Transcript Presentation heading

Networks and
Calibration
Dr David Levy
June 2014
Responsible officer
• New type of role
• Challenging
• 20% turnover in 13/14
2
Hospital Medical Directors
Describes the
challenges
being faced
today
3
Top aspects of their role
• Quality
• Medical management
• Leadership
4
What personal development do MDs want
5
The RO
Has responsibilities to:
• Receive a quality-assured yearly appraisal from
all your medical staff
• Make revalidation recommendations for your
doctors
• Have appropriate pre-employment checks
• Monitor the conduct and performance of medical
staff and respond appropriately to concerns
6
Revalidation The Regional RO
• Independent verification of all DBs
• Responding to concerns
• Relationship with region
7
What is
Quality Assured?
How do I link this
The
RO
to organisational
goals?
Has responsibilities
to:
How are you
going to do all
• Receive a quality-assured yearly appraisal from
this?
all your medical staff
• Make revalidation recommendations for your
doctors
• Have appropriate pre-employment checks
What happens
if and performance of medical
• Monitor
the conduct
What is an
I
don’t
staff and respond appropriately to concerns
appropriate
recommend a
response?
doctor?
8
What are you?
9 NHS | Presentation to [XXXX Company] | [Type Date]
Hawk or Dove?
Getting it right?
• What are the thresholds?
• What are the levers?
• What works well?
10
RO Networks- can offer:-
11
Improving your Network
James Quinn
June 2014
Your network - What works well?
- What could be improved?
• Size of meeting (0-20,20-50,50+)
• Membership (ROs, deputies, revalidation managers)
• Frequency of meeting
• Networking opportunity
• Update presentations – NHS England, GMC,
•
•
•
•
Written/email updates
Large plenary discussions
Small group working
Professional facilitator
Calibration
Colin Pollock
June 2014
RO Networks & Calibration
Framework of Quality Assurance
Calibration, Consistency, Learning and Best Practice
In addition to the national policies for medical appraisal and
responding to concerns, there are a number of mechanisms in
place to drive consistency of decision-making, approach and
thresholds for intervention on the part of responsible officers,
appraisers and case investigators. The aim is to ensure that
every doctor, regardless of sector, grade or location in the
country, goes through a process, which is demonstrably aligned
with agreed national standards.
RO Networks & Calibration
Framework of Quality Assurance:
Calibration, Consistency, Learning and Best Practice (c’td)
The mechanisms driving a consistent approach include:
• mandatory engagement with responsible officer networks at which
cases are discussed and responses calibrated. These conform to a
nationally agreed structure, as set out in the Responsible Officer
Network Blueprint.
• regional and national events for responsible officers, appraisers
and case investigators designed specifically to calibrate decisionmaking and thresholds for intervention
RO Networks & Calibration
 Using case studies as one means of calibration
 Different types of case studies in
• Responding to concerns
• Revalidation issues
• Mixed cases
 Real life vs made-up scenarios
 Experience from RO Networks so far?
RO Networks & Calibration
From your own experience in RO networks:
 How do you find the usefulness or otherwise of case study
discussion as a way of calibrating your own day to day decisions?
 What factors enable an effective / useful discussion?
 What factors hinder such discussion?
 How can RO networks be organised so as encourage a wider
contribution from ROs on their real life issues?