non standard doctors and the responsible officer
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Non standard doctors and the Responsible Officer. Responsible officer training day Stirling. Non Standard Doctors. Private doctors Doctors in training Locum doctors Doctors working in NHS management University Staff Others. Doctors in Private Practice. - PowerPoint PPT PresentationTRANSCRIPT
Non standard doctors and the Responsible Officer
Responsible officer training day
Stirling
Non Standard Doctors
• Private doctors
• Doctors in training
• Locum doctors
• Doctors working in NHS management
• University Staff
• Others
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
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
Doctors in Private Practice
• Work predominantly in NHS Scotland
• Employed full time private practice
• Self employed full time private practice
• Hospice doctors
• Others
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)
Doctors in Private Practice
• Work predominantly in NHS Scotland
• Employed full time private practice
• Self employed full time private practice
• Hospice doctors
• Others
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
Doctors in Private Practice
• Work predominantly in NHS Scotland
• Employed full time private practice
• Self employed full time private practice
• Hospice doctors
• Others
Hospice doctors
• One hospice per Board
• Charities• Close working with
NHS Scotland• Use the NHS Board
structure• ? Cost
Doctors in Private Practice
• Work predominantly in NHS Scotland
• Employed full time private practice
• Self employed full time private practice
• Hospice doctors
• Others
Other doctors in private practice
• Small numbers (circa 20)
• Cosmetic clinics (overseas temporary doctors)
• Castlecraig Clinic
• Governance unclear
• Prepare a comprehensive list
Doctors in training
• RO – medical director at NES
• Deanery assessments
• Input from Board CD/AMD
• Portfolio to SOAR
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 ???
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)
University doctors
• Follett principles• Joint Appraisal• Whole practice
evidence• Place of most work
others
• Legal reports only• Tribunals• Retired doctors• Pharmaceutical
company doctors• Ships doctors