Posts Tagged ‘Royal Colleges’

Allow consultants to work for good of wider NHS

By Mike Broad - 6th February 2012 11:53 am

The royal colleges have welcomed the GMC’s and the government’s joint letter to all NHS employers urging them to allow doctors to participate in statutory and professional agencies.

The letter, from the chief medical officers of England and the devolved countries, the NHS medical director and chairman of the GMC, urges trust boards to “look favourably” on requests for absence to undertake national work.

It cites NICE, the Committee on Human Medicines, the GMC and the royal colleges as examples of organisations that rely on the involvement of senior members of the profession for their expertise and experience.

The letter says: “The part time work they undertake alongside their clinical duties contributes a great deal to the quality of patient care, medical education and the effective running of the health service.”

Such organisations have become increasingly concerned over their operational viability with NHS trusts trying to maximise the clinical productivity of their consultants locally.

The letter continues: “We understand that in the current climate there is considerable pressure on local resources and that you will need to take account of that and ensure that contractual commitments are applied appropriately.

“However, we hope you will regard such activity by your senior clinical staff as an investment in the system and a reflection of the high standards in your organisation. The experience gained by the individual will also often be of direct benefit to the unit in which they work.”

The Royal College of Surgeons welcomed the letter. It said it relied on members giving up their time voluntarily to help ensure the quality of training and spread high standards within the profession.

It said these activities included leading practical examinations of juniors, sharing their knowledge on courses, and establishing best practice standards or assessing the value of new techniques across different forms of surgery.

Professor Norman Williams, president of the Royal College of Surgeons, said: “This letter is an important reminder of the ethos and benefits of the NHS and the role independent charities like the Royal College of Surgeons bring to helping the whole system maintain and improve our world class health system.

“Those trusts that are currently making it increasingly difficult for surgeons to participate and share their expertise at a national level should take heed.”

The BMA has also been lobbying for such work to be better recognised. Employers refusing to allow staff to work in the wider NHS were limiting the expertise available and increasing the burden on a smaller number of employers, a spokesman said.

Read the full letter.

Royal colleges pull out of Health Bill opposition

By Mike Broad - 27th January 2012 10:27 am

The Academy of Medical Royal Colleges has performed an embarrassing U-turn on challenging the government’s Health and Social Care Bill.

It was due to release a statement saying it could not support the reform process on behalf of the 20 colleges it represents, but pulled out when the Royal College of Surgeons refused to support the move.

The academy also held talks with the three major unions - the British Medical Association, Royal College of Nursing and Royal College of Midwives - this week, all of whom are publicly opposing the Bill.

Here’s the statement the AMRC were going to release but didn’t:

“The medical royal colleges and faculties of the academy continue to have significant concerns over a number of aspects of the Health Bill and are disappointed that more progress has not been made in directly addressing the issues we have raised.

“The academy and medical royal colleges are not able to support the Bill as it currently stands.

“Unless the proposals are modified the Academy believes the bill may widen rather than lessen health inequalities and that unnecessary competition will undermine the provision of high quality integrated care to patients.”

Instead, it said that “there had been a useful exchange of information”.

College sets out pre-election health manifesto

By Mike Broad - 15th March 2010 10:19 pm

The Royal College of Physicians is calling on the next government to continue expanding consultant numbers as part of its pre-election manifesto.

Leading for Quality urges politicians to support consultant delivered care, despite the downturn, and to sustain the numbers of medical students entering the profession.

It says: “Consultants and fully trained doctors, underpinned by the CCT and the national contract, are the foundation of high-quality healthcare.”

While the RCP acknowledges there have been advances in quality, it offers a list of proposals that it claims will drive sustained improvement. Better commissioning, integration of health systems and clinical engagement are dominant themes.

The manifesto calls on the government to ensure greater clinical involvement and leadership in wider healthcare decision making.

“There is a clear need for an effective institutional framework that will allow doctors to be active participants in shaping the landscape of healthcare, and not simply passive responders to prevailing circumstances,” the report says.

“Within local organisations responsible for managing and delivering services, doctors have an additional and critical part to play.”

The RCP also wants to see a more inclusive commissioning culture and reforms that encourage teams to work across traditional boundaries to facilitate better care closer to home.  

This requires “good local clinical networks, strong clinical leadership in primary and secondary care and supportive management structures, and acceptance that the patient needs to be involved in the organisation of individual care plans”.

The RCP wants to see the Payment by Results funding system replaced with aligned incentives that support integrated pathways more effectively.

It says: “Under the current tariff-based system, hospitals are encouraged to treat more patients; while under practice-based commissioning GPs are encouraged to refer fewer patients into secondary care.

“This tension can work against the development of integrated services that provide the best quality of care for patients, as it becomes financially easier to admit the patient rather than manage their condition outside the hospital or commission separate specialist services in primary care.”

The RCP also calls for stronger preventative measures on public health issues, and renewed support of academic medicine.

It warns that major steps still need to be taken to make the NHS more innovative. “Changing models of innovation mean that the talents of the private sector, academia and the NHS will need to be organised differently to meet the dual challenge of competition from overseas for British research talent and investment, and legitimate patient demand for more effective treatments,” the manifesto says.

It calls on the next government to continue investing in medical research and make a service-wide commitment to training and employing research-active physicians in order to preserve the UK’s pre-eminent position in the field of translational research.

The report also suggests that royal colleges should once more have a statutory role in monitoring training standards, claiming that its inspection could well have highlighted recent hospital failings like those at Mid Staffs.

Read the full report.