Consultant physicians working with patients - Royal College of ...

Consultant physicians working with patientsTable 5 Consultant in adult audiovestibular medicineActivity Workload Programmed activities (PAs)Outpatient workGeneral hearing clinics 4–6 new patients or 3–58–12 follow-up patients orcombinationSpecialist clinics Vestibular triage clinic 10 new patients 1–2Specialist diagnostic/management clinicSupra-specialist clinicAdult tinnitusCochlear implantAdult learning disabled3–4 new patients and4–5 follow-up4 new patients4–6 patients new or follow-up2–3 patients new or follow-up2–4 patients new or follow-upMultidisciplinary work 1Clinically related administration 2.5–3On call for specialist advice and emergencies Depends on centre 0–0.5Acute medicine rota Rare 0Total direct patient care PAs 7.5Supporting professional activities (SPAs)Work to maintain and improvethe quality of healthcareEducation and training, appraisal,departmental management andservice development, audit andclinical governance, CPD andrevalidation, research2.5Total PAs 10Additional PAsOther NHS responsibilitiesExternal dutieseg medical director, clinicaldirector, lead consultant inspecialty, clinical tutoreg work for deaneries, royalcolleges, specialist societies, DH orother government bodiesNegotiableNegotiableworking between AVM services and voluntarybodies (eg NDCS, AFD), education, localsensory support, social services and publichealth.8 AVM services should participate in and supportnational audits against published clinical standards.9 The establishment of national registers for outcomecomparison is required, to ensure quality andconsistency of care, regardless of who is providingAVM services.10 To ensure equality in healthcare provision, and forthe wider health and economic benefit to thepatient’s quality of life, AVPs should be appointedin those large areas of the country where AVM islacking, or when an AVP or paediatrician with aspecial interest in audiovestibular medicine is dueto retire. This would ensure that the holisticapproach of AVM is maintained and that there iscontinuous improvement in standards of care thatcan be applied across the country.Relevant publications Department of Health. Equity and excellence:liberating the NHS. London: DH, 2010. 1744 C○ Royal College of Physicians 2013