Clinical pharmacology and therapeutics

Size: px
Start display at page:

Download "Clinical pharmacology and therapeutics"

Transcription

1 Clinical pharmacology and therapeutics i Description of the specialty and clinical needs of patients Clinical pharmacologists employed within the NHS usually combine their specialty with work as a general physician. About half of their time involves the supervision of acute medical admissions, managing medical inpatients and running outpatient clinics. These individuals will normally have another clinical specialty interest (for example cardiovascular risk management, toxicology) and will take a particular interest in prescribing issues on behalf of their employing NHS body. The mission of the specialty is to improve the care of patients by promoting safe and effective use of medicines and to evaluate and introduce new therapies. 1 Therefore, clinical pharmacologists will often make wider contributions to the NHS clinical service. At a local level this may involve leading the drug and therapeutics committee, developing and maintaining a drug formulary, assessing new products, creating prescribing guidelines, reviewing medication incidents and promoting evidencebased therapeutics. Some consultants may play a leading role in a medicines information service for local prescribers, usually with the support of a clinical pharmacist. At a national level, consultants in clinical pharmacology and therapeutics occupy many positions within key bodies such as the National Institute for Clinical Excellence (NICE), the Medicines Control Agency (MCA), the Committee on Safety of Medicines (CSM), the Joint Formulary Committee overseeing publication of the British National Formulary, the Medicines Commission, and adverse drug reaction monitoring (pharmacovigilance) schemes. The National Poisons Information Service (NPIS) is run almost exclusively by NHS clinical pharmacologists. The work programme of a consultant in clinical pharmacology and therapeutics varies greatly, depending on the job setting. At the time of the last College Census, approximately two-thirds of consultants in clinical pharmacology and therapeutics held academic appointments within universities. 2 While having a service commitment, many of these individuals will have a strong research emphasis in their work that will contribute to knowledge about drug actions and their clinical usage. They will also play an important role in the planning and delivery of undergraduate teaching in therapeutics. Other clinical pharmacologists at consultant level are employed by the pharmaceutical industry and are involved in the development of new drugs and early clinical trials in patients. Some also hold joint appointments with academic units or trusts, a trend that may grow in the future. ii Organisation of the service and patterns of referral Primary, secondary and tertiary levels Clinical pharmacologists are active in promoting safe and effective use of medicines at all levels. At the primary care level they develop and maintain formularies; at the secondary level they may lead the drug and therapeutics committee or run a drug information service; at a tertiary level they may be involved in organisations such as the CSM adverse drug reaction monitoring system, the NPIS and health technology assessment. 93

2 CONSULTANT PHYSICIANS WORKING WITH PATIENTS Clinical networks and community arrangements The viability of local clinical networks is restricted by the small number of consultants. However, clinical pharmacologists often come together at national level in the setting of the CSM adverse drug reaction monitoring system, the NPIS and health technology assessment. Relationship with other services/agencies Clinical pharmacologists will usually have a close relationship with one or more of the following: clinical pharmacy service chief pharmacist medicines information unit medical director finance director clinical risk management committee primary care prescribing adviser director of public health regional adverse drug reaction monitoring centre local health authority. Complementary services The work of clinical pharmacologists in promoting safe and effective use of medicines is complemented by a clinical pharmacy service. Pharmacists often play an important role in supporting the work of professional committees, providing information about medicines, preventing and reporting medication incidents, and reporting adverse drug reactions. Some consultants will require an efficient laboratory service to support therapeutic drug monitoring or the assessment of poisoned patients. In some circumstances, the work of a clinical pharmacologist may involve close collaboration with a department of public health. iii Working with patients: patient-centred care Patient choice, opportunities for education and promoting self-care Clinical pharmacologists will not only be practitioners of patient-centred care within their own clinical area but, as part of their mission to deliver rational therapeutics, will also promote improved understanding of drug therapy issues and support concordance about prescribing decisions between local prescribers and their patients. These objectives may be achieved through education of doctors (at undergraduate and postgraduate levels) with emphasis on patient involvement in therapeutic choices, informed consent, and promotion of self-care, and through education of patients by disseminating relevant patient information. Clinical pharmacologists will also endeavour to improve the efficacy and safety of medicines through promotion of evidencebased medicine, development of guidelines and shared care protocols. They will, wherever possible, liaise with patient groups and lay representatives when developing prescribing policies. 94

3 PART 2 Clinical pharmacology and therapeutics iv Interspecialty and interdisciplinary liaison The nature of medicines management activities means that clinical pharmacologists often have important relationships with many other specialist groups and primary care colleagues. Clinical pharmacologists often have medical subspecialties, particularly in cardiovascular medicine, where liaison with other clinical groupings such as cardiology and stroke medicine will be important. It is also likely that they will work as part of a multidisciplinary team (MDT) involving pharmacists and nurses in the pursuit of medicines management and when carrying out clinical trials. v Delivering a high quality service Characteristics of a high quality service a well-organised and efficiently run drug and therapeutics committee drawing on relevant local expertise an agreed local formulary development and regular review of local prescribing policies that support safe, evidence-based and cost-effective prescribing contribution to clinical risk management through regular review of medication incidents appropriate levels of adverse drug reaction reporting by local prescribers regular high quality education in rational prescribing for undergraduates and postgraduates early review of, and advice concerning, poisoned patients. Resources required for a high quality service in clinical pharmacology inpatient medical beds (approximately 15 20) to support acute medical services with appropriate levels of nursing support junior staff support, including a specialist registrar (SpR), for the admission of unselected acute general medical cases outpatient facilities with access to clinical laboratory services and space for teaching clinical laboratory facilities, which may include access to special investigations such as drug assays, sometimes necessitating collaboration with other specialists (eg clinical biochemists) research facilities, which may include protected beds for clinical research together with appropriately trained nursing staff, laboratory facilities with technical support, or computer hardware for data management secretarial support for inpatient and outpatient activities, and other managerial responsibilities private office space, including appropriate IT facilities and space for filing library facilities teaching facilities for undergraduates and postgraduates, including image projection facilities to support the training of SpRs, including research facilities and computer and wordprocessing support an adequately staffed clinical pharmacy service including the facility to provide a medicines information service study leave and support for continuing professional development (CPD). 95

4 CONSULTANT PHYSICIANS WORKING WITH PATIENTS vi Quality standards and measures of the quality of specialist services Quality and standards in clinical pharmacology are largely expressed by local prescribers in the primary and secondary care sector in relation to the approach to medicines usage, rather than by clinical pharmacologists alone. The measurement of quality and standards in relation to the provision of a clinical pharmacology service is, therefore, problematic. However, potential means to ensure and measure quality include adherence to widely applicable national guidelines, dissemination of relevant prescribing information, implementation of cost-effective prescribing patterns and audit of prescribing practices. CLINICAL WORK AND/OR LABORATORY WORK OF CONSULTANTS IN CLINICAL PHARMACOLOGY Clinical pharmacologists have very varied patterns of working but most NHS and academic consultants are accredited in both clinical pharmacology and therapeutics and in general internal medicine (GIM) as their second specialty. However, the skills of clinical pharmacology and therapeutics are generic and fully applicable to other medical specialties. There are a small number of consultants who also practise in geriatric medicine, paediatrics, oncology, respiratory medicine or cardiology, and it is likely that the number of such consultants will increase as more varied training schemes are established. Contributions made to acute medicine Clinical pharmacologists have traditionally taken a particularly active role as general non-organbased physicians in the on-call rota for the supervision of receiving and triaging acute emergency admissions. These duties should be undertaken with the support of an appropriate number of junior doctors including a SpR. Acute general medical admissions should, ideally, be admitted to a medical admissions unit with appropriate staffing levels and access to emergency investigations. 3 The on-call rota should not normally be more onerous than one in five. Each period of acute admitting must include a post-take ward round with the junior staff who were involved in the admission process. In some services two ward rounds may be required in a 24-hour period. Consultants who are responsible for the review of poisoned patients have more frequent postreceiving ward rounds. Direct clinical care Inpatient work Activities will normally be devoted to supervising the management of general medical patients and the specialist work of the individual consultant. This work typically requires two ward rounds per week at fixed times. 4 The number of inpatients for which the consultant team is responsible should not normally exceed 20. Part of this time will be dedicated to inpatient referrals for patients with pharmacological or toxicological problems. Consultants expect to work in an adequately staffed ward with the appropriate facilities and ancillary services to care for a typical casemix of general medical patients. They should have the support of at least one junior doctor who has completed general professional training. 96

5 PART 2 Clinical pharmacology and therapeutics Outpatient work Time will be allocated for seeing new patient referrals, including emergency referrals, and followup after discharge from A&E or a hospital ward. Consultants normally provide this service with the support of junior staff and must allow time for their supervision. It is reasonable to expect that assessment of a new patient will take approximately 30 minutes and follow-up patients approximately 15 minutes. Trainees require more time and should not work in isolation. A typical clinic might include four to six new patients and follow-up patients. These sessions should include time for dictating clinic letters and administrative matters relating to the outpatient service. Some clinical pharmacologists also provide specialist clinics, for example in cardiovascular risk management or epilepsy. Patients are sometimes referred with specific therapeutic, toxicological or other drug-related problems. Specialist investigative or therapeutic procedures Clinical pharmacologists will not normally undertake specialist procedures other than those that arise from other specialty activities. Specialist on call The most likely on-call commitment to arise from a clinical pharmacology service is to provide emergency advice about the management of poisoned patients. This activity will usually be supported by a poisons information service and clinical pharmacologists may offer advice on a regional basis. Some academic specialists may have ongoing out-of-hours commitments to subjects involved in clinical trials. Clinically related administration Clinical pharmacologists will have administrative duties in keeping with their clinical workload. They may also be called upon to write specialist reports related to medication issues. Work to maintain and improve the quality of care This work encompasses duties in clinical governance, professional self-regulation, CPD and education and training of others. For many consultants at various times in their careers it may include research, serving in management and providing specialist advice at local, regional and national levels. While supervision and management of general medical patients is a major direct contribution to the NHS service, most consultants in clinical pharmacology and therapeutics take on other roles that contribute indirectly to achieving local NHS service objectives and standards. These activities usually focus on the management of medicines in primary and secondary care, for example: leading or playing an important role in the activities of the drug and therapeutics committee and overseeing the use of drugs in both hospital and primary care managing a local drug formulary, which may be jointly agreed with a local GP editing and facilitating the production of local prescribing guidelines for common medical problems taking a lead role in reporting adverse reactions and reviewing local medication incidents 97

6 CONSULTANT PHYSICIANS WORKING WITH PATIENTS undertaking health technology assessment, which might involve reviewing new and established drugs for clinical- and cost-effectiveness auditing and reviewing patterns of local drug use with the aim of maximising effective and safe use of medicines in the NHS. All of these activities make an important contribution to achieving local objectives in clinical effectiveness, clinical risk management and clinical governance. Clinical pharmacologists are likely to play a major role in auditing and investigating local drug-related incidents. Some consultants may provide a drug information service, often with the support of a clinical pharmacist. This may include a therapeutic drug monitoring service to advise on the management and prevention of medication errors, and an advice service on drug overdoses and management of adverse effects. Some consultants have a specialist interest in forensic pharmacology and provide expert advice in coroner s, criminal and civil cases. There should be adequate provision for all of these important public health and additional service commitments within a job plan. ACADEMIC MEDICINE Approximately two-thirds of consultants in clinical pharmacology and therapeutics hold academic posts, which accounts for the particularly diverse contributions that the specialty makes to the delivery of healthcare. Consultants in major teaching centres play a key role in the design and delivery of teaching in therapeutics to medical students. 5 For new medical graduates, prescribing drugs is a major activity and one that is associated with significant clinical risk. For these reasons therapeutics remains an important theme within any medical curriculum and requires appropriate support from clinical teachers. Clinical pharmacologists are also involved in the delivery of postgraduate training in therapeutics to other health professionals within the NHS, including GPs, nurses and pharmacists. Research is a fundamental part of the work of many clinical pharmacologists. It may involve clinical research in patients and healthy volunteers, and some individuals lead teams of laboratory-based researchers. Drug-related research activities make an important contribution to the local and national NHS research and development strategy, providing important long-term benefits for patient care. The success of these activities will depend on the availability of suitable clinical and laboratory areas, recognition of the need for protected research sessions, and the support of appropriately trained clinical and technical staff. Clinical pharmacologists often have an important role on (or chair) local and multicentre research ethics committees because of their expertise in drug-related research. WORKFORCE REQUIREMENTS FOR CLINICAL PHARMACOLOGY AND THERAPEUTICS The 2001 consultant Census reported that there were 60 WTE consultants in clinical pharmacology and therapeutics in England and Wales, equivalent to one per 870,000 of the population. 6 The following calculation reflects the number of consultants needed to ensure that there are sufficient clinical pharmacologists to contribute to national bodies, and to provide a high quality local service with particular emphasis on medicines management, toxicology and academic activities such as teaching and research. The workforce will also contribute to the care of unselected acute general medical admissions. The calculation takes into account several important trends: 98

7 PART 2 Clinical pharmacology and therapeutics Drugs account for an increasing proportion of NHS expenditure (currently 15% of the total) and there are pressures to prescribe newer, more expensive medicines. There is a requirement to contain costs by adopting agreed formularies, and making rigorous assessments of clinical- and cost-effectiveness of new drugs. New medical schools are opening and there has been a significant expansion in medical student numbers to around 6,000 annually. Acute general medical admissions are increasing year on year. The increasing burden on physicians running a specialty service (eg gastroenterology, cardiology) is creating difficulties in providing acute medical cover. Junior doctors hours of work are decreasing. Working time directives will have an impact. Clinical pharmacology is one of the few specialties with decreasing numbers at present. Sufficient consultants are required to deliver the academic programme, including teaching. There is a strong case to be made for having one WTE clinical pharmacologist in every large district general hospital (DGH) for acute medicine and to address the specialty needs of the trust and the local primary care trust (PCT). It is estimated, therefore, that the workforce requirement for consultants in clinical pharmacology and therapeutics is approximately 200 WTE. This number of consultants is based on providing: one WTE consultant per DGH serving a population of 250,000 (with an expected annual drug expenditure of 60 million) one WTE consultant per 180 medical students in training (of whom there are there are now 36,000) three consultants per medical school (assuming that half of these hold academic contracts, implying that the expansion in consultant numbers will be predominantly in the NHS). This figure requires an expansion in consultant numbers of at least 10% per annum over the next decade. Following the successful joint initiative of the NHS Executive and the Association of the British Pharmaceutical Industry, the number of trainees in clinical pharmacology has increased in the past few years. The scheme acknowledges the shortage of trained individuals and their importance to the future use of drugs in the NHS. Twenty-five SpRs expect to complete training by CONSULTANT WORK PROGRAMME/SPECIMEN JOB PLAN The following tables summarise the range of activities undertaken by consultant physicians in clinical pharmacology and therapeutics with responsibilities in GIM, alongside the recommended workload and the allocation of programmed activities (PAs) (considered to be a period of four hours). The job plan is based on a commitment of 10 PAs per week, although the typical working pattern of a clinical pharmacologist will involve a number of extra PAs. Suggested work programmes have been provided for a consultant working in a university teaching hospital and one in a DGH. Academic clinical pharmacologists will normally hold a full-time university contract (the full-time salary being paid by the university) and an honorary (unpaid) NHS contract. The honorary contract will normally include not more than five NHS PAs, of which no more than 3.5 will be 99

8 CONSULTANT PHYSICIANS WORKING WITH PATIENTS devoted to direct clinical care activities (as defined in the 2003 consultant contract). The award of these concurrent contracts recognises the contribution that academic consultants make, both directly and indirectly (eg medicines management, pharmacovigilance, safe and effective prescribing) to the NHS clinical service. This arrangement also recognises that the activities carried out on behalf of the NHS are valuable for the delivery of high quality teaching and research. The job plan of an academic clinical pharmacologist will be made by agreement between the consultant, the dean and the medical director of the NHS body (or their nominated representatives), and will take full account of the principles set out in the Follett Report concerning the relationship between academic and clinical workload. 7 The academic contract will include responsibilities for research, undergraduate teaching and administration relating to these and other NHS duties. In some cases it will be the university department as a whole that makes a commitment to provide a fixed number of PAs to the NHS service, allowing for more flexible participation of individual academic consultants in clinical duties. 100

9 PART 2 Clinical pharmacology and therapeutics CONSULTANT WORK PROGRAMME/SPECIMEN JOB PLAN FOR AN ACADEMIC CLINICAL PHARMACOLOGIST WORKING IN A UNIVERSITY TEACHING HOSPITAL BASED ON 10 PROGRAMMED ACTIVITIES Programmed activities Activity Workload (PAs) Direct clinical care Emergency duties arising from acute receiving (24 hours) patients 0 1 Inpatient (ward rounds, referrals, MDT meetings) patients 0 1 Outpatient clinics 5 10 patients 0 1 Administration directly related to patient care (eg referrals, notes, complaints, correspondence with other practitioners) Public health duties, eg medicines management: running drug and therapeutics committee, managing a formulary, developing prescribing policies, health technology assessment, drug information services 0 2 Supporting professional activities (SPA) Work to maintain and improve eg CPD, postgraduate teaching 1.5 on average the quality of healthcare and training, management of doctors in training, audit, job planning, appraisal, revalidation, contribution to service management and planning, clinical governance activities Other NHS responsibilities eg Caldicott guardian, clinical audit lead, Local agreement clinical governance lead, undergraduate and with trust postgraduate dean, clinical tutor, regional education adviser, medical management responsibilities External duties eg work for national NHS bodies, work for Local agreement other external bodies (eg Medicines and with trust Healthcare Products Regulatory Agency, CSM, NICE, Royal Colleges, General Medical Council, Postgraduate Medical Education and Training Board, British Medical Association), NHS disciplinary procedures, NHS appeals procedures, advisory appointments committees. Academic duties Teaching undergraduates 1 2 Research 2 4 University administration 1 101

10 CONSULTANT PHYSICIANS WORKING WITH PATIENTS CONSULTANT WORK PROGRAMME/SPECIMEN JOB PLAN FOR A NHS CONSULTANT CLINICAL PHARMACOLOGIST WORKING IN A DISTRICT GENERAL HOSPITAL BASED ON 10 PROGRAMMED ACTIVITIES Programmed activities Activity Workload (PAs) Direct clinical care Emergency duties arising from acute receiving (24 hours) including dealing with poisoned patients patients 1 2 Inpatient (ward rounds, referrals, MDT meetings) patients 1 2 Outpatient clinics patients 1 2 Administration directly related to patient care (eg referrals, notes, complaints, correspondence with other practitioners) 1 2 Public health duties, eg medicines management: running drug and therapeutics committee, managing a formulary, developing prescribing policies, health technology assessment, drug information services 1 2 Supporting professional activities (SPA) Work to maintain and improve eg CPD, teaching and training, management 2.5 the quality of healthcare of doctors in training, audit, job planning, appraisal, revalidation, research, contribution to service management and planning, clinical governance activities Other NHS responsibilities eg Caldicott guardians, clinical audit leads, Local agreement clinical governance leads, undergraduate and with trust postgraduate deans, clinical tutors, regional education advisers, medical management responsibilities External duties eg work for national NHS bodies, work for other Local agreement external bodies (eg Medicines and Healthcare with trust Products Regulatory Agency, CSM, NICE, Royal Colleges, General Medical Council, Postgraduate Medical Education and Training Board, British Medical Association), NHS disciplinary procedures, NHS appeals procedures, advisory appointments committees 102

11 PART 2 Clinical pharmacology and therapeutics Note: The allocation of PAs worked by a consultant clinical pharmacologist will be variable. Most job plans are likely to involve extra PAs beyond the standard 10, allowing consultants to undertake other responsibilities and external duties (outlined above) in addition to the standard job plan. This is particularly important in clinical pharmacology where a relatively small number of consultants are strongly represented in national bodies such as the Medicines and Healthcare Products Regulatory Agency (MHRA), NICE, CSM and NPIS. There will be times in the career of a consultant when management and national duties increase to the extent that they will need to be reflected within the standard 10 PA job plan. Consultants who hold academic posts are likely to share NHS responsibilities with other academic colleagues, reducing the commitment to the clinical service when compared to full-time NHS colleagues. References 1. Royal College of Physicians. Clinical Pharmacology and therapeutics in a changing world. Report of a working party. London: Royal College of Physicians, The Federation of the Royal Colleges of Physicians of the United Kingdom. Census of consultant physicians in the UK, Data and commentary. London: RCP, Federation of Royal Colleges of Physicians of the UK. Acute medicine: the physician s role. Proposals for the future. Aworking party report of the Federation of Medical Royal Colleges. London: Royal College of Physicians, Royal College of Physicians. Governance in acute general medicine. Recommendations from the Committee on General (Internal) Medicine of the Royal College of Physicians. London: RCP, Maxwell SRJ, Walley T. Teaching prescribing and therapeutics. Br J Clin Pharmacol 2003;55: Federation of Medical Royal Colleges. Census of consultant physicians in the UK, Data and commentary. London: RCP, Follett B, Michael Paulson-Ellis M. A review of appraisal, disciplinary and reporting arrangements for senior NHS staff with academic and clinical duties. A report to the Secretary of State for Education and Skills, September

MEDICINE SPECIALTIES JOB PLANNING GUIDANCE AND MODEL JOB PLAN EXAMPLE

MEDICINE SPECIALTIES JOB PLANNING GUIDANCE AND MODEL JOB PLAN EXAMPLE MEDICINE SPECIALTIES JOB PLANNING GUIDANCE AND MODEL JOB PLAN EXAMPLE INTRODUCTION Since 1991 it has been a contractual requirement for all consultants to have a job plan, which is agreed and reviewed

More information

Consultant Job Description Checklist. Advice for Regional Advisers

Consultant Job Description Checklist. Advice for Regional Advisers Consultant Job Description Checklist Advice for Regional Advisers Although this advice is intended for Regional Advisers, consultants drawing up job descriptions, CSAC chairs & those acting as assessors

More information

British Cardiovascular Society: Guidance on appropriate workload for consultant cardiologists

British Cardiovascular Society: Guidance on appropriate workload for consultant cardiologists Page 1 of 9 British Cardiovascular Society: Guidance on appropriate workload for consultant cardiologists David Hackett Vice-President, Clinical Standards Division March 2010 Introduction: The British

More information

Requirements for Drug Information Centres

Requirements for Drug Information Centres FIP Pharmacy Information Section Requirements for Drug Information Centres Summary All countries should provide drug information services either independently or as part of a regional network. The service

More information

Improving Urgent and Emergency care through better use of pharmacists. Introduction. Recommendations. Shaping pharmacy for the future

Improving Urgent and Emergency care through better use of pharmacists. Introduction. Recommendations. Shaping pharmacy for the future Improving Urgent and Emergency care through better use of pharmacists The Royal Pharmaceutical Society (RPS) believes that pharmacists are an underutilised resource in the delivery of better urgent and

More information

NON CONSULTANT CAREER GRADE DOCTORS AN IMPORTANT PART OF THE PAEDIATRIC WORKFORCE

NON CONSULTANT CAREER GRADE DOCTORS AN IMPORTANT PART OF THE PAEDIATRIC WORKFORCE NON CONSULTANT CAREER GRADE DOCTORS AN IMPORTANT PART OF THE PAEDIATRIC WORKFORCE Background Non consultant career grade doctors (NCCGs) have traditionally formed a large part of the paediatric workforce.

More information

All processes must be in line with RPS, GPhC, MHRA and BCH SOP standards.

All processes must be in line with RPS, GPhC, MHRA and BCH SOP standards. JOB DESCRIPTION Job Title: Reports to: Accountable to: Clinical Pharmacist Deputy Chief Pharmacist Chief Pharmacist Role Summary: To work with the Pharmacy Team to provide a comprehensive Clinical Pharmacy

More information

England. A charter for staff and associate specialist and specialty doctors. British Medical Association bma.org.uk

England. A charter for staff and associate specialist and specialty doctors. British Medical Association bma.org.uk England A charter for staff and associate specialist and specialty doctors British Medical Association bma.org.uk 54422_Charter_for_Doctors.indd 1 12/12/2014 11:38 British Medical Association A charter

More information

The Royal College of Ophthalmologists SPECIALIST DOCTOR POST IN OPHTHALMOLOGY

The Royal College of Ophthalmologists SPECIALIST DOCTOR POST IN OPHTHALMOLOGY The Royal College of Ophthalmologists SPECIALIST DOCTOR POST IN OPHTHALMOLOGY Introduction The Specialist Doctor grade (formerly Staff Grade) is a non-training career grade which can provide a secure and

More information

National Physician Associate Expansion Programme (NPAEP) Physician Associate. Job Description. The Hillingdon Hospitals NHS Foundation Trust

National Physician Associate Expansion Programme (NPAEP) Physician Associate. Job Description. The Hillingdon Hospitals NHS Foundation Trust National Physician Associate Expansion Programme (NPAEP) Physician Associate Job Description Job title: NPAEP Physician Associate 1 Employing Trust: Salary: Responsible to: Accountable to: Hours per week:

More information

THE COLLEGE OF EMERGENCY MEDICINE

THE COLLEGE OF EMERGENCY MEDICINE THE COLLEGE OF EMERGENCY MEDICINE on Supporting Information for Revalidation General Introduction The purpose of revalidation is to assure patients and the public, employers and other healthcare professionals

More information

CONSULTANT PAEDIATRIC ALLERGIST FULL TIME JOB DESCRIPTION

CONSULTANT PAEDIATRIC ALLERGIST FULL TIME JOB DESCRIPTION 1. THE TRUST CONSULTANT PAEDIATRIC ALLERGIST FULL TIME JOB DESCRIPTION Alder Hey Children s NHS Foundation Trust is a major teaching hospital of the University of Liverpool. It serves not only the children

More information

Accreditation standards for training providers

Accreditation standards for training providers PREVOCATIONAL MEDICAL TRAINING FOR DOCTORS IN NEW ZEALAND Accreditation standards for training providers Introduction Prevocational medical training (the intern training programme) spans the two years

More information

The new Stroke Nurse Practitioner candidate position at Austin Health

The new Stroke Nurse Practitioner candidate position at Austin Health The new Stroke Nurse Practitioner candidate position at Austin Health The new Stroke Nurse Practitioner (NP) candidate position offered by Austin Health provides an exciting opportunity for a senior nurse

More information

Harness Care Cooperative Ltd Quality primary care services provided through local cooperation Company registration: 06584450

Harness Care Cooperative Ltd Quality primary care services provided through local cooperation Company registration: 06584450 Harness Care Cooperative Ltd Quality primary care services provided through local cooperation Company registration: 06584450 Job Description Job title: Nurse Practitioner /Lead Nurse ACCOUNTIBILITY The

More information

Day to day medical care of patients on the in-patient unit and day hospice. Advice and support to Trinity Clinical Nurse Specialists as needed

Day to day medical care of patients on the in-patient unit and day hospice. Advice and support to Trinity Clinical Nurse Specialists as needed JOB DESCRIPTION: ACCOUNTABLE TO: RESPONSIBLE FOR: Speciality Doctor in Palliative Medicine Medical Director Day to day medical care of patients on the in-patient unit and day hospice. Advice and support

More information

The Role of The Consultant, The Doctor and The Nurse. Mr Gary Kitching Consultant in Emergency Medicine Foundation Training Programme Director

The Role of The Consultant, The Doctor and The Nurse. Mr Gary Kitching Consultant in Emergency Medicine Foundation Training Programme Director The Role of The Consultant, The Doctor and The Nurse. Mr Gary Kitching Consultant in Emergency Medicine Foundation Training Programme Director Objective To provide an overview of your role as a junior

More information

GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST

GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST MEDICINES MANAGEMENT STRATEGY 2006/07 ANNUAL REPORT 1. Aim An annual report on the Trust s Medicines Management Strategy is part of the requirements for Standards

More information

Supporting information for appraisal and revalidation: guidance for General Practitioners

Supporting information for appraisal and revalidation: guidance for General Practitioners Supporting information for appraisal and revalidation: guidance for General Practitioners Based on the Academy of Medical Royal Colleges and Faculties Core for all doctors 2 Supporting information for

More information

Code of Conduct. Property of UKAPA 20/11/2009 1

Code of Conduct. Property of UKAPA 20/11/2009 1 Code of Conduct A Physician Assistant (now associate) (PA) is defined as someone who is: a new healthcare professional who, while not a doctor, works to the medical model, with the attitudes, skills and

More information

JOB DESCRIPTION. Consultant Urologist REPORTING TO: HEAD OF DEPARTMENT SURGERY - FOR ALL CLINICAL MATTERS DATE:

JOB DESCRIPTION. Consultant Urologist REPORTING TO: HEAD OF DEPARTMENT SURGERY - FOR ALL CLINICAL MATTERS DATE: JOB DESCRIPTION Consultant Urologist SECTION ONE DESIGNATION: SENIOR MEDICAL OFFICER UROLOGY NATURE OF APPOINTMENT: REPORTING TO: HEAD OF DEPARTMENT SURGERY - FOR ALL CLINICAL MATTERS DATE: FULL TIME 1

More information

A developmental framework for pharmacists progressing to advanced levels of practice

A developmental framework for pharmacists progressing to advanced levels of practice ACLF Advanced to Consultant level Framework A developmental framework for pharmacists progressing to advanced levels of practice Version 2009(a) CoDEG www.codeg.org ADVANCED AND CONSULTANT LEVEL COMPETENCY

More information

Future hospital: Caring for medical patients. Extract: Recommendations

Future hospital: Caring for medical patients. Extract: Recommendations Future hospital: Caring for medical patients Extract: Recommendations Future hospital: caring for medical patients Achieving the future hospital vision 50 recommendations The recommendations from Future

More information

JOB DESCRIPTION REPORTING TO:

JOB DESCRIPTION REPORTING TO: JOB DESCRIPTION SECTION ONE DESIGNATION: REPORTING TO: SENIOR MEDICAL OFFICER: HAWERA HOSPITAL HEAD OF DEPARTMENT EMERGENCY SERVICES - FOR ALL CLINICAL MATTERS, AND AS REQUIRED THE HEADS OF DEPARTMENT

More information

Advanced Nurse Practitioner JD October 2013 East Cheshire Hospice HK

Advanced Nurse Practitioner JD October 2013 East Cheshire Hospice HK EAST CHESHIRE HOSPICE (ECH) JOB DESCRIPTION JOB TITLE: DEPARTMENT: ADVANCED NURSE PRACTITIONER CLINICAL SERVICES PROFESSIONALLLY ACCOUNTABLE TO: HEAD OF CLINICAL & OPERATIONAL SERVICES BAND: 6 / 7 DEPENDENT

More information

Advanced Nurse Practitioner Adult Specialist Palliative Care

Advanced Nurse Practitioner Adult Specialist Palliative Care JOB DESCRIPTION ellenor Advanced Nurse Practitioner Adult Specialist Palliative Care Responsible to Accountable to: Head of Adult Community Services Director of Patient Care General ellenor is a specialist

More information

Summary of the role and operation of NHS Research Management Offices in England

Summary of the role and operation of NHS Research Management Offices in England Summary of the role and operation of NHS Research Management Offices in England The purpose of this document is to clearly explain, at the operational level, the activities undertaken by NHS R&D Offices

More information

A competency framework for all prescribers updated draft for consultation

A competency framework for all prescribers updated draft for consultation A competency framework for all prescribers updated draft for consultation Consultation closes 15 April 2016 Contents 1 Introduction... 3 2 Uses of the framework... 4 3 Scope of the competency framework...

More information

Pharmacists improving care in care homes

Pharmacists improving care in care homes The Royal Pharmaceutical Society believes that better utilisation of pharmacists skills in care homes will bring significant benefits to care home residents, care homes providers and the NHS. Introduction

More information

GENERAL PRACTICE BASED PHARMACIST

GENERAL PRACTICE BASED PHARMACIST GENERAL PRACTICE BASED PHARMACIST JOB PURPOSE Provide expertise in clinical medicines review 1 and address public health and social needs of patients in GP practices Reduce inappropriate poly-pharmacy

More information

Education programme standards for the Postgraduate diploma in registered nurse prescribing for long-term and common conditions

Education programme standards for the Postgraduate diploma in registered nurse prescribing for long-term and common conditions Education programme standards for the Postgraduate diploma in registered nurse prescribing for long-term and common conditions September 2014 Introduction and background Under the Health Practitioners

More information

JOB DESCRIPTION Educational Supervisor

JOB DESCRIPTION Educational Supervisor Job Descriptions of Education Supervisor, Specialty Tutor & Director of Medical Education JOB DESCRIPTION Educational Supervisor Accountable to: Reports to: Tenure: Local Education Provider, Foundation/Specialty

More information

Code of practice for clinical biochemists/chemical pathologists. and clinical biochemistry services. March 2011

Code of practice for clinical biochemists/chemical pathologists. and clinical biochemistry services. March 2011 Code of practice for clinical biochemists/chemical pathologists and clinical biochemistry services March 2011 Unique document number Document name Version number 2 Produced by G027 Date active March 2011

More information

Advanced Nurse Practitioner Specialist. Palliative

Advanced Nurse Practitioner Specialist. Palliative JOB DESCRIPTION ellenor Advanced Nurse Practitioner Specialist Palliative Care Responsible to Accountable to: Head of Adult Community Services Director of Patient Care General ellenor is a specialist palliative

More information

HAMAD MEDICAL CORPORATION. Family Medicine (FM) Consultant Posts in Emergency Medicine. Job Description/Person Specifications.

HAMAD MEDICAL CORPORATION. Family Medicine (FM) Consultant Posts in Emergency Medicine. Job Description/Person Specifications. HAMAD MEDICAL CORPORATION Family Medicine (FM) Consultant Posts in Emergency Medicine Job Description/Person Specifications September 2014 Page 1 of 10 CONTENTS Table of Contents 1. Hamad Medical Corporation

More information

How to revalidate with the NMC Requirements for renewing your registration

How to revalidate with the NMC Requirements for renewing your registration How to revalidate with the NMC Requirements for renewing your registration CONTENTS WHAT DOES THIS DOCUMENT DO?...3 WHAT IS REVALIDATION?...5 CHECKLIST OF REQUIREMENTS AND SUPPORTING EVIDENCE... 7 THE

More information

SUPPORTING INFORMATION FOR APPRAISAL AND REVALIDATION: GUIDANCE FOR SURGERY

SUPPORTING INFORMATION FOR APPRAISAL AND REVALIDATION: GUIDANCE FOR SURGERY SUPPORTING INFORMATION FOR APPRAISAL AND REVALIDATION: GUIDANCE FOR SURGERY Based on the Academy of Medical Royal Colleges and Faculties Core for all doctors. FOREWORD As part of revalidation, doctors

More information

Genito-urinary Medicine

Genito-urinary Medicine Specialty specific guidance on documents to be supplied in evidence for an application for entry onto the Specialist Register with a Certificate of Eligibility for Specialist Registration (CESR) Genito-urinary

More information

Consultants in Public Health in Local Government and Higher Education Institutions Guidance on appointing consultants in public health

Consultants in Public Health in Local Government and Higher Education Institutions Guidance on appointing consultants in public health Consultants in Public Health in Local Government and Higher Education Institutions Guidance on appointing consultants in public health Produced in partnership with the Local Government Association, Universities

More information

Pharmacy Department. Rotational Pharmacy Technician. Information Pack

Pharmacy Department. Rotational Pharmacy Technician. Information Pack Pharmacy Department Rotational Pharmacy Technician Information Pack 1 Contents 1. Chelsea and Westminster Healthcare NHS Foundation Trust 3 2. The Pharmacy 4 3. Services 4 3.1. Clinical Services 4 3.2.

More information

Medical Appraisal Guide

Medical Appraisal Guide A guide to medical appraisal for revalidation in England March 2013 (reissued with updated hyperlinks September 2014) www.england.nhs.uk/revalidation/ Contents Introduction 3 Purpose and context 4 Primary

More information

ST LUKE S HOSPICE CLINICAL NURSE PRACTITIONER HEAD OF CARE SERVICES SUZANNE SALES CLINICAL NURSING SERVICES MANAGER

ST LUKE S HOSPICE CLINICAL NURSE PRACTITIONER HEAD OF CARE SERVICES SUZANNE SALES CLINICAL NURSING SERVICES MANAGER ST LUKE S HOSPICE JOB DESCRIPTION: DAY HOSPICE LEAD/ CLINICAL NURSE PRACTITIONER DATE: MARCH 2015 WRITER: DEB HICKEY HEAD OF CARE SERVICES SUZANNE SALES CLINICAL NURSING SERVICES MANAGER TOTAL NUMBER 11

More information

Royal College of Obstetricians and Gynaecologists. Faculty of Sexual and Reproductive Healthcare

Royal College of Obstetricians and Gynaecologists. Faculty of Sexual and Reproductive Healthcare Royal College of Obstetricians and Gynaecologists Faculty of Sexual and Reproductive Healthcare Supporting Information for Appraisal and Revalidation: Guidance for Obstetrics and Gynaecology and / or Sexual

More information

STATEMENT ON THE DELINEATION OF EMERGENCY DEPARTMENTS

STATEMENT ON THE DELINEATION OF EMERGENCY DEPARTMENTS STATEMENT Document No: S12 Approved: Jul-97 Last Revised: Nov-12 Version No: 05 STATEMENT ON THE DELINEATION OF EMERGENCY DEPARTMENTS 1. PURPOSE This document defines the minimum requirement for a health

More information

Job Description. Professionally accountable to the Medical Director with respect to Trust-wide Medicines Optimisation.

Job Description. Professionally accountable to the Medical Director with respect to Trust-wide Medicines Optimisation. Job Description JOB DETAILS Job Title: Chief of Pharmacy Band: 9 Hours: 37.5 Department / Ward: Directorate: Pharmacy Cross Site Central Clinical Services ORGANISATIONAL ARRANGEMENTS Operationally accountable

More information

Supporting information for appraisal and revalidation

Supporting information for appraisal and revalidation Supporting information for appraisal and revalidation During their annual appraisals, doctors will use supporting information to demonstrate that they are continuing to meet the principles and values set

More information

Analysis of Hospital Pharmaceuticals

Analysis of Hospital Pharmaceuticals Danish Ministry of Health and Prevention Analysis of Hospital Pharmaceuticals Country Report - England March 2009 COWI A/S Parallelvej 2 DK-2800 Kongens Lyngby Denmark Tel +45 45 97 22 11 Fax +45 45 97

More information

Pharmacy Department. Pre-Registration Trainee Pharmacy Technician. Information Pack

Pharmacy Department. Pre-Registration Trainee Pharmacy Technician. Information Pack Pharmacy Department Pre-Registration Trainee Pharmacy Technician Information Pack 1 Contents 1. Chelsea and Westminster Healthcare NHS Foundation Trust 3 2. The Pharmacy 4 3. Services 4 3.1. Clinical Services

More information

South Eastern Health and Social Care Trust

South Eastern Health and Social Care Trust South Eastern Health and Social Care Trust JOB DESCRIPTION TITLE OF POST: Consultant General Surgeon LOCATION: This post is part of the South Eastern Trust and will be based at the Ulster Hospital. However,

More information

STANDARDS. for the provision of. Inpatient Adult Rehabilitation Medicine Services. Public and Private Hospitals

STANDARDS. for the provision of. Inpatient Adult Rehabilitation Medicine Services. Public and Private Hospitals Australasian Faculty of Rehabilitation Medicine STANDARDS for the provision of Inpatient Adult Rehabilitation Medicine Services in Public and Private Hospitals 2011 Telephone (02) 9256 5420 145 Macquarie

More information

PG Certificate / PG Diploma / MSc in Clinical Pharmacy

PG Certificate / PG Diploma / MSc in Clinical Pharmacy PG Certificate / PG Diploma / MSc in Clinical Pharmacy Programme Information September 2014 Entry School of Pharmacy Queen s University Belfast Queen s University Belfast - Clinical Pharmacy programme

More information

HEALTH SYSTEM. Introduction. The. jurisdictions and we. Health Protection. Health Improvement. Health Services. Academic Public

HEALTH SYSTEM. Introduction. The. jurisdictions and we. Health Protection. Health Improvement. Health Services. Academic Public FUNCTIONS OF THE LOCAL PUBLIC HEALTH SYSTEM Introduction This document sets out the local PH function in England. It was originally drafted by a working group led by Maggie Rae, FPH Local Board Member

More information

FACULTY OF PHARMACEUTICAL MEDICINE

FACULTY OF PHARMACEUTICAL MEDICINE FACULTY OF PHARMACEUTICAL MEDICINE OF THE ROYAL COLLEGES OF PHYSICIANS OF THE UNITED KINGDOM DIPLOMA IN PHARMACEUTICAL MEDICINE GUIDANCE NOTES FOR CANDIDATES AND SUPERVISORS FOR THE DIPLOMA IN PHARMACEUTICAL

More information

PG Certificate / PG Diploma / MSc in Clinical Pharmacy

PG Certificate / PG Diploma / MSc in Clinical Pharmacy PG Certificate / PG Diploma / MSc in Clinical Pharmacy Programme Information 2010 2011 School of Pharmacy Queen s University Belfast Queen s University Belfast Clinical Pharmacy programme Distance learning

More information

JOB DESCRIPTION. Clinical Nurse Specialist in Attention Deficit Hyperactivity Disorder (ADHD) Specialist Hospitals, Women & Child Health Directorate

JOB DESCRIPTION. Clinical Nurse Specialist in Attention Deficit Hyperactivity Disorder (ADHD) Specialist Hospitals, Women & Child Health Directorate JOB DESCRIPTION Title of Post: Grade/ Band: Directorate: Reports to: Accountable to: Location: Hours: Clinical Nurse Specialist in Attention Deficit Hyperactivity Disorder (ADHD) Band 8A Specialist Hospitals,

More information

Visit to Oxford University Hospitals NHS Trust

Visit to Oxford University Hospitals NHS Trust Thames Valley regional review 2014 15 Visit to Oxford University Hospitals NHS Trust This visit is part of a regional review and uses a risk-based approach. For more information on this approach see http://www.gmc-uk.org/education/13707.asp.

More information

NORTHUMBERLAND TYNE AND WEAR NHS FOUNDATION TRUST REHABILITATION SERVICE, NORTHUMBERLAND LOCALITY

NORTHUMBERLAND TYNE AND WEAR NHS FOUNDATION TRUST REHABILITATION SERVICE, NORTHUMBERLAND LOCALITY NORTHUMBERLAND TYNE AND WEAR NHS FOUNDATION TRUST REHABILITATION SERVICE, NORTHUMBERLAND LOCALITY Psychiatry Core Training Post (CT3) Job Description Rehabilitation and Recovery Post Base: St George s

More information

Stakeholder Question 1. Strongly Disagree Disagree Don t Know Agree Strongly Agree

Stakeholder Question 1. Strongly Disagree Disagree Don t Know Agree Strongly Agree Modernising Pharmacy Careers Review of Post-Registration Career Development Discussion Paper PRO FORMA FOR CAPTURING RESPONSES TO STAKEHOLDER QUESTIONS Please complete and return to: MPCProgramme@dh.gsi.gov.uk

More information

INFORMATION GOVERNANCE POLICY

INFORMATION GOVERNANCE POLICY INFORMATION GOVERNANCE POLICY Name of Policy Author: Name of Review/Development Body: Ratification Body: Ruth Drewett Information Governance Steering Group Committee Trust Board : April 2015 Review date:

More information

DR.C.Y.KNIGHT MEMORIAL HOSPITAL INTERNATIONAL MEDICAL MISSIONARY CENTRE STAFF FLOW CHART

DR.C.Y.KNIGHT MEMORIAL HOSPITAL INTERNATIONAL MEDICAL MISSIONARY CENTRE STAFF FLOW CHART DR.C.Y.KNIGHT MEMORIAL HOSPITAL INTERNATIONAL MEDICAL MISSIONARY CENTRE STAFF FLOW CHART DENTAL SURGEON / DENTAL ASSISTANT COORDINATOR CLERK GARDENER / WATCHMAN CLEANER PROPRIETOR HOSPITAL ADMINISTRATOR

More information

Specialty Doctor in Palliative Medicine

Specialty Doctor in Palliative Medicine Surgeon Introduction This is an exciting new post and the successful candidate will become part of the Sue Ryder West Berkshire and South Oxfordshire Palliative Medicine service. The post is full-time,

More information

Supporting information for appraisal and revalidation

Supporting information for appraisal and revalidation Supporting information for appraisal and revalidation During their annual appraisals, doctors will use supporting information to demonstrate that they are continuing to meet the principles and values

More information

JOB DESCRIPTION. The South Eastern Health and Social Care Trust

JOB DESCRIPTION. The South Eastern Health and Social Care Trust JOB DESCRIPTION TITLE: SPECIALTY: BASE: RESPONSIBLE TO: Speciality Doctor Haematology/Oncology The South Eastern Health and Social Care Trust Consultant Haematologists & Dr W R McKane, Associate Clinical

More information

Report of Step 3 event towards degree accreditation; Master of Pharmacy degree of the University of Sunderland, SEGi University College, May 2010

Report of Step 3 event towards degree accreditation; Master of Pharmacy degree of the University of Sunderland, SEGi University College, May 2010 Royal Pharmaceutical Society of Great Britain University of Sunderland Master of Pharmacy (MPharm) Report of Step 3 event towards degree accreditation; Master of Pharmacy degree of the University of Sunderland,

More information

National Minimum Standards for Immunisation Training

National Minimum Standards for Immunisation Training National Minimum Standards for Immunisation Training Contributors The following formed the advisory group which, hosted by the Health Protection Agency, produced these Minimum Standards for Immunisation

More information

Consent for Systemic Anti Cancer Therapy (SACT)

Consent for Systemic Anti Cancer Therapy (SACT) Consent for Systemic Anti Cancer Therapy (SACT) Guidance issued by the National Chemotherapy Board May 2016 Supported by: Contents National Chemotherapy Board 1. Introduction 1.1. Purpose of the guidance

More information

Supporting information for appraisal and revalidation: guidance for clinical oncology and clinical radiology, Second edition

Supporting information for appraisal and revalidation: guidance for clinical oncology and clinical radiology, Second edition www.rcr.ac.uk Supporting information for appraisal and revalidation: guidance for clinical oncology and clinical radiology, Second edition Based on the Academy of Medical Royal Colleges and Faculties Core

More information

Reconfiguration of Surgical, Accident and Emergency and Trauma Services in the UK

Reconfiguration of Surgical, Accident and Emergency and Trauma Services in the UK Reconfiguration of Surgical, Accident and Emergency and Trauma Services in the UK K Reconfiguration of Surgical, Accident and Emergency and Trauma Services in the UK Summary Our aim is to provide an excellent

More information

JOB TITLE: Data Quality/IT Manager

JOB TITLE: Data Quality/IT Manager JOB DESCRIPTION JOB TITLE: Data Quality/IT Manager RESPONSIBLE TO: PRACTICE MANAGER PARTNERS SALARY: Starting From 25000 HOURS: 35 Hours The post-holder will need to become familiar with all functions

More information

Clinical Teaching Fellow (UCLMS) in association with Private Practice Unit The Royal Free Hospital Foundation NHS Trust.

Clinical Teaching Fellow (UCLMS) in association with Private Practice Unit The Royal Free Hospital Foundation NHS Trust. Clinical Teaching Fellow (UCLMS) in association with Private Practice Unit The Royal Free Hospital Foundation NHS Trust. JOB TITLE: Clinical Teaching Fellow (CTF) and Resident Medical Officer (RMO) ACCOUNTABLE

More information

Part 3 Medical Officer (MO) Work Level Standards

Part 3 Medical Officer (MO) Work Level Standards Part 3 Medical Officer (MO) Work Level Standards MEDICAL OFFICER-CLASSES 1 6 GROUP STANDARD The work of positions in this group involves the application of professional medical knowledge and experience

More information

Mental Health Services Buchanan Rehabilitation Centre. This run is recognised by the RANZCP as a training position for specialist qualification

Mental Health Services Buchanan Rehabilitation Centre. This run is recognised by the RANZCP as a training position for specialist qualification RUN DESCRIPTION POSITION: Registrar DEPARTMENT: Mental Health Services Buchanan Rehabilitation Centre PLACE OF WORK: RESPONSIBLE TO: FUNCTIONAL RELATIONSHIPS: PRIMARY OBJECTIVE: ADHB Mental Health units

More information

Job Description. Wilson Health Centre, Cranmer Road, Mitcham, Surrey, CR4 4TP. Practice Manager / Clinical Manager (Clinical Matters)

Job Description. Wilson Health Centre, Cranmer Road, Mitcham, Surrey, CR4 4TP. Practice Manager / Clinical Manager (Clinical Matters) Job Description Job Title: Job Location: Responsible to: Hours of work: Salary: Nurse Practitioner (NP) Wilson Health Centre, Cranmer Road, Mitcham, Surrey, CR4 4TP Practice Manager / Clinical Manager

More information

NHS WIRRAL / METROPOLITAN BOROUGH OF WIRRAL JOINT DIRECTOR OF PUBLIC HEALTH JOB DESCRIPTION. Joint Director of Public Health (Full Time/Job Share)

NHS WIRRAL / METROPOLITAN BOROUGH OF WIRRAL JOINT DIRECTOR OF PUBLIC HEALTH JOB DESCRIPTION. Joint Director of Public Health (Full Time/Job Share) NHS WIRRAL / METROPOLITAN BOROUGH OF WIRRAL JOINT DIRECTOR OF PUBLIC HEALTH JOB DESCRIPTION Employing organisation: Title: Accountable to: Managerially responsible for: NHS Wirral Joint Director of Public

More information

Nurse Practitioner Frequently Asked Questions

Nurse Practitioner Frequently Asked Questions HEALTH SERVICES Nurse Practitioner Frequently Asked Questions The Frequently Asked Questions (FAQs) have been designed to increase awareness and understanding of the Nurse Practitioner role within the

More information

JOB DESCRIPTION. Principal Clinical Scientist - POCT. Specialist Chemistry, Core Laboratory. Consultant Clinical Scientist/Clinical Lead

JOB DESCRIPTION. Principal Clinical Scientist - POCT. Specialist Chemistry, Core Laboratory. Consultant Clinical Scientist/Clinical Lead JOB DSCRIPTION Job Title: Location: Reporting to: Liaises with: Principal Clinical Scientist - POCT Specialist Chemistry, Core Laboratory Consultant Clinical Scientist/Clinical Lead Biomedical Scientists

More information

A fresh start for the regulation of independent healthcare. Working together to change how we regulate independent healthcare

A fresh start for the regulation of independent healthcare. Working together to change how we regulate independent healthcare A fresh start for the regulation of independent healthcare Working together to change how we regulate independent healthcare The Care Quality Commission is the independent regulator of health and adult

More information

Supporting information for appraisal and revalidation: guidance for paediatrics and child health

Supporting information for appraisal and revalidation: guidance for paediatrics and child health Supporting information for appraisal and revalidation: guidance for paediatrics and child health Based on the Academy of Medical Royal Colleges and Faculties Core Guidance for all doctors. General Introduction

More information

Endocrinology and Diabetes Mellitus

Endocrinology and Diabetes Mellitus Specialty specific guidance on documents to be supplied in evidence for an application for entry onto the Specialist Register with a Certificate of Eligibility for Specialist Registration (CESR) Endocrinology

More information

Job planning, appraisal and revalidation

Job planning, appraisal and revalidation BMA Medical Academic Staff Committee Job planning, appraisal and revalidation Integrated job planning A job plan is a detailed description of the duties and responsibilities of a doctor and of the supporting

More information

Professional Standards for Homecare Services in England

Professional Standards for Homecare Services in England Professional Standards for Homecare Services in England September 2013 Foreword The Royal Pharmaceutical Society is delighted to publish these professional standards for homecare services. These professional

More information

A Charter for Postgraduate Medical Training: Value of the Doctor

A Charter for Postgraduate Medical Training: Value of the Doctor March 2014 A Charter for Postgraduate Medical Training: Value of the Doctor in Training Introduction Page 2 The 2008 Consensus Statement on the Role of the Doctor 1 endorsed by the Academy of Medical Royal

More information

THE UNIVERSITY OF MANCHESTER PARTICULARS OF APPOINTMENT

THE UNIVERSITY OF MANCHESTER PARTICULARS OF APPOINTMENT THE UNIVERSITY OF MANCHESTER PARTICULARS OF APPOINTMENT FACULTY OF MEDICAL & HUMAN SCIENCES MANCHESTER PHARMACY SCHOOL CENTRE FOR PHARMACY POSTGRADUATE EDUCATION Lead Pharmacy Technician, Learning Development

More information

North Middlesex University Hospital NHS Trust. Annual Audit Letter 2005/06. Report to the Directors of the Board

North Middlesex University Hospital NHS Trust. Annual Audit Letter 2005/06. Report to the Directors of the Board North Middlesex University Hospital NHS Trust Annual Audit Letter 2005/06 Report to the Directors of the Board 1 Introduction The Purpose of this Letter 1.1 The purpose of this Annual Audit Letter (letter)

More information

Role of the consultant psychiatrist in psychotherapy

Role of the consultant psychiatrist in psychotherapy Role of the consultant psychiatrist in psychotherapy Council Report CR139 May 2006 London Approved by Council: June 2005 Due for review: 2010 Contents Members of the Working Group 4 Executive summary

More information

Education. The Trainee Doctor. Foundation and specialty, including GP training

Education. The Trainee Doctor. Foundation and specialty, including GP training Education The Trainee Doctor Foundation and specialty, including GP training The duties of a doctor registered with the Patients must be able to trust doctors with their lives and health. To justify that

More information

Evidence on the quality of medical note keeping: Guidance for use at appraisal and revalidation

Evidence on the quality of medical note keeping: Guidance for use at appraisal and revalidation Health Informatics Unit Evidence on the quality of medical note keeping: Guidance for use at appraisal and revalidation April 2011 Funded by: Acknowledgements This project was funded by the Academy of

More information

A career in Geriatric Medicine

A career in Geriatric Medicine British Geriatrics Society for better health in old age A career in Geriatric Medicine A guide for doctors considering a career in Geriatric Medicine (newly qualified/ Foundation Programme/ ST1/ST2 doctors)

More information

UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST

UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST POLICY FOR TRUST INDEMNITY ARRANGEMENTS (IN RESPECT OF CLINICAL NEGLIGENCE AND OTHER THIRD PARTY LIABILITIES) 21 st November 2003 APPROVED BY: Trust Executive

More information

Acute care toolkit 2

Acute care toolkit 2 Acute care toolkit 2 High-quality acute care October 2011 Consultant physicians are at the forefront of delivering care to patients presenting to hospital with medical emergencies. Delivering this care

More information

Improving patient care through better general practice and community pharmacy integration

Improving patient care through better general practice and community pharmacy integration Improving patient care through better general practice and community pharmacy integration A consultation document August, 2015 Purpose of this consultation Improving patient care poses a significant challenge

More information

Job Description Form POSITION DESCRIPTION

Job Description Form POSITION DESCRIPTION OTD SPC 04/04 Name of Employer Job Description Form POSITION DESCRIPTION For Area of Need Medical Practitioner Positions {Insert Date} POSITION DETAILS 1 Position Number: Position Title: Reports to: Division:

More information

JOB DESCRIPTION. Occupational Therapist: Paediatrics & Young Adults SALARY BAND: Band 7 Occupational Therapy Department, Health Services

JOB DESCRIPTION. Occupational Therapist: Paediatrics & Young Adults SALARY BAND: Band 7 Occupational Therapy Department, Health Services JOB DESCRIPTION TITLE OF POST: Occupational Therapist: Paediatrics & Young Adults SALARY BAND: Band 7 LOCATION: Occupational Therapy Department, Health Services REPORTS TO: Therapy Manager SERVICE SUMMARY

More information

How to revalidate with the NMC Requirements for renewing your registration

How to revalidate with the NMC Requirements for renewing your registration How to revalidate with the NMC Requirements for renewing your registration CONTENTS WHAT DOES THIS DOCUMENT DO?...3 WHAT IS REVALIDATION?...5 CHECKLIST OF REQUIREMENTS AND SUPPORTING EVIDENCE... 7 THE

More information

Public Health Wales NHS Trust Job Description Professional Lead Consultant for Health Protection

Public Health Wales NHS Trust Job Description Professional Lead Consultant for Health Protection Public Health Wales NHS Trust Job Description Professional Lead Consultant for Health Protection Accountable to Director of Health Protection (managerially) and the Executive Director of Public Health

More information

Directors of Public Health in Local Government. Roles, Responsibilities and Context

Directors of Public Health in Local Government. Roles, Responsibilities and Context Directors of Public Health in Local Government Roles, Responsibilities and Context October 2013 You may re-use the text of this document (not including logos) free of charge in any format or medium, under

More information

Guidance for Taking Responsibility: Accountable Clinicians and Informed Patients

Guidance for Taking Responsibility: Accountable Clinicians and Informed Patients June 2014 Guidance for Taking Responsibility: Accountable Clinicians and Informed Patients 01 Background Page 2 The Francis Report made a number of recommendations on the need for there to be a named clinician

More information

JOB PLANNING FOR YOUR FIRST CONSULTANT POST Guidance from the Scottish Consultants Committee

JOB PLANNING FOR YOUR FIRST CONSULTANT POST Guidance from the Scottish Consultants Committee JOB PLANNING FOR YOUR FIRST CONSULTANT POST Guidance from the Scottish Consultants Committee February 2014 BMA Scottish Consultants Committee SCOTLAND Introduction This guide aims to answer common questions

More information

CHAPTER 2 The organisation of medical services in New Zealand

CHAPTER 2 The organisation of medical services in New Zealand CHAPTER 2 The organisation of medical services in New Zealand John Adams is Chairman of the Medical Council and Dean of the Dunedin School of Medicine. Cite this as Adams J 2013. The organisation of medical

More information

Option Five: Maintain the Status Quo

Option Five: Maintain the Status Quo HR Shared Services Options Appraisal Option Five: Maintain the Status Quo Introduction This document sets out a summary of Option Five. It is designed to provide information to those appraising options

More information