Non standard doctors and the Responsible Officer
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Transcript of Non standard doctors and the Responsible Officer
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Non standard doctors and the Responsible Officer
Responsible officer training day
Stirling
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Non Standard Doctors
• Private doctors
• Doctors in training
• Locum doctors
• Doctors working in NHS management
• University Staff
• Others
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Doctors in Private Practice
1. Work predominantly in NHS Scotland
2. Employed full time private practice3. Self employed full time private
practice4. Hospice doctors5. Others
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Private Practice but work predominantly in NHS Scotland
• Enhanced appraisal in NHS Board
( appraisal where most work done)
• Evidence from private practice
• Private institutions facilitate this data
• Complaints
• Private institutions will require the form 4
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Doctors in Private Practice
• Work predominantly in NHS Scotland
• Employed full time private practice
• Self employed full time private practice
• Hospice doctors
• Others
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Doctors employed in full time private practice
• Resident medical officers in the large provider hospitals (Spire, BMI, Nuffield)
• DH granted RO status to medical directors from BMI, Spire and Nuffield
• Relate to the Company RO• Appraisal arrangements unclear• NHS Scotland appraisers (NES trained &
allocated)
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Doctors in Private Practice
• Work predominantly in NHS Scotland
• Employed full time private practice
• Self employed full time private practice
• Hospice doctors
• Others
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Self-employed doctors in full time private practice
• Retired doctors “dabbling” in private practice• Relate to the company RO or private doctors
federation RO (London)• ? Company RO may become a condition of
admitting rights• Big private hospitals may NES train appraisers• Doctors – may approach local Board appraisal
structure
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Doctors in Private Practice
• Work predominantly in NHS Scotland
• Employed full time private practice
• Self employed full time private practice
• Hospice doctors
• Others
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Hospice doctors
• One hospice per Board
• Charities• Close working with
NHS Scotland• Use the NHS Board
structure• ? Cost
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Doctors in Private Practice
• Work predominantly in NHS Scotland
• Employed full time private practice
• Self employed full time private practice
• Hospice doctors
• Others
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Other doctors in private practice
• Small numbers (circa 20)
• Cosmetic clinics (overseas temporary doctors)
• Castlecraig Clinic
• Governance unclear
• Prepare a comprehensive list
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Doctors in training
• RO – medical director at NES
• Deanery assessments
• Input from Board CD/AMD
• Portfolio to SOAR
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Locum Doctors
• Locum for 3 months in NHS Scotland (offered an appraisal) ? output
• Agency locums - Agency responsible - NHS Scotland employer checks - Up to date form 4s• Locum Bank Scotland• Free agent locums ???
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Doctors in Management
Medical directors, Officers in SGHD, Post Graduate Deans
• NALG Guidance
• Separate from performance review
• SAMD System
• Access local appraisal structure (seconded doctors)
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University doctors
• Follett principles• Joint Appraisal• Whole practice
evidence• Place of most work
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others
• Legal reports only• Tribunals• Retired doctors• Pharmaceutical
company doctors• Ships doctors
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