November 2019 Issue 116
INDEPENDENT PRACTITIONER TODAY
Pelvic Partnership Supporting you
Protect your private practice Three features to help you keep your business data safe, starting on P14
Where do you find the cash?
Advice on how doctors can fund their property investment deals P28
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Consultants face a practising privileges shake-up under private hospital plans to strengthen clinical governance and bring a more standardised approach to working arrangements. An Independent Healthcare Providers Network (IHPN) initiative starting in England also envisages more proactive and two-way information sharing between private providers and the NHS via Responsible Officers (ROs). The Medical Practitioners Assur ance Framework (MPAF) forms part of the sector’s response to the Bishop of Norwich’s inquiry due soon into issues around the rogue surgeon Ian Paterson case. Principles in the document, which sets out 23 ‘responsibilities’ for practitioners, reinforce expected practice in key areas. These include clinical governance structures, patient safety, clinical quality, continuous improvement, whole practice appraisal and raising and responding to staff and patients’ concerns. Former NHS England national medical director Sir Bruce Keogh,
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Key aspects of consultants’ practising privileges will be standardised – such as approval requirements for them to use new procedures and treatments
who headed the work, said the vast majority of independent care was of high quality and was underpinned by robust safety and medical governance processes. But more could and should be done to ensure clinicians and independent providers worked together to perform to the highest possible standards. Federation of Independent Pract itioner Organisations chairman Mr Richard Packard believed MPAF would enable a more co-ordinated approach to improve communication at all levels about a consultant’s practice and should help timely identification of any problems to allow early rectification. He said: ‘The MPAF makes some sensible recommendations relating to the responsibilities of consult-
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ants in relation to their practising privileges, which FIPO is pleased to support. This is a dynamic document which will evolve over time and should lead to greater assurance for patients.’ An IHPN practising privileges template document will update the Independent Healthcare Advisory Services guidance. Key aspects of practising privileges, such as how and when they will be reviewed, scope of practice and approval requirements for consultants to use new procedures and treatments, will be standardised. The framework follows a Care Quality Commission (CQC) report last year revealing 41% of private hospitals required improvement and 1% were inadequate for safety. Thirty per cent required improve-
ment and 3% were inadequate for being well led. Private hospitals have given MPAF widespread support. Heidi Smoult, CQC’s lead for independent health, called it an important step forward in bringing stronger medical governance across the independent sector. She added: ‘While sign-up to the framework is not mandatory nor something CQC has the power to enforce, where providers can demonstrate effective and robust implementation of its principles, this will be considered as evidence of good governance and will inform the judgement we make about how well-led services being provided by that organisation are.’ BMA private practice committee chairman Dr Shree Datta called the framework a helpful stepping-stone to improve consistency and boost confidence in all independent healthcare settings. She said everyone should work towards a unified platform to centralise all information for doctors and patients. The framework will be reviewed next year to keep pr inciples aligned to changes in best practice. ➱ continued on page 4