CAA Update 2017 Dr Sally Evans - PowerPoint Presentation

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CAA Update 2017

Dr Sally Evans

Chief Medical Officer, UK CAA

AAME, 18 Mar 2017

Slide2

Outline

Medical Review

Who is who at the CAA?

Post

Germanwings

actions

EASA Update

Medical self declaration

AME and

Aeromedical

Centre (

AeMC

) Oversight

CAA/AME relationship

Aviation Health Unit

Aviation and Space Medicine

Slide3

Medical Review

Medical Capability Team and Shared Service Centre (Medical Support Team)

Resource reviewed

4

AeMCs

external to CAA

Funding reviewed

Efficiency and Effectiveness Projects

Accommodation

Slide4

Medical Capability (Technical) Team

Chief Medical Officer

Head AMS

Medical Assessors

2+1V

2x0.6

AMAs

4

Phlebotomist

Consultant Advisers

Psychiatry

Cardiology

DM Neurology

Head Oversight

AME Training Project0.6

Medical Assessors (Audit)0.42+1V x0.2

Head Aviation Health Unit

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Medical Support Team (Shared Service Centre)

Manager Medical Support Team

Technical Officer (V)

Professional Support Team (4.6)

Aeromedical

Casework Officers (6.8)

Medical Records Officers (6)

Chief Medical Officer

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AeMCs

X

X

X

Slide7

Funding of Medical

Slide8

Efficiency and Effectiveness Programme 2017/18 – 4 Project Charters

1) Improve

the Resilience and Effectiveness of

Strategy,

Standard Setting, and

Advice Provision

2) Improve the Efficiency and Effectiveness of

AME Oversight and Development

3) Improve the Efficiency and Effectiveness of

Complex Case Management

4) Improve the management of our

Medical Records

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Quick wins for AMEs

New scanning equipment – will ensure all documents correctly orientated

Use of contact manager rather than file report manager

ECG reporting

new online ECG over-read form to be made available

download of previous ECG traces - 2 options being looked at, estimated delivery April/May

Service Level Agreement for technical support to AMEs in development for release in March

Egress Switch encryption email

Technical writing skills secured to update AME on Line quick user guideAdministration training to be on training platform Summer 2017

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Current Projects

MARS/AME on Line Replacement

Performance Based Oversight

2-way communication – including periodic meetings with AAME/SAAME

Information flow of what is / might be coming up

Involving AMEs in developing / testing before implementation

Encourage development of and support AME support groups

Review of Call Centre operation

Customer service trainingContacting Duty MA/Duty AMA – explore option of Skype ‘chat’ facility

Guidance for AMEs / applicants on submitting reports by emailClarification for pilots of ‘what my AME will do for me’ and ‘what the CAA will do for me’‘Fit Class 1’ training for AMEs – aim is to roll out Summer 2017EASA Standardisation (MEST) 2017 preparation

Slide11

Other Projects

ITDM

‘Unfit Class 1’ roll out

Increase in psychiatry capacity

39

th

ICAO General Assembly Sep 2016/ health education

Guidance material

Age 60 single pilot commercial rule

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Post Germanwings Actions UK

Pilot Support Programmes

n Authority

Information

Issued: 24 January 2017

 

Pilot Support Programme – Guidance for Operators

National Pilot-Peer Assistance Network

GMC Confidentiality Guidance amendments (on GMC web site now – replaces current guidance in April)

Encourage development of AME peer networks (

eg holiday cover for urgent aeromedical advice)Random drugs and Alcohol testing

Civil Aviation Authority

Information NoticeNumber: IN–2017/005

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eLearning Platform

Aims to support the continuing professional development of AMEs

Refresh and emphasise specific aspects of practice

Provide structured training and assessment via a highly accessible on line platform

Enable the recording of aviation medicine CPD (as a replacement for “annual returns”)

Other content being explored includes

fora

to to encourage networking

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e Learning Platform

Latest news:

We have a server host and contract has been awarded

Web-based to avoid hardware issues and provide access from different devices e.g. PC, smart phone, tablets

Initial content in development includes:

existing material licensed from other providers e.g. RCGP

current CAA AME administration course adapted for on-line learning with revisions

reflecting findings from oversight visits

Planned roll-out in summer 2017

AMEs have previously offered assistance with testing and we will be taking some of you up on that.

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Post GW Actions/EASA Update

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EASA Rulemaking

ATCO EU Class 3 Dec 2016

Basic Regulation update

Part Ops

Part MED

General

Post GW

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EAMR - European Aero-Medical Repository

Recommended by

Germanwings

Taskforce: National Authorities to collaborate and exchange information

Pilots increasingly mobile, system designed to eliminate medical tourism

Web based system - Class 1 pilots only

Currently 14 fields to be populated (6 basic fields, 8 medical certificate fields)

Responsibility for the creation of initial record, and subsequently data entry, maintenance and quality lies with each NAA.

NAA and their AMEs will require access and require training

EASA expect data capture to be complete in 12- 15 months. As each pilot is revalidated or recertified, then the initial record is created (UK: 25,500 records 12 month cycle)

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Medical self-declaration

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Oversight update

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AeMC/AME Current Numbers

3

AeMCs

Brookdale

Medical Centre Gatwick

Centreline London

Heathrow Medical Services

202 Active AMEs – No significant change

140 UK based Class 1 (130)

35 UK based Class 2 (35)27 Non-UK based Class 1 (34)(Brackets are figures from a year ago as reported at SAAME/AAME conferences 2016)

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AME Oversight Visits (current cycle)

Oversight visit format:

practice visit

review of selected CAA aeromedical records

observe a medical

discussion

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Findings

81% of visits result in no findings or only Level 2 findings

Most findings arise in circumstances where doctors are not familiar with Part MED or with the CAA guidance material written in support of compliance with Part MED

AME produces action plan to address findings and completes corrective actions

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Part MED

https://

www.easa.europa.eu/regulations

(Google “EASA regulations

Click here

“Consolidated version of Regulation (EU) No 1178/2011” (Annex IV is Part MED)

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Significant findings

From information declared by an applicant, the AME

makes an assessment that is not compliant with

Part MED

34

AME

does not perform

a satisfactory examination

3

Applicants

not required

to provide AME with a completed application form

1Other Regulatory Non-Compliance e.g. not

notifying CAA of GMC investigation or sanctions, issues relating to the transfer of records/medical confidentiality13

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IMPORTANT – AME Recertification

We’re in the process of re-certificating around 70 AMEs whose current certificates expire on 31

st

March 2017 – all annual returns received.

We conduct an internal check to ensure compliance with the recertification requirements (Part MED.D.030)

(a)

registered and licenced to practice

(b)

20 hours aviation medicine CPD during the period of the certificate (ie within

the last 3 years)(c) performed at least 10 aero-medical examinations per year(d) if had audit visit then all findings closed or target date beyond 31/03/2017Evidence for (b) comes from annual returns and so if we have not received these and have no evidence that an AME meets this requirement we will not be able to re-certificate.

We still await 49 Annual Returns (deadline was 6 Mar 17).

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AME Centric Overview

Monthly, quarterly management information

Policy and

procedure

(Reference)

Library,

Oversight

Manual,

All AME

comms

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CAA/AME Relationship

AAME Survey

Regular AAME/SAAME meetings

Attendance at AME Network meetings

Training for changes: Regional seminars for ‘fit C1’

Request: Venues? (email: amesupport@caa.co.uk)

Call Centre Review – AME views, CAA staff views, usage, hours, expectations, scripting for consistency, customer service training

Service Level Agreement for

AoL

technical supportLearning modules including case scenariosRequest: Topics? (email: ewan.hutchison@caa.co.uk)Information on pilot’s record: abandoned file tab only visible to CAA onlyClarification of modern AME role (CAA, not GP or OH, decision maker, managing Conflict of Interest, year round aeromedical

advice)

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Pleas to AMEs

Send information to CAA when requested:

Annual returns (49 outstanding)

Action Plans post audit

Move casework off the tracker within a few days (10 days max)

NB to inform Licensing Authority of a pilot’s unfitness if non-UK licence holder. The LA will need to know why unfit and has the responsibility to make fit again.

Guidance Material – let us know if out of date

(email:

medicalweb@caa.co.uk)Information on CAA web site – let us know if obsolete

(email: medicalweb@caa.co.uk)

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Telephone calls to CAA

Mutual expectations around access to advice, response time, appropriate issues, what to prepare in advance, what to enter on contact management, ensure clarity of decision maker

Preparation before the call (

eg

ensure have sufficiently detailed consultant report – be prepared to revert to pilot’s consultant for more detail)

Discussing on line chat support facility

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What to Leave on a Voice Mail Message

Should include:

Name of AME

Ref No of pilot

Whether return call

‘Urgent’

– within an hour or

‘Non-urgent’

– within a few hours or ‘Low Priority’

– routine enquiry.AME’s Tel No Preferred time period for return callAME’s alternate Tel No if alternative period for return of call Please be Clear, Slow, Concise

and Speak in a Good Volume!

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Projects, involvement and communication

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CAA/AME Workshop

Either 19 or 24 April

To develop ‘

proforma

’ for use before calling CAA

To develop standardised referral form (from AME to medical assessor) for use by AMEs

To discuss how CAA can encourage AME support networks

To develop guidance for AMEs on use of contact management

To consider ‘

buddying’ of new AME with experienced oneWe would like reps of AAME/SAAME, AeMCs, airlines, individual AMEs – approx 10 in totalIdeally we will continue to hold workshops periodically on emerging issues

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Responsible Officer/Suitable Person

Role is NOT related to CAA certification – it relates to whole of medical practice

Suspension or revocation of an AME certificate – RO/SP will from now on be informed

UK GMC only

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Aviation Health Unit

Zika

virus

Cabin Air issues

Volcanic ash

Space weather

Passenger fitness to fly

Advice to health professionals

Pandemic preparedness planningAlso cabin crew assessments

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Specialty of Aviation and Space Medicine

From 1 April 2016

GMC approved curriculum

Specialty Registrar – 4 year training programme

CESR

vs

CCT

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Any questions ?

www.caa.co.uk/medical

medicalweb@caa.co.uk