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Tuesday, 22nd July 2014 - 11:21

Reports & Guidance

The Academy produces various recommendation reports and guidelines as a result of the work of its various committees and projects as well as through collaborations with colleges, faculties and other bodies involved in healthcare.

The Academy has published the following reports and guidance:

Order by : Name | Date | Hits [ Ascendant ]

Taking Responsibility Taking Responsibility

Date published: 12-06-2014
Filesize: 2.16 MB
Downloads: 3496

Foundation Programme Curriculum Foundation Programme Curriculum

Date published: 08-05-2014
Filesize: 3.35 MB
Downloads: 758

Revised 2012 version for use from August 2014.

The Foundation Programme Curriculum 2012 (the Curriculum) sets out the framework for educational  progression that will support the first two years of professional development following graduation from medical school.

New emphasis has been placed on the whole patient, on long-term conditions and the increasing role of community care. Recognition of the workplace as providing the majority of clinical and professional learning opportunities is an important message for learners. Acknowledgement of the significance of adopting new technologies which support learning is welcomed.

Foundation Programme Reference Guide Foundation Programme Reference Guide

Date published: 08-05-2014
Filesize: 5.01 MB
Downloads: 387

2012 version updated for August 2014.

This document provides guidance to deaneries and foundation schools about the structures and systems required to support the delivery of the Foundation Programme Curriculum 2012 (the Curriculum).

 

 

Foundation Programme Resource Foundation Programme Resource

Date published: 08-05-2014
Filesize: 429.07 kB
Downloads: 347

Updated for use from August 2014.

This additional resource aims to assist foundation doctors, clinical supervisors, educational supervisors and other key members involved in delivering foundation training, in improving their knowledge and understanding of the generic and clinical topics as set out in the Foundation Programme Curriculum
2012 (updated for August 2014); it is important to note however, that this resource does not provide additional information underpinning every element of becoming a successful doctors. This resource is not exhaustive but highlights national guidance and protocols available to support each of the Curriculum’s
outcomes.

2015 Challenge Declaration 2015 Challenge Declaration

Date published: 06-05-2014
Filesize: 270.26 kB
Downloads: 473

The NHS now faces the most challenging set of circumstances since it began. We must act now to meet these challenges if we are to secure a sustainable NHS, transformed to meet the needs of people in the 21st Century.
 
The 2015 Challenge is being led by the NHS Confederation working with a wider group of other national representative bodies including health and care charities, communities, staff and leaders across the health, care and wellbeing system, who have come together to highlight the scale and nature of the challenge, make the case for change and lead a serious debate of the solutions with each other, with politicians and with the public.

Annual Weigh-In Annual Weigh-In

Date published: 27-04-2014
Filesize: 1.77 MB
Downloads: 562

Assessment of the Academy's 10 recommendations for obesity one year on. 

Staggering Trainee Doctor Changeover Staggering Trainee Doctor Changeover

Date published: 16-04-2014
Filesize: 194.98 kB
Downloads: 1219

 

There is a clear need for change in the process of trainee doctor changeover (the time when junior doctors rotate their position). The beginning of August brings an apparent increase in patient morbidity and evidence suggesting increased mortality. It is a time that trainee doctors find stressful and difficult. Royal Colleges, Deans and employers all say that greater uniformity at the time of changeover would enhance service organisation and would be welcomed by trainers.
 
This paper explores the need for variation in the current system for trainee doctor changeover dates.
 

 

Two Sides of the Same Coin Two Sides of the Same Coin

Date published: 16-04-2014
Filesize: 270.59 kB
Downloads: 613

Balancing Quality and Finance to Deliver Greater Value

A crucial issue facing the NHS today is how the health service can balance the imperative to provide better care with the need to reduce costs overall.
 
This briefing brings together the views of NHS leaders and highlights the key messages arising from a roundtable held at the end of last year. These messages will be of interest to other NHS leaders who are tackling similar challenges, the national bodies and politicians supporting them in doing so, and members of the public who need to engage in this important debate.

A Charter for Doctors in Training: Value of the Doctor in Training A Charter for Doctors in Training: Value of the Doctor in Training

Date published: 09-04-2014
Filesize: 1.56 MB
Downloads: 986

 

This Charter has been developed by the Academy Trainee Doctors' Group as part of the Shape of Training Review and in line with its aims. It defines the guiding principles for the delivery of and participation in medical training
across the four nations of the United Kingdom, building on the Charter for Medical Training, developed by the Royal College of Physicians of Edinburgh.
 
The charter was published as part of the final report of the Shape of Training review of postgraduate medical education and training which was sponsored by the General Medical Council, Conference of Postgraduate Medical
Deans of the UK (COPMeD), Health Education England, the Medical Schools Council, NHS Scotland, NHS Wales and the Northern Ireland Department of Health, Social Services and Public Safety.
 

 

Safe Sedation Practice for Healthcare Procedures: Standards and Guidance Safe Sedation Practice for Healthcare Procedures: Standards and Guidance

Date published: 04-12-2013
Filesize: 258.69 kB
Downloads: 3392

These Standards and Guidance replace those published in 2001. Since then, sedation and clinical procedures have evolved whilst the population of patients for sedation has aged and become frailer with more co-morbidities. Individual specialties have developed guidance on sedation and there has been improvement in training and practice.
 
This report defines Fundamental Standards and Development Standards in safe sedation practice and recommends competency-based formal training for all healthcare professionals involved in sedation.

Results of the Flexibility and Equality Survey: A report of the Academy Flexible Careers Committee Results of the Flexibility and Equality Survey: A report of the Academy Flexible Careers Committee

Date published: 04-12-2013
Filesize: 392.1 kB
Downloads: 1269

In 2012 the Academy Flexible Careers Committee devised an online survey to identify, and subsequently quantify, important current issues for LTFT doctors so that it can advise its members how best to support their own members.
 
The results of the survey are now available in this report. 

Seven Day Consultant Present Care: Implementation Considerations Seven Day Consultant Present Care: Implementation Considerations

Date published: 17-11-2013
Filesize: 1.02 MB
Downloads: 9121

i-care: Information, Communication and Technology in the NHS i-care: Information, Communication and Technology in the NHS

Date published: 05-11-2013
Filesize: 371.04 kB
Downloads: 2477

 

The Francis Report and Berwick Review have both identified that the NHS must be reoriented to deliver patient focused, compassionate, safe care from a learning organisation that uses information and communication tools effectively.
 
Good information and communication systems can therefore improve the patient experience and patient safety. Against this background, the Academy of Medical Royal Colleges believes that radical changes are needed to NHS information systems.

 

Using HES for revalidation understanding clinical coding Using HES for revalidation understanding clinical coding

Date published: 21-10-2013
Filesize: 121.25 kB
Downloads: 1174
This project identified and tried to address the issues surrounding clinical coding to support the use of HES data for revalidation. It specifically explored and sought to enhance the relationship between activity and coding, between clinicians and coders. The report outlining the discussions from the roundtable seminar can be found here.  
 

Adjustment Principles for Examination Candidates with Disabilities Adjustment Principles for Examination Candidates with Disabilities

Date published: 16-10-2013
Filesize: 116.54 kB
Downloads: 1022

A proposed set of principles for all Colleges and Faculties to adopt and help inform future development of their own policies and procedures in this area.

Developed by the Academy Assessment Committee. 

Guidance for Good Practice in Examination Appeals Guidance for Good Practice in Examination Appeals

Date published: 16-10-2013
Filesize: 115.13 kB
Downloads: 962

Guidance and recommendations from the Academy's Assessment Committee for generic principles of good practice in examination appeals processes.

Investigation, remediation and resolution of concerns about a doctor’s practice – where do the Colleges fit? Investigation, remediation and resolution of concerns about a doctor’s practice – where do the Colleges fit?

Date published: 04-09-2013
Filesize: 224.92 kB
Downloads: 1657

A remediation process map which includes a section setting out the possible roles for Royal Colleges in the remediation of a doctor’s practice.

Principles for the conduct and quality assurance of invited reviews Principles for the conduct and quality assurance of invited reviews

Date published: 23-07-2013
Filesize: 107.23 kB
Downloads: 1662

A remediation process map which includes a section setting out the possible roles for medical Royal Colleges in the remediation of a doctor’s practice.

Standards for the Clinical Structure and Content of Patient Records Standards for the Clinical Structure and Content of Patient Records

Date published: 12-07-2013
Filesize: 5.3 MB
Downloads: 2646

The standards are based on evidence and consensus and will inform the development of electronic health records by clinicians, hospitals and industry. They will improve the quality and safety of individual patient care, the interoperability of patient records, and the validity of data extracted from patient records for service delivery and management, performance management, commissioning, audit and research.  They are key to meeting the Secretary of State for health’s challenge to the NHS to ‘go paperless’ by 2018.

 

Academy Review 2012-13 Academy Review 2012-13

Date published: 06-07-2013
Filesize: 1.76 MB
Downloads: 1597

An overview of the work of the Academy between April 2012 and March 2013.

Recommendations for safe trainee changeover Recommendations for safe trainee changeover

Date published: 25-06-2013
Filesize: 201.63 kB
Downloads: 2395

Doctors in training in the UK have historically started new six-monthly rotations in February and August, with the majority of junior doctors rotating to new training programmes during the first week of August. There is an increasing body of evidence to suggest that simultaneous trainee changeover is associated with higher mortality, reduced efficiency and lower satisfaction. The Academy and NHS Employers have worked with partner organisations to develop simple, practical recommendations that can help mitigate these problems.

Changing Care, Improving Quality Changing Care, Improving Quality

Date published: 05-06-2013
Filesize: 2.07 MB
Downloads: 2726
The Academy of Medical Royal Colleges, the NHS Confederation and National Voices have come together to examine the case for radical, far-reaching change across the NHS. This partnership brings together important views from those who know the healthcare system best, gathering evidence from over 50
face-to-face interviews and a series of workshops and meetings.
 
This report outlines what we learned from these crucial conversations and aims to support those engaged locally in making a decision on whether to reconfigure services and, if so, how to make change happen.

Evidence Based Medicine Matters Evidence Based Medicine Matters

Date published: 25-04-2013
Filesize: 1.28 MB
Downloads: 2752
A booklet of case studies of 15 of the game changers in evidence based medicine.
 
Evidence based medicine is the key to the success of modern healthcare. This booklet, by Sense About Science and the Academy of Medical Royal Colleges contains case studies of 15 of the game changers in evidence based medicine.

Measuring Up Measuring Up

Date published: 18-02-2013
Filesize: 1.65 MB
Downloads: 10987

The Medical Profession's Prescription for the Nation's Obesity Crisis 

 

This report presents 10 key recommendations – an ‘action plan’ – of steps that the Academy believes must be taken to make real inroads into tackling the obesity crisis in the UK.
 
The recommendations fall into three areas:
 
  • Actions to be taken by the healthcare professions
  • Changing the ‘obesogenic’ environment
  • Making the healthy choice the easy choice.

CPD Guidance Framework for Appraisers and Appraisees CPD Guidance Framework for Appraisers and Appraisees

Date published: 06-02-2013
Filesize: 127.52 kB
Downloads: 5073

This document, produced by the Academy Directors of CPD Committee, is intended to provide guidance to appraisers on what they should be considering when reviewing a doctor’s Continuing Professional Development (CPD) activity, and guidance to doctors on the things that they should expect to be discussed during an effective appraisal meeting. It will help doctors and their appraisers to structure the supporting information and the appraisal discussion in a way that allows a proper evaluation of a doctor’s learning since the previous appraisal, and supports the development of the subsequent personal development plan (PDP).

Hospital Episode Statistics and Revalidation: Creating the evidence to support revalidation Hospital Episode Statistics and Revalidation: Creating the evidence to support revalidation

Date published: 14-01-2013
Filesize: 1.36 MB
Downloads: 3880
The report, written by the Royal College of Surgeons of England, was funded by the Academy.
 
The project's aim was to assess the strengths and weaknesses of using administrative data for revalidation in the areas of ischaemic heart disease, urological malignancies, and peripheral vascular disease. The Project Group distinguished between procedure-specific indicators and disease-specific indicators as well as between hospital-specific and consultant-specific outcomes.

Seven Day Consultant Present Care Seven Day Consultant Present Care

Date published: 03-12-2012
Filesize: 864.68 kB
Downloads: 12595
The Academy of Medical Royal Colleges has developed three patient-centred standards to deliver consistent inpatient care irrespective of the day of the week.
These standards reflect the importance of daily consultant review, and the consequent actions, to ensure progression of the patient’s care pathway.

Curriculum for a Broad Based Training Programme Curriculum for a Broad Based Training Programme

Date published: 07-11-2012
Filesize: 765.79 kB
Downloads: 2909

Presented on behalf of the Royal Colleges of General Practitioners, Paediatrics and Child Health, Physicians and Psychiatrists.

A two-year structured programme for doctors who have successfully completed the Foundation Programme, providing six-month placements in four specialties to allow broader experience before applying for specialty training.

The Broad Based Training Programme has been designed to give trainees a broad experience of specialties that have complementary aspects and if the programme is properly implemented there will be a synergism in the training that will promote the learning processes across the specialties.

MSF for Public Health specialists and Pharmaceutical Medicine MSF for Public Health specialists and Pharmaceutical Medicine

Date published: 05-11-2012
Filesize: 52.89 kB
Downloads: 3176
The aim of this project was to map Good Medical Practice and two specialty standards practice competence and standards frameworks into a multisource feedback instrument for each of the Faculties involved. Also to pilot the multisource feedback model with a cross section of public health and pharmaceutical medicine specialists working in diverse settings – clinical and non-clinical, NHS, academia, HPA, local authority, commercial companies and others.
 
 
As part of the pilot, an expert was commissioned to undertake a reliability analysis for each Faculty and these results are below, along with the instruments that were piloted.
 
 
 
 

ElfH 2012 Summary ElfH 2012 Summary

Date published: 05-11-2012
Filesize: 5.97 MB
Downloads: 3355

A short summary of the e-Learning for Healthcare projects, some of which the Academy is involved with. 

Remediation Working Group Report Remediation Working Group Report

Date published: 27-09-2012
Filesize: 249.6 kB
Downloads: 4077

This report is written against the background of an expectation that the medical Royal Colleges and Faculties should be “part of the solution” for the remediation of doctors whose performance has given rise to concern.

Specialty Revalidation: Tri-Faculty Pilot Final Report Specialty Revalidation: Tri-Faculty Pilot Final Report

Date published: 26-09-2012
Filesize: 137.46 kB
Downloads: 2899
The aim of this pilot was to ascertain a full understanding of how the whole process of revalidation will work for doctors working outside traditional NHS settings, from the three specialties of Occupational Medicine, Pharmaceutical Medicine and Public Health. The faculties’ objectives were to work with a broad range of participants, from all parts of the UK and also those overseas, who wish to revalidate, and also to pilot as wide a range of working environments as possible.
 

A comparison of the three faculties' results as well as each individual Faculty report can be downloaded below. 

 icon Medical Revalidation Tri-Faculty Evaluation: Comparison of the Results

 icon Tri-Faculty Revalidation Pilot: Faculty of Occupational Medicine

 icon Tri-Faculty Revalidation Pilot: Faculty of Public Health

 icon Tri-Faculty Revalidation Pilot: Faculty of Pharmaceutical Medicine

 

Faculty of Sports and Exercise Medicine: Pilot Study research Faculty of Sports and Exercise Medicine: Pilot Study research

Date published: 24-09-2012
Filesize: 196.3 kB
Downloads: 2851

The aims of the Faculty’s pilot were to develop a clear understanding of the variety of job plans across sports and exercise medicine, to establish a method(s) of assessment of these differing working environments and to create a robust enhanced appraisal system for sports and exercise medicine.

The Impact of Revalidation on the Clinical and Non-Clinical Activity of Hospital Doctors The Impact of Revalidation on the Clinical and Non-Clinical Activity of Hospital Doctors

Date published: 13-09-2012
Filesize: 917.29 kB
Downloads: 3535

This project was undertaken to explore how revalidation, as a process, would impact on the different responsibilities of hospital doctors.

The views of over 2600 doctors working in the NHS (80% consultants, 20% SAS doctors) in Scotland and the North East of England  are presented in this report and give an up to date insight into how doctors use their time, their concerns about the effort required to deliver revalidation effectively and how they will engineer space in their professional lives given current NHS pressures.

 

UK Donation Ethics Committee Annual Report UK Donation Ethics Committee Annual Report

Date published: 10-09-2012
Filesize: 150.97 kB
Downloads: 3994

An overview of the UK Donation Ethics Committee's activities over the 2011-2012 financial year.

Academy Review 2012 Academy Review 2012

Date published: 30-07-2012
Filesize: 5.87 MB
Downloads: 2993
Overview of the Academy's activities over the 18 month period October 2010 to Macrh 2012. 

Alcohol and Drugs: Core Medical Competences Alcohol and Drugs: Core Medical Competences

Date published: 29-06-2012
Filesize: 437.45 kB
Downloads: 5625
Final report of the working group of the medical Royal Colleges. 
This report recommends core competences which should be incorporated into postgraduate curricula for all doctors.
The work has consensus across 13 medical Colleges and Faculties.  

Clinical Trial Transparency Principles and Facts Clinical Trial Transparency Principles and Facts

Date published: 23-05-2012
Filesize: 414.84 kB
Downloads: 5062
A document from the Ethiclal Standards in Health & Life Sciences Group.
 
This document has been produced by leading UK healthcare organisations including the medical Royal Colleges and senior representatives of the pharmaceutical industry in order to support best practice in transparency and publication of data arising from clinical research studies.

Return to Practice Guidance Return to Practice Guidance

Date published: 16-04-2012
Filesize: 229.81 kB
Downloads: 7473
This guidance covers doctors who have been absent for three months or more. The checklists and action plan give an opportunity to identify issues, potential training and support required by the returning doctor. It does not assume that the returning doctor is not fit to practice (nor that the doctor will necessarily require re-training - for example, it is highly unlikely that the doctor will require formal re-training after a shorter absence such as three months).
 
Each doctor will have different needs when returning to practice reflecting their experiences and circumstances, not simply time out of practice. All return to practice assessments should be robust, appropriate and commensurate with the period of absence as well as other factors identified through the checklists.

Foundation Programme Reference Guide 2012 Foundation Programme Reference Guide 2012

Date published: 12-03-2012
Filesize: 618.51 kB
Downloads: 2875

This document provides guidance to deaneries and foundation schools about the structures and systems required to support the delivery of the Foundation Programme  Curriculum 2012. 

Foundation Programme Curriculum 2012 Foundation Programme Curriculum 2012

Date published: 12-03-2012
Filesize: 489.34 kB
Downloads: 3062

The purpose of the Foundation Programme, the outcomes expected and the step-up required from foundation year 1 (F1) to foundation year 2 (F2) are clearly articulated in this curriculum.

It will provide foundation doctors, their teachers and supervisors, other healthcare professionals and employers with a clear direction on what is necessary for the programme to achieve its important learning objectives.

New emphasis has been placed on the whole patient, on long-term conditions and the increasing role of community care. Recognition of the workplace as providing the majority of clinical and professional learning opportunities is an important message for learners. Acknowledgement of the significance of adopting new technologies which support learning is welcomed.

The Benefits of Consultant-Delivered Care The Benefits of Consultant-Delivered Care

Date published: 23-01-2012
Filesize: 1.24 MB
Downloads: 10204

This report examines the evidence for medical care being delivered by fully trained doctors who have either a Certificate of Completion of Training (CCT) or Certificate of Eligibility for Specialist Registration (CESR) and are thus eligible to be on the GMC Specialist Register, i.e. consultant-delivered care. The report does not address the questions of whether care should be delivered by doctors or other clinical groups.

The context and driver for the project is a climate in which it is increasingly asserted that the NHS cannot afford to have the number of consultants that current training numbers will deliver.

Standards and Criteria for CPD Activities: A Framework for Accreditation Standards and Criteria for CPD Activities: A Framework for Accreditation

Date published: 19-01-2012
Filesize: 402.67 kB
Downloads: 8459

Continuing Professional Development is a continuing learning process, outside formal undergraduate and postgraduate training, which enables doctors to maintain and improve their performance across all areas of their practice through the development of knowledge, skills, attitudes and behaviours. It covers all learning activities, both formal and informal, by which doctors keep up to date. 

Standards and Criteria are needed to assist the accreditation process. Issues which need consideration include: accreditation of individual activities from many providers; how doctors can tell whether the accredited activity is suitable for them; how appraisers can tell whether a doctor's attendance at an accredited activity supports the requirements of that doctor’s personal development plan. Evidence of learning is also required to complete the information for appraisal.

Induced Abortion and Mental Health Induced Abortion and Mental Health

Date published: 16-01-2012
Filesize: 1.92 MB
Downloads: 12688
A systematic review of the mental health outcomes of induced abortion, including their prevalence and associated factors

NHS Leadership Framework NHS Leadership Framework

Date published: 18-12-2011
Filesize: 4.07 MB
Downloads: 3757

A single overarching framework for the leadership development of all staff in health and care, irrespective of discipline, role or function.

It is underpinned by a consistent set of guiding principles, contained in the NHS Constitution, which reflect the values of health and care staff. It therefore represents the foundation of leadership behaviour for staff throughout the NHS, to support all staff to improve quality for patients. 

Executive Summary: An Ethical Framework for Controlled Donation After Circulatory Death Executive Summary: An Ethical Framework for Controlled Donation After Circulatory Death

Date published: 14-12-2011
Filesize: 306.79 kB
Downloads: 3748
Executive Summary of the final report from the UK Donation Ethics Committee

An Ethical Framework for Controlled Donation After Circulatory Death An Ethical Framework for Controlled Donation After Circulatory Death

Date published: 14-12-2011
Filesize: 540.98 kB
Downloads: 4751

This guidance discusses the key ethical issues that arise in considering controlled donation after circulatory death. This document has been developed from a draft published for consultation in January 2011.

It is presented in three parts:

  • The principal ethical issues that are relevant to donation after circulatory death, including determination of the potential donor’s best interests and issues relating to the diagnosis and confirmation of death.
  • The principal ethical issues in the context of the patient pathway, and sets out recommendations for current practice in more detail. 
  • Areas where UKDEC believes that further consideration and development would be helpful, either by UKDEC or  other relevant organisations

The guidance is a working document, aimed primarily at doctors and other healthcare workers who are responsible for the various aspects of organ donation and transplantation, rather than the lay public.

Acute Kidney Injury: A Competency Framework Acute Kidney Injury: A Competency Framework

Date published: 30-11-2011
Filesize: 502.18 kB
Downloads: 4470
Defining the Role of the Clinician.
 
This framework was commenced under the auspices of the AKI delivery group led by the National Clinical Director for Renal Services, Dr Donal O’Donoghue. The Academy of Medical Royal  Colleges has developed the framework to promote better care of patients with, or at risk of, AKI by all members of the clinical team. The working group that developed the competency framework comes from a multi-professional background and has been sponsored by the Royal College of Nursing and the National Outreach Forum. These organisations have supported the framework through its development, as have the Society for Acute Medicine and Renal Association and the Renal Pharmacy Group.
 
It is anticipated that the framework will be used to promote competence acquisition in the multi-professional team to improve care for patients suffering from AKI, recognising that only by good integrated teamwork can the best results be achieved.

Clinical Commissioning Summit Executive Summary Clinical Commissioning Summit Executive Summary

Date published: 30-10-2011
Filesize: 1.22 MB
Downloads: 2988

In response to the Bill, a Clinical Commissioning Summit was convened on 6th October at BMA House in London to bring together key stakeholders from Royal Colleges, professional bodies, patients and service representatives. Organised in partnership between The Royal College of General Practitioners Centre for Commissioning, The Health Foundation and the Academy of Medical Royal Colleges, the Summit aimed to make recommendations around the key issues that will underpin clinical and professions commissioning and joint working.

This document provides delegates with a summary of the main points from the various elements of the Clinical Commissioning Summit day. 

RCGP Secure Environment Pilot:England RCGP Secure Environment Pilot:England

Date published: 05-10-2011
Filesize: 433.25 kB
Downloads: 2044

The Royal College of General Practitioners (RCGP), on behalf of the GMC, was charged with proposing the criteria and standards of revalidation for general practitioners. The College has commissioned a series of pilots, running concurrently with the NHS Revalidation Support Team Pathfinder Pilots, to investigate if their revalidation proposals are fair, accessible and achievable for all GPs in whatever capacity they are employed in the UK. 

The RCGP identified GPs working in custodial settings as requiring further investigation to explore the feasibility of their revalidation proposals for this group of practitioners. 

The pilot aimed to learn about the issues facing GPs who work predominantly (i.e. at least 50% of their total work role) or in an extended practice role within secure environments, and the feasibility of  their re-licensing using the RCGP revalidation proposals.

Draft revised Foundation Programme Curriculum Draft revised Foundation Programme Curriculum

Date published: 09-08-2011
Filesize: 1.24 MB
Downloads: 4951

Further to the MEE Evaluation of the Foundation Programme Curriculum, the Academy of Medical Royal College’s Foundation Programme Committee are revising the Foundation Programme Curriculum which will be in use for the 2012 cohort. 

The changes include:
 1)      Alterations to the assessment process (icon Draft SLE template mini-CEX)
 2)      Inclusion of the purpose of foundation
 3)      Inclusion of high level descriptors, differentiating between F1 and F2 outcomes
 4)      Revision and updating of competences and all other sections.

 

Evidence on the quality of medical note keeping Evidence on the quality of medical note keeping

Date published: 30-07-2011
Filesize: 638.13 kB
Downloads: 4012

This consensus-based guidance looks at how information on quality of medical note keeping can be used in supporting information at appraisal for revalidation.

There are two features of medical notes that are relevant for appraisal and revalidation. The quality of the written entries (are they legible, accurate, dated, signed etc) and the clinical content of those entries (do they show appropriate levels of care or clinical outcome). 

This guidance addresses the quality of written entries; it does not address matters of clinical content.

Information on the quality of medical note keeping to support appraisal for revalidation Information on the quality of medical note keeping to support appraisal for revalidation

Date published: 29-07-2011
Filesize: 271.73 kB
Downloads: 3737

This guidance is for the use of information on the quality of medical record-keeping at appraisal and revalidation.

This document aims to determine the extent to which evidence on generic matters relating to medical recordkeeping can be used in support of appraisal and revalidation, and how that evidence may be used by:

  • Identifying what doctors view as their responsibilities regarding good clinical practice in relation to medical notes
  • Determining doctors’ views on the use of medical notes information at appraisal 

Keeping patients safe when they transfer between care providers - Professional Guidance Keeping patients safe when they transfer between care providers - Professional Guidance

Date published: 12-07-2011
Filesize: 622.56 kB
Downloads: 3316

Research has shown time and again that there is a significant risk that patients’ medicines will be unintentionally altered when they move care providers. The NHS outcomes framework has already recognisedthe significance of this to patient safety. All NHS providers, and commissioners of those services, are now charged with reducing harm to patients caused through medication errors.

Having safe systems in place for managing information and supply of medicines across care providers is also seen as central to safe, high quality care by the Care Quality Commission.

The development of this guidance was led by the Royal Pharmaceutical Society, in collaboration with other royal colleges, patients, health and social care professionals, and is closely mapped to a range of related national initiatives and guidance. It gives organisations tools to develop their systems, and to help effect the culture change necessary in their organisations to raise this important patient safety issue higher up everyone’s agenda.

Help get the right medicines when you move care providers  Help get the right medicines when you move care providers

Date published: 11-07-2011
Filesize: 576.23 kB
Downloads: 2988

Useful leaflet for patients when moving between care providers.

 

Keeping patients safe when they transfer between care providers  Organisational Guidance Keeping patients safe when they transfer between care providers Organisational Guidance

Date published: 11-07-2011
Filesize: 615.54 kB
Downloads: 3342

Research has shown time and again that there is a significant risk that patients’ medicines will be unintentionally altered when they move care providers. The NHS outcomes framework has already recognisedthe significance of this to patient safety. All NHS providers, and commissioners of those services, are now charged with reducing harm to patients caused through medication errors. 

Having safe systems in place for managing information and supply of medicines across care providers is also seen as central to safe, high quality care by the Care Quality Commission.

The development of this guidance was led by the Royal Pharmaceutical Society, in collaboration with other royal colleges, patients, health and social care professionals, and is closely mapped to a range of related national initiatives and guidance. It gives organisations tools to develop their systems, and to help effect the culture change necessary in their organisations to raise this important patient safety issue higher up everyone’s agenda.

EHealth Competency Framework - Defining the Role of the Expert Clinician EHealth Competency Framework - Defining the Role of the Expert Clinician

Date published: 07-07-2011
Filesize: 921.78 kB
Downloads: 6480
This framework has been developed by the Scottish Government and the Academy, to define the knowledge, skills and behaviours that are required by practising clinicians who have a role in eHealth at a local, regional or national level. The framework covers abroad range of domains from generic competences required by all, such as the safe and secure management of health information, to areas of in depth informatics knowledge which may only be required by a limited number of individuals. It is hoped medical and dental practitioners can use the framework to demonstrate achievement of competences relevant for their roles within their own organisations at different stages of their professional careers.

Hospital Episode Statistics: Improving the quality and value of hospital data. Discussion document Hospital Episode Statistics: Improving the quality and value of hospital data. Discussion document

Date published: 04-05-2011
Filesize: 505.49 kB
Downloads: 6009

Safe and efficient patient care relies on high quality data but a serious lack of clinical engagement over the accuracy of hospital data has been a major concern among Royal Medical Colleges and Directors of Trusts.

This report (produced by The NHS Information Centre and endorsed by the Academy) highlights how improvements to the collection and use of hospital data by clinicians can be made to secure good quality outcomes and inform patient choice.

The report stresses the need for more discussion within Trusts and colleges over the importance of:

  • Clinician access to raw data
  • Recording clinical terms
  • Outpatient coding
  • Clinicians working in teams
  • Diagnoses present on admission
  • Enhanced data linkage including primary care

Clinicians are encouraged to join the discussion and responded to the content of this report via this online survey

Hospital Episode Statistics: Improving the quality and value of hospital data. Executive Summary Hospital Episode Statistics: Improving the quality and value of hospital data. Executive Summary

Date published: 04-05-2011
Filesize: 233.72 kB
Downloads: 4543

Executive Summary of the full discussion document. 

AoMRC Trustees' Annual Report & Financial Statement AoMRC Trustees' Annual Report & Financial Statement

Date published: 21-04-2011
Filesize: Empty
Downloads: 2599

Financial report of the Academy for the year ending 30 September 2010.

Standards for the design of hospital in-patient prescription charts Standards for the design of hospital in-patient prescription charts

Date published: 20-04-2011
Filesize: 160.69 kB
Downloads: 10992

A report prepared for Sir Bruce Keogh, NHS Medical Director, from the Academy of Medical Royal Colleges in collaboration with the Royal Pharmaceutical Society and Royal College of Nursing Terms of reference.

The Academy of Medical Royal Colleges was asked by Sir Bruce Keogh, the NHS Medical Director, to work closely with the Royal Pharmaceutical Society and the Royal College of Nursing to develop standards for the design of in-patient prescription charts, using expert opinion and evidence where available. 

More information and Appendices 3 and 4 for the report can be found on the standards for the design of hospital in-patient prescription charts project page.

UKDEC Annual Report 2010 UKDEC Annual Report 2010

Date published: 20-03-2011
Filesize: 210.68 kB
Downloads: 3446

Annual report of the UKDEC for the year 2010. 

Engaging Doctors: What can we learn from trusts with high levels of medical engagement? Engaging Doctors: What can we learn from trusts with high levels of medical engagement?

Date published: 18-03-2011
Filesize: 213.88 kB
Downloads: 5494

Produced by the Academy and the NHS Institute for Innovation and Improvement.

Medical engagement in the leadership and management of healthcare organisations is a key determinant of organisational success. This short paper shares the key findings from a study of seven trusts which achieved high Medical Engagement Scale scores from an initial survey involving 30 trusts in England.

This paper seeks to describe the actions and initiatives taken by these Trusts to achieve high levels of engagement and thereby to make this ‘best practice’ available to others. The research clearly indicates that medical engagement plays a crucial role in supporting organisational achievement and that leadership is essential in creating the appropriate culture for medical engagement to flourish.

RCGP Indicator analysis RCGP Indicator analysis

Date published: 14-02-2011
Filesize: 376.93 kB
Downloads: 2888

As part of a series of quality initiatives on GP prescribing, medicines management and quality improvements, a mechanism is being developed whereby data extracted from a clinical system (in this example in primary care), is analysed by applying a set of rules to it derived from a complex knowledge base (or ontology). This also provides the ability to take set of indicators from elsewhere and convert them into ‘computable statements’ that can then be applied to the extracted data.

The RCGP indicator project derived such a set of indicators. This phase of the project aimed to take these indicators and explore the feasibility of ‘computerising’ the indicators and testing them against some ‘real’ patient data.

 

icon RCGP indicator analysis - Appendix

RCOphth Orphan Groups Pilot Project Report RCOphth Orphan Groups Pilot Project Report

Date published: 25-01-2011
Filesize: 1.22 MB
Downloads: 3507

Forty two ophthalmologists working outside the hospital eye service in a variety of settings underwent appraisal between September and December 2010 using a modified version of the “Strengthened Medical Appraisal” format currently being evaluated in revalidation pathfinder pilot projects in England.

The format incorporated existing draft specialty standards for the revalidation of ophthalmologists. A single appraiser conducted all appraisals and the appraisal summaries were reviewed by a former NHS Medical Director who acted as a Responsible Officer for the purpose of the project. The appraiser and appraisees completed evaluation forms (as used in the national Pathfinder Pilots) following appraisal.

An ethical framework for controlled donation after circulatory death. An ethical framework for controlled donation after circulatory death.

Date published: 10-01-2011
Filesize: 298.69 kB
Downloads: 5963
This consultation paper, developed by the UK Donation Ethics Committee, discusses the key ethical issues that arise in considering controlled donation after circulatory death (also known as controlled donation after cardiac death, 
or non-heart beating organ donation, NHBD).
It sets out recommendations for current practice, and identifies some areas for further work.
A final version will be published later in the year once consultation responses have been taken into account.

Workplace Based Assessment Forum Outcomes 2010 Workplace Based Assessment Forum Outcomes 2010

Date published: 21-12-2010
Filesize: 366.13 kB
Downloads: 5689

Presentations and round table discussion groups took place for six topics. Each session was based around pre-determined discussion points. The outcomes of these discussions is detailed in this outcome report, and an overall summary is found at section 7. 

Clinical Responses to the Downturn Clinical Responses to the Downturn

Date published: 15-12-2010
Filesize: 2.49 MB
Downloads: 3015

Seven medical specialties address how they can help tackle the NHS financial change.

A joint report from the NHS Confederation, AOMRC, JMCC and the BMA

Foundation Curriculum 2010 Reference Guide Foundation Curriculum 2010 Reference Guide

Date published: 29-07-2010
Filesize: 2.48 MB
Downloads: 4015

Foundation Curriculum 2010 Foundation Curriculum 2010

Date published: 29-07-2010
Filesize: 2.09 MB
Downloads: 3925

Undergraduate Guidance for Medical Education - Integrating the MLCF Undergraduate Guidance for Medical Education - Integrating the MLCF

Date published: 23-07-2010
Filesize: 1.44 MB
Downloads: 5559

Effectiveness of CPD: Final Report Effectiveness of CPD: Final Report

Date published: 24-06-2010
Filesize: 1.07 MB
Downloads: 5924

A report prepared on behalf of the College of Emergency Medicine, Manchester Metropolitan University and the Federation of Royal Colleges of Physicians.Commissioned by the General Medical Council and Academy of Medical Royal Colleges.

This report is based on research carried out for a GMC study into the effectiveness of CPD. It has involved non-training doctors from staff grades to senior consultants, including those primarily involved in management, CPD provision and assessment; and institutional officials, such as in Deaneries and universities, across a range of specialties.

Medical Chief Executives in the NHS - Facilitators and Barriers to Their Career Progress Medical Chief Executives in the NHS - Facilitators and Barriers to Their Career Progress

Date published: 20-04-2010
Filesize: 398.96 kB
Downloads: 4756
This report presents the results of a study of doctors who have become  chief executives of primary care trusts, NHS trusts (including Foundation Trusts) and strategic health authorities in England.
The study was commissioned by the NHS Institute for Innovation and Improvement and the Academy, from the Universities of Birmingham and Warwick with the aim of learning about the career paths taken by medical chief executives. The NHS Institute and the Academy wanted to understand the facilitators and barriers facing doctors in becoming chief executives in the NHS in order to inform ways in which this transition might be supported. The work summarised in this report helps to explain why there are few medical chief executives at present and outlines what can be done to encourage more doctors to take on leadership roles in future.

Do you know who is treating you? A patient’s guide to doctors in training Do you know who is treating you? A patient’s guide to doctors in training

Date published: 30-03-2010
Filesize: 4.83 MB
Downloads: 4053

Patients tell us that they want to know who is treating them but they are unsure of how doctors are trained, what qualifications they have and what their job titles mean.

This guide sets out what patients and the public need to know about doctors in training.

It was developed by PMETB (merged with the GMC in April 2010) and the Academy (and its Patient Liaison Group).

JACTAG Guidance: External Advice from Medical Specialists JACTAG Guidance: External Advice from Medical Specialists

Date published: 25-03-2010
Filesize: 55.02 kB
Downloads: 4011

Models for specialty including General Practice training.

Guidance regarding roles and components of external advice.

Advice on SPA's in Consultant Job Planning Advice on SPA's in Consultant Job Planning

Date published: 08-02-2010
Filesize: 73.52 kB
Downloads: 6395
The Academy makes recommendations regarding SPA's in consultant job planning.

CPD: Guidlines for recommended headings under which to describe a College of Faculty CPD scheme CPD: Guidlines for recommended headings under which to describe a College of Faculty CPD scheme

Date published: 01-12-2009
Filesize: 285.06 kB
Downloads: 4851
This report forms the core model for CPD and is the link between revalidation and the CPD schemes
which are in existence or in development across Colleges and Faculties. Despite a diverse range of CPD schemes, from medicine to surgery, from pathology to occupational health, we believe this document will provide a central model which will set a future standard for the purposes of revalidation, of which CPD is a major component.

Remediation and Revalidation Remediation and Revalidation

Date published: 01-12-2009
Filesize: 392.07 kB
Downloads: 5274

A report from the Academy remediation working group that considers and describes how remediation and revalidation processes can interrelate, identifies a list of organisations that provide remedial support and identifies and define guidance and support processes that doctors can utilise when concerns are raised about their performance.

Multi-Source Feedback, Patient Feedback and Revalidation Multi-Source Feedback, Patient Feedback and Revalidation

Date published: 01-12-2009
Filesize: 273.05 kB
Downloads: 6469

A report from the Academy’s MSF working group reviewing existing research and findings around the use of MSF and PF in medicine, defining a series of principles, criteria and key indicators that should underpin any MSF or PF tools used for revalidation and make recommendations about the frequency of MSF and PF for revalidation.

Non Clinical Work and Revalidation Non Clinical Work and Revalidation

Date published: 01-12-2009
Filesize: 510.81 kB
Downloads: 5600

A report from the Academy’s non-clinical working group identifying the different types of non-clinical work undertaken by doctors and developed generic cross-specialty standards for these mapped against Good Medical Practice.

Clinical Audit and Revalidation Clinical Audit and Revalidation

Date published: 01-12-2009
Filesize: 143.31 kB
Downloads: 4790

A report from the Academy’s Clinical Audit working group drafting a series of principles, criteria and key indicators for the use of clinical audit in revalidation. The content of this document was based as far as possible on existing research and evidence about clinical audit. However, in those areas where evidence was limited, the working group used a consensus approach.

Common Competences Framework for Doctors Common Competences Framework for Doctors

Date published: 03-08-2009
Filesize: 8.01 MB
Downloads: 7174

The Common Competences Framework for Doctors was developed by the Academy Specialty Training Committee to help inform the development of core and specialty curricula of the Royal Colleges and Faculties. The Framework will supplement the specialty specific competences within the specialty training curricula.

The framework identifies the common competences that should be acquired by doctors in core and specialty training in the United Kingdom. It has been derived primarily from competences that were previously defined within the specialty training curricula and, where appropriate, the revised Foundation Programme Curriculum. It has been supplemented by information from additional curricula and frameworks that had been developed by other bodies.

An Account of Development & Activity 2006-2009 An Account of Development & Activity 2006-2009

Date published: 01-07-2009
Filesize: 2.7 MB
Downloads: 2990
A report detailing the development and activity of the Academy between 2006 and 2009.

Improving Assessment Improving Assessment

Date published: 01-07-2009
Filesize: 947.68 kB
Downloads: 8031

The Academy of Medical Royal Colleges was asked by the four Chief Medical Officers (CMOs) to explore “a UK wide approach to assessment with common standards and common processes and instruments.” This report comprises the outcome of that project.

No Health Without Mental Health ALERT Report No Health Without Mental Health ALERT Report

Date published: 01-07-2009
Filesize: 728.42 kB
Downloads: 11554

There is a clear link between mental and physical health and an urgent need to strengthen both the provision of mental health care to people with physical illness and the quality of physical health care provided to people with mental health problems in general hospitals and primary care. This report provides a framework with a focus on improvement within the general hospital, which can be brought about at relatively little additional cost by focusing on five priority areas.

A Guide to Finance for Hospital Doctors A Guide to Finance for Hospital Doctors

Date published: 01-07-2009
Filesize: 887.82 kB
Downloads: 7051

This guide, jointly prepared by the Academy of Medical Royal Colleges and the Audit Commission, is aimed at medical students and doctors in the early stage of their training. It draws attention to the benefits that result for patients when clinicians get properly engaged in managing NHS money. All doctors should understand at least the basics of NHS finance. This is not about turning doctors into accountants; it is about enabling doctors properly to engage with finance colleagues so as to make the best use of NHS resources for patients.

Medical Leadership Competency Curriculum Medical Leadership Competency Curriculum

Date published: 01-05-2009
Filesize: 556.1 kB
Downloads: 4606
Developed jointly with the NHS Institute for Innovation and Improvement as part of the Enhancing Engagement in Medical Leadership project. This Curriculum describes the leadership competences doctors need in order to become more actively involved in the planning, delivery and transformation of health services.

Medical Leadership Competency Framework Medical Leadership Competency Framework

Date published: 01-05-2009
Filesize: 1.71 MB
Downloads: 9495
Developed jointly with the NHS Institute for Innovation and Improvement as part of the Enhancing Engagement in Medical Leadership project. This Framework describes the leadership competences doctors need in order to become more actively involved in the planning, delivery and transformation of health services.

Workplace Based Assessment Guidance - PMETB & AOMRC Workplace Based Assessment Guidance - PMETB & AOMRC

Date published: 01-05-2009
Filesize: 292.7 kB
Downloads: 4397

The aim of this document is to provide guidance on designing and implementing workplace based assessments (WPBAs) for all doctors. WPBA is an essential part of an assessment system, alongside traditional examinations. A comprehensive assessment system will collectively form an overall profile of an individual by testing their skills, knowledge and behaviours against those identified in a PMETB-approved curriculum.

This guidance is designed to highlight the advantages of WPBA and provide an overview for overcoming the potential difficulties that might be faced when introducing new methodologies alongside more traditional practice.

Educational Initiatives to Improve the Effectiveness of Cancer Multidisciplinary Teams Educational Initiatives to Improve the Effectiveness of Cancer Multidisciplinary Teams

Date published: 01-04-2009
Filesize: 396.35 kB
Downloads: 4766

The Academy's Intercollegiate Cancer Committee report recommends education and training initiatives which would improve the quality of multi-professional cancer care within the NHS in the United Kingdom. It also contains recommendations about the function of cancer MDTs, evidence about the effectiveness of MDTs and recommendations about the prerequisites for effective team working.

Curriculum Competency Project Curriculum Competency Project

Date published: 01-01-2009
Filesize: 280.41 kB
Downloads: 4641

A report by the Academy Health Inequalities Forum. Equality in healthcare is an important factor in good patient care, and this project aimed to construct a set of competencies concerning health inequalities. Some of these are identified as core, applicable to all specialties, whereas others will be relevant to some specialties but not to others. The intention is that this set of competencies will serve as a resource on which Colleges can draw and integrate into their specialty curricula. A number of these competencies will also be applicable to the undergraduate curriculum, and to the curricula in other healthcare professions.

A Clinicians Guide to Record Standards: Part 2 A Clinicians Guide to Record Standards: Part 2

Date published: 01-10-2008
Filesize: 376.59 kB
Downloads: 4714

These standards were developed by the Health Informatics Unit, Royal College of Physicians, in a project supported by funding from NHS Connecting for Health. The standards for the structure and content of medical records were developed in collaboration with the other medical Royal Colleges and specialist societies.

They were approved by the Academy of Medical Royal Colleges on 17th April 2008. 

The standards should be used for all hospital patient records.

A Clinicians Guide to Record Standards: Part 1 A Clinicians Guide to Record Standards: Part 1

Date published: 01-10-2008
Filesize: 603.23 kB
Downloads: 4215

The record standards, approved for all specialties by the Academy of Medical Royal Colleges.

This good practice guide has been produced to inform hospital doctors about current developments in medical record keeping standards for the Electronic Patient Record. It describes why standards are needed for the structure and content of medical records and how their introduction will affect doctors' work. 

 

A Code of Practice for the Diagnosis and Confirmation of Death A Code of Practice for the Diagnosis and Confirmation of Death

Date published: 01-10-2008
Filesize: 561.39 kB
Downloads: 41585

This revised Code builds upon the earlier Code published in 1998 and updates a number of important aspects. It provides clear, scientifically rigorous criterias for confirming death, both in clinical settings where confirmation of death by brain-stem testing is appropriate, and where confirmation of death following cardiac arrest is required.

Engaging Doctors. Can Doctors Influence Organisational Performance? Engaging Doctors. Can Doctors Influence Organisational Performance?

Date published: 14-07-2008
Filesize: 224.85 kB
Downloads: 5108

A report by the Enhancing Engagement in Mecial Leadership project.

Shares findings from research into a link between medical engagement and Organizational performance, including a literature review, interviews with Chief Executives and medical directors, and development of a Medical Engagement Scale.

 

 

Managing Urgent Mental Needs in the Acute Trust Report Managing Urgent Mental Needs in the Acute Trust Report

Date published: 01-05-2008
Filesize: 926.88 kB
Downloads: 7598

This document describes the characteristics of a good acute mental health service. It sets out clearly and firmly the principles and standards that we expect to be applied to any acute medical and surgical service. These should be essential features of the psychiatric speciality service that supports the Emergency Department and the medical, paediatric and surgical wards. The input of mental health services to Emergency Departments and to acute hospitals is a vital element of the delivery of a modern, responsible and integrated service to patients.

Managing Urgent Mental Needs in the Acute Trust Background Report Managing Urgent Mental Needs in the Acute Trust Background Report

Date published: 01-05-2008
Filesize: 766.75 kB
Downloads: 4552

This document provides the background to the characteristics of a good acute mental health service. It sets out clearly and firmly the principles and standards that we expect to be applied to any acute medical and surgical service. These should be essential features of the psychiatric speciality service that supports the Emergency Department and the medical, paediatric and surgical wards. The input of mental health services to Emergency Departments and to acute hospitals is a vital element of the delivery of a modern, responsible and integrated service to patients.

Engaging Doctors. What can we Learn from International Experience and Research Evidence? Engaging Doctors. What can we Learn from International Experience and Research Evidence?

Date published: 03-03-2008
Filesize: 210.07 kB
Downloads: 6006
Key points from two reviews commissioned in support of the Enhancing Engagement in Medical Leadership project, providing a systematic and research based overview of the evolution of medical leadership and the reasons why a concerted focus on the training and support for doctors taking on leadership roles is needed.