Audit The member of the peer group who signed off the Form E is approached separately for confirmation. He or she will be asked the following yes/no questions:  Were the member’s educational objectives properly discussed within the peer group?  In your opinion was Form E completed correctly? Were the educational events attended appropriate to the member?

27. CPD and Appraisal

28. CPD and Appraisal The aims of appraisal are: To set out personal and professional development needs, career paths and goals To agree plans for them to be met To review the doctor’s performance To consider the doctor’s contribution to the quality and improvement of local healthcare services To optimise the use of skills and resources in achieving the delivery of high quality care To offer an opportunity for doctors to discuss and seek support for their participation in activities To identify the need for adequate resources to enable service objectives to be met

29. GMC’s Good Medical Practice Good clinical care Maintaining good medical practice (including a record of CPD activities) Relationships with patients Working with colleagues Teaching & training Probity Personal health

30. Good Psychiatric Practice Good Medical Practice as it relates to psychiatry Examples of unacceptable practice Was reviewed and distributed to members in 2004

31. GMC Re-licensing Every doctor will need a licence in order to practise medicine in the United Kingdom Licences will be renewed periodically Specialists in addition will need to be re-certificated periodically

32. GMC Re-licensing Donaldson: Recommendation 28 The re-licensing process should be based on the revised system of NHS appraisal and any concerns known to the General Medical Council affiliate. Necessary information should be collated by the local General Medical Council affiliate and presented jointly as a confirmatory statement to a statutory clinical governance and patient safety committee by the chief executive officer of the healthcare organisation and the General Medical Council affiliate.

33. GMC Re-licensing The chairman of this committee should then submit a formal list of recommendations to the General Medical Council centrally. The General Medical Council affiliate will be able to submit such a statement, which will note any recorded concerns only if: the doctor is either satisfactorily engaged in annual appraisal or is participating in a recognised ‘run-through’ training programme; the doctor has participated in an independent 360-degree feedback exercise in the workplace; and any issues concerning the doctor have been resolved to the satisfaction of the General Medical Council affiliate.

34. GMC Re-licensing Such issues may arise from complaints received, continuing professional development activities undertaken, medical litigation claims in progress or any other relevant monitoring data

35. GMC Re-certification Donaldson: Recommendation 31 Specialist certification should be renewed at regular intervals of no longer than five years. This process should rely upon membership of, or association with, the relevant medical Royal College, and renewal should be based upon a comprehensive assessment against the standards set by that college.

36. GMC Re-certification Renewal of certification should be contingent upon the submission of a positive statement of assurance by that college. Independent scrutiny will be applied to the processes of specialist re-certification operated, in order to ensure value for money. This will enable the General Medical Council to maintain up-to-date specialist and GP registers, with the confidence that specialists remain fit to practise.

37. GMC Re-certification The data on which specialist re-certification is based will vary between specialties, as will the frequency at which specialists must re-certify. This will allow a risk-based approach to re-certification and will permit, within limits, systems to be designed according to the skills and competencies required for a particular field of practice. Data may be drawn from clinical audit, simulator tests, knowledge tests, continuing professional development or observation of practice. The methods of assessment will need to be built up over time.

38. GMC Re-certification In some specialties where technical procedures and tasks are more prominent, early progress with objective assessment should be made. External independent scrutiny will ensure that the activities undertaken for re-certification represent value for money: this oversight role will not in itself be burdensome, high-profile or costly, but the decisions made will be binding.

39. The Royal College of Psychiatrists Tel. 020 7235 2351 Fax. 020 7235 7976  Robert Jackson Head of Postgraduate Education Telephone extension 159 rjackson@rcpsych.ac.uk Marion Palmer-Jones CPD Administrator Telephone extension 108 mpjones@rcpsych.ac.uk