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The Health Professions Council - Mark Potter


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The Health Professions Council - Mark Potter

  1. 1. The Health Professions Council Tuesday 15 November 2011, Romanian Authorities Study Visit
  2. 2. Contents <ul><li>Welcome and Introduction </li></ul><ul><li>The HPC and the role of a UK regulator </li></ul><ul><li>Policy at HPC </li></ul><ul><li>Fitness to practise </li></ul><ul><li>Stakeholder engagement </li></ul><ul><li>Registration at HPC </li></ul><ul><ul><ul><li>Mutual recognition and EEA processes </li></ul></ul></ul><ul><ul><ul><li>IMI / Security verification </li></ul></ul></ul><ul><ul><ul><li>Continuing professional development (CPD) </li></ul></ul></ul>
  3. 3. Health Professions Council <ul><li>Independent UK statutory regulator of 15 professions </li></ul><ul><li>One of nine health regulators </li></ul><ul><li>Derives powers from Health Professions Order 2001 </li></ul><ul><li>Purpose is “ to safeguard the health and well-being of persons using or needing the services of registrants ” – Article 3(4) </li></ul><ul><li>Separate role from professional bodies and trade unions </li></ul>
  4. 4. HPC Register 2011 <ul><li>219,000 registrants from 15 professions </li></ul>
  5. 5. Processes and standards The Register
  6. 6. Professional and lay input <ul><li>507 ‘Partners’ working across 677 partner roles </li></ul><ul><ul><li>– Our professions and lay persons </li></ul></ul><ul><ul><li>Provide expertise for good decision-making </li></ul></ul><ul><ul><li>Approval of education and training programmes </li></ul></ul><ul><ul><li>Registration decisions (applications and CPD audits) </li></ul></ul><ul><ul><li>Fitness to practise decisions </li></ul></ul><ul><li>Council and Committees </li></ul><ul><li>Professional Liaison Groups (PLGs) </li></ul>
  7. 7. Policy at the HPC Tuesday 15 November 2011, Romanian Authorities Study Visit
  8. 8. About the Policy and Standards Department <ul><li>Develop policy and strategy </li></ul>Policy and Standards Consultations
  9. 9. Our standards <ul><li>Standards of conduct, performance and ethics: behaviour and attitudes expected </li></ul><ul><li>Standards of proficiency: professional knowledge, understanding </li></ul><ul><li>CPD standards: requirements for ongoing learning </li></ul><ul><li>Standards of Education and Training: we use these to approve education programmes </li></ul>
  10. 10. Guidance <ul><li>Explains our policies in more detail </li></ul><ul><li>Advises registrants and/or students on how they can meet our standards </li></ul><ul><li>Formal guidance is published </li></ul><ul><li>Informal guidance (advice): </li></ul><ul><li>Website </li></ul><ul><li>Email </li></ul><ul><li>Phone </li></ul><ul><li>Meetings </li></ul>
  11. 11. The way policy works <ul><li>Responsible for reviewing standards, updating/writing new guidance, or undertaking work on policy change </li></ul><ul><li>Write papers for Committees and Council to advise them on options </li></ul><ul><li>Require Committee and Council approval of proposals before consulting – plus legal approval </li></ul><ul><li>Meet with stakeholders on projects relevant to HPC policy </li></ul><ul><li>Provide advice on HPC policy to registrants and members of the public </li></ul><ul><li>Organise and coordinate professional liaison groups to work on policy change as needed </li></ul>
  12. 12. Consultations <ul><li>Normally consult for 3 months </li></ul><ul><li>Information posted online in dedicated ‘consultations’ section of website </li></ul><ul><li>Also sent to consultation list of over 400 interested organisations. </li></ul><ul><li>Certain consultations go out to all registrants </li></ul><ul><li>Respond to external consultations </li></ul>
  13. 13. Responses to external consultations <ul><li>Respond to public consultations relevant to our work and our registrants </li></ul><ul><li>Respond positively where possible, constructively where we disagree with proposals </li></ul><ul><li>Recent consultations we have responded to: </li></ul><ul><li>European Commission Green Paper on Modernising the Professional Qualifications Directive </li></ul><ul><li>House of Lords European Union Committee call for evidence on the Professional Qualifications Directive </li></ul>
  14. 14. Fitness to Practise Tuesday 15 November 2011, Romanian Authorities Study Visit
  15. 15. Fitness to practise: An overview of the process <ul><li>Allegation made </li></ul><ul><li>Investigate allegation </li></ul><ul><li>Interim order imposed </li></ul><ul><li>Hearing convened </li></ul><ul><li>Case considered by final </li></ul><ul><li>hearing panel </li></ul><ul><li>Sanction imposed </li></ul>Allegation Investigation Interim Order Hearing Judgement Mediation
  16. 16. Fitness to practise: when we will take action <ul><li>Serious or persistent failure to meet standards </li></ul><ul><li>Improper relationships with service users </li></ul><ul><li>Failure to respect the autonomy of service users </li></ul><ul><li>Sexual misconduct </li></ul><ul><li>Misuse or abuse of drugs and alcohol </li></ul><ul><li>Failure to provide adequate care </li></ul><ul><li>Poor record keeping </li></ul><ul><li>Theft from a service user </li></ul>
  17. 17. Stakeholder engagement Tuesday 15 November 2011, Romanian Authorities Study Visit
  18. 18. Stakeholder engagement <ul><li>AURE (Alliance of UK regulators in Europe): Meetings 6x annually, communicating HPC position, debates , contributing to joint statements and consultation responses </li></ul><ul><li>BMA EU forum : Bi-annual meetings, wide range of organisations represented, debates, communicating HPC position </li></ul><ul><li>BIS (Department for Business, Innovation and Skills): Developing working relationships, supporting events eg EU Commission London, coordinating HPC responses, data gathering </li></ul><ul><li>CLEAR (The Council on Licensure, Enforcement and Regulation): Supporting CEO, attending as delegate (London 2011), speaking slot (CPD) </li></ul>
  19. 19. Stakeholder engagement <ul><li>EU Commission: Annual meetings with CEO & Policy, developing close working relationships, attending & supporting Commission events eg Modernisation of the Professional Qualifications Directive </li></ul><ul><li>Supporting International regulators : Cypriot Ministry of Labour, Norwegian government, Hong Kong </li></ul><ul><li>European Parliament : MEP meetings with CEO, attending IMCO Committee (Internal Market and Consumer Protection Committee), supporting MEP’s assistants </li></ul>
  20. 20. Registration at the HPC Tuesday 15 November 2011, Romanian Authorities Study Visit
  21. 21. Role of the registration department <ul><li>Maintain and publish a Register of health professionals </li></ul><ul><li>36 full time staff </li></ul><ul><li>100,000+ telephone enquiries per year </li></ul><ul><li>20,000+ email enquiries per year </li></ul><ul><li>UK approved courses – over 10,000 applications per year </li></ul><ul><li>Readmission and return to practice process </li></ul><ul><li>Bi-annual renewal process </li></ul><ul><li>Audit of continuing professional development (CPD) </li></ul><ul><li>Verification checks for identity, education and career history of all overseas qualified applicants </li></ul>
  22. 22. Routes to registration – all international applicants <ul><li>180 - 200 International applications received per month (25% are EEA applicants). </li></ul><ul><li>Forms downloaded from HPC website </li></ul><ul><li>Applicants advised to read standards of proficiency before applying </li></ul><ul><li>Incomplete forms returned to applicants with advice </li></ul><ul><li>Character declarations sent to fitness to practice before assessment </li></ul><ul><li>Background checks carried out to verify applicant’s identity, education and good standing </li></ul><ul><li>Use of outside agencies such as UK NARIC and Kroll International for background checks </li></ul><ul><li>Service level agreement of 10 working days for assessment decisions </li></ul>
  23. 23. Routes to registration – international (non-EEA) <ul><li>Applications are sent to two registration assessors from the relevant profession (HPC partners) </li></ul><ul><li>Assessment based on professional qualification and additional education, training and experience </li></ul><ul><li>Possible outcomes: </li></ul><ul><li>Accept – applicants meets all standards of proficiency </li></ul><ul><li>Further verification – additional information requested to address shortfalls in application </li></ul><ul><li>Test of competence – interview to determine borderline cases </li></ul><ul><li>Reject – applicants have automatic right of appeal </li></ul>
  24. 24. Routes to registration - EEA applicants with mutual recognition <ul><li>Applications are sent to two registration assessors from the relevant profession (HPC partners) </li></ul><ul><li>Assessment based on professional comparison and additional education, training and experience </li></ul><ul><li>Possible outcomes: </li></ul><ul><li>Accept – applicants meets all standards of proficiency </li></ul><ul><li>Further verification – additional information requested to address significant shortfalls in application </li></ul><ul><li>Adaptation period – normally additional supervised practice or academic module. Applicants have automatic right of appeal </li></ul><ul><li>Aptitude test – can be requested by applicant if they feel adaptation period is not required </li></ul>
  25. 25. Role of IMI <ul><li>Currently three HPC professions covered: </li></ul><ul><ul><ul><li>Physiotherapists, Practitioner psychologists, Radiographers </li></ul></ul></ul><ul><li>All advisors involved in processing international applications have access to the IMI system </li></ul><ul><li>Safe and mostly effective way of receiving information </li></ul><ul><li>Used in both permanent establishment cases (verification process) and in decisions on temporary provision of services cases </li></ul><ul><li>Increasing use – 10 requests within last 6 months: </li></ul><ul><ul><ul><li>7 sent by the HPC (Estonia, Greece, Lithuania, Romania, Spain) </li></ul></ul></ul><ul><ul><ul><li>3 received by the HPC (1 from Sweden, 2 from Spain) </li></ul></ul></ul>
  26. 26. IMI - our experience <ul><li>Most replies within 1 month, however some take several months to conclude – this means delays in the recognition process and unnecessary obstacles for the applying professional </li></ul><ul><li>Not all relevant authorities are willing to engage – there is no method of enforcing mandatory use </li></ul><ul><li>Unclear which authorities can be contacted in some cases (long list to choose from) – lack of explanation who is responsible for what </li></ul><ul><li>Overview of regulatory systems for each profession would be helpful </li></ul><ul><li>Still a limited number of regulated professions covered by the ‘general system’ </li></ul><ul><li>Good potential for growth and extended use </li></ul>
  27. 27. Assessment process – training issues <ul><li>Assessors receive refresher training every two years regarding developments in legislation </li></ul><ul><li>All new assessors receive equality and diversity training </li></ul><ul><li>On-going quality monitoring to ensure recommendations are fair, appropriate and legally sound </li></ul><ul><li>All refusal and adaptation period recommendations must be approved by registration managers </li></ul><ul><li>EU Commission has reaffirmed that systematic language testing is ruled out as a condition of recognition </li></ul><ul><li>Speech and language therapy is the only profession that is exempted from this part of the directive because knowledge of the language is a core competence of the profession </li></ul>
  28. 28. Temporary provision of services
  29. 29. Post-registration and renewal <ul><li>Name and registration number displayed on the online Register available to the public </li></ul><ul><li>Registration renewed every two years with declarations of current practice, character, health and CPD </li></ul><ul><li>£76 fee payable per year </li></ul><ul><li>Registrants lapse from the Register if they do not renew successfully – must pay and sign </li></ul><ul><li>Requirement for registrants to keep personal information up to date </li></ul><ul><li>Registrants must advise of any changes in health or character </li></ul><ul><li>Over 60% of registrants now renew using online portal </li></ul><ul><li>Over 95% of registrants successfully renew each cycle </li></ul>
  30. 30. Continuing professional development <ul><li>A statutory requirement for all HPC registrants since July 2006 </li></ul><ul><li>Audits began in May 2008 </li></ul><ul><li>Flexible outcome based approach (not points / hours) </li></ul>
  31. 31. Questions from HPC <ul><li>Point of contact for regarding for professions regulated by the HPC in Romania </li></ul><ul><li>Certified/official translators – process for verification </li></ul><ul><li>For professions currently regulated in Romania which HPC regulates - is there one agreed curriculum? Who is the owner? </li></ul><ul><li>Status / role of Radiography Nurses - Nurses or Radiology Technicians? </li></ul>
  32. 32. <ul><li>Finding out more and getting in touch </li></ul><ul><li> </li></ul><ul><li>[email_address] </li></ul><ul><li>0800 328 4218 </li></ul><ul><li>Find us on </li></ul><ul><li>Follow us on </li></ul><ul><li>Follow us on </li></ul><ul><li>Sign up for our RSS feeds </li></ul>