Non standard doctors and the Responsible Officer

Responsible officer training day

Stirling

Non Standard Doctors

• Private doctors

• Doctors in training

• Locum doctors

• Doctors working in NHS management

• University Staff

• Others

Doctors in Private Practice

1. Work predominantly in NHS Scotland

2. Employed full time private practice3. Self employed full time private

practice4. Hospice doctors5. Others

Private Practice but work predominantly in NHS Scotland

• Enhanced appraisal in NHS Board

( appraisal where most work done)

• Evidence from private practice

• Private institutions facilitate this data

• Complaints

• Private institutions will require the form 4

Doctors in Private Practice

• Work predominantly in NHS Scotland

• Employed full time private practice

• Self employed full time private practice

• Hospice doctors

• Others

Doctors employed in full time private practice

• Resident medical officers in the large provider hospitals (Spire, BMI, Nuffield)

• DH granted RO status to medical directors from BMI, Spire and Nuffield

• Relate to the Company RO• Appraisal arrangements unclear• NHS Scotland appraisers (NES trained &

allocated)

Doctors in Private Practice

• Work predominantly in NHS Scotland

• Employed full time private practice

• Self employed full time private practice

• Hospice doctors

• Others

Self-employed doctors in full time private practice

• Retired doctors “dabbling” in private practice• Relate to the company RO or private doctors

federation RO (London)• ? Company RO may become a condition of

admitting rights• Big private hospitals may NES train appraisers• Doctors – may approach local Board appraisal

structure

Doctors in Private Practice

• Work predominantly in NHS Scotland

• Employed full time private practice

• Self employed full time private practice

• Hospice doctors

• Others

Hospice doctors

• One hospice per Board

• Charities• Close working with

NHS Scotland• Use the NHS Board

structure• ? Cost

Doctors in Private Practice

• Work predominantly in NHS Scotland

• Employed full time private practice

• Self employed full time private practice

• Hospice doctors

• Others

Other doctors in private practice

• Small numbers (circa 20)

• Cosmetic clinics (overseas temporary doctors)

• Castlecraig Clinic

• Governance unclear

• Prepare a comprehensive list

Doctors in training

• RO – medical director at NES

• Deanery assessments

• Input from Board CD/AMD

• Portfolio to SOAR

Locum Doctors

• Locum for 3 months in NHS Scotland (offered an appraisal) ? output

• Agency locums - Agency responsible - NHS Scotland employer checks - Up to date form 4s• Locum Bank Scotland• Free agent locums ???

Doctors in Management

Medical directors, Officers in SGHD, Post Graduate Deans

• NALG Guidance

• Separate from performance review

• SAMD System

• Access local appraisal structure (seconded doctors)

University doctors

• Follett principles• Joint Appraisal• Whole practice

evidence• Place of most work

others

• Legal reports only• Tribunals• Retired doctors• Pharmaceutical

company doctors• Ships doctors