UCL Partners Seminar  Meeting attended 2016-10-25

A late afternoon seminar at the plush UCLP at  170 Tottenham Court Road.  This 2-3 hour seminar was introduced by Professor Mike Robarts of UCLP who among many tasks is UCLP Programme Director for education. There were about 30 attendees. He introduced Ziena Abdullah who is an ST6 in Obstetrics and Gynaecology at Newham with a particular interest in emergency gynaecology. Having completed a UCLP leadership program she became a Darsi Fellow in clinical leadership at North Middlesex Hospital. She gave a pretty thorough review of her year and covered the aims accomplishments and frustrations. Her observations of the financial pressures, interaction with management was interesting. She found shadowing doctors very useful in networking and gaining their trust. As an Educational Supervisor of juniors I found it an interesting talk to reflect on without going into too much detail. This was followed by a talk by a Trainee Doctor who is also a reservist in the British army. Giving a personal view he compared and contrasted Leadership and Management in the Health Service with Commanding in the Army. At the heart of this is the Army Leadership Code. There are seven leadership behaviors developed from the principles of Transformational (ie Inspirational) and Transactional (ie Directive) leadership theory. This combination of behaviors he said promotes optimal human performance and constant communication of the Army’s Values and Standards. The values are  Courage, Discipline, Respect for Others, Integrity, Loyalty and Selfless. The seven leadership behaviors are: Lead by example, Encourage thinking,  Apply reward and discipline,  Demand high performance, Encourage confidence in the team , Recognise individual strengths and weaknesses & Strive for team goals. The code is underpinned by three concepts:-

  1. Vision

Leaders must provide clear and unifying purpose, generating a sense of team cohesion and direction. The vision can be expressed by both communication and by role modelling.

  1. Challenge

People only reveal their true potential when challenged. Leaders must not only test themselves, but challenge their people. Obviously a balance is required. Driving too hard will damage morale; the key is to identify achievable ‘stretch targets’. Through this, individual and team confidence is enhanced, enabling them to achieve more than originally thought possible.

  1. Support

It is only possible to inspire greatness when there is mutual knowledge and trust within the team. By being fair, consistent and showing confidence in others, leaders provide a platform for their people to excel

References he included were   John Adams   Effective Leadership;  Richard Holmes  Ten Diseases of Leaders

The final talk was by Professor Jo Martin who is Director of Academic Health Sciences for Barts Health NHS Trust leading on Education and research. She discussed why we need great leaders in the NHS. In a wide ranging talk she touched upon a range of issues. To name a few interactivity with a range of groups, risk assessment, minute variations in mortality, preparing and understanding what is going on, “office politics”, failure to appreciate an audience, transformation, pushing out into primary care. Part of her talk was Chatham House Rules so no notes.Overall a very interesting evening that I can reflect back upon.

 

BMA Forensic Medicine Committee Meeting attended 2016-10-26

The Forensic Medicine Committee (FMC) represents the following roles and provides a UK-wide voice on issues affecting these doctors in their working lives. The committee also leads negotiations in fees for forensic physicians and forensic pathologists. The committee has representative of the following Forensic physicians, Forensic pathologists working for the Home Office, Crematorium medical referees, Medically trained coroners and Forensic psychiatrists. FMC meets twice a year usually on a Wednesday afternoon. The Chairs speech at ARM gives a good summary of the year

https://www.bma.org.uk/collective-voice/committees/forensic-medicine-committee/arm-chair-speech

There was a discussion about reforming the membership of the committee and with this changing it’s name to reflect a wider remit.

Items the committee discussed included the following :-

MOTIONS PASSED AT ARM

The June meeting of the Annual Representatives Meeting in Belfast  passed several motions that are allocated to FMC to enact upon

-That, regarding the Coroner’s Autopsy Services in England and Wales, this meeting:

(i) deplores the continued decline of these services, the general lack of funding and the failure to uplift fees payable to pathologists since 2007;

(ii) insists that fees for this work should be subject to an annual review and uplift negotiated between the BMA and the Government.

-That this meeting calls for the proposed death certification process in England and Wales to be robust and adequately resourced through public funds, but through neither the

imposition of a death tax on the relatives of the bereaved nor any kind of financial raid on the medical profession.

 

-That, regarding clinical forensic medicine in England and Wales, this meeting:

(i) condemns the recent cancellation of the planned April 2016 transfer of commissioning responsibility from the Ministry of Justice to the Department of Health;

(ii) recalls that patients detained in police custody are entitled to equivalence of care when compared with non-detained patients;

(iii) reaffirms the BMA’s established position that this provision should be commissioned by the National Health Service.

-That this meeting believes that doctors working within the various health and justice settings should be represented by a single BMA committee.

 SUBMISSION TO THE JUSTICE SELECT COMMITTEE

A BMA submission has been sent to this parliamentary select committee and the FMC Chair was keen to submit evidence in person. For more information see.

https://www.parliament.uk/business/committees/committees-a-z/commons-select/justice-committee/news-parliament-20151/prison-reform-launch-16-17/

 BRIEFING OF THE POLICING AND CRIME BILL

This is now in the House of Lords. A summary of what the policing and Crime Bill cover is at

http://services.parliament.uk/bills/2016-17/policingandcrime.html

Some of the relevant areas to healthcare include

  • to make provision for collaboration between the emergency services;
  • to amend the powers of the police under the Mental Health Act 1983;
  • to make provision about the regulation of firearms;
  • to make provision about the licensing of alcohol;
  • to make provision to combat the sexual exploitation of children

 The BMA’s submission can be found at

https://www.bma.org.uk/-/media/files/pdfs/working%20for%20change/policy%20and%20lobbying/bma-briefing-policing-and-crime-bill.pdf

FMC News

The July Newsletter is at

https://www.bma.org.uk/-/media/files/pdfs/working%20for%20change/negotiating%20for%20the%20profession/forensic%20medicine/fmc-news-july2016.pdf?la=en

The next Newsletter will be before the end of the year.

Death certification system

Discussions took place on the new death certification system and medical examiners terms and conditions which will introduce the requirement for doctors to view the deceased prior to certification. This is the main area I have interest in and the reason for joining the FMC. The introduction of the position of Medical Examiner in Cause of Death is supposed to be introduced in April 2018 but Terms and Conditions and remuneration have yet to be discussed.

 

 

 

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