Updated revalidation standards and guidance

The Nursing and Midwifery Council (NMC) has updated its revalidation standards and guidance in line with a planned review and stakeholder feedback | NHS Employers

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Key changes

All documents except the Code have been revised. The standards and guidance includes:
  • New examples of circumstances which would not count towards practice hours,
  • Changes in How to revalidate and the guidance sheet to explain why the reflective discussion partner must be a registrant and why the discussion must be a single discussion with one other person.
  • Changes to the continuing professional development (CPD) examples to clarify that CPD is separate and different from everyday learning.
  • An explanation on how confirmation differs from appraisal.
  • Amendments to the alternative support arrangements guidance sheet.

More detail at NHS Employers

Download the revised guidance documents via NMC

Managing Conflicts Of Interest In The NHS: Guidance For Staff And Organisations

This guidance is intended to protect patients, taxpayers and staff covering health services in which there is a direct state interest. It comes into force on 1 June 2017 | NHS England 

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Image source: NHS England

This guidance aims to strengthen the management of conflicts of interest within the NHS and to ensure transparent and accountable health care. The guidance permits NHS staff to receive small tokens or gifts but will require them to decline anything that could be seen to affect their professional judgement. It will also be standard practice for NHS commitments to take precedence over private practice, and for any member of staff – clinical or non-clinical – to declare outside employment and the details of where and when this takes place although not earnings at this stage.

Read the full guidance here

New confidentiality guidance published by the GMC

The General Medical Council (GMC) has  published revised, expanded and reorganised guidance on confidentiality for all doctors practising in the UK.

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The guidance – Confidentiality: good practice in handling patient information – comes into effect from Tuesday 25 April 2017.

Revisions have been made to the guidance, last published in 2009, following an extensive consultation exercise. While the principles of the current GMC guidance remain unchanged, it now clarifies:

  • The public protection responsibilities of doctors, including when to make disclosures in the public interest.
  • The importance of sharing information for direct care, recognising the multi-disciplinary and multi-agency context doctors work in.
  • The circumstances in which doctors can rely on implied consent to share patient information for direct care.
  • The significant role that those close to a patient can play in providing support and care, and the importance of acknowledging that role.

Full guidance available here

GMC press release here

NHS efficiency map

The Healthcare Financial Management Association and NHS improvement have updated the NHS efficiency map.

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This map promotes best practice in identifying, delivering and monitoring cost improvement programmes in the NHS.

It contains links to a range of tools and guidance to help NHS organisations improve their efficiency and includes sections on enablers for efficiency, provider efficiency and system efficiency.

Sustainable development guidance

The sustainable development unit has published revised guidance on writing management plans for sustainable development. The guidance, which is for use by providers of any size and commissioning groups has been updated in line with the current NHS standard contract. 

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The guidance is intended to support organisations to understand the key elements that make up a Sustainable Development Management Plan (SDMP). It also provides some advice on how organisations can develop their organisation’s SDMP.

Having a board approved Sustainable Development Management Plan (SDMP) is one of the cornerstones of the Sustainable Development Strategy and it is also an indicator in the Public Health Outcomes Framework.

Developing an SDMP (or equivalent) will help organisations to:

• Meet minimum legislative, contractual and mandatory requirements related to SD
• Save money through increased efficiency and resilience
• Ensure that health and wellbeing in the UK and beyond is protected and enhanced.
• Improve the environment in which care, or the functions of your organisation are        delivered, for service users and staff
• Have robust governance arrangements in place to monitor progress
• Demonstrate a good corporate reputation for sustainability
• Align SD requirements with the strategic objectives of your organisation.

Read the updated guidance here.

Qualitative evidence synthesis to improve implementation of clinical guidelines

Christopher Carroll argues that generic advice to share decision making is insufficient and that successful clinical guidelines need to reflect disease specific insights into patients’ experiences, views, beliefs, and priorities | BMJ

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As Sackett and colleagues wrote 20 years ago, evidence based practice involves the use of the “best external evidence” to inform clinical decision making. The published evidence used to underpin clinical guidelines, including those produced by the National Institute for Health and Care Excellence (NICE) in the UK, is almost exclusively quantitative. This is understandable as the principal focus is efficacy and safety: the aim is to establish what works. However, Sackett and colleagues were also clear that clinical practice should take account of patients’ preferences.

This is currently achieved by patient involvement in the process and by using primary qualitative research, which uses techniques such as interviews to explore how and why patients make the decisions they do. But a synthesis of such qualitative research studies paints a rich, subtle, and useful picture of patients’ experience, views, beliefs, and priorities, and could improve the implementation of clinical guidelines.

Read the full article here

NHS efficiency map

The Healthcare Financial Management Association and NHS Improvement have worked in partnership to update and revise the NHS efficiency map.

The map is a tool that promotes best practice in identifying, delivering and monitoring cost improvement programmes (CIPs) in the NHS. The map contains links to a range of tools and guidance to help NHS bodies improve their efficiency.

The national focus on improving efficiency and productivity will mean taking local action to deliver savings remains a priority for all NHS organisations. Aimed at NHS finance directors and their teams and other NHS staff with an interest in the delivery of CIPs, the purpose of the NHS efficiency map is to highlight existing resources on eliminating waste, increasing efficiency and at the same time improving quality and safety.

The map is split into three sections: enablers for efficiency, provider efficiency and system efficiency.

The map highlights the successes some NHS providers have had in delivering specific efficiency schemes and provides sign-posts to existing tools and reference materials. It also includes updated definitions for different types of efficiency.

The map can be downloaded here