Make NHS training standard across NHS

All NHS Trusts have to train all staff in core statuatory  or mandatory H&S and other skills, this takes up to a week at induction. And then staff have to wait for other courses…

Agree a standard for all skills accross the NHS and then implement it so that the member of staff can just proceed to update rather than repeat costly and time consuming induction each time. NHS staff move around frequently in their early career. This will provide a good evidence based platform for care of our patients and free up tstaff time to do what they do best – hands on work.

Why is this idea important?

All NHS Trusts have to train all staff in core statuatory  or mandatory H&S and other skills, this takes up to a week at induction. And then staff have to wait for other courses…

Agree a standard for all skills accross the NHS and then implement it so that the member of staff can just proceed to update rather than repeat costly and time consuming induction each time. NHS staff move around frequently in their early career. This will provide a good evidence based platform for care of our patients and free up tstaff time to do what they do best – hands on work.

Health Professions Council

There are many contributions on this subject now. Please all ready the very first (at the bottom) contribution " Abolish the HPC" which has now over 100 comments and makes frightening reading. All health professionals registered with the HPC please read the comments and add your opinions/stories.

Why is this idea important?

There are many contributions on this subject now. Please all ready the very first (at the bottom) contribution " Abolish the HPC" which has now over 100 comments and makes frightening reading. All health professionals registered with the HPC please read the comments and add your opinions/stories.

Linking Continuous Professional Development (CPD) to Re-registration

I have been selected this year (in April) to submit my CPD profile (2.5% are being selected) together with my re-registration. I have followed the example of my own professional body which is published on the hpc website. I have followed the written guidelines (and now available on the hpc website as video under continuous professional development), but still keep having it thrown back at me as not meeting their standards, despite having added a further 5 CPD activities. Below I am just quoting the official hpc guidelines and quotes from the letters received by the hpc.

"The registrant has explained how her EXPERIENCE has improved the quality of her work and how this experience has benefited the service user. The standards could be met if the registrant can show links as to how her CPD activities within the registration period have improved her work and benefited the service user." 

In the hpc guidelines they list, amongst many, the following to be CPD activities:

"Learning by Doing." , "Reflective Practice", "Gaining and learning from EXPERIENCE".

Can anyone make sense of the assessors' above comments ?

Next, I am being told that " Standard 1 states that a registrant must PROVIDE a continuous and up-to-date record (in my view up-to-date does not mean dated) of their CPD activities. In this case the assessors are looking for a continuous list covering the registration period May 2008 to April 2010. Please provide a full dated list of your CPD activities for the entire registration period."

I have always followed their printed guidelines and chosen to keep my CPD records in 2 Lever Arch Files. Their guidelines state:….."or you might keep a folder in which you store any documents relating to your CPD. This means that you can keep your personal record in a format that suits you. This also means that you can plan and undertake CPD which is relevant to you and your job and which fits with how you prefer to learn. Standard 1 states that a registrant must MAINTAIN (note not provide) a continuous up-to-date (Note not dated) accurate record of your CPD activities. You might keep a folder in which you store any documents relating to your CPD. This means that you can keep your personal record in a format that suits you. We never ask to see your complete CPD record folders." 

AND to finally add insult to injury I have also been told that "However we do not consider a registrants day to day work activities to be CPD activities."  The official hpc guidelines state:"…you should be able to show that your CPD activities are part of your work , contribute to your work and are not separate from it."

I have consistently been trying to explain to the hpc in lengthy written statements that experience and reflective practice is the main contributor to improve knowledge and skill because one learns from mistakes and experience. I have also submitted one of my more complicated case studies. But now they consider  day to day work activities not to be CPD activity, despite the fact what they state and they also list "Learning by Doing" as a recognised CPD activity.

I would love to hear from anybody  whether they can make sense of this all, continuously being rejected, despite having complied with their CPD requirements and being threatened to be removed from the register if the standards are not being met.. How can one meet the standards if the goal posts are continuously being moved ?

Please also read the 140 contributions below "Abolish the HPC". It gives a clear picture of the frightening powers and behaviour of the hpc.

Why is this idea important?

I have been selected this year (in April) to submit my CPD profile (2.5% are being selected) together with my re-registration. I have followed the example of my own professional body which is published on the hpc website. I have followed the written guidelines (and now available on the hpc website as video under continuous professional development), but still keep having it thrown back at me as not meeting their standards, despite having added a further 5 CPD activities. Below I am just quoting the official hpc guidelines and quotes from the letters received by the hpc.

"The registrant has explained how her EXPERIENCE has improved the quality of her work and how this experience has benefited the service user. The standards could be met if the registrant can show links as to how her CPD activities within the registration period have improved her work and benefited the service user." 

In the hpc guidelines they list, amongst many, the following to be CPD activities:

"Learning by Doing." , "Reflective Practice", "Gaining and learning from EXPERIENCE".

Can anyone make sense of the assessors' above comments ?

Next, I am being told that " Standard 1 states that a registrant must PROVIDE a continuous and up-to-date record (in my view up-to-date does not mean dated) of their CPD activities. In this case the assessors are looking for a continuous list covering the registration period May 2008 to April 2010. Please provide a full dated list of your CPD activities for the entire registration period."

I have always followed their printed guidelines and chosen to keep my CPD records in 2 Lever Arch Files. Their guidelines state:….."or you might keep a folder in which you store any documents relating to your CPD. This means that you can keep your personal record in a format that suits you. This also means that you can plan and undertake CPD which is relevant to you and your job and which fits with how you prefer to learn. Standard 1 states that a registrant must MAINTAIN (note not provide) a continuous up-to-date (Note not dated) accurate record of your CPD activities. You might keep a folder in which you store any documents relating to your CPD. This means that you can keep your personal record in a format that suits you. We never ask to see your complete CPD record folders." 

AND to finally add insult to injury I have also been told that "However we do not consider a registrants day to day work activities to be CPD activities."  The official hpc guidelines state:"…you should be able to show that your CPD activities are part of your work , contribute to your work and are not separate from it."

I have consistently been trying to explain to the hpc in lengthy written statements that experience and reflective practice is the main contributor to improve knowledge and skill because one learns from mistakes and experience. I have also submitted one of my more complicated case studies. But now they consider  day to day work activities not to be CPD activity, despite the fact what they state and they also list "Learning by Doing" as a recognised CPD activity.

I would love to hear from anybody  whether they can make sense of this all, continuously being rejected, despite having complied with their CPD requirements and being threatened to be removed from the register if the standards are not being met.. How can one meet the standards if the goal posts are continuously being moved ?

Please also read the 140 contributions below "Abolish the HPC". It gives a clear picture of the frightening powers and behaviour of the hpc.

Police Training to be Independently managed and funded.

Police initial training should be managed within the UK university system and should be at various levels up to degree level. No prospective applicant to the UK police service should be considered until they have successfully passed a course. The training should be funded on the same basis as University Courses and loans for training should be repaid over their service. Detective Candidates should be direct entry following separate training as should other distinct police disciplines. Transfers between disciplines should be possible but officers should fund their own training either directly or on a loan as initial training. The entire current police training role should be managed by the University and adult education system. 

Why is this idea important?

Police initial training should be managed within the UK university system and should be at various levels up to degree level. No prospective applicant to the UK police service should be considered until they have successfully passed a course. The training should be funded on the same basis as University Courses and loans for training should be repaid over their service. Detective Candidates should be direct entry following separate training as should other distinct police disciplines. Transfers between disciplines should be possible but officers should fund their own training either directly or on a loan as initial training. The entire current police training role should be managed by the University and adult education system. 

Degrees we need.

I'm a student nurse who's about to go into my third year, I think that shortening degrees to two years only would be impossible for me as I work on placement 37.5 hours a week for half of each year and am in university lectures from 9am to 4pm mon-fri for the other half with just 8 weeks holiday (which normal degree students get for just their summer break) so I cannot see how you could possibly apply the two year idea to some degrees. 

 I get an NHS bursary of £3,800 which I have to pay back once qualified, I do not think it would be fair to tax nurses and other health care graduates. But I do think that Media studies, art, American studies etc should have to pay more than Drs/nurses/teachers/scientists and engineers for their courses. 

Why is this idea important?

I'm a student nurse who's about to go into my third year, I think that shortening degrees to two years only would be impossible for me as I work on placement 37.5 hours a week for half of each year and am in university lectures from 9am to 4pm mon-fri for the other half with just 8 weeks holiday (which normal degree students get for just their summer break) so I cannot see how you could possibly apply the two year idea to some degrees. 

 I get an NHS bursary of £3,800 which I have to pay back once qualified, I do not think it would be fair to tax nurses and other health care graduates. But I do think that Media studies, art, American studies etc should have to pay more than Drs/nurses/teachers/scientists and engineers for their courses. 

Repeal the law requiring training before removal of animal carcasses from our roads.

Repeal the law/regulations that require contractors to be trained in removing animal carcasses before they are permitted to do so.

This law/regulations led to the absurd situation recently, highlighted in the national media, where contractors painting markings on the road, left a gap around a dead animal, rather than simply move the carcass off the road and carry on.

Why is this idea important?

Repeal the law/regulations that require contractors to be trained in removing animal carcasses before they are permitted to do so.

This law/regulations led to the absurd situation recently, highlighted in the national media, where contractors painting markings on the road, left a gap around a dead animal, rather than simply move the carcass off the road and carry on.

Police Reform

How well is it understood that the Police should be operating with public consent ?   The bullying and intimidating way that members of the public are sometimes spoken to, is not acceptable.  It should be possible to uphold the law in a civil, constructive, and effective way, that does not risk the allienation of individuals and  communities.

A civil society requires a civil Police Force.

Why is this idea important?

How well is it understood that the Police should be operating with public consent ?   The bullying and intimidating way that members of the public are sometimes spoken to, is not acceptable.  It should be possible to uphold the law in a civil, constructive, and effective way, that does not risk the allienation of individuals and  communities.

A civil society requires a civil Police Force.

Cost Saving Ideas

Our current local authority provides both in-house and, would you believe it? – training for free to all private sector companies for social and adult care services.  This should not be something that the local authority offers for free – we can't afford it as a country and its not their job !!!

They also hold regular meetings (in fact you could be at a local authority meeting within social care every day of the week) and these are usually held at top class expensive hotels with free lunch (which will be paid for in advance and most people leave early and don't take it).  This is hardly a "low cost to operate" approach – it screams money wasting to me

Why is this idea important?

Our current local authority provides both in-house and, would you believe it? – training for free to all private sector companies for social and adult care services.  This should not be something that the local authority offers for free – we can't afford it as a country and its not their job !!!

They also hold regular meetings (in fact you could be at a local authority meeting within social care every day of the week) and these are usually held at top class expensive hotels with free lunch (which will be paid for in advance and most people leave early and don't take it).  This is hardly a "low cost to operate" approach – it screams money wasting to me

Remove 16-Month Time Limit for New Teachers

Currently Newly-Qualified Teachers (NQTs) have a 16-month time limit within which they need to start their first year of teaching (first job).  This limit is too short – someone who graduates in June 2010 would, by November 2011, have become unqualified, even if they had done supply teaching as often this does not count.

In my case I completed my training in March 2010, and fortunately got a job to start in August.  Had I not got a job for the new academic year (and jobs that start at other times in the year being few and far between), I would have to had given up teaching as by July 2011 I would have rendered myself unqualified as I would not have started my first job.  In this situation I would not even have been able to work as an unqualified teacher as my teaching qualification rules this impossible.

Why is this idea important?

Currently Newly-Qualified Teachers (NQTs) have a 16-month time limit within which they need to start their first year of teaching (first job).  This limit is too short – someone who graduates in June 2010 would, by November 2011, have become unqualified, even if they had done supply teaching as often this does not count.

In my case I completed my training in March 2010, and fortunately got a job to start in August.  Had I not got a job for the new academic year (and jobs that start at other times in the year being few and far between), I would have to had given up teaching as by July 2011 I would have rendered myself unqualified as I would not have started my first job.  In this situation I would not even have been able to work as an unqualified teacher as my teaching qualification rules this impossible.

Reverse the decision that all new nurses will be required to have degrees

The basic requirement for being a good nurse is surely to have a kind, caring personality, not an ability to write a good essay.  It is therefore hugely worrying that entirely uncaring, but academic people could soon qualify as nurses at the expense of those who are very caring and attentive, but do not have an aptitude for academic study. 

What is more, there is a very real possibility that some of those who get degrees will become ‘too posh to wash’ and think the traditional duties of a nurse below them.  This will do nobody any favours. 

On top of this, has any thought been given to how this ludicrous proposal will be funded?  There are surely only three possibilities, all of which are unpalatable:

  1. The government will fund this unnecessary extra education, through grants and subsidies, increasing the already gargantuan budget deficit, thus further exacerbating the economic woes of this country.  
  2. Nursing will become a career option which is only available to the wealthy, as they will be the only ones who can afford the training.
  3. Trainee nurses will be required to take out large loans, saddling them with huge debts that they may never pay off.

Clearly none of the above, or any combination of them, is in the slightest bit desirable from the point of view either of potential nurses or of society as a whole.

Why is this idea important?

The basic requirement for being a good nurse is surely to have a kind, caring personality, not an ability to write a good essay.  It is therefore hugely worrying that entirely uncaring, but academic people could soon qualify as nurses at the expense of those who are very caring and attentive, but do not have an aptitude for academic study. 

What is more, there is a very real possibility that some of those who get degrees will become ‘too posh to wash’ and think the traditional duties of a nurse below them.  This will do nobody any favours. 

On top of this, has any thought been given to how this ludicrous proposal will be funded?  There are surely only three possibilities, all of which are unpalatable:

  1. The government will fund this unnecessary extra education, through grants and subsidies, increasing the already gargantuan budget deficit, thus further exacerbating the economic woes of this country.  
  2. Nursing will become a career option which is only available to the wealthy, as they will be the only ones who can afford the training.
  3. Trainee nurses will be required to take out large loans, saddling them with huge debts that they may never pay off.

Clearly none of the above, or any combination of them, is in the slightest bit desirable from the point of view either of potential nurses or of society as a whole.

Overhaul the Learning & Skills arrangements

Scrap the large number of quangos operating in the 'education and skills' area, in particular there is no justification for Sector Skills Councils.

Stop writing blank cheques from the taxpayer to one hundred plus Awarding Bodies who are all competing with each other for 'business'.

Abandon the Qualificiations Credit Framework which is wrecking many perfectly sound vocational qualifications, adding complexity where none is needed, and is apparently driven by an unwanted and unjustifed plan by Brussels for a European Qualifications Framework.

Why is this idea important?

Scrap the large number of quangos operating in the 'education and skills' area, in particular there is no justification for Sector Skills Councils.

Stop writing blank cheques from the taxpayer to one hundred plus Awarding Bodies who are all competing with each other for 'business'.

Abandon the Qualificiations Credit Framework which is wrecking many perfectly sound vocational qualifications, adding complexity where none is needed, and is apparently driven by an unwanted and unjustifed plan by Brussels for a European Qualifications Framework.

Recruit Carefully For The Police.

Police recruitment has been from a very low level and to fullfill very limited expectations from officers and public alike. This must be improved as a matter of urgency. New standards must be set and driven forward to achieve a much more educated and civilised police force (not service).

Why is this idea important?

Police recruitment has been from a very low level and to fullfill very limited expectations from officers and public alike. This must be improved as a matter of urgency. New standards must be set and driven forward to achieve a much more educated and civilised police force (not service).

Train and appriase public sector employees on commercial practices

1) The personal objectives of public sector administrators, junior managers and above should include how commercial they have been  

2) Basic online training videos should be provided for employees covering what the appropriate commerical cultural values are and technical awareness of best commercial practices e.g. how to manage supplier relationships, how to specify supplier requirements, how to conduct fair and open supplier tenders etc.

Nothing gold plated is needed – videos can be published on youtube  with a maximum budget of £100k (based on experience, this is enough to produce a series of training videos ).  It will pay back thousands of times over with results starting immediately.

Why is this idea important?

1) The personal objectives of public sector administrators, junior managers and above should include how commercial they have been  

2) Basic online training videos should be provided for employees covering what the appropriate commerical cultural values are and technical awareness of best commercial practices e.g. how to manage supplier relationships, how to specify supplier requirements, how to conduct fair and open supplier tenders etc.

Nothing gold plated is needed – videos can be published on youtube  with a maximum budget of £100k (based on experience, this is enough to produce a series of training videos ).  It will pay back thousands of times over with results starting immediately.

Reduce VAT for hair salons

Hair Salons are a very labour intentive business and therefore collect significant levels of tax for the goverment including VAT, Income Tax, NI etc etc.

The EU has recognised this additional burden by allowing member governments to reduce the VAT for this sector which provides employment  and  training for so many.

There are many economic arguments as to how this could work without the Government loosing much in Tax.

http://www.cutthevat.org.uk

Why is this idea important?

Hair Salons are a very labour intentive business and therefore collect significant levels of tax for the goverment including VAT, Income Tax, NI etc etc.

The EU has recognised this additional burden by allowing member governments to reduce the VAT for this sector which provides employment  and  training for so many.

There are many economic arguments as to how this could work without the Government loosing much in Tax.

http://www.cutthevat.org.uk

Revoke laws requiring student airline pilots to pay tax on training expenses

Revoke and laws that require student pilots, already sometimes in debt of upwards of £100,000 to pay tax on their pilot training courses at recognised schools.

The tax was introduced some years ago after people abused the professional-training loophole allowing people to gain a pilots licence for please, but since regulated and approved schools now offer courses which bypass this type of licence, reintroduce the exemption for already over-stretched pilots and their families.

Why is this idea important?

Revoke and laws that require student pilots, already sometimes in debt of upwards of £100,000 to pay tax on their pilot training courses at recognised schools.

The tax was introduced some years ago after people abused the professional-training loophole allowing people to gain a pilots licence for please, but since regulated and approved schools now offer courses which bypass this type of licence, reintroduce the exemption for already over-stretched pilots and their families.

Repeal the Trainee Driving Instructors Licence Act

The Trainee Driving Instructors act was supposed to be repealed in 2006 under the Road Safety Act as it was found to be unsatisfactory as it only lasts 6 months and cannot be renewed.  Whats is the point? Would you be happy with a tradesman of any kind who only had 6 months practical training, of course not. I think the licence should be scrapped altogether

Why is this idea important?

The Trainee Driving Instructors act was supposed to be repealed in 2006 under the Road Safety Act as it was found to be unsatisfactory as it only lasts 6 months and cannot be renewed.  Whats is the point? Would you be happy with a tradesman of any kind who only had 6 months practical training, of course not. I think the licence should be scrapped altogether

The Unfair Dismissal Laws. And The Human Rights link in.

As I'm sure you are aware the 1 year limit before you can claim Unfair Dismissal is a loophole that has been there for a while.  It needs to go.  Seriously.  I'll explain below.

 

You need to be able to do this complaint from the start, like a normal Breach of Contract.

 

The New Labour Human Rights Act of 1998 helped a load of people a lot.  But it only covers you in Employment Law if you are in the Public Sector.  70% of us work in the Private Sector.  So are not protected.

So you can't claim Unfair Dismissal in that first year, and have no Right To Fair Trial.  That's not good.  See below.

Why is this idea important?

As I'm sure you are aware the 1 year limit before you can claim Unfair Dismissal is a loophole that has been there for a while.  It needs to go.  Seriously.  I'll explain below.

 

You need to be able to do this complaint from the start, like a normal Breach of Contract.

 

The New Labour Human Rights Act of 1998 helped a load of people a lot.  But it only covers you in Employment Law if you are in the Public Sector.  70% of us work in the Private Sector.  So are not protected.

So you can't claim Unfair Dismissal in that first year, and have no Right To Fair Trial.  That's not good.  See below.

Require businesses to create entry-level jobs

Businesses should be required to have at least 5% of positions in their companies set aside for people without experience in the sector. This can be 5% rounded down, so companies with under 20 workers would not be affected, companies with 20 – 39 employees would need to have one position etc.

Why is this idea important?

Businesses should be required to have at least 5% of positions in their companies set aside for people without experience in the sector. This can be 5% rounded down, so companies with under 20 workers would not be affected, companies with 20 – 39 employees would need to have one position etc.

enable work experience for under 16s in factories

Due to health and safety it is currently almost impossible for school children to have work experience in a factory.  This means that manufacturing is kept hidden away from schools at a key point when young people are considering their future.

The workers in the factory also suffer from not being in touch with the energy of the next generation (frequently their own children and children of friends).

Factories need to be opened up to young people as they are not dangerous places for grease monkeys.

Why is this idea important?

Due to health and safety it is currently almost impossible for school children to have work experience in a factory.  This means that manufacturing is kept hidden away from schools at a key point when young people are considering their future.

The workers in the factory also suffer from not being in touch with the energy of the next generation (frequently their own children and children of friends).

Factories need to be opened up to young people as they are not dangerous places for grease monkeys.