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Student Fitness To Practise

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					             Student Fitness To
                  Practise
                 Ruth H Chadwick




March 2010             RHC
             The White Paper
 Student
Guidance


University
 Policy

  Case
 Studies

  NMC
workbook

  CHRE
             Why do we need FTP?
 Student
Guidance        “We need a system that understands the
                pressures and strains under which all
                professionals operate and shows
University
                understanding, compassion and support
 Policy
                where these are appropriate. It also
                means a system that is better able to
  Case          identify people early on who are struggling
 Studies        – perhaps with personal problems of
                mental health or addiction – supporting
  NMC           them, showing the same care to them that
workbook        they have shown to their patients…” page
                2; section 4
  CHRE          Trust, Assurance and Safety – The Regulation of Health Professionals in
                the 21st Century. February 2007. Cm 7013. The Stationery Office,
                London.
             The Code
 Student
Guidance


University
 Policy

  Case
 Studies

  NMC
workbook

  CHRE


                        The
                        Code
                    Alignment
 Student        Professionalism and regulation
Guidance         should run as a developing strand
                 of the curriculum throughout the
University       course of study. Measures should
 Policy
                 be put in place between the
  Case           Regulatory Body and Higher
 Studies         Education Institution for the student
                 to develop a thorough
  NMC
workbook         understanding of professionalism
                 and the purpose of regulation …
  CHRE           CHRE 2008
             Student Guidance
 Student
Guidance


University
 Policy

  Case
 Studies

  NMC
workbook

  CHRE
             Student Guidance
 Student
Guidance
                Aggressive, violent or threatening
                 behaviour
University      Cheating or plagiarising
 Policy
                Criminal conviction or caution
  Case          Dishonesty
 Studies
                Drug or alcohol misuse
  NMC           Health concerns
workbook
                Persistent inappropriate attitude or
  CHRE           behaviour
                Unprofessional behaviour
   Impact of student behaviour and
               conduct
 Student        24 / 7 professional and personal
Guidance
                 life
University      Student fitness to practise
 Policy
                Student’s ability to complete the
  Case           programme
 Studies
                The willingness of the university to
  NMC            sign the declaration of good health
workbook
                 and good character for the student
  CHRE           to become a registered nurse.
       NMC Good Health and Good
              Character
 Student      HEI’s  tasked with ensuring
Guidance
               Fitness for Practice, during and
University     up to the point of registration
 Policy
              Good Health
  Case
 Studies      Good Character
  NMC
workbook

  CHRE
             Good character
 Student      NMC  state
Guidance
              “A persons character must be
University
 Policy
              sufficiently good for them to
              be capable of safe and
  Case
 Studies
              effective practice without
              supervision”
  NMC
workbook        NMC        CHRE
               guidance   approach



  CHRE
             University policy
 Student      Fitness  for Professional
Guidance
               Practice Procedure
University
 Policy
              Fitness to Study
              Procedure for Dealing with
  Case
 Studies       Academic Misconduct
  NMC         Academic Appeals Procedure
workbook
              Student Disciplinary Procedure
  CHRE
              Student Complaints Procedure
 Challenges facing the implementation of
     Fitness for Practice Procedures
 Student
Guidance
              Identifying Fitness for Practise
University
 Policy
               (FFP) cases
              Investigating FFP cases
  Case
 Studies      Consistency of approach
  NMC
workbook

  CHRE
     Identifying Fitness for Practise
               (FFP) cases
 Student      Who  identifies issues of
Guidance
               concern?
University
 Policy
              What kind of concerns are
               raised?
  Case
 Studies      What should happen when
  NMC
               concerns are raised?
workbook
              When will the identified matter
  CHRE         be investigated?
                Investigation
 Student      Follow  FFP policy
Guidance
              Remember these are
University
 Policy
               allegations not proven fact
              Why might the identified matter
  Case
 Studies       affect FFP?
  NMC         What is the evidence to
workbook
               support the allegation?
  CHRE
           Consistency of approach
 Student       Application of the policy to all
Guidance
                allegations raised against
University      students
 Policy
               Proportionality and risk
  Case
 Studies       Equity and fairness
  NMC          Advice to students
workbook

  CHRE
                     Cases
 Student     1.   An investigation that did not
Guidance
                  result in a Fitness For
University
                  Practise (FFP) panel
 Policy
             2.   An investigation was referred
  Case            to a FFP panel
 Studies
             3.   An investigation was referred
  NMC             to a FFP panel and
workbook
                  subsequently to a FFP Appeal
  CHRE            Panel
             Things to consider
 Student      Are  the allegations clear?
Guidance
              Can you relate them to The
University
 Policy
               Code?
              Is there evidence to
  Case
 Studies       substantiate the allegation?
  NMC         Have reasons for decisions
workbook
               been given?
  CHRE

               Standard of Proof
               Student context

 Student      Student maturity
Guidance
              Ethnic and cultural factors
University
 Policy       Educational background

  Case
              Personal problems student
 Studies       experiencing at the time
  NMC
workbook

  CHRE
             Justice and fairness
 Student       Found   unfit for practice by FFP,
Guidance
                but academically sound
University
 Policy
               NMC state that student may be
                granted academic award BUT
  Case
 Studies
                this must not in any way infer
                that the student is a qualified
  NMC
workbook        nurse or midwife.
  CHRE
             Sign off for registration
 Student         If not content; for conduct or health
Guidance
                  reasons, to sign the student’s
University
                  supporting declaration or the
 Policy           student has charges pending
                 The supporting declaration of good
  Case
 Studies          health and character should be
                  returned to the NMC UNSIGNED
  NMC
workbook          and clearly marked that the nursing
                  programme leader or midwife for
  CHRE
                  education is unable to sign it
                                                          NMC
                                                          H&C
    Should regulators receive every
              outcome?
 Student
Guidance


University
 Policy

  Case
 Studies

  NMC
workbook

  CHRE


                                      CHRE
                                      SFTP
                    References
                CHRE 2008 Advice on the civil standard of proof London CHRE
 Student        CHRE 2008 Advice on student registration London CHRE
Guidance        CHRE 2008 A common approach to good character across the
                 health professions regulators London CHRE
                CHRE 2010 Fitness to practise audit report Audit of health
University       professional regulatory bodies’ initial decisions London CHRE
                CHRE 2010 Student Fitness to Practise Should the regulators
 Policy          receive every outcome? London CHRE
                DoH 2007 Trust, Assurance and Safety – The Regulation of
                 Health Professionals in the 21st Century London The
  Case           Stationery Office
 Studies        NMC 2008 The Code Standards of conduct, performance and
                 ethics for nurses and midwives London NMC
                NMC 2008 Good Health and Good Character: guidance for
  NMC            educational institutions London NMC
workbook        NMC 2009 Guidance on professional conduct for nursing and
                 midwifery students London NMC
                School of Nursing & Midwifery 2010 The Nursing and Midwifery
  CHRE           Workbook Salford School of Nursing and Midwifery
                University of Salford 2010 Fitness for Professional Practice
                 Procedure Salford University of Salford
 Raising and escalating concerns:
 Guidance for nurses and midwives
 Student      The new guidance will remind nurses and
Guidance       midwives of their obligations – The code:
               Standards of conduct, performance and
               ethics for nurses and midwives stipulates:
University
 Policy       Acting without delay if you suspect a
               colleague or anyone else may be putting
               someone at risk
  Case
 Studies      Informing someone in authority if you
               experience problems that prevent you
  NMC          working within the code
workbook      Reporting any concerns in writing if
               problems in the environment of care are
  CHRE         putting people at risk

				
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posted:4/28/2010
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