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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 ]

Maternity/Paternity Survey Results Maternity/Paternity Survey Results

Date published: 05-05-2016
Date modified: 12-05-2016
Filesize: 1.49 MB

A report from the Academy Flexible Careers Committee investigating the particular problems experienced by those in the medical and dental professions such as planning maternity and paternity leave, maintaining competencies and returning to work 

Quality Improvement - training for better outcomes: Key findings Quality Improvement - training for better outcomes: Key findings

Date published: 21-03-2016
Date modified: 21-03-2016
Filesize: 2.35 MB

Quality Improvement - Training for better outcomes Quality Improvement - Training for better outcomes

Date published: 21-03-2016
Date modified: 21-03-2016
Filesize: 2.05 MB

Organ donation from infants with anencephaly Organ donation from infants with anencephaly

Date published: 16-03-2016
Date modified: 16-03-2016
Filesize: 83.67 kB

Guidance from the UK Donation Ethics Committee

A framework of operating principles for managing invited reviews within healthcare A framework of operating principles for managing invited reviews within healthcare

Date published: 21-01-2016
Date modified: 21-01-2016
Filesize: 584.13 kB

Shape of Training Mapping Exercise - Report of the Mapping Exercise Panel Shape of Training Mapping Exercise - Report of the Mapping Exercise Panel

Date published: 18-12-2015
Date modified: 18-12-2015
Filesize: 157.63 kB

Guidance in Standards for Candidate Feedback: Summative Postgraduate Medical Examinations in the UK Guidance in Standards for Candidate Feedback: Summative Postgraduate Medical Examinations in the UK

Date published: 14-12-2015
Date modified: 14-12-2015
Filesize: 149.29 kB

The standards detailed in this guidance represent the minimum expected practice regarding the provision of feedback that all Colleges and Faculties should adopt. It is anticipated that each College and Faculty will use these as a foundation to build more specific and detailed standards upon. It is also hoped that other organisations which currently provide examinations used in UK postgraduate medical training will adopt the standards.

Guidance for standard setting: A framework for high stakes postgraduate competency-based examinations Guidance for standard setting: A framework for high stakes postgraduate competency-based examinations

Date published: 01-11-2015
Date modified: 12-11-2015
Filesize: 201.75 kB

This guidance explores a set of guiding principles for standard setting in the context of summative postgraduate medical competency-based examinations. The aim of examinations within this
context is to separate the competent candidates from the not competent candidates, according to how they compare to a minimum standard. This guidance therefore does not explore norm-referenced (or relative) standards.

Coordinating care: in primary, community and outpatient settings Coordinating care: in primary, community and outpatient settings

Date published: 29-10-2015
Date modified: 30-10-2015
Filesize: 1.35 MB

Following on from the Academy's earlier report on accountable clinicians and informed patients, this report considers who patients can consider the coordinator of their care in out of hospital and outpatient settings. 

Academy Review 2015 Academy Review 2015

Date published: 21-09-2015
Date modified: 21-09-2015
Filesize: 8.37 MB

Choosing Wisely Choosing Wisely

Date published: 13-05-2015
Date modified: 13-05-2015
Filesize: 219.33 kB

Safer Prescription of Cytotoxic Agents v.2 - April 2015 Safer Prescription of Cytotoxic Agents v.2 - April 2015

Date published: 30-04-2015
Date modified: 30-04-2015
Filesize: 488.83 kB

Collecting Clinical Information in Outpatients Collecting Clinical Information in Outpatients

Date published: 30-03-2015
Date modified: 30-03-2015
Filesize: 682.55 kB

Progression of Doctors in Training Progression of Doctors in Training

Date published: 11-03-2015
Date modified: 11-03-2015
Filesize: 130.05 kB

Exercise - The miracle cure  - Feb 2015 Exercise - The miracle cure - Feb 2015

Date published: 13-02-2015
Date modified: 20-02-2015
Filesize: 2.19 MB

International HSMRs - February 2015 International HSMRs - February 2015

Date published: 10-02-2015
Date modified: 10-02-2015
Filesize: 138.68 kB

Flexible Careers Committee's Maternity/Paternity Leave Survey Flexible Careers Committee's Maternity/Paternity Leave Survey

Date published: 19-01-2015
Date modified: 19-01-2015
Filesize: 52.11 kB

The results will be used to develop improved standards and guidelines, particularly with regard to support when returning to work. We will also use the data to lobby government and employers to improve facilities and support for employees during periods of maternity / paternity leave with an emphasis on retaining skills and preparing for return to work.

 

Guidance for Retired Doctors Guidance for Retired Doctors

Date published: 14-01-2015
Date modified: 14-01-2015
Filesize: 392.72 kB

ATC - Frequently Asked Questions for Trainees - v2 ATC - Frequently Asked Questions for Trainees - v2

Date published: 12-01-2015
Date modified: 12-01-2015
Filesize: 78.63 kB

ATC Report ATC Report

Date published: 08-01-2015
Date modified: 12-01-2015
Filesize: 201.44 kB

 

The Academy of Medical Royal Colleges (the Academy) has developed the Accreditation of transferable competences Framework (ATCF) to assist trainee doctors in transferring competences achieved in one core, specialty or general practice training programme, where appropriate and valid, to another training programme.

ATC - Frequently Asked Questions for Trainees - v2

Statement on Integrated Care Statement on Integrated Care

Date published: 17-12-2014
Date modified: 17-12-2014
Filesize: 2.02 MB

A joint statement from the Royal College of Physicians (London) and the
Royal College of General practitioners supported by the Academy and Medical
Royal Colleges is launched today. 

SAS Charter SAS Charter

Date published: 16-12-2014
Date modified: 16-12-2014
Filesize: 3.33 MB

A new charter for specialty and associate specialist (SAS) doctors in England sets out what SAS doctors and employers can expect from each other. The document has been agreed by the British Medical Association, the Academy of Medical Royal Colleges, HEE and NHS Employers.

Healthy Eating Healthy Eating

Date published: 17-11-2014
Date modified: 17-11-2014
Filesize: 327.56 kB

an NHS priority A sure way to improve health outcomes for NHS staff and the public

Protecting resources, promoting value: a doctor's guide to cutting waste in clinical care Protecting resources, promoting value: a doctor's guide to cutting waste in clinical care

Date published: 06-11-2014
Date modified: 06-11-2014
Filesize: 1.46 MB

The Academy’s report into how the NHS can achieve better value in care and cost through ensuring that resources in clinical care are used appropriately and unnecessary interventions which do not add value for patients are avoided.

Requirements for Colleges and Faculties in Relation to Examiners and Assessors Requirements for Colleges and Faculties in Relation to Examiners and Assessors

Date published: 03-11-2014
Date modified: 03-11-2014
Filesize: 151.77 kB

The Academy of Medical Royal Colleges has agreed minimum requirements for Colleges and Faculties in relation to Examiner selection, training, performance management, duration of appointment and collection of E&D data.  The requirements do not preclude individual Colleges/Faculties establishing their own requirements which might be more detailed and more specific.  These requirements have also been adopted by the GMC.

Medical Royal Colleges Sustainability Guide Medical Royal Colleges Sustainability Guide

Date published: 21-10-2014
Date modified: 21-10-2014
Filesize: 209.16 kB

Produced jointly by the Academy and the Centre for Sustainable Healthcare

Decisions of Value Infographic Decisions of Value Infographic

Date published: 16-10-2014
Date modified: 16-10-2014
Filesize: 2.04 MB

The infographic summarises the key findings in the Decisions of Value report

Decision of Value Report and Findings Decision of Value Report and Findings

Date published: 16-10-2014
Date modified: 16-10-2014
Filesize: 897.44 kB

A joint report from the Academy and NHS Confederation setting out new research which explores the importance of having the right relationships, behaviours and environment to deliver better value of care in the NHS

Academy Review 2014 Academy Review 2014

Date published: 07-10-2014
Date modified: 21-10-2014
Filesize: 4.66 MB

The Academy has published it annual review for the year 2013-14

Royal College of Pathologists Specialty Guidance Royal College of Pathologists Specialty Guidance

Date published: 30-09-2014
Date modified: 21-10-2014
Filesize: 264.57 kB

The General Medical Council (GMC) has outlined requirements for doctors in its guidance
Supporting Information for Appraisal and Revalidation. It recommends that doctors in specialist
practice should consult the supporting information guidance provided by their medical royal college
or faculty.

CSE Press Release CSE Press Release

Date published: 29-09-2014
Date modified: 21-10-2014
Filesize: 318.5 kB

This valuable guidance arose from a meeting between the Department of Health, representatives
from the Medical Royal Colleges, the NHS and the third sector to discuss the important role that
health care professionals have in supporting children and young people who have been sexually
exploited and to explore what more can be done in this area.

Appraisal for Revalidation - a Guide to the Process Appraisal for Revalidation - a Guide to the Process

Date published: 31-07-2014
Date modified: 21-10-2014
Filesize: 200.08 kB

This document is not designed to repeat that information, but to build upon it, emphasising the areas where the appraiser needs to give particular consideration.

The Specialty Guidance Group Phase 3 Report The Specialty Guidance Group Phase 3 Report

Date published: 31-07-2014
Date modified: 21-10-2014
Filesize: 3.06 MB

The overall objective of Phase 3 of the Specialty Guidance Group project has been to evaluate the effectiveness of the group’s outputs from previous phases of the project and give consideration to the wider question of how colleges and faculties can support doctors, appraisers and responsible officers through appraisal and revalidation most effectively.

Organisations who can support or advise Doctors returning to practice Organisations who can support or advise Doctors returning to practice

Date published: 31-07-2014
Date modified: 31-07-2014
Filesize: Empty

Taking Responsibility Taking Responsibility

Date published: 12-06-2014
Date modified: 21-10-2014
Filesize: 2.16 MB

This report inform us that the person designated as the Responsible Consultant/Clinician will have overall responsibility for the management, coordination and continuity of a patient’s care throughout their hospital stay, including their discharge arrangements. They will also be likely to have some direct personal clinical responsibility for the patient.

Foundation Programme Curriculum Foundation Programme Curriculum

Date published: 08-05-2014
Date modified: 21-05-2014
Filesize: 3.35 MB

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
Date modified: 08-05-2014
Filesize: 5.01 MB

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
Date modified: 21-05-2014
Filesize: 429.07 kB

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
Date modified: 06-05-2014
Filesize: 270.26 kB

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
Date modified: 27-04-2014
Filesize: 1.77 MB

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
Date modified: 20-03-2015
Filesize: 194.98 kB

 

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
Date modified: 16-04-2014
Filesize: 270.59 kB

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
Date modified: 09-04-2014
Filesize: 1.56 MB

 

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
Date modified: 04-12-2013
Filesize: 258.69 kB

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
Date modified: 04-12-2013
Filesize: 392.1 kB

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
Date modified: 17-11-2013
Filesize: 1.02 MB

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

Date published: 05-11-2013
Date modified: 05-11-2013
Filesize: 371.04 kB

 

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
Date modified: 21-10-2013
Filesize: 121.25 kB
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
Date modified: 16-10-2013
Filesize: 116.54 kB

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
Date modified: 16-10-2013
Filesize: 115.13 kB

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
Date modified: 04-09-2013
Filesize: 224.92 kB

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
Date modified: 23-07-2013
Filesize: 107.23 kB

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
Date modified: 12-07-2013
Filesize: 5.3 MB

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
Date modified: 06-07-2013
Filesize: 1.76 MB

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
Date modified: 25-06-2013
Filesize: 201.63 kB

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
Date modified: 06-06-2013
Filesize: 2.07 MB
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
Date modified: 29-04-2013
Filesize: 1.28 MB
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
Date modified: 06-03-2013
Filesize: 1.65 MB

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
Date modified: 06-02-2013
Filesize: 127.52 kB

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
Date modified: 14-01-2013
Filesize: 1.36 MB
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
Date modified: 03-12-2012
Filesize: 864.68 kB
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
Date modified: 06-03-2013
Filesize: 765.79 kB

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
Date modified: 05-11-2012
Filesize: 52.89 kB
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
Date modified: 05-11-2012
Filesize: 5.97 MB

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
Date modified: 06-03-2013
Filesize: 249.6 kB

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
Date modified: 26-09-2012
Filesize: 137.46 kB
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
Date modified: 24-09-2012
Filesize: 196.3 kB

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
Date modified: 13-09-2012
Filesize: 917.29 kB

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
Date modified: 06-03-2013
Filesize: 150.97 kB

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
Date modified: 30-07-2012
Filesize: 5.87 MB
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
Date modified: 29-06-2012
Filesize: 437.45 kB
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
Date modified: 23-05-2012
Filesize: 414.84 kB
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
Date modified: 29-05-2012
Filesize: 229.81 kB
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
Date modified: 06-03-2013
Filesize: 618.51 kB

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
Date modified: 06-03-2013
Filesize: 489.34 kB

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
Date modified: 06-03-2013
Filesize: 1.24 MB

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
Date modified: 06-03-2013
Filesize: 402.67 kB

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
Date modified: 16-01-2012
Filesize: 1.92 MB
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
Date modified: 06-03-2013
Filesize: 4.07 MB

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
Date modified: 19-12-2011
Filesize: 306.79 kB
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
Date modified: 06-03-2013
Filesize: 540.98 kB

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
Date modified: 06-03-2013
Filesize: 502.18 kB
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
Date modified: 06-03-2013
Filesize: 1.22 MB

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
Date modified: 06-03-2013
Filesize: 433.25 kB

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
Date modified: 09-08-2011
Filesize: 1.24 MB

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
Date modified: 06-03-2013
Filesize: 638.13 kB

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
Date modified: 06-03-2013
Filesize: 271.73 kB

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
Date modified: 11-07-2011
Filesize: 622.56 kB

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
Date modified: 06-03-2013
Filesize: 576.23 kB

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
Date modified: 11-07-2011
Filesize: 615.54 kB

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
Date modified: 07-07-2011
Filesize: 921.78 kB
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
Date modified: 19-05-2011
Filesize: 505.49 kB

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
Date modified: 06-03-2013
Filesize: 233.72 kB

Executive Summary of the full discussion document. 

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

Date published: 21-04-2011
Date modified: 06-03-2013
Filesize: Empty

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
Date modified: 06-03-2013
Filesize: 160.69 kB

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
Date modified: 06-03-2013
Filesize: 210.68 kB

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
Date modified: 06-03-2013
Filesize: 213.88 kB

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
Date modified: 06-03-2013
Filesize: 376.93 kB

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