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Page 10 | Bulletin 93 | September 2015 Patient Perspective laycom@rcoa.ac.uk www.rcoa.ac.uk/laycom Professionals may know otherwise but the communication of their knowledge, often in difficult circumstances, is limited. The report recommends a more robust system of communicating, explaining and recording CPR decisions between professionals and patients, relatives and carers. It was noted that whilst 97% of hospitals have a resuscitation policy, only half have a patient information leaflet. So, we are going to consider how we might take this forward. Whilst an information leaflet may seem a limited response to such a critical issue, it is hoped that it is a small step in ensuring those at the end of their lives die with dignity. Focusing the work of the Lay Committee We held our annual awayday immediately after the College’s Strategy Summit in May. We were fortunate to have the President as our key speaker, and he outlined his views on the challenges the NHS faces over the next five years and how the College needs to respond. He emphasised the need for teamwork, improving outcomes and reducing variability in care, and saw perioperative medicine as a key component of those changes. This did not all come as a big surprise but led us to consider how we can best position ourselves to support all the new challenges – after all, we are spread across all the key activities and committees of the College. It means that we are working to near full capacity. Whilst we are carrying a few vacancies we needed to think about doing things differently. We decided that we must focus our activities, and be able to support (and challenge!) the various ways in which the perioperative medicine agenda will play out – be it training, service development or working with key partners such as other Royal Colleges. The new focus will be around five key areas: ■■ Becoming an Anaesthetist – including training and examinations ■■ Being an Anaesthetist – including standards and safety ■■ Communications – including patient information and consultations ■■ Working with Partners – including internal and external stakeholders ■■ Research and Audit – including national audits This will help us to streamline our reporting mechanisms and enable us to respond to the growing perioperative medicine agenda in a coherent way. We will also be able to work in a small number of teams to cover all the key activities in a consistent fashion. Well, that’s the plan anyway! Goodbye Irene, goodbye. Finally, I cannot let my first attempt at an article pass without paying tribute to my predecessor – the redoubtable Irene Dalton. Over the last four years Irene has guided and developed the Lay Committee (formerly the Patient Liaison Group, PLG). In the early years she was faced with a myriad of issues in responding to the ever growing demands of the College to sit on the increasing number of committees and deal with the wider range of issues the College was pursuing She faced all of these challenges with her familiar ‘can do’ mentality and her canny way of persuading those around her to take up and carry the work forward. She developed a group around her who were quick to support and, at times, challenge the workings of the College. No doubt, she drew on her experiences as a long-serving Headmistress of a large Comprehensive school in Barnsley. Thus she developed a strong community of support both within the PLG and Lay Committee and across the College. Also, she could identify the salient points of an issue and be clear about the way forward – in other words, call a spade a spade. Under her leadership the Lay Committee has gone from strength to strength. Her advice has been eagerly sought from all sides of the College and beyond. Several patient/lay groups from other Colleges have asked for support and have attended our Committee to glean ideas to take back to their own groups. Irene was clear in wishing to make a clean break from the Lay Committee though she knows she will always be welcome back. She is already planning her next challenges, including studying Ancient Greek and travelling the British coastline. We all wish her the very best in all her endeavours. So, in (nearly) the words of the great Blues singer, Leadbelly, Stay by the fireside of right. Goodbye Irene, goodbye...
Page 11 | Bulletin 93 | September 2015 Revalidation for Anaesthetists revalidation@rcoa.ac.uk www.rcoa.ac.uk/revalidation News from the RCoA CPD and Revalidation Team Mr C Kennedy, CPD and Revalidation Co-ordinator The first eight months of 2015 have been a busy time for the College CPD and Revalidation Team. This article provides a snapshot of some of the areas of work which the Team is involved in. One key role is management of the College CPD Online Diary, and with the number of registered users approaching 7,400, this resource continues to be very well used. As the system has evolved, so too has a ‘wish list’ of future enhancements, and implementation of these has included the reporting functionality for the user’s Personal Development Plan. It is also now a year since the College CPD web app (CPD and Reflection ‘on the go’) was launched, and the offline functionality, which regularly syncs information back to the main ‘desktop’ version of the CPD Online Diary, is a particularly popular feature. The CPD web app was developed in conjunction with another Medical Royal College, and we have been working with them to develop additional user guidance for the different functions of various mobile device types. During 2015, three new CPD Matrix codes were successfully launched: 1F03 Information Governance, 1E06 The Prevention and Management of Accidental Awareness under Anaesthesia and 3A15 Anaesthesia for Radiology. These are all important topics and they are now being mapped to personal activities and also by event providers. This year has seen a further increase in the number of applications from event providers seeking CPD approval, and in a previous Bulletin a request was made for more CPD Assessors to help with the event reviews. The benefits of this external process include that event providers know CPD approval has followed an independent, expert review, and that the College Team sends each CPD Assessor an annual report detailing the event reviews they have completed for use in their own CPD portfolios. We have been very pleased to welcome six new CPD Assessors into the role. At the start of the year we ran a survey seeking feedback on the CPD and Revalidation resources provided by the College. The survey received over 700 responses and the report from it has been published on our website. Work has been underway on implementing the actions, including publicising more the resources which are available, such as Online Learning, developing further guidance on reflective practice, and exploring linkages between the various College systems. The latter will be affected by the Technology Strategy Review at the College, and this will be described further in the next edition of the Bulletin. The Revalidation Helpdesk at the College has been established for doctors to get generic advice, and also to receive help with specific circumstances by reference to one of a team of senior clinician specialty advisers. During 2015, there has been an increased number of enquiries received at the Helpdesk, including questions on linking with a designated body, on the appraisal process, on returning to practice and on collecting patient feedback. These will also be explored further in the next edition of the Bulletin. The College actively engages with the Academy of Medical Royal Colleges (AoMRC), which comprises the 20 Medical Royal Colleges and Faculties across the UK and Ireland, and which speaks on standards of care and medical education. The AoMRC has launched a working group to review the purpose of the patient feedback process and what it is meant to achieve, and also to consider the current challenges of and barriers to collecting patient feedback. The College is a full member of the working group and further updates from it will be disseminated to the Revalidation Guidance section of the College website. One upcoming piece of work is the annual quality assurance report of the CPD approval scheme, which is produced for the CPD Board and which includes statistics on the number of event applications for approval, and a review of feedback from delegates attending CPD-approved events. Earlier this year we looked at the review and quality assurance processes used by other Colleges and Faculties for CPD event approval, and the results will also feature in the next report. We hope that this update is of interest and we welcome comments on all aspects of the issues mentioned – please contact cpd@rcoa.ac.uk.
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