Putting the Patient first Introduction. Ian Starke Director of CPD, Royal Colleges of Physicians, United Kingdom
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1 Putting the Patient first Introduction Ian Starke Director of CPD, Royal Colleges of Physicians, United Kingdom
2 Session Summary Ian Starke Lay involvement in CPD in the UK Alex Wyke The Mobilisation of Patients in Europe Jan Geisler Patient Information and how patient advocacy strengthens education and best practice General discussion
3 Session Objectives How should patients, carers and the public be involved in the development and delivery of CME/CPD? What expertise is required of those who are contributing to this? What evidence is there that lay involvement is effective?
4 Lay Involvement in the UK
5 The Planning and Delivery of CPD Needs assessment Policy and Systems Development and delivery Quality assurance Feedback
6 Lay Involvement in CPD Needs assessment Policy and Systems Development and delivery Quality assurance Feedback
7 Organisation of CPD in the UK Academy of Medical Royal Colleges and Faculties General Medical Council Individual Colleges and Faculties Individual Colleges and Faculties Individual Colleges and Faculties Policy committees with lay input Policy committees with lay input Policy committees with lay input
8 Needs Assessment doctors Revalidation patient and carer involvement Patient and carer questionnaires Feedback informs personal CPD plans 67% agreed (15% unsure; 18% disagreed) The involvement of the public in questionnaire feedback on a doctor s performance is a major step in ensuring public trust. [Royal College of Nursing and Midwifery]
9 Needs Assessment doctors But The patient experience is a core dimension of quality in health, and should be positioned as a core dimension of a doctor s competence and performance. We emphatically disagree with the GMC s position that patient and public involvement in revalidation is one way of inspiring confidence in the way that revalidation will work. [Picker Institute, Europe]
10 Needs Assessment patients / public Lay involvement in determining health priorities Pressure on government Involvement in policy groups / working parties Involvement in best-practice / guideline groups How expert is the input? How are the results fed back?
11 Policy and Systems Most Medical Royal Colleges in the UK: Lay persons groups Volunteers join various committees including CPD eg Solicitor, Marketing, Education. What is their expertise? What exactly do they contribute?
12 Development and Delivery Activities run by lay organisations: eg Association against Medical Accidents Activities including lay input: Ethics of assisted Suicide Medicine and Me (70% lay) (RSM) Activities promoting lay perspective: Carers and Carer Health (RCGP live and e-learning)
13 Development and Delivery Activities run by lay organisations: eg Association against Medical Accidents Activities including lay input: Ethics of assisted Suicide Medicine and Me (70% lay) (RSM) Activities promoting lay perspective: Carers and Carer Health (RCGP live and e-learning) How many doctors attend?
14 Quality Assurance Did this individual activity change individual practice? Patient questionnaires? Did this national / regional activity change patients perceptions of their care? Targeted questionnaires.
15 Quality Assurance Did this individual activity change individual practice? Patient questionnaires? Did this national / regional activity change patients perceptions of their care? Targeted questionnaires. Cost implications Confounding variables
16 Feedback For the individual doctor (appraisal) Patient questionnaires On the educational quality of an activity Requires lay members to attend or evaluation of change Open access to records of doctors CPD activity Risks to confidentiality?
17 Feedback For the individual doctor (appraisal) Patient questionnaires On the educational quality of an activity Requires lay members to attend or evaluation of change Open access to records of doctors CPD activity Risks to confidentiality? What can be achieved in practice?
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