Trust Board Febuary 2010 - Sandwell & West Birmingham Hospitals

SWBTB (2/10) 037 (a)
consent will be sought
• understand their scope of practice
• be clear about when and how to access additional information
• understand the criteria for competency and on-going monitoring of individual delegated
consent, including the delegation information required on the consent forms.
Once the Education Centres receive a form identifying a training need they will forward the
Delegated Consent Approval Form (appendixG2) to the Educational Supervisor, with a copy to the
trainee, explaining training must be provided and the signed form returned within 2 weeks. If the
form is not returned the Education Centres will escalate this to the Clinical Director (or Divisional
Director if the Educational Supervisor is the Clinical Director). If the form is still not returned this will
be escalated to the Medical Director.
Details from the completed forms will be added to the competency database by the Education
Centres. Reports of compliance will be forwarded from the database on a quarterly basis to the
Educational Advisory Committees and the Consent Group.
Other Healthcare Professionals wishing to take consent
If it is identified that it may be appropriate to their role for a healthcare professional to take consent
for a procedure they should contact the Clinical Director for the relevant specialty. The Clinical
Director will consider whether it is appropriate for this individual (or a group of staff) to take
consent, will ensure training is provided and a Delegated Consent Approval Form signed off.
The completed form will be sent to the Assistant Director of Nursing responsible for quality who will
maintain a corporate register of such individuals.
15.2 Documentation
All discussions with the patient must be recorded in the patient record and the consent form. A copy
of the consent form must be given to the patient.
The Health Care Professional with responsibility for delegated consent must ensure that audit of
their consent documentation takes place annually as a minimum. Live registration will not be
maintained unless audit has been carried out and satisfactory results obtained. Review of the audit
process and outcomes is the responsibility of the manager. The Divisional General Manager must be
aware of all procedures where delegated consent is applied and provide an overview to the
Divisional Director of where the process is being delegated and or what procedure.
16 Training
Workshop style training will be run throughout the year for all levels of clinical staff. Induction
programmes for clinical staff will include the Consent Policy and forms in use.
Training provision for consent:
Junior Doctors will receive consent training as part of the programme under protected learning time
All other doctors in training/including consultants (including doctors in training) will receive consent
training on induction to the trust.
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