News, views and snippets from the dynamic world of health care.
IHAS Update May 2012 (519.38 kB)
Minister of State for Health, Simon Burns MP, has asked IHAS to pull together suggestions from the Independent acute healthcare sector for the reduction of Red Tape. He has chosen IHAS because its Membership extends so widely across the independent healthcare sector.
He writes: “Reducing the burden of unnecessary Regulation is a key principle for the Coalition Government. The Department of Health has initiated a fundamental review of the regulations that impact business, civil society organizations or the citizen. Strong and constructive business engagement from the start is vital to the success of this exercise. We want to understand from the business perspective what is no longer fit for purpose, or could be improved or streamlined to help business without affecting the essential protections in place for the vulnerable and the public.”
In the March 2012 IHAS Update IHAS Director Sally Taber extended the questions into specifics for you to consider:
IHAS Update March 2012
IHAS is in no doubt that Members are irked by unnecessary regulations. A survey will be sent to you shortly in order to obtain your views.
In order to produce the best possible product for Members, IHAS would like your feedback about the Update. We would like to know which sections you find most useful and how you use the information. Your feedback will help to shape a better Update and we will report on members' views next month. There are only seven questions and it should take you no longer than 5-7 minutes to complete. Thank you for your comments.
Please participate in the IHAS Update survey.
IHAS are pleased to announce that our website is currently being refreshed and updated to ensure it can be more easily navigated and will be re-launched in the next couple of months. The new site will have:
if you have any views on what you would like to see on the new IHAS website, please email
The key points to emerge from the top DH, Centre for Workforce Intelligence (CfWI), NHS Midlands & East Workforce Leads and Skills for Health speakers at the conference were as follows:
LETBs will need to provide evidence that they are engaging with the independent sector. Such engagement is a challenge but should improve with time.
Employers will be given greater scope and responsibility to plan and develop their workforce while being professionally informed and underpinned by strong academic links. Workforce planning needs to include the whole workforce, not just the clinical workforce and the independent sector has a good record of doing that.
LETBs need to represent all providers of NHS-funded services. However, the DH speaker stated that they should represent all healthcare providers, including all independent providers.
The NHS contracts will include a clause that providers have a duty to co-operate in the planning and delivery of education and provide workforce planning information.
A whole system approach
The use of horizon scanning is the most likely model to be utilised in predicting how things will look in 15 years. A new approach for using horizon scanning in workforce planning has four elements: scenario generation; scanning; workforce intelligence and modelling. A tool to assist organisations using horizon scanning as part of their planning process is being developed and will be available from CfWI.
Any advice that CfWI issues to assist the modelling of the workforce needs to include independent sector workforce figures and plans. The CfWI already has Memoranda of Understandings in place with dentists and pharmacists to supply them with data which has a guarantee of anonymity.
CfWI has asked that IHAS to collate information from IHAS employers of the three main things that concern them about the future of the workforce in the independent sector. IHAS members are asked to send this list to Lene Gurney by 17 May 2012
Provider led education and planning
Each LETB will operate differently as the needs of the individual area providers are the drivers for the way in which they will operate. There must be a link between service planning and workforce planning, and it is important that the direction of travel across all sectors is taken into account.
One of the NHS Future Forum key recommendations in the Second Phase Report was that integration is central to improving care. There has been a great deal of talk about integrated care but it has to happen now. The independent sector is a key player in this and all independent healthcare providers were advised to find out what is going on in their areas by using existing networks.
Progress of the Skills Passport for Health and Statutory and Mandatory Skills Frame
The Skills Passport is a portable, online record of an individual’s career history, current skills and training. The information in a Skills Passport can be independently verified and includes an individual’s education, qualifications, competencies, employment history, training record and objectives. It is accessible securely via the internet at anytime, from anywhere.
The timeline: 2012 is the development year and 2013 is rollout year
The Statutory and Mandatory Skills Framework is the creation of one common framework with 10 core subject areas: Fire Safety, Moving and Handling, Conflict resolution, Equality, Diversity and Human Rights, Resuscitation, Health, safety and security, Infection prevention and control, Safeguarding Children, Safeguarding vulnerable adults and Information Governance.
Introduction of the Skills for Health’s forthcoming first review of the current and future skills needs specifically of the UK’s independent health sector - ‘Review of Independent Health sector Employment and Skills 2011’ Which compare findings in the independent sector with the public sector. The definition of the Independent Sector includes all non-NHS services i.e. healthcare services provided by private and voluntary or charitable organisations. The report will be published in the summer.
Dr Surandra Deo presented on the recently formulated Employer Liaison Service which had been established following the GMC Affiliate pilot which had taken place in North London and North Yorkshire. He described the structure that the role is to:
This document comes ahead of the statutory consultation which will start later this year. The document lists the various concerns raised in themes and gives Monitor’s response to each concern raised. Read the summary of feedback document
What happens next?
For further information, Ridouts Solicitors have published a useful summary and analysis article on Monitor’s new licencing regime, which includes implications for independent providers. Read more.
Under the future regime set out by the Act, Monitor will work together with the NHS Commissioning Board to produce national prices for services. There could be some cases where providers face costs which are unavoidably higher than the level reimbursed through national prices, even when the service is efficiently provided. It is important to ensure that high quality, efficiently provided services that patients and commissioners value can remain financially viable. The local modifications regime should provide a consistent and transparent method for Monitor to ensure that such services remain viable, without rewarding low quality or inefficiency. Read the consultation document.
Baroness Ritchie who chaired the Treatments You Can Trust Governance Board has sadly died. IHAS pays tribute to a remarkable person and who it was a pleasure to know through our work. She has been a great supporter of “Treatments You Can Trust” and will be truly missed. Sally Taber had the opportunity of thanking her for being an excellent chair and for hosting such an excellent parliamentary reception in January. Baroness Ritchie also supported the 300 Group, which aims to get more women into politics and public life, before setting up Women2Win in 2005, and then joining the House of Lords in 2010.
This project commissioned by the National Quality Board will be the first comprehensive national study of data quality within the health and social care system in England. The National Quality Board has invited submissions on any work that IHAS members have undertaken relating to the assessment of data quality within your area of interest, the causes of the good / bad data quality and any initiatives that you may have implemented to make improvements in this critical area. For further information please contact
Problem: Use of Macrolane VRF20 and Macrolane VRF30 for breast augmentation can make diagnosis of breast cancer more difficult, particularly with the use of mammography. The MHRA has been made aware of a Dear Doctor letter issued in April 2012 to clinicians by Q-Med about the use of Macrolane recommending that it is not used for injection into breasts because it can make diagnosis of breast cancer more difficult, particularly during mammography. The manufacturer has stated:
‘Macrolane is detectable in mammography, ultrasound examination and MRI examination of the breasts
There is no association with cancer and no safety concerns have been identified for this product. The product remains on the market for use elsewhere in the body. The manufacturer plans to issue updated instructions for use in due course with updated indications for Macrolane use.
Action: Do not use Macrolane for breast augmentation. Action complete by 14 May 2012
The IHAS Practising Privileges Guidance is now available, dated April 2012, having been reviewed to reflect legislative changes, developments in practice and following consultation with the IHAS/GMC Revalidation Working Group. The guidance can be found on the IHAS website under the Codes of Practice section.
Tom Fellows, NHS Contract Compliance Manager at Nuffield Health represented IHAS at this meeting and has provided the following summary, which will be of particular interest to IHAS members:
A number of the large providers and private insurers have welcomed the referral as an opportunity to investigate complex issues in the sector and address issues of informed choice, value for money, lack of competition and inefficiency. The CC is required to report by 3 April 2014, although it will aim to complete the investigation in a shorter period. The CC will shortly appoint members to its Inquiry Group and publish a timetable setting out a schedule for the various stages of the investigation. Read more.
The Government has announced plans to create a new Competition and Markets Authority (CMA) as of 2014, combining many of the functions of the OFT and the Competition Commission. Read more.
This is a key consultation for IHAS members and IHAS has already held a meeting with members to discuss our response. Key points from the meeting include:
Read Responsible Officers in the new Health Architecture
Language checks for doctors
Foreign doctors must prove they can speak English before they can practise in England under new proposals set out in this consultation. The consultation proposes that senior doctors who evaluate other doctors’ fitness to practise will have extra powers to ensure that any doctor working in their organisation can speak English. The General Medical Council registers thousands of doctors each year. Currently, doctors outside the EU have to take rigorous language tests, but European laws make it illegal to systematically test EU doctors when they register. Read more.
At the time of writing the Update, the Bills thought likely to be included are:
Enterprise and Regulatory Reform Bill; Crime, Communications and Courts Bill; and Public Service Pensions Bill. The government will be undertaking reform of the House of Lords, which is likely to result in the Bill to reform social care for the elderly and disabled being left out of the speech. A white paper on the issue was due by Easter but has been delayed until the summer. Campaigners have written to David Cameron urging him to prioritise reforms amid fears that some changes - such as who pays for care - could be delayed until after 2015.
Paul joins Bupa from NHS Midlands and East Strategic Health Authority, where he was Director of Commissioning Development. Paul replaces Dr Andrew Vallance-Owen, who is retiring after 17 years as Bupa’s Group Medical Director. Paul starts on 1 July and, until then, Dr Sneh Khemka (currently medical director of Bupa International), will cover the transition period.
The laser registration scheme will operate under the Treatments You Can Trust Quality Mark with its own set of Standards – now available. The e fees for the scheme have been agreed and the website is ready once the launch date is released. Contact
In order to continue improving standards within the cosmetic injectable industry the new fee structure reflects feedback from within the industry including both individual providers and organisations. The register is here to stay and reduced fee rates are now available for those committing to registering with www.TreatmentsYouCanTrust. It is not essential to be registered with the Care Quality Commission to join if you are it means a faster registration process since much is common to both. Read more about the new fees
Minister of State for Health confirms support for IHAS register of injectable cosmetic providers quality assurance mark – the Minister of State for Health, Anne Milton, confirmed her backing for the IHAS Register of Injectable Cosmetic Providers. Anne Milton said, "The IHAS Register of Injectable Cosmetic Providers has the potential to make a very real difference to the safety and quality of services on offer in this growing industry."
The UK’s largest patient safety event is themed – improving safety and efficiency in austere times. The programme covers all aspects of patient safety; clinical risks, systems approaches and human factors, leadership, patient experience, risk management and care pathways. Click here for more information .
IHAS members receive a 25% discount – contact Sally Taber for the discount code.
This is a key conference in the independent sector’s calendar and IHAS recommends it to all members. High profile speakers will address these topics and more:
Click here for more information or call 020 7841 0045 to book your place.
ISCAS faced a Judicial Review in December 2011 when a complainant, dissatisfied with the outcome of the Stage 3 Adjudication, launched an application for Judicial Review against ISCAS.
The Administrative Court’s decision of the 19th December 2011 and the application for a Judicial Review by the Claimant was clear in its rebuttal of the claim that:
1. ISCAS provides a private service (and not a public service) for the benefit of complainants and its member organisations.
2. This was a private arrangement between ISCAS, the complainant and the member organisation. As such ISCAS was not carrying out a “public function” and therefore the complainant could not seek a public law remedy in the Administrative Court.
3. The Court clearly stated that even if the case was amenable to Judicial Review (which it ruled it was not) the complainant’s grounds for complaint did not disclose any arguable basis for bringing a claim for Judicial Review. In other words the Court did not accept the suggestion that the ISCAS process had not been carried out properly.
4. Furthermore the Court rules that there was no breach of human rights as alleged by the complainant or at all.
The next meeting will take place on 17 March 2012. A review process of the Code has started by a small working group which is the beginning of the review of the ISCAS documentation.
The adjudicator’s message will recommence next month.
ISCAS Annual Report 2010
All these are key documents for anyone involved with medical revalidation to access and study.
In April the GMC started to contact around 70,000 doctors who do not feature in the data the GMC have received from the NHS. The GMC will contact those doctors to confirm their designated body using GMC Online. Doctors will be senta letter anda leaflet that will help them understand what they have to do. Doctors do not need to do anything until they receive their GMC information pack through the post. The GMC has a dedicated team to help doctors with their enquiries, and the telephone number for them to speak to a member of that team is 0161 923 6277. Further information and support for doctors is available at www.gmc-uk.org/revalidation.
Once this information is collected from doctors about their connection, the GMC will ask responsible officers to validate the list of doctors that are connected to their organisation using GMC Connect over the summer. This is a secure area of the website that will allow responsible officers to manage their lists of doctors. When revalidation begins, GMC Connect will also allow responsible officers to make revalidation recommendations about their doctors to them.
The GMC has published final versions of its questionnaires to help employers and doctors collect feedback from patients and colleagues.
GMC has issued the fourth of its Revalidation Round-up’s. These publications provide an up-to-date and authoritative view of the GMC’s preparations and positions on revalidation moving towards its introduction at the end of 2012. The GMC published its requirements for appraisal and revalidation in April 2011. These are set out in two documents which are available on the GMC website:
1. The Good Medical Practice Framework for Appraisal and Revalidation
2. Supporting Information for Appraisal and Revalidation
The GMC are not planning to make any changes to this Framework or guidance but will be focusing this year on ensuring that responsible officers, doctors and others are familiar with what it is they need to do. Responsible officers should be ensuring that their organisations have an appraisal system in place with Good Medical Practice as its focus, that all of their doctors are undertaking appraisal and can access the information that they need to support that appraisal. Organisations that currently meet all of the GMC requirements will need to make no changes to their appraisal systems.
Arrangements for doctors during the implementation phase
The GMC wants doctors and responsible officers to be clear about how doctors will meet the requirements of revalidation during the implementation period, which will run for a number of years from the end of 2012.
The GMC have already agreed that revalidation for doctors will be based on them:
The GMC have worked with the four health departments to agree the minimum requirements that a doctor must meet before a responsible officer (RO) can make a recommendation to revalidate. This will ensure all doctors are revalidated on a consistent basis, regardless of where they practise or the nature of their practice.
ROs can use this readiness statement (soon to be published on the GMC website) to support their doctors in meeting these minimum requirements, and to begin planning how revalidation will be rolled out across their population of doctors. The GMC will work with ROs over the summer to confirm the list of doctors who have a prescribed connection to their organisation and to develop schedules for making their recommendations. The readiness statement says that, as a minimum, doctors:
Independent Sector Employer Guide - GMC & IHAS Publication - Revalidation: The Way Ahead. A Guide for Independent Sector Leaders in England. This important publication is a guide to help leaders of an independent sector organisation to understand the background to medical revalidation and the steps needed to be ready by late 2012. Read the report. Please note the first of the scenarios on page 10 will be removed in subsequent online versions of this guide.
The major independent sector Employers have set up a Network entitled ISROC, chaired by Dr Sheila Peskett, Medical Director Ramsay Health Care. The aim of this group is to provide professional peer support for Responsible Officers who relate to the RO of NHS London
IHAS has produced, in conjunction with the BMA a Whole Practice Appraisal document. Contact Sally Taber for a copy.
The Skills for Health website site provides access to a wide range of solutions and tools to support skills development within the UK health sector: http://www.skillsforhealth.org.uk/
Hannah Fullbrook, Human Resource Officer at the London Clinic has provided the following report:
The Home Office has issued a ‘Statement of changes in Immigration Rules’ and a ‘Statement of Intent and Transitional measures: Tier 2 of the points Based System’ which is an updated immigration position as regards TIER 2 (overseas nurse) employees. As of June 14
the acceptable skill level for this group will increase from NQF Level 4 to NQF Level 6. Please contact Lene Gurney with your views. Statement of changes and Statement of Intent and Transitional measures
On 26th March 2012 the CQC confirmed the changes to regulation and inspection procedures which will come into effect for all inspections after 1st April 2012. CQC have produced a guide explaining the changes. Read more.
Later this year CQC will be launching another consultation about its longer-term fees strategy from 2013/16, which will include specific proposals for fees for 2013/14. These proposals will be for providers of NHS general practice and other primary medical services who will be registered with CQC from 1 April 2013, as well as potential changes to fees for independent healthcare providers. Read more.
CQC is recruiting specialist advisors from a variety of clinical and professional backgrounds who it can call upon to provide timely, up to date advice to support its inspection and investigations activities. Those recruited will be placed on the CQC bank and called upon when required to provide advice and support. Click here for further details.
An update to the Clinical Negligence Scheme for Trusts (CNST) cover for independent sector providers in 2012-13. All standard acute contracts in place with independent sector (IS) providers with an expiry date of 31 March 2012 must be extended and the revised expiry date will be 30 June 2012.
The expiry of some contracts with the independent sector at the end of March would mean that the interim indemnity for 2011 no longer applied. Agreement has not been reached on a revised form of indemnity for 2012 to cover acute services. An extension to the temporary measures put in place to enable continuity of services where NHS patients can continue to be referred and treated by the IS, with CNST cover remain in place. Read more here
David Cameron has called on nurses across the country to search out best practice and share it across the NHS. Speaking at the first meeting of the Nursing and Care Quality Forum, the prime minister and health secretary Andrew Lansley outlined the push to free up nurses to provide the care patients and relatives expect. Read more.
Nursing and Care Quality Forum meets to improve care
The forum is made up of frontline nurses, patient representatives and medical experts, and was created to address concerns about dignity and respect for patients, particularly the elderly. Last year, the Care Quality Commission found that a fifth of NHS hospitals were breaking the law on care for the elderly, whilst 40% did not offer dignified care. The Prime Minister has asked the forum to research ways of ensuring nurses have the time to provide proper care and use patient feedback to improve services, as well as to ‘restore a sense of pride’ in the profession.
As of 6 April 2012, RIDDOR’s over-three-day injury reporting requirement has changed. The trigger point has increased from over three days to over seven days incapacitation (not counting the day on which the accident happened). Incapacitation means that the worker is absent or is unable to do work that they would reasonably be expected to do as part of their normal work.
Employers and others with responsibilities under RIDDOR must still keep a record of all over-three day-injuries – if the employer has to keep an accident book, then this record will be enough.
The deadline by which the over-seven-day injury must be reported has increased to fifteen days from the day of the accident. Read more.
Health Secretary Andrew Lansley has set out what the Health and Social Care Act will mean for four key health and care organisations and their staff – Clinical Commissioning Groups, NHS Foundation Trusts, NHS Trusts and Local Authorities. He explains there are two simple principles at the heart of the act – that patients should share in every decision about their care and that those responsible for patient care should have the ‘freedom and power to lead an NHS that delivers continually improving care’. Read more.
The Department of Health will hold the authority to account for its performance against four strategic objectives, relating to: transferring power to local organisations; establishing the commissioning landscape; developing specific commissioning and financial management capabilities; and developing excellent relationships. Read more .
The first four in a series of 10 Smart Guides to Engagement cover the social and economic benefits, dealing with LINks and local HealthWatch, and the role of lay members and patient representatives on CCG boards. The guides have been co-produced by PPE experts from several organisations with support from the Department of Health. Domain 2 of the CCG authorisation process requires evidence of ‘meaningful engagement with patients, carers and communities’. The guides are available to download from NHS Networks. Read the four guides.
Mr Selbie, currently Chief Executive of Brighton & Sussex University Hospitals NHS Trust, will head up Public Health England (PHE), the new public health body that will be the expert voice for public health, when it is established in April 2013. It will support local health services, protect the nation’s health through better-integrated working, and help the public make healthier choices. Read more.
Sir Peter, currently Vice Chair NHS North of England, will head up the NTDA, the new organisation that will support NHS trusts to achieve foundation status, when it is established in June 2012. The NTDA will be accountable for the performance management of NHS Trusts, driving up quality and delivering value for money, while developing and supporting NHS organisations to achieve foundation trust status. Read more.
Sir Keith Pearson has been confirmed as Chair of Health Education England (HEE). Sir Keith, currently Chair of the NHS Confederation, will head up Health Education England, the organisation that will provide national leadership to the new system of education and training in healthcare, when it is established in June 2012. Read more.
This framework sets out the approach that Monitor is taking in 2012/13 to assess the compliance of foundation trusts with their terms of authorisation and to intervene where necessary. As the Health and Social Care Bill has now gained royal assent to become the Health and Social Care Act (2012), this framework will apply until the commencement of Monitor's new licensing regime. Read more.
Changes to misuse of drugs regulations mean that appropriately qualified nurses and pharmacists will now be able to prescribe controlled drugs like morphine, diamorphine and prescription strength co-codamol. The changes relating to prescribing and mixing of controlled drugs by nurse and pharmacist independent prescribers also apply to midwives who are registered as nurse independent prescribers. The changes came into force on 23 April 2012. Read more.
Read Christine Beasley’s farewell Voicepiece, discover how the Nursing and Quality Care Forum plans to share best practice across the NHS and celebrate the best in nursing at home and abroad on International Nurses Day, 12 May 2012. Read the Bulletin.
Operational guidance on the implementation of the UK Influenza Pandemic Preparedness Strategy 2011 is published. The guidance for health and social care workers, is intended to support local preparedness and response planning in England during the transition period through to 2013. The key changes in the strategy learned from the 2009 pandemic are:
Local HealthWatch (LHW) will be set up as local champions of the public – patients, carers and service users – for all NHS health and all social care services (adults and children), wherever they are provided. There will be a LHW for each Local Authority area with social services responsibility. Local HealthWatch will not be a statutory body, but will retain all the statutory involvement, engagement, monitoring and influencing roles that LINks have at the moment – and will have a major role in influencing the commissioning of health and social care services. Read more.
HealthWatch England (launching in October 2012) will work with LHW’s and is being established as a statutory committee of the Care Quality Commission to act as the national consumer champion for people, families and carers who use health and social care services. Read more.
A network of 22 new centres specialising in treating patients who suffer from major trauma will open across England. These specialist trauma centres will provide round-the-clock life saving treatment for seriously injured patients such as those who have head injuries, stab wounds or have been in a car accident. Working alongside local hospital trauma units, 22 major trauma centres will operate 24 hours a day, seven days a week and be staffed by consultant-led specialist teams with access to the best state of the art diagnostic and treatment facilities. Read more.
For many patients, several physical illnesses will coexist at any one time, and for some a mental health disorder will also be present. In the face of such multi-morbidity and need, focus on the patient journey across the lifespan and across the care system will maximise effective service design and delivery. Read more.
The report aims to ensure that people with learning disabilities of all ages have access to expert Learning Disabilities Nurses and that their families and carers get the best support and care. It also seeks to make best use of Learning Disabilities Nurses throughout the entire health and social care system and improve the career image of learning disabilities nursing as a whole. Read the report.
Delegates interested in working for the qualification should contact LPDG who offer the course, tailored for clinical and non-clinical managers working in the health and social care sector.
Week 1: Wednesday 23 & Thursday 24 May then Week 2: Wednesday 30 & Thursday 31 May 2012 Read more.
Anna Dixon at the Kings Fund has written a thought-provoking blog asking the above question and pointing out the challenges faced by the CQC since its inception. She also argues that it is impossible to expect a regulator to prevent the incidence of poor quality care and yet it often appears it is the first to be blamed. Read Anna Dixon's blog.
A recent review of Good Medical Practice, the GMC’s core guidance for doctors, revealed a number of areas where further explanatory guidance would be helpful. New drafts include Financial and commercial arrangements and conflicts of interest, Taking up and ending appointments and Doctors’ use of social media. Read more.
Following the CHRE review of the NMC, the Council is clear that its primary focus must be on core regulatory activities, and especially dealing with the long standing issues of fitness to practise. The challenges in this area are growing, with a 52 percent increase in referrals over the past two years, increasing costs and limited financial resources. Allocating additional funds to fitness to practise has necessitated some difficult decisions and fundamental changes to how the organisation operates, including reassessing a wide range of existing activities. As a result of Council’s decisions, there will be significant changes in a number of areas.
Continuing with revalidation
Ensuring that nurses and midwives continue to be fit to practise throughout their careers remains an important priority and we are therefore continuing our project to develop a revalidation process for nurses and midwives.
Changing the way we develop standards
We are fundamentally reviewing the purpose of our standards and guidance, to help ensure they are in line with the principles of right touch regulation. In view of that decision, a number of existing policy and standards development projects will not be going ahead.
Reviewing the purpose of advice
We receive a large number of incoming queries by email and phone asking for professional advice. We have in the past run a professional advice service. We now consider that answering questions of a professional nature is not a core regulatory function, and we will be withdrawing this service over the coming months.
All the changes being introduced are designed to ensure the NMC’s focus is wholly on public protection. It is clear that the NMC will be a very different organisation going forward and putting the needs of patients, not professionals, first.
CHRE's interim report on the Strategic Review of the NMC
NMC response to the CHRE's Review
The Prime Minister has issued a call to action for frontline nurses across the country to search out best practice and share it across the NHS. Rita Newland, NMC Director of Education, is a member of the Nursing and Care Quality Forum and at the first meeting, the forum discussed a range of measures, including encouraging the right culture and values, listening and responding to patient feedback, and promoting accountable nurse leaders in the NHS.
The NMC is consulting on its draft equality objectives for 2012-2015, which cover embedding diversity, leadership, governance, staffing and service delivery. Take part in an online survey.
HPC have launched profession-specific standards of proficiency for art therapists, dietitians, occupational therapists, orthoptists, physiotherapists and radiographers.
The standards of proficiency explain the key obligations that the HPC expects of registered health professionals. They contain generic standards that apply to all registrants, and profession-specific standards that set out the different requirements for specific professions. HPC have already revised and restructured the generic standards. Under the new structure, most of the standards of proficiency will be profession-specific, listed under 15 new generic standards. Link to the six consultations
Issue 40 is now available on the website. Link to the newsletter.
IHAS is a registered stakeholder for this clinical guideline and has been offered one place to help inform the scope of the guideline. The workshop will cover: Type 1 diabetes, Type 2 diabetes and diabetes in children. If you would like to attend, please email
">Lene Gurney by 21 May 2012.
The Newsletter covers details of Information Governance (IG) Collaborative Workshops 2012, an IG review and the NIGB transition programme. Read more.
This is a summary of recent publications of relevance to the health informatics standards community. The content covers general NHS and social care developments, international activity, standards and journal articles. Contact
The Law Commissions of England and Wales, Scotland and Northern Ireland are seeking views on the regulation of health care professionals in the UK and social workers in England. Read more.
The General Medical Council has reviewed the processes for awarding Certificates of Eligibility for Specialist/GP Registration (CESR/CEGPR). Proposals from the review include changes that may have significant implications for doctors and employers. Read more.
From November 2012 the CHRE will set standards for organisations that hold voluntary registers for people working in health and social care occupations and will accredit the register if they meet those standards. The accreditation scheme will be launched in November 2012. CHRE have been working with the DH team who are developing the Any Qualified Provider (AQP) database to ensure that AQPs must use health professionals on an accredited register. IHAS will be responding to this important consultation as it directly affects the Treatments you can Trust register.
Read the Accreditation Standards for Voluntary Registers Consultation
The consultation sets out proposals to inform and change the way that the NHS and Local Authorities work together and in partnership with the third and independent sectors. Proposals include changes to how adult health and social care services are planned and delivered, aiming towards a seamless experience from the perspective of the patient, service user or carer. It also outlines improvements to integrating health and social care services which are not limited to older people, but extend to all adult health and social care services. A partial business regulatory impact assessment (BRIA) has been incorporated within the document. The Scottish Government welcomes feedback on the impact that the proposals may have on businesses.
Read the Integration of Adult Health and Social Care consultation
IHAS Consultation Responses
Two new national Commissioning for Quality and Innovation (CQUIN) goals, on dementia and on the use of the NHS safety thermometer, have been introduced for use in 2012/13. This guidance is designed to assist commissioners and providers when including CQUINs in contracts. Read more.
Professor Sir Mike Richards, National Clinical Director for Cancer, and Professor Erika Denton, National Clinical Director for Imaging, have commissioned two surveys of cancer patients to understand patients' preferred times for radiotherapy and diagnostic imaging appointments. Details of the surveys, together with the S251 approval, are on the National Cancer Action Team website. Read more.
Eight services, which were formerly commissioned by PCTs, have been designated by Ministers and will be commissioned on a national basis from April 2012. Read more.
This event will help commissioning staff understand the options open to them and factors influencing their careers as they head for new roles in clinical commissioning groups, commissioning support organisations, NHS Commissioning Board and elsewhere. The event will provide practical support, advice on personal development, employment law, TUPE, pensions and other topics. Read more.
This event will challenge clinical commissioning groups, PCTs, SHAs and local authority representatives to achieve the very best care for their population by establishing more effective collaboration at every stage of the commissioning process. Learn from policy makers, experts and organisations who have already been through the experience. Read more.
The Department, together with the Local Government Association has developed a web-based resource to support the transition of public health to local government. The resource brings together fact sheets, case studies, a glossary and policy summary to assist local authorities and public health to develop a local public health system that is designed to have the greatest potential for improving health, not just in councils but with all local partners. Read more.
Best practice guidance has been published relating to the content on Secondary Uses Service (SUS) in the NHS Operating Framework for 2012/13. It provides clarification and guidance for providers and commissioners on how to use SUS to support local contract reconciliation and payment. Read more.
Actions to improve earlier diagnosis of cancer are set out in Improving Outcomes: A Strategy for Cancer (2011). Work has been underway to support more direct access to diagnostics tests for GPs. The Cancer Diagnostics Advisory Board was established to provide expert and clinical advice on key diagnostics across different cancer types. These best practice pathways commissioned by the Board provides information on direct referral by GPs to specific diagnostic tests for the assessment of particular symptoms where cancer may be suspected but urgent GP referral (two week wait) is not applicable. Read more.
The Department and the NHS Information Centre are opening a new monthly data collection 'The Diagnostic Imaging Dataset' from 14 May 2012. The data collection will give information about access by NHS patients to diagnostic imaging tests across the country and is mandatory for all NHS providers. Read more.
The clinical commissioning group authorisation: final draft guide for applicants has been published following formal ratification at the Board meeting of the NHS Commissioning Board Authority on 13 April 2012. This document is designed to help emerging clinical commissioning groups (CCGs) develop clear plans to progress through the authorisation process and become authorised CCGs. Read more.
The Department has published NHS guidance to support the operation of the Cancer Drugs Fund in 2012/13. The guidance is aimed primarily at specialised commissioning teams, clinically-led cancer drugs fund panels and SHAs. Read more.
On 17 May 2012, Maxine Power, QIPP Safe Care National Workstream Lead, will give an overview of Safety Express, an initiative that aims to deliver higher quality ‘harm free’ care at lower cost. It plans to do this by reducing the number of patients who experience harm from pressure ulcers, falls, infections in patients with urinary catheters and blood clots. Read more.
On 3 May 2012, Jude Stansfield, Our Life Associate, will explain the Fair Deal for Wellbeing kit. She will reveal how it can be used to engage people in discussions on what wellbeing means to them, its influences and how to improve wellbeing in the community. Read more.
The Quality Accounts audit guidance sets out what trusts will need to do to support the audit of their 2011/12 Quality Accounts. The audit requirement applies to all NHS acute and mental health trusts that produce a Quality Account for 2011/12, as well as the Isle of Wight PCT.
The Quality Accounts: 2011/12 audit guidance supplements the Quality Accounts toolkit, which provides detailed information about producing a Quality Account.
The audit guidance does not apply to foundation trusts authorised before 31 March 2012, which should instead refer to Monitor’s guidance for external assurance on quality reports. Read more.
Topics include: the role of power and influence in supply markets; cost reduction is not a procurement exercise; Cost Reduction Modalities: aggregation, collaboration, category management, outsourcing, review demand, review supply market, negotiation, the "Famous" letter. IHAS members receive a discount, quote ML1603 when booking. Read more.
The 2012 conference will focus specifically on the future of NICE, where it fits with the current reforms and fostering a better relationship between industry and the NHS. IHAS members can receive 10% off the current rate by calling 0845 056 8339 and quoting H202-IHAS. IHAS is officially endorsing this conference. Confirmed speakers include:
Topics include: Assessment of capacity and the interaction of the Mental Health Act, Mental Capacity Act and Deprivation of Liberty Safeguards; and Quality Assurance in Learning Disability post Winterbourne View. More about the conference.
The UK’s largest patient safety event is themed improving safety and efficiency in austere times. The programme covers all aspects of patient safety; clinical risks, systems approaches and human factors, leadership, patient experience, risk management and care pathways. IHAS will have an exhibition at the conference and IHAS members receive a 25% discount – contact Sally Taber for a discount code. Read more.
More about the conference.
This will be a key conference for WIHA members in light of the recently published Together for Health and has speakers from the National Assembly for Wales, NHS Wales and the third sector.
Speakers include Sir Muir Gray, Co-Director, NHS QIPP Programme, Right Care Workstream, Department of Health; Jim Easton, Director of Improvement and Transformation, Department of Health and Mike Farrar, Chief Executive, NHS Confederation. Read more.
Topics include: Financial recompense, customer insight, complaints through social media and long-running or vexatious complaints. Due to Sally Taber’s contribution to the programme, IHAS members are able to receive a 40% discount, i.e. £119 plus VAT. More about the conference.
This conference will assess the impact of the dental pilot on the industry and the dental contract. More about the conference
There will be keynote presentations from Monitor and the CQC and discussion on structural reforms and quality and safety. More about the conference.
Focusing on the current issues facing the UK cancer sector, this year’s theme is ‘Awareness, Support, Knowledge’. More about the conference.
Now in their 7th year, these awards are a key feature in the industry’s calendar. There are 21 categories this year. More about the event.
Later this year the EU will publish the CE Medical Device Regulatory Revision. This will impact every medical device sold in the EU market and IHAS members need to know how it will affect you and your products. This is a key conference for procurement managers. More about the conference.
if you would like to book a stand.
Please ensure that this 'Update' is widely circulated within your organisations.
Sally, Andrew, Lene, Nigel and Disa
Tel: 020 7379 8598 or 020 7379 7721