About the system Chief Officer Director of RIE Director of WGH Director of SJH Director of WampC Director of DATCC Director of OAS Director of AHP amp THERAPY ED Minor Injuries ID: 1044014
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1. Governance infrastructureAbout the system
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4. Chief OfficerDirector of RIEDirector of WGHDirector of SJHDirector of W&CDirector of DATCCDirector of OASDirector of AHP & THERAPYED/ Minor InjuriesAcute and General Medicine MOERespiratoryCardiologyScottish Poisons BureauSleep MedicineStrokeIOPSCardiac SurgeryThoracic SurgeryMDCUNeurology Vascular,TransplantNeuro SurgeryOrthopaedics RIE RenalGeneral SurgeryGI- ward onlySDCUSurgical Observation UnitMAU T & Minor InjuriesAmbulatory Care.Acute & General Medicine RespiratoryInfectious DiseasesOrthopaedic rehabilitation Stroke MoE MoE RehabilitationMoE Day Hospital (ARC)Cancer services:Chemotherapy (SACT)Haematology/HaemophiliaOncologyPalliative CareRadiotherapyBreast surgeryBreast screeningSAUColorectal UrologyRheumatology GI A&E / Minor InjuriesAcute General MedicineCardiologyRespiratoryMOEGIEndoscopy (Pan-Lothian)ENTOphthalmologyBurns/Plastics OMFSNeonatalPaediatric A&EHealth Visitors (NHSL wide HV training & management of Edinburgh City HV’s)School Nursing (for Edinburgh City), Family Nurse partnershipPaediatric critical careCommunity midwiferyCommunity child healthCommunity children’s Paediatric SpecialtiesNursingOncology & HaematologyMedical PaediatricsDiabetes and EndocrinologyNeurologyRespiratory MedicineGynaecology Maternity Paediatric SurgeryEar, Nose & ThroatPlastic SurgeryGeneral SurgeryTrauma and Orthopaedic SurgeryScoliosisNeurosurgery EFRECTheatres Anaesthetics Critical Care Adult RadiologyMedical PhysicsLaboratories HAN Adult (All sites)Pain Service All outpatient services at RIE, WGH, St John’s, and Lauriston – not RHSCEndocrine & DiabeticsOutpatient redesignPatient transport Flow CentreDermatology Rehabilitation PhysiotherapyOccupational Therapy DieteticsPodiatrySpeech & Language therapistDirector X1AND X2 AMD X 1CSM X 2 CNM X 8CD X 5 MedicineSurgerySenior StaffingDirector X1AND X1 AMD X 1GM X 1Head of Service x 1Service Manager x 2CNM X 7CD X 6Director X1AND X1 AMD X 1 CSM X 5CNM X 4 CD X 2Director X1AND XAMD XCSM XCNM X Director X1AND X1 AMD X 2GM X 1CSM X 3CNM X 3CD X 6Director X1AND X1 AMD X 4GM X 2 CSM X 4CNM X 5 CD X 9Director X1AND X1 AMD X 3GM X 2 OM X 1 CSM X 6CNM X 9 CD X 9
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6. Recognizable high standards of careTransparent responsibility and accountability at all levels in all professional groupsFocused and constant dynamic of improvementWhat does high quality governance look like?
7. SAE Review
8. Recommendations and actions
9. Swiss Cheese Model – Mitigating Risks associated with use of multiple vaccine types at C19 vaccination sitesAdverse Event - patient receives the incorrect vaccine type at 1st and/ or second doesInitiating Event/Hazard - use of multiple vaccine types at C19 vaccination sitesPatients BookingDelivery & StorageVaccinationPatients
10. How easy is it to know what’s going on?
11. What are our responsibilities as individuals?To understand our role and perform as part of a teamRaise concerns appropriatelyBe part of finding a solution and putting it into practice
12. Governance structure (about you- appraisal and revalidation)
13. GMC expectations to maintain your licence to practiceParticipate annually in appraisalParticipate once in the five year cycle in structured objective patient feedback and colleague feedback and use this to reflect upon your practice
14. Appraisal in ScotlandWe use SOAR across NHS ScotlandAll appraisers are trained by NESIts not a place for additional employer requirementsYour CD should allocate you to an appraiserAppraisal out of specialty is healthy
15. Non engagers, recidivists and deferrals
16. What are the expectations about appraisal?
17. Responsible Officer roleThe RO makes a recommendation to the GMC for a revalidation decisionIt’s is based on BOTH the participation in appraisal and supporting evidence AND the absence of concerns about a doctor’s practice it’s a personal responsibility, against my GMC number, every Designated Body must have an RO
18. Systems and processes that support making a recommendationRegular participation in Appraisal and feedback from patients and colleagues in the 5 year cycle No concerns about the doctor’s practice
19. Fundamental misunderstanding about the principal role of GMC is not uncommon amongst doctors
20. Fitness to practise or fitness for purpose
21. Who are your role models?What do you role model?