Professional Conduct Flashcards
Building blocks of professional
conduct
- Personal responsibility
- Selflessness
- For the benefit of others
- Treat people well
- Keep patients central to practice
- Understand boundaries
- Accountable for actions…and inactions
- Complex moral and ethical dilemmas
- Confidentiality / sensitive information
- Quality
- Evidence based
- Distinctive skills that meet defined standards and principles
- Knowledge to required level
- Based on research and best practice
- Life long learning
- Strive for improvement
- Contributes to improved standards and guidance
- Clinical reasoning and decision making
Professionalism
Ensuring that SELF
INTEREST does not
influence actions or
omissions.
- Demonstrating
practice that is
DISTINCTIVE,
MERITOURIUS, - Demonstrating
an ethos of
being
ANSWERABL
E for all
actions and
omissions
Demonstrating
HUMANITY in
everyday
practice
ALTRUISM EXCELLENCE
ACCOUNTABILITYHUMANISM
Stern DT (2006). Measuring medical professionalism.
ALTRUISM
EXCELLENCE
ACCOUNTABILITY
HUMANISM
Definition’
Professionalism’
‘Professionalism’ describes the
* qualities,
* skills,
* competence
* behaviours
expected of individuals belonging
to any given profession
the combination of all
the qualities that
are connected with trained and
skilled people:
International recruitment
Workforce crisis
* Exhausted workforce
* Recruitment and retention
issues
* Long waiting lists
* Poor patient outcomes
Solutions
* Wellbeing initiatives
* Return to practice
* Retire and return
* New career pathways
* Increased training places
* International recruitment
Professionalism in
communication?
Appropriate whats Not appropriate
General chit chat
Incriminating evidence
Football
Comments about hospital, staff or patients
Sharing nice photos
Pictures of you dancing naked on a table
while drunk
Private/personal messaging
Giving out other peoples’ private info
Invitations to social events
Bullying and discrimination
Family updates
Fraping, from the verb to frape.
What you had for tea
Pornography
Stuff you’ve learnt
Identifiable professional experiences
Racism, sexism, other ‘isms
Naming colleagues, peers etc.
Name of clinical site
What about other communication?
e.g. hospital acronyms
CTD - Circling the drain (a patient expected to die soon)
GLM – Good looking mum
GPO – Good for parts only
TEETH – Tried everything else, try homeopathy
UBI – Unexplained beer injury
GROLIES - Guardian reader of low intelligence in ethnic skirt
NF? – Normal for ?
TTFO – Told to go away… Kind of
CNS-QNS - Central nervous system - Quantity not sufficient
PFO – Patient fell over
PGT – Patient got thumped
Implications of poor
professional conduct
Breaches…
Patient
Local
Policy
Guidance
Legislation
and
Regulation
Legislation
Legislation and regulationThe must do’s’
(Professional guidance, quality standards …
The ‘should do’s’
Local policy, standard operating procedures …The ‘will do’s’)
- National Health Service Reform and Health Care Professions Act(Health and Care Professions Council (HCPC) )
- Human Medicines Regulations 2012 (HMR 2012) MHRA
- Ionising Radiation (Medical Exposure) Regulations 2018 IR(ME)R 2017 CQC
- Ionising Radiation Regulations 2017 (IRR17) HSE
Professional Regulation
HCPC
Regulators do four things:
* Set standards of competence and conduct that health and care professionals must
meet in order to be registered and practise
* Check the quality of education and training courses to make sure they give
students the skills and knowledge to practise safely and competently
* Maintain a register that everyone can search
* Investigate complaints about people on their register and decide if they should be
allowed to continue to practise or should be struck off the register - either because
of problems with their conduct or their competence.
HCPC standards
- Standards of conduct, performance and ethics
- Standards of proficiency
- Standards of continuing professional development
- Standards relevant to education and training
- Guidance on conduct and ethics for students
Student hub
Students should:
- Promote and protect the interests of service users and carers
- Communicate appropriately and effectively
- Work within the limits of your knowledge and skills
- Delegate appropriately
- Respect confidentiality
- Manage risk
- Report concerns about safety
- Be open when things go wrong
- Be honest and trustworthy
- Keep records of your work
Be open when things go wrong
What sort of things might go wrong?
What are the implications for patients?
Why is it important to be open?
What does being ‘open’ mean?
What supports people in being ‘open’?
Where do you get support?
What is a ‘just culture’?
Where does this fit with NHS Resolution?
The ‘should’ do’s
Professional Body Guidance
* Society and College of
Radiographers
* Scope of Practice 2013
* Code of professional conduct
* Radiation Dermatitis Guidelines for
Radiotherapy Healthcare
Professionals
* Obtaining consent: a clinical guideline
for the diagnostic imaging and
radiotherapy workforce
Other guidance
Professional Bodies/Royal Colleges
Arm’s length bodies – HEE/UKHSA
NICE Guidelines
* Stroke pathway
* Cardiac pathway
* Back pain pathway
NHSEI reports
* Richards Report 2020
* Francis Report 2013
Getting It Right First Time Reports
* GIRTFT Radiology 2020
Consequences?
[some] employers are banning the use
of social networking sites and bringing
disciplinary proceedings against
individuals as a result of the misuse of
employer time at work and for any
damage to the integrity of employees
or the business that may arise from
comments made online.
The HCPC
– what could they do?
- Take no further action (allegation not well founded)
- Caution (annotation to registrant’s online register
entry) - Condition of practice order (e.g. supervision,
training etc. for a set period of time) - Suspension for up to 1 year (with interim order
covering appeal period) - Struck off (with interim suspension order covering
appeal period. Can re-apply after 5 years have
elapsed)
HCPC Cases
- Misconduct – behaviour that falls short of what can
reasonably be expected of a professional. - Lack of competence – lack of knowledge, skill and
judgement, usually repeated and over a period of time. - Conviction or caution – for a criminal offence in the UK (or
in another country if the offence would be a crime if
committed here). - Physical or mental health – usually a long-term, untreated
or unacknowledged condition. - A decision made by another health or social care
regulator.
Conduct and
competence
A paramedic self-referred after he posted inappropriate comments
on social media, which caused his employer to suspend him.
A Conduct and Competence Committee panel considered the
allegation against the registrant, who attended the hearing and was
represented.
The registrant admitted all of the facts of the allegation.
The Panel found some of the facts proved amounted to misconduct.
The posts were on a public social media page and the registrant had
included details of his employer.
Conduct and
competence
- Struck off 3/3/21
Multiple examples of:
* poor radiation protection (No pregnancy status checks),
* poor technique
* Inadequate equipment handling
* Inadequate dose/exposure manipulation
* Used adult exposures for a child
* Provided inadequate care for a poorly patient
* Demonstrated poor infection control
* Demonstrated poor/inadequate communication
Conduct and
competence
- Struck off 3/3/21
Multiple examples of:
* poor radiation protection (No pregnancy status checks),
* poor technique
* Inadequate equipment handling
* Inadequate dose/exposure manipulation
* Used adult exposures for a child
* Provided inadequate care for a poorly patient
* Demonstrated poor infection control
* Demonstrated poor/inadequate communication
Conduct and
competence
7/10/20 Caution
* Accessed 4 service users confidential records without clinical
reason or permission (father and family members)
* Accessed own clinical records without clinical reason or
permission
* This is misconduct
* Registrant admitted to the allegation, showed remorse and
insight.
* 30 month caution note on registration
The Panel
considered the HCPC Standards of Conduct, Performance and Ethics (2016) and concluded
that the following standards were breached:
“1. Promote and protect the interests of service users and carers
1.1 You must treat service users and carers as individuals, respecting their privacy and
dignity.
5. Respect confidentiality
5.1 You must treat information about service users as confidential
10. Keep records of your work
10.3 You must keep records secure by protecting them from loss, damage or inappropriate
access”
Duty of Candour
