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The GMC states that ‘credentials will bring assured training and regulatory oversight to areas where consistent clinical standards, recognised across the UK, are necessary for better patient care. They will support areas of practice where patients are at risk due to workforce gaps…’
In 2018, the Faculty of Pain Medicine applied to the GMC to be one of the first five pilot credentials on the basis that:
The ACSA scheme has the concept of continuous quality improvement at its heart, and departments who engage with the scheme have to demonstrate this in order to gain and retain accreditation.
One way we drive improvements is through our annual review of the ACSA standards, where we introduce new standards to focus departments’ energy on areas of growing importance to the specialty. New standards introduced in the 2022 edition cover responsible opioid stewardship, environmental sustainability, leadership within departments, and protecting time for clinical-governance activities. Through these new standards we will also be able to collect examples of good practice, which we then share with other departments via the ACSA IT portal. The latest version of the standards, along with a summary of changes, are available here.
We have recently been adding some important updates to the Revalidation section of the College website, and we would like to draw your attention to these.
The first update focuses on appraisal: a key component of revalidation is the annual appraisal during which doctors will discuss their supporting information to demonstrate that they are continuing to meet the principles and values set out in Good Medical Practice.1
Author: Dr Richard Knight, Retired Anaesthetist, archives@rcoa.ac.uk
In April 1982, I was grinding through a locum session in a Swedish regional hospital when my wife telephoned me to tell me that the duty officer in my UK medical unit has asked her to say a single word to me – the super-secret word designating the necessity to report immediately to the unit.
This was my initiation into Mrs Thatcher's plan to recapture the Falkland Islands.
Most men in the unit knew where Argentina could be found in an atlas, mainly because of the forthcoming football tournament starring Maradona. This had not been the situation when Dr David Owen as Foreign Secretary, had put the unit on stand-by to repel invading Guatemalans from entering British Honduras. Then, the staff sergeant was compelled to send his wife to the NAAFI to buy an atlas.
After days of packing and repacking equipment, the unit was trucked to Southampton to join 2 Para on board a North Sea car ferry. Cabins were allocated, in the best military tradition, by rank, but in reality were all the same tiered bunks. The major in the overhead bunk was to read and reread his copy of Herodotus, in Greek.
COVID-19 has dominated and it is easy to focus on the negatives, but, as an eternal optimist, I see many positives. I had three objectives when I became dean, the first of which was to promote our specialty.
I think everyone now knows what we do and, as a result, we have increased training numbers, expanded capacity, and embedded enhanced care. My second objective was to develop international partnerships. Despite travel being restricted, embracing digital platforms afforded us the opportunity to work with the College of Intensive Care Medicine of Australia and New Zealand and the Apollo group in India.