GPhC revalidation Flashcards

1
Q

What is revalidation

A

Brought in after the shipman enquiry, hcps need to demonstrate that throughout the length of their careers they remian up to date and fit to practivce

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2
Q

When was revalidation first introduced and what was the timeline which it followed

A

2018

2015/16 - testing and research
2016/17 - piloting and evaluation
2017/18 - consultation and preparation
2018 - implementation and evaluation

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3
Q

What are the 3 mainstays of the revalidation framework

A

4 CPD records (planned & unplanned)
Peer discussion
Reflective account

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4
Q

What are the 3 questions you need to answer in a planned cpd record

A

Planned learning
What are you planning to learn?
How are you planning to learn it?
Give an example of how this learning has benefited the people using your services

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5
Q

What are the 2 questions you need to answer in an unplanned cpd record

A

Unplanned learning
Describe an unplanned event or activity that enabled you to learn something new or refresh your knowledge or skills
Give an example of how this learning benefited the people using your services

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6
Q

How many cpd records must be planned

A

At least 2 must be planned

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7
Q

What does the peer discussion part involve

A

GPhC want pharmacy professionals to identify someone (another pharmacist) with whom they will speak about their practice and record the benefit it has for the people using their services.

In person, over phone or using another form of communication

Relationship needs to be trusted, respected, open and honest, and feel like a ‘safe space’ where learning can arise from things that have gone well and not so well.

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8
Q

How do the GPhC review peer discussions

A

If selected for review, GPhC would only want to confirm that peer discussion took place, not ask for details of what was discussed

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9
Q

What records are kept for peer discussions

A

The name, contact details and the role of your peer on this occasion

Describe how the peer discussion changed your practice for the benefit of the people using your services

Why did you chose this peer?

How has this peer discussion helped you to reflect on and make improvements to your practice?

Give a real example of any beneficial outcomes for the people using your services as a result of making changes to your practice.

Do include any feedback about your practice that you have had from other people.

You do not have to include information on the subject(s) discussed if you feel the contents are confidential.

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10
Q

What is a reflective account

A

GPhC want pharmacy professionals to write a reflective account based on GPhC standards for pharmacy professionals to help demonstrate that this reflection is happening

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11
Q

What must be included in a reflective account

A

Learning surrounding scpecific GPhC stadards which can change every year. We must also work the answe around the following questions:

Tell briefly about your area of work (the setting of your practice and your main roles)

Tell briefly who the typical users of your service(s) are.

Tell how you meet the standards for pharmacy professionals we have selected

Give a real example(s) taken from your practice to illustrate how you meet the standards we have selected

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12
Q

When is a pharmacist fit to practice

A

GPhC considers a pharmacy professional fit to practise when they
can shows they have the skills, knowledge, character and health to do their job safely and effectively,
maintain the reputation of the profession

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13
Q

What does the GPhC describe fitness to practice mean and what does this mean practically

A

GPhC describes fitness to practise as a person’s suitability to be on the register without restrictions

In practical terms, this means:

maintaining appropriate standards of proficiency

ensuring you are of good health and good character

ensuring you are adhering to principles of good practice set out in various GPhC standards, guidance and advice

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14
Q

What impares a pharmacists fitness to practice

A

Misconduct

demonstration towards a patient or customer by a pharmacist (PT) of attitudes or behaviour from which that person can reasonably expect to be protected

Deficient professional performance (incl. competence)

Adverse physical or mental health which
impairs ability to practise safely and effectively, or
otherwise impairs ability to carry out the duties of a pharmacist (PT) in a safe and effective manner

Failure to comply with a reasonable requirement imposed (people with previous issues with fitness to practice) by assessor(s) in connection with carrying out a professional performance assessment

Conviction for criminal offence – British Isles & elsewhere;

Fixed penalty (not speeding fines);

Police caution in the British Islands;

Determination by a UK (or elsewhere) regulatory body for health or social care profession that person’s FtP is impaired;

Including in a barred list (Safeguarding Vulnerable Groups Act)

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15
Q

How are concerns about FtP raised

A

Complaints come from a variety of different sources

Patients and the public
Other healthcare professionals
Primary care/ NHS organisations
Other regulatory and enforcement authorities
Inspection visits
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16
Q

When should the investigating committee be refered to

A

When the info in question brings into doubt issues with:
Conduct, performance

  • presents actual or potential risk to patient or public safety
  • undermines, or is likely to undermine, confidence in pharmacy professions
  • serious or persistent failure to meet any of the standards for pharmacy professionals
  • honesty or integrity can no longer be relied upon

Health

adverse physical or mental health which presents a risk to pharmacy professional’s ability to practise safely or effectively

Public interest

and it is in the public interest to refer

17
Q

How does the GPhC investigate concerns

A

Stages

  1. Concern raised
  2. Initial inquiries and investigation
  3. Investigation
  4. Fitness to practice committee
18
Q

What does an investigation involve

A

Speaking to complainant and any witnesses

Speaking to pharmacist (or PT)

Visiting registered pharmacy premises where alleged incident(s) took place

May need to get witness statements from patients or other members of public

May formally interview pharmacists, their employees or owners of pharmacies

May seize evidence

19
Q

What is the decision making process around the ftp process

A

consider the conduct, performance and health aspects

Public interest considerations

Decision on outcome

20
Q

What are the 3 statutory committees acting within the gphc

A
  1. Investigating Committee
    Screening committee
    Meets in private and does not hear oral evidence
    Required to consider all cases referred to it and decide if allegation ought to be considered by FtP committee
  2. Fitness to Practise Committee
    Required to consider all cases referred to it
    Following referral, it must determine whether or not person’s FtP is impaired
  3. Appeals Committee
    For ‘appealable decisions’
21
Q

What do the investigating committee do

A

Refer to FtP committee
or
Investigating Committee may give:-
Warning => recorded in register

Advice to person concerned, and

Advice to any other person or other body involved in its investigation of the allegation

Registrar must inform person and person(s) who made allegation of decision and actions

22
Q

What must you do if a ftp allegation is alleged against you

A

Registrant must supply details (within 14 days)* of:
Employer
Person/ organisation with which has arrangements to provide pharmacy services

Registrar must notify
Secretary of State (etc.) of investigation of registrant’s FtP
And:
Employer
Person/ organisation with which has arrangements to provide pharmacy services

*Failure = misconduct

23
Q

What is a professional performance assessment

A

GPhC can make rules about circumstances when an assessment of standard of a registrant’s professional performance by assessor(s) may be required

GPhC may make provisions re
Composition of assessment teams
Their functions & procedures

Assessor(s) may require production of, and inspect and take copies of, any records relating to registrant’s professional practice
Records must be produced within 14 days!
Otherwise may seek court order

24
Q

What can the ftpc do if ftp is found to be impaired

A

Give advice to any other person or body involved in investigation of allegation on any issue arising out of, or related to, allegation

Issue a warning (recorded in Register)

Impose conditions (no methadone dispensing etc) (recorded in Register)
not > 3 years

Suspend from practising
not > 12 months

Remove from Register

25
Q

What are the rules around suspensions

A

Following review, FtP committee can give direction that:-

Entry may be removed from Register

Suspension of entry may be extended for a further period up to 12 months

Entry may be suspended indefinitely, if suspension has been in force for at least 2 years

In case of indefinite suspension, terminate suspension

On expiry/ termination of suspension, entry may be conditional on complying with requirements – for up to 3 years

26
Q

What is conditional register entry

A

Following review, FtP committee can give direction that:-

Period for complying with requirements may be extended for max of 3 years

Requirements may be added to, removed or varied

Entry may instead be suspended (e.g. where person has failed to comply with requirements) for max of 12 months

Entry may be removed from Register, if person has failed to comply with requirements

27
Q

When is an interim order used

A

When over the course of the FTP decision process there is reason to be concerned about public safety under the care of the pharmacist.

Interim suspension order – registrant
Max 18 months suspension of register entry

Order for interim conditional entry – registrant
Max 18 months conditional re complying with requirements

Interim suspension order – registered premises – pharmacy owner
Max 18 months suspension of register entry

The above must be reviewed
Within 6 months
Further review every 6 months (can request further after min 3 months)
May review if further evidence available

28
Q

What alterations can be made to interim orders

A

Fitness to Practise Committee may—

Revoke interim order

Add to, remove or vary condition(s) imposed by interim order

If satisfied that to do so is necessary for protection of members of public or otherwise in public interest:

  • Replace order for interim conditional entry with interim suspension order
  • Replace interim suspension order with order for interim conditional entry
29
Q

What are the rules surrounding the restoration of names to Register following FtP matters

A

Application cannot be made

  • Until at least 5 years after removal
  • Within 12 months of an earlier application

Applicant must provide evidence of FtP (as directed by FtP committee)

Restoration may be conditional – max 3 years

If restoration refused – FtP can direct that no further applications can be made

Inform in writing:

  • Decision & reasons
  • Right of appeal
30
Q

When can FtP decisions be appealed

A

Direction to remove entry of a person from one or more parts of Register

Direction for suspension or for conditional entry

Direction to vary conditions imposed by a direction for conditional entry

Direction that a person may make no further applications under that article in respect of one or more parts of the Register

31
Q

What is involved in the appeal process and what are its possible outcomes

A

Appeal to relevant court* and council
*High Court
Within 28 days

Possible outcomes:

  • Dismiss appeal
  • Allow appeal and quash direction
  • Substitute for direction with another direction FtP Committee could have given
  • Remit or refer the case to the Registrar or the Fitness to Practise Committee

and may make such order as to costs as relevant court thinks fit

32
Q

Taking effect of FtP directions

A

Where appealable FtP decision is taken in respect of a direction, that direction does not take effect:-
Until period for bringing an appeal in respect of direction has expired; or
Where appeal is brought within appeal period, until date on which appeal is completed
BUT: can be earlier/ immediately if FtP Committee satisfied that to do so is necessary for protection of public or is in interests of registrant