Transcript Dr Anna Van der Gaag, President of

CAIPE Conference, LONDON, 20 June, 2013
The regulatory perspective on
service user involvement in
education
Anna van der Gaag,
Chair, HCPC
Outline
• Overview of HCPC
• Research
• Changes to the current standards of education and training
The Health and Care Professions Council
• Independent UK statutory regulator
• Derives powers from Health and Social Work Professions Order 2001
• Purpose: “to safeguard the health and well-being of persons using or
needing the services of registrants” – Article 3(4)
• Separate role from professional bodies and trade unions
• Work overseen by Professional Standards Authority for Health and
Social Care
• Registered to ISO standards
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HCPC: who do we regulate?
310,000 registrants from 16 professions
90,000
80,000
70,000
60,000
50,000
40,000
30,000
20,000
10,000
0
HCPC’s professional and lay input: Partners and Working
Groups
Council and Committees
• Strategic role
• 629 Partners working across six partner roles
• Professionals and lay persons
• Provide expertise for good decision-making
• Professional Liaison Groups (PLGs)
• Short-term expert group, eg consultation on standards of
conduct, performance and ethics
Standards
Standards of education and training
• Standards against which we assess education and training
programmes
• Students that complete a programme that meets the SETs will meet
the SOPs
• We produce guidance for education providers
• 901 approved programmes
• 150 education providers running approved
programmes
• 67 visits 2011–12
Standards of proficiency
• Threshold standards for entry to Register
• Safe and effective practice
• Generic and profession-specific elements
• Expectations, skills and knowledge
• Recognise that scope of practice will change
• Currently under review (for 15 professions)
Standards of conduct performance and ethics
Describe the behaviours that we
expect our registrants to adhere to:
Act in the best interests of service
users
Keep high standards of personal
conduct
Behave with honesty and integrity
• Apply to current and prospective
registrants
• Guidance on SCPE for students
• Currently under review
Standards of continuing professional development
• Requirements for on-going learning
• Outcome based approach
• Statutory requirement for all HCPC
registrants
• Computer-generated random
sample from 2.5% of each
profession
Resistance to service user involvement in education
• Tokenism
• Cost
• Relevance
• Expertise
The centrality of ‘professionalism’
Dr Freddy Patel,
Pathologist in Tomlinson case
Tribunal considered Dr Patel had a ‘deep
seated attitudinal problem’
“you failed to recognize any contrary
view to your own…even when robustly
challenged by 3 pathologists…”
Rise in complaints in the UK
10000
8781
8000
6000
5168
4211
4000
2000
0
1624
925
424
2007
2008
2009
2010
General Medical Council
Nursing and Midwifery Council
Health and Care Professions Council
2011
Social networking and confidentiality - recent fitness to
practise concerns at HCPC
Dietitian – posted information about a patient’s diagnoses, care,
medication, and personal circumstances, and published information
about colleagues and their place of work on their personal blog
Paramedic – uploaded a patient’s x-ray to a social network
Clinical scientist – posted unfounded derogatory comments about a
colleague’s practice using an alias on a professional forum
HCPC’s response
• Research
• Dialogue with the professions
• Review of the standards
• Increase service use involvement in what we do (visitors, research)
1. Research on professionalism
• Qualitative study with students and educators
• Explored perceptions of professionalism
• Three professions – paramedic, occupational therapy and podiatry
• Focus groups and interviews (n=115)
• Second part of the study looking at measurement of professionalism
Study Outcomes
Themes
• Professionalism = a judgement
• A holistic concept
• A set of behaviours determined by context
No differences between professions
2. Consultation on Service user involvement in education
297 responses
(47% individuals, 53% institutions)
4 questions
1.Change to the standard
2. Appropriate to all programmes
3. Definition of service user
4. Lead in period
Results of the consultation
88% agreed to the change in the standard
71% agreed that the standard was appropriate to different types of
programme
71% agreed with our approach to definition (service user and carer)
67% agreed with the lead-in period proposed
Benefits of involvement
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A link between theory and the real world
Consistent with a partnership approach
Consistent with user expectations
Linked to professional values
A way of breaking down barriers, dispelling myths and stereotypes
Students like learning from service users
Involvement increases the accountability of programmes to those who
receive services
• Involvement seen as a right
• Linked to keeping the curriculum up to date and relevant to the reality
of practice
Perceived disadvantages
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Involvement does not work for all HCPC regulated professions
New standard creates a ‘one size fits all’ approach
Access to service users a problem for some education providers
Service users ‘have their own agenda’
Payment issues
How representative are the service users?
Limited added value (based on previous experience)
Themes from the Francis Report
•
Put patients first
•
Take concerns seriously
•
Be more transparent
•
Publish information on performance
•
Improve regulation and inspection
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Review fundamental standards
Berwick Review
“Better care, better health, lower cost”
The future
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Team based care
New uses of technology
A new workforce
A new role for the patient
“You cannot have a safe environment without openess”
What needs to change?
• More conversations about professionalism (and unprofessional
behaviour)
• New mandatory standard on involving service users in education
In the future
• A new standard on inter-professional learning?
References
HCPC (2011) Fitness to Practise Annual Report. www.hcpc-uk.org
HCPC (2011) Professionalism in healthcare professions.
www.hcpc-uk.org
HCPC (2013) Service user and carer involvement in education
www.hcpc-uk.org/committees
Contact details
www.hcpc-uk.org
[email protected]
Twitter: @AnnavdG