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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
Q

what must you do if the case examiners agree to assign undertakings further to a FTP meeting?

A

must go through defence union

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26
Q

give an example of “agreed undertakings” post FTP hearing?

A

Tx specific restrictions, various courses until can carry out that Tx again

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27
Q

where is the “published warning” shown further to a FTP hearing

A

GDC website

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28
Q

what is significant about getting a published warning further to FTP hearing

A

stays on FTP hisotry like a police record

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29
Q

why would the case examiners send the complaint forward to a practice committee

A

to escalate further

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30
Q

when would a registrant by referred to the interim orders committee

A

if there are conditions or suspension

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31
Q

how long can restrictions be imposed by the interim order committee for

A

18 months

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32
Q

what are the three types of practice committees

A
  • professional conduct committee
  • professional performance committee
  • health committee
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33
Q

when would the health committee be involved with a dentists FTP hearing

A

if issue is relating to a health issue eg BBV, addiction, suicide etc

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34
Q

how does the professional conduct committee determine whether the dentist is fit to practice

A

2 stage test

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35
Q

who makes up the panel of professional conduct committee

A

panel of 3 or 5 people - always odd no so that definite outcome

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36
Q

what is the 2 stage process used by the professional standards committee

A
  • do the proven facts amount to misconduct
  • is the FTP CURRENTLY impaired
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37
Q

name the different findings and sanctions that can be determined by the practice committees during FTP hearing

A
  • no misconduct found
  • no case to answer
  • no impairment
  • reprimand
  • conditions on registration
  • suspension from register
  • erasure from register
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38
Q

when would ‘no case to answer’ be determined by the practice committees

A
  • complaint is ridiculous
  • GDC makes a mess of the case
39
Q

what does ‘no impairment’ mean when determined by the practice committees

A

there has been misconduct but the registrant has remediated and theres now no impairment

40
Q

what is significant about getting a reprimand from the practice committees

A

stays on fitness to practice record

41
Q

how long can conditions on registration set by the GDC practice committees be?

A

up to 3 years

42
Q

how long can someones be suspended from the register from the practice committees for - and what happens at the end of this time

A

12 months - reviewed and then extended or removed

43
Q

what must you do if under conditions or suspension by the GDC practice committees

A

demonstrate
- continued personal development plan
- appropriate CPD

44
Q

how long can someone be erased from the register for

A

5 years

45
Q

how long does a registrant have to appeal any decision of the GDC

A

28 days

46
Q

what are you compared against whenever you go to the GDC

A

GDC standards

47
Q

what does the ‘real prospect test’ need to be proven against

A

the balance of probabilities

48
Q

what is the real prospect test

A
  • can the facts be proven
  • do any facts being proven amount to current impairment
49
Q

what is current impairment judged against for FTP

A

what remediation has been made since the charges came about

50
Q

what does the GDC focus on during FTP hearings

A

CURRENT FTP

51
Q

what does the GDC take into account during FTP hearings in order to judge impairment

A

past and current circumstances

52
Q

what are the 3 factors the GDC take into account to decide whether fitness to practice is impaired

A

is it:
- easily remediable
- has been remedied
- highly unlikely to be repeated

53
Q

what can actions since charges to the GDC came about do in terms of outcome of the hearing

A

minimise whatever you get

54
Q

how can you show the GDC insight during a FTP hearing

A
  • admission of deficiencies
  • reflective learning
55
Q

name 5 things you can do to show the GDC remediation during a FTP hearing

A
  1. proof of CPD
  2. audit of whats been done
  3. awareness of guidelines
  4. peer review and mentor
  5. PDP/ reflective log
56
Q

what other issues and non-clinical issues might the GDC consider

A
  • criminal charges
  • illegal practice
  • dishonesty
  • operating out-with scope
  • professional disputes
  • behaviour on social media
57
Q

what should you do if a pt contacts you over social media

A
  • explain its not appropriate and direct them to professional profile
58
Q

what should social media never be used for in dentistry

A
  • discuss individual pts or their care to them or anyone else
59
Q

when should you refer a pt

A
  • dont know what to do
  • something very worrying
  • you mess something up
  • second opinion
  • guideline advice
60
Q

how can a pt be referred

A
  • standard form
  • letter
  • phone
  • secure email
61
Q

when would a pt be referred by phone-call

A

an urgent case

62
Q

where does suspected cancer get referred in tayside

A

maxfax

63
Q

what happens if you refer to the wrong place

A

delays management

64
Q

what must you get before you copy in any other health professionals to a referral letter eg GMP

A

permission from pt

65
Q

what should you do if there are complex treatment plans or options for a pt

A

write to them with all the details

66
Q

when would you write to a pt

A
  • if part of consent process
  • complex Tx options
  • they wont take your advice
  • Oral health advice
67
Q

what type of indemnity do defence unions make up

A

discretionary

68
Q

what is the newer type of indemnity

A

insurance based

69
Q

what type of indemnity is provided in NHS hospitals

A

crown indemnity

70
Q

why is scotlands indemnity cheaper than england

A

less claims for compensation

71
Q

what might indemnity cost vary with individually

A
  • amount of claims
  • what Tx you do
72
Q

do you have to have indemnity, why?

A

GDC requirement

73
Q

what type of indemnity covers what has been done in the past - before joining a new provider?

A

run-off cover

74
Q

what is the most important thing that indemnity can help with

A

GDC FTP

75
Q

what should you disclose accurately to your indemnity provider

A
  • scope of practice
  • hours of work
  • where you work
  • correct grade of indemnity
76
Q

what else can indemnity help with

A
  • complaints
  • claim for compensation
  • FTP
  • ethical issues
  • raising concerns
  • child protection
  • ombudsman complaints
  • professional disputes
  • reputation damage
  • employment law advice
77
Q

how long is the CPD cycle

A

5 years

78
Q

what happens in you miss the annual CPD reporting deadline

A

your CPD doesnt count

79
Q

what is cGDC?

A

mandatory reflection

80
Q

what should you use for your reflection and CPD

A

SMART goals

81
Q

what does SMART goals stand for

A
  • specific
  • measurable
  • achievable
  • realistic
  • time based
82
Q

how many hours or BLS are recommended within what time frame

A

10 hours in 2 years

83
Q

what does all CPD have to link into?

A

GDC development outcomes

84
Q

why are appraisals done

A
  • positive feedback
  • identify areas for improvement
  • identify barriers
85
Q

why are appraisals done in dentistry

A
  • maintains public, employer and self confidence
86
Q

who are appraisals in the NHS essential for?

A

PDS and hospital staff

87
Q

who HAS to do appraisals working for the NHS?

A
  • PDS
  • hospital staff
88
Q

who does appraisals in practice?

A

all staff

89
Q

when should an appraisal be done

A

annually

90
Q

who usually organises appraisals in practice

A

practice owner/manager

91
Q

what happens in an appraisal?

A

evidence is gathered by staff and send to the appraiser

92
Q

what must you stick to for appraisals to be successful

A

deadlines

93
Q

name a quality improvement activity

A

audit

94
Q

what happens if you miss appraisal deadlines

A

you can be in regulatory trouble

module 8 (9 decks)

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