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module 8 > HCLP > Flashcards

HCLP Flashcards

1
Q

what are the 5 main issues with the GDC

A
  • fear
  • relationships with other bodies
  • annual retention fee
  • skill mix
  • lengthy FTP processes
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2
Q

what has been the main driver of fear of the GDC within the dental community over the past 10 years

A

fitness to practice cases and how they are prosecuted

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3
Q

who is the overarching body of the GDC

A

professional standards authority

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4
Q

why has the annual retention fee being a problem with the GDC over the past 10 years

A

it was massively increased

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5
Q

why is skill mix an issue within the GDC

A
  • regulates all of dentistry
  • FTP hearings have a mixture of professionals
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6
Q

how long can a fitness to practice hearing last

A

up to 18 months

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7
Q

what happened in 2015 which was significant for the GDC

A

parliament UK GDC aaccountability hearing

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8
Q

how do you find out if there has been a complaint made to the GDC about you

A

letter from GDC caseworker

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9
Q

what should be the first thing you do when receiving a fitness to practice complaint

A

contact indemnity

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10
Q

what should you never do before contacting indemnity when facing fitness to practice with the GDC?

A

email caseworker back or give any information

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11
Q

why do hospital workers have to have private indemnity as well as their NHS indemnity?

A

doesnt cover GDC FTP hearings

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12
Q

what does hospital worker NHS indemnity cover

A

claims for compensation only

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13
Q

what is “initial triage” in terms of GDC Fitness to practice?

A

when a pt complains straight to the GDC they will throw it out and send it back to the dentist first to try and sort as “initial triage”

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14
Q

how many case examiners does a fitness to practice case have

A

2

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15
Q

who is the fitness to practice case initially considered by?

A

case examiners

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16
Q

who makes up the case examiners on a fitness to practice hearing?

A
  • one registrant
  • one lay person
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17
Q

if the complaint to the GDC for fitness to practice is against a dentist, then who will be the registrant case examiner?

A

a dentist

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18
Q

what is a fitness to practice case considered on initially

A

the papers alone

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19
Q

does the dentist or complainant attend the initial consideration of fitness to practice by case examiners?

A

no, neither

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20
Q

what possible outcomes can the case examiners come back with

A
  • take no action
  • letter of advice
  • agree undertakings
  • published warning
  • send forward to practice committee
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21
Q

what must happen for the case examiners to come to a conclusive decision

A

they must agree on the same action

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22
Q

what if the case examiners cannot agree on the same outcome in a FTP hearing?

A

referred for full investigating committee

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23
Q

what does “take no action” mean in a FTP hearing

A

complaint is thrown out completely

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24
Q

what does “letter of advice mean” in a FTP hearing

A

letter advising dentist eg please improve your record keeping

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25
what must you do if the case examiners agree to assign undertakings further to a FTP meeting?
must go through defence union
26
give an example of "agreed undertakings" post FTP hearing?
Tx specific restrictions, various courses until can carry out that Tx again
27
where is the "published warning" shown further to a FTP hearing
GDC website
28
what is significant about getting a published warning further to FTP hearing
stays on FTP hisotry like a police record
29
why would the case examiners send the complaint forward to a practice committee
to escalate further
30
when would a registrant by referred to the interim orders committee
if there are conditions or suspension
31
how long can restrictions be imposed by the interim order committee for
18 months
32
what are the three types of practice committees
- professional conduct committee - professional performance committee - health committee
33
when would the health committee be involved with a dentists FTP hearing
if issue is relating to a health issue eg BBV, addiction, suicide etc
34
how does the professional conduct committee determine whether the dentist is fit to practice
2 stage test
35
who makes up the panel of professional conduct committee
panel of 3 or 5 people - always odd no so that definite outcome
36
what is the 2 stage process used by the professional standards committee
- do the proven facts amount to misconduct - is the FTP CURRENTLY impaired
37
name the different findings and sanctions that can be determined by the practice committees during FTP hearing
- no misconduct found - no case to answer - no impairment - reprimand - conditions on registration - suspension from register - erasure from register
38
when would 'no case to answer' be determined by the practice committees
- complaint is ridiculous - GDC makes a mess of the case
39
what does 'no impairment' mean when determined by the practice committees
there has been misconduct but the registrant has remediated and theres now no impairment
40
what is significant about getting a reprimand from the practice committees
stays on fitness to practice record
41
how long can conditions on registration set by the GDC practice committees be?
up to 3 years
42
how long can someones be suspended from the register from the practice committees for - and what happens at the end of this time
12 months - reviewed and then extended or removed
43
what must you do if under conditions or suspension by the GDC practice committees
demonstrate - continued personal development plan - appropriate CPD
44
how long can someone be erased from the register for
5 years
45
how long does a registrant have to appeal any decision of the GDC
28 days
46
what are you compared against whenever you go to the GDC
GDC standards
47
what does the 'real prospect test' need to be proven against
the balance of probabilities
48
what is the real prospect test
- can the facts be proven - do any facts being proven amount to current impairment
49
what is current impairment judged against for FTP
what remediation has been made since the charges came about
50
what does the GDC focus on during FTP hearings
CURRENT FTP
51
what does the GDC take into account during FTP hearings in order to judge impairment
past and current circumstances
52
what are the 3 factors the GDC take into account to decide whether fitness to practice is impaired
is it: - easily remediable - has been remedied - highly unlikely to be repeated
53
what can actions since charges to the GDC came about do in terms of outcome of the hearing
minimise whatever you get
54
how can you show the GDC insight during a FTP hearing
- admission of deficiencies - reflective learning
55
name 5 things you can do to show the GDC remediation during a FTP hearing
1. proof of CPD 2. audit of whats been done 3. awareness of guidelines 4. peer review and mentor 5. PDP/ reflective log
56
what other issues and non-clinical issues might the GDC consider
- criminal charges - illegal practice - dishonesty - operating out-with scope - professional disputes - behaviour on social media
57
what should you do if a pt contacts you over social media
- explain its not appropriate and direct them to professional profile
58
what should social media never be used for in dentistry
- discuss individual pts or their care to them or anyone else
59
when should you refer a pt
- dont know what to do - something very worrying - you mess something up - second opinion - guideline advice
60
how can a pt be referred
- standard form - letter - phone - secure email
61
when would a pt be referred by phone-call
an urgent case
62
where does suspected cancer get referred in tayside
maxfax
63
what happens if you refer to the wrong place
delays management
64
what must you get before you copy in any other health professionals to a referral letter eg GMP
permission from pt
65
what should you do if there are complex treatment plans or options for a pt
write to them with all the details
66
when would you write to a pt
- if part of consent process - complex Tx options - they wont take your advice - Oral health advice
67
what type of indemnity do defence unions make up
discretionary
68
what is the newer type of indemnity
insurance based
69
what type of indemnity is provided in NHS hospitals
crown indemnity
70
why is scotlands indemnity cheaper than england
less claims for compensation
71
what might indemnity cost vary with individually
- amount of claims - what Tx you do
72
do you have to have indemnity, why?
GDC requirement
73
what type of indemnity covers what has been done in the past - before joining a new provider?
run-off cover
74
what is the most important thing that indemnity can help with
GDC FTP
75
what should you disclose accurately to your indemnity provider
- scope of practice - hours of work - where you work - correct grade of indemnity
76
what else can indemnity help with
- complaints - claim for compensation - FTP - ethical issues - raising concerns - child protection - ombudsman complaints - professional disputes - reputation damage - employment law advice
77
how long is the CPD cycle
5 years
78
what happens in you miss the annual CPD reporting deadline
your CPD doesnt count
79
what is cGDC?
mandatory reflection
80
what should you use for your reflection and CPD
SMART goals
81
what does SMART goals stand for
- specific - measurable - achievable - realistic - time based
82
how many hours or BLS are recommended within what time frame
10 hours in 2 years
83
what does all CPD have to link into?
GDC development outcomes
84
why are appraisals done
- positive feedback - identify areas for improvement - identify barriers
85
why are appraisals done in dentistry
- maintains public, employer and self confidence
86
who are appraisals in the NHS essential for?
PDS and hospital staff
87
who HAS to do appraisals working for the NHS?
- PDS - hospital staff
88
who does appraisals in practice?
all staff
89
when should an appraisal be done
annually
90
who usually organises appraisals in practice
practice owner/manager
91
what happens in an appraisal?
evidence is gathered by staff and send to the appraiser
92
what must you stick to for appraisals to be successful
deadlines
93
name a quality improvement activity
audit
94
what happens if you miss appraisal deadlines
you can be in regulatory trouble

module 8 (9 decks)

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