Posted by: Witch Doctor | May 31, 2007

A Competency/Protocol driven NHS

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THIS IS WHY MMC IS PROTOCOL DRIVEN!

Here it is!

The proposed framework for the NHS. Each stage driven by the acquisition of competencies.

MMC fits snugly into this dosn’t it?

Level 9 will not be the end stage of MMC. Far from it.

Level 9 will be for the chosen obedient few.

The St Patricks Day march has rocked the boat a bit. So has Remedy UK. But as long as the competency/protocol based model is still intact, no matter.

After all, we don’t want too many expensive level 9 jobs. This is the layer of accountability. The ones that go to jail if necessary. We need a few of these puppets on strings to carry the can. Not too many. The others will just be sacked when they are found not to be following the barrow of complex protocols that they wheel about with them everywhere.

Has the BMA approved of this on behalf of the medical profession?

What medical profession?

The Witch Doctor thinks it will be very difficut to reach the expensive summit.

“MORE SENIOR STAFF -LEVEL 9
More senior staff with the ultimate responsibility for clinical caseload decision-making and full on-call accountability

CONSULTANT PRACTITIONERS-LEVEL 8
‘Consultant Practitioners’ are staff working at a very high level of clinical expertise and/or have responsibility for planning of services 8

ADVANCED PRACTITIONERS-LEVEL 7
‘Advanced Practitioners’ are experienced clinical professionals who have developed their skills and theoretical knowledge to a very high standard. They are empowered to make high-level clinical decisions and will often have their own caseload. Non-clinical staff at Level 7 will typically be managing a number of service areas

SENIOR PRACTITIONERS/SPECIALIST PRACTITIONERS-LEVEL 6
‘Senior Practitioners/Specialist Practitioners’ who would have a higher degree of autonomy and responsibility than ‘Practitioners’ in the clinical environment, or who would be managing one or more service areas in the non-clinical environment.

PRACTITIONERS-LEVEL 5
‘Practitioners’ –most frequently registered practitioners in their first and second post-registration/professional qualification job

ASSISTANT PRACTITIONERS/ASSOCIATE PRACTITIONERS-LEVEL 4
‘Assistant Practitioner/Associate Practitioners’ –probably studying for Foundation degree, BTEC higher or HND. Someof their remit will involve them in delivering protocol-based clinical care that had previously been in the remit of registered professionals, under the direction and supervision of a state registered practitioner.

SENIOR HEALTHCARE ASSISTANTS/TECHNICIANS -LEVEL 3
‘Senior Healthcare Assistants/Technicians’ –this is a higher level of responsibility than support worker, probablystudying for or have attained NVQ level 3, or Assessment of Prior Experiential Learning (APEL).

SUPPORT WORKERS -LEVEL 2
Support Workers –frequently with the job title of ‘Healthcare Assistant’ or ‘Healthcare Technician’ –probably studyingfor or has attained NVQ Level 2.

INITIAL ENTRY LEVEL JOBS -LEVEL 1
Initial entry level jobs such as ‘Domestics’ or ‘Cadets’ requiring very little formal education or previous knowledge,skills or experience in delivering, or supporting the delivery of healthcare.”

The Witch Doctor is becoming excited about this wonderful new blueprint for the future NHS.

An NHS without doctors, nurses or patients!

How streamlined!

And The Lost Tribes won’t be lost souls any more. They’ll be cosily tucked up somewhere in the middle. Fully qualified professionals.

Just as well there’s no patients. They wouldn’t have a clue who was responsible for their care, how many competencies they had, or whether they remembered to select the right protocol and then read it.

That’s why we need “Expert Patients”

They’ll need to look after themselves.

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