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									RCGP Scotland
Annual Review
   2008/09
 Political Update


RCGP Scotland Political Engagement

RCGP Scotland continues to develop strong relationships with Scottish Parliament with
regular meetings with MSPs and Government representatives, including 3 meetings with
Cabinet Secretary for Health and Wellbeing, Nicola Sturgeon, and a Chair‟s Dinner with
Health & Sport Committee members.

We have lobbied on some key healthcare issues this year, such as the Review of Nursing
in the Community which has now been disbanded and reformed as the Community
Nursing Programme Board with a revised remit. We also lobbied against the Gender
Based Violence Action Plan, in which serious concerns were raised about routine abuse
enquiries and the possible impact on the doctor/patient relationship. Most recently in
September 2009 we lobbied against the Tobacco and Primary Medical Services Bill which
proposes access to medical records without patient consent under certain circumstances.
This included two joint letters with the BMA Scotland to the Parliamentary Leads and we
will meet face-to-face in the coming months to discuss our concerns further.

We have worked successfully with the Scottish Government on Health Inequalities
throughout 2009. This is a key area for improvement as set out in the government
document entitled „Better Health, Better Care‟. In September, RCGP Scotland delivered a
pioneering event on this topic, „Health Inequalities: GPs at the Deep End”, in which the
100 most deprived practices in Scotland, both urban and rural, were personally invited.
Attendance at this event was exceptional. The Chief Medical Officer for Scotland, Dr.
Harry Burns will use the follow up report from this event to deliver a keynote speech at the
RCGP Annual Primary Care Conference 2009.

RCGP Scotland continues to meet routinely with opposition MSPs in order to further the
College agenda, most notably MSP Richard Simpson, a former GP, Margaret Curran and
Ross Finnie.



 Working With Our Partners


NHS Health Scotland

RCGP Scotland continues to work with NHS Health Scotland on the Walk the Talk
initiative funded by NHS Health Scotland. The aim of the initiative is to make the health
service more youth friendly to improve health outcomes and reduce health inequalities
among young people.

A hugely successful Walk the Talk conference, aimed at primary care was held in March
2008. Professor Trevor Gibbs Executive Officer (International) hosted the afternoon
session and remains heavily involved in the initiative. In September 2009 NHS Scotland
played host to the WHO European Conference on Youth Friendly Health Services on the
strength of the work of the Walk the Talk project and Professor Gibbs was again invited to
chair a session.
Since the conference, RCGP Scotland has worked closely with NHS Health Scotland to
develop youth friendly services through integration into the Quality Practice Award (QPA)
Version 12 and through endorsement of a confidentiality poster for GP practices launched
in October 2009. RCGP Scotland have remained in close contact with Walk The Talk and
are formulating plans for Tip Cards, increasing awareness through raising the Walk the
Talk profile in the GP community.

RCGP Scotland continues to work closely with NES and QIS on key activities within the
College relating to quality initiatives and continuous professional development.

RCGP Scotland welcomed funding support from NES and QIS to take forward projects
noted above (Essence of General Practice, modularising QPA).



Scottish General Practitioners Committee

The College in Scotland also continues to work closely with the Scottish General
Practitioners Committee (SGPC) of the BMA to promote general practice to policy makers
within the Scottish Government and Scottish Parliament.

RCGP Scotland and the SGPC have worked collaboratively a number of joint items
including the concerns raised about Review of Nursing in the Community (RONIC); and in
the production of the BMA Scotland consultation entitled „General Practice in Scotland:
The Way Ahead‟. This significant document will be used to influence government policy
and also to inform the development of the RCGP Scotland vision document planned for
2010.



 Patient Group

Patient Partnership in Practice (P3), the patient participation group of RCGP Scotland,
continues to develop and grow. Following a recruitment exercise last year, 4 new lay
members and 2 new GP members joined the group. P3 now has lay representation from
a wide geographical area across Scotland, with a member in each of the RCGP Scotland
faculty areas. North Scotland currently has a vacancy and recruitment is underway.

Focusing its activities against an annually agreed Work Plan, P3 continues to work hard
championing the concept of patient participation groups and linking practices with their
community to become a trusted patient voice in Scotland.

Significant activities over the past year

Make the Connections – following on from the previous work on „PG Tips‟ – (an initiative
looking at ways of supporting GP practices to get the most out of their patient involvement
groups) funding was secured for a national workshop, held on 11 March 2009, designed to
encourage GP practices to utilise patient groups all over Scotland.

The RCGP Scotland P3 Virtual Network was formed last year to help link as many
people as possible with an interest in healthcare and the NHS in Scotland in order to
strengthen the patient voice through unity. With over 40 members, the P3 Virtual Network
is a pool of patients that feed in, via email, to how primary care services are delivered
through the work of P3 and RCGP Scotland. The members are regularly given patient-
focused information on workshops and conferences and receive regular e-bulletins from
the National Association of Patient Participation (NAPP). In addition, they will be
occasionally invited to respond to consultation documents that require a wide patient voice
from all major health bodies in Scotland, (such as the Scottish Government, NHS Quality
Improvement Scotland, SIGN and NHS Education for Scotland). Other opportunities for
wider involvement will also be shared with the Network.

Working with groups and organisations – P3 continues to contribute to all consultation
documents received from the Scottish Government and other health organisations to
ensure the patient voice is represented in RCGP Scotland responses. In addition, P3 has
previously represented the College by giving both written and oral evidence to the Scottish
Parliament at Committee stage.



 Professional Standard and Quality


The College in Scotland has continued to develop its portfolio of work and scope new
projects to continue to drive the quality agenda forward and support members to achieve
the highest quality practice.

The RCGP Scotland Scottish National GP Revalidation Steering Group continues to
meet bi-annually and includes representation from the Scottish General Practitioners
Committee (SGPC), Scottish Government Health Directorate, NHS Education for Scotland
(NES), NHS Quality Improvement Scotland (NHS QIS), General Medical Council (GMC),
Scottish Association of Medical Directors (SAMD), National Clinical Assessment Service
(NCAS) and Sessional Doctors. The group will regularly communicate the key messages
around Revalidation in order to keep GPs updated as Revalidation progresses towards
implementation in 2010/11. Over the coming months the group will review and update the
RCGP Scotland Revalidation Toolkit, which was originally developed and published in
2003 to assist GPs in Scotland prepare for Revalidation, and it will now be known as the
“Scottish GP Appraisal Toolkit”.

As a support to our members in Scotland, RCGP Scotland has developed a “Frequently
Asked Questions” webpage, to supplement the RCGP website with responses to some of
the most frequently asked Revalidation questions that have been posed by GPs.

Led by Dr. Alan Melville, RCGP Scotland piloted the RCGP CPD Credits scheme in
Scotland, with 7 GP Appraisers and 34 Appraisees participating in Scotland. The scheme
was based on the Academy of Royal Colleges consensus view that every doctor should
demonstrate a minimum of 50 CPD credits in a year and 250 CPD credits in a five year
cycle to support a positive revalidation decision. The pilot ceased in May 2009 and in light
of the results, the CPD credits-based scheme has been simplified. As originally intended,
Credits will be self-assessed and verified at appraisal, but the scheme is now based on the
time spent on the activity and the impact it has on the doctor, his or her patients and the
service.

To support quality initiatives in the new contract in primary care in the future, RCGP
Scotland has been awarded an ongoing contract to deliver the QOF Reviewer Training
on behalf of NHS Boards. Training for 2009/10 has been completed, with 236 reviewers
being trained. Health Boards have been invited to a QOF conference which will take place
in central Scotland in the January 2010. Discussions are presently taking place to finalise
the training for 2010/11 and the QOF training will be adapted accordingly.

Quality Practice Award (QPA) in April 2009 RCGP Scotland took over the administration
of QPA for England, Scotland and Wales. To date 40 practices have signed up for the
award across the 3 countries since April bringing the total number of practices working
towards the award to 94. RCGP Scotland is presently working on a review of QPA, which
will reflect amongst other things any changes anticipated due to Provider Accreditation
being rolled out across England in April.

Modular QPA (mQPA) was launched on 1 April 2008 and continues to attract interest from
practices; to date 16 practices are working towards various modules with a number of NHS
Boards expressing interest in allocating funding for their practice development. An
evaluation is presently taking place and the report will be presented to NHS Quality
Improvement Scotland in the early part of 2010. Funding had been secured for two years
from NHS Quality Improvement Scotland to develop this initiative.

Discussions have taken place with Dr Linda Harris from Newhall prison in Wakefield who
have embarked on the pilot for prison modular QPA on 1 September. Discussions are
taking place in England with Primecare and Serco with regards to a number of other
prisons joining the pilot. RCGP Scotland is continuing to explore funding possibilities for a
Scottish prison to join the pilot.

RCGP Scotland‟s Education Providers Accreditation Scheme Scotland (EPASS)
quality assures postgraduate educational activities for GPs and other primary care
professionals. With 55 providers currently accredited, the scheme continues to grow with
8 new providers joining since January 2009.

In light of the results of an Evaluation of the scheme in 2008, EPASS has been developed
and one of the most notable enhancements has been the introduction of an online quality
assurance questionnaire to improve the quality assurance measures. This questionnaire
enables GPs and other Primary Care Professionals to provide anonymous feedback on an
EPASS accredited event they have attended or an online e-module they have completed.
In February 2009, the EPASS Team introduced a quarterly EPASS newsletter, highlighting
“what‟s new” with the scheme and any other relevant news items. Additionally, a “Quality
Criteria” to support Providers to deliver learning which is consistent with the RCGP
programme for the provision of CPD has been created and will be introduced in November
2009.

The 2009 EPASS “Sharing Best Practice” event will take place in November 2009 and all
past and present Providers have been invited to attend. The aim of the event will be to
give Providers the opportunity to network and to discuss any issues or ideas relating to
EPASS and Quality Events. In light of the continuing changes in General Practice in
preparation for Revalidation and the introduction of the CPD Credits-based Scheme, this
year‟s event will look at how EPASS can be developed in line with these changes.

CARE measure was launched on 26 March 2007. CARE measure is RCGP Scotland‟s
validated online patient questionnaire for GPs giving instant feedback. It offers a peer
review facility giving the GP the option to compare their score with other GPs across the
country. CARE also gives a detailed report with a breakdown of performance along with a
certificate. CARE measure sales have risen since it‟s inclusion in the iMAP programme.
The Essence of General Practice initiative, through a series of different events, is to look
at the critical choices facing GPs of the future. It also aims to capture the important
aspects of General Practice in Scotland, and to develop tools and approaches that will
help GPs, and aspiring GPs, understand the essence of being a General Practitioner and
respond to the challenges ahead.

In the May edition of the RCGP Journal, BJGP, a paper written by members of the
Essence of General Practice Steering Group was published. This paper entitled
“Distilling the essence of general practice: a learning journey in progress” discusses
the changes to General Practice in the UK over the past five years within the areas of
training, contacts and regulation, and attempts to define some characteristics of the
essence of general practice.

As part of the initiative, GP Learning Tools were launched in February 2008. The
Learning Tools, comprising a set of prompt cards and explanatory booklet, aim to
communicate and capture the “Essence of General Practice” from the viewpoint of both
the General Practitioner and the patient, and evoke original thought and prompt discussion
on “What is the Future of General Practice?” within the training environment. To date,
approximately 150 sets of the Learning Tools have been sold and it is hoped the
“Essence” presence at the RCGP Conference in November will help to market the initiative
i.e. presentation of the Essence poster by Professor Stewart Mercer, and a fringe meeting,
discussing the work of the initiative, facilitated by Dr John Gillies.

Going forward there will be two strands to the Essence initiative. The first will be to
integrate the BJGP paper into as many different activities as possible, and to promote
what the paper discusses e.g. through the Vision for General Practice in Scotland. The
second strand will be to develop one aspect of the “Essence”, perhaps leadership, and
how the group will achieve this will be discussed at an upcoming meeting of the Steering
Group in November 2009.

In 2008, RCGP Scotland launched the Ukraine Travelling Fellowship Award in
conjunction with the Ukraine Association of Family Medicine. Our first Ukraine partner, Dr
Oleg Kashtelyan, visited Scotland at the end of January 2009 with the Scottish Awardee,
Dr Caroline Oates, travelling to Kiev in Ukraine in April 2009. Both awardees found their
participation in the programme insightful and rewarding, and it is hoped that our successful
2010 candidate will find the experience as valuable.

RCGP Scotland continues to develop international links through the overseas work of
Professor Trevor Gibbs, in his role as Executive Office (International). Professor Gibbs is
now resident for most of the time in Ukraine and holds the positions of Visiting Professor of
Family Medicine in the Ukraine Association of Family Medicine, Visiting Professor in
Primary Care and Medical Education at the National Medical Academy of Postgraduate
Education, Advisor in Primary Care to the Ukraine Ministry of Health, and WHO Consultant
in Medical Education and Adolescent Health. Over the coming year Professor Gibbs will
develop links with the Ukraine, Hong Kong, China and Syria, and one of the major areas of
input this year for Ukraine will be the delivery of a Diploma Course in Medical Education
(Dip. Med. Ed.), for which RCGP Scotland has given its support and approval.

RCGP Scotland supported the RCGP Junior International Committee with arrangements
for the Vasco da Gama International Exchange at the 2009 RCGP Annual National
Primary Care Conference, and with Scottish General Practice. This was the first time the
Vasco da Gama Movement - WONCA Europe‟s forum for aspiring and junior General
Practitioners, carried out such an exchange in the United Kingdom. Prior to the
Conference, and as part of the exchange programme, the 19 international delegates were
invited to shadow GPs in a Scottish General Practice, with a reception welcoming the
delegates, who were accompanied by their Scottish hosts, to Scotland that evening. This
was a unique opportunity for local GPs and international delegates to exchange ideas and
experiences of General Practice in different countries, thus forming both professional and
personal bonds.



 Professional Development


The College in Scotland continues to develop its educational activities to assist members
with their own Continuing Professional Development (CPD).

nPEP was successfully launched in October 2007. It is an online self assessment learning
tool for GPs founded on the nMRCGP methodology. It is predominantly an Applied
Knowledge Test (AKT) and includes a total of 150 questions across all relevant RCGP
Curriculum Statements. All questions were written by working GPs in clinical practice and
therefore most scenarios reflect real clinical events encountered in one surgery. nPEP has
an interactive report facility to allow users to identify their specific educational needs and to
support them in their self learning revision work. AiTs currently receive nPEP as part of
their subscription.

PEP has been developed this year, with a bespoke PEP module launched in August 2009
for the Tayside Revalidation Pilot project. With around 60 GPs taking part, the pilot covers
three broad curriculum areas with a total of 60 items/questions. Feedback received from
the GPs taking part in the pilot has been positive and will be used when further developing
the modules.

It has been agreed that modular PEP (mPEP) will become part of the revalidation package
for members. The aim is to include mPEP in the e-portfolio, allowing members direct
access, similar to Essential Knowledge Challenge and Essential Knowledge Updates.

The ninth annual GPs in Specialty Training conference took place in September at the
Stirling Management Centre.       The conference, entitled „Leadership – You can do it‟,
attracted over 40 GPSTs who heard inspirational speakers discuss current issues facing
general practice. A networking event was held after the main conference where a number
of delegates took the opportunity to continue discussion around important topics.

The Clinical Skills Assessment workshops have continued during 2009/10; to date RCGP
Scotland has facilitated 7 workshops with events advertised for the early part of 2010. A
stage two advanced course aimed at the Training Programme Directors (TPD) and GP
Trainers who facilitate failed GPST is planned for the 21 January 2010 in Edinburgh. It is
hoped that this stage two course combined with the stage one course for GP Trainers, will
enable the training of GPSTs to continue to provide valid, relevant information for the GP
Trainers and Training Programme Directors, which in turn will enable the GPSTs to be fully
prepared for their Clinical Skills Assessment.

In June 2005 the Scottish Government granted funds to RCGP Scotland to facilitate and
deliver the Certificate in the Management of Drug Misuse in Primary Care Part 2
Course. This funding covered training for 3 consecutive years with the first year starting in
2006. The Scottish Government has agreed to part fund RCGP Scotland to run the Part 1
& Part 2 courses for 2009/10. This is the first year full funding has not been available for
the Part 2 course and candidates will therefore be charged in the region of £400 to attend.
The Part 1 course will take place on 26 January 2010, with the Part 2 course commencing
with the National Training Day on 4 February 2010.

RCGP Scotland has received funding from the Scottish Government through NHS Health
Scotland to deliver a 2 nd set of three one day training events in Identification &
Management of Alcohol Problems in Primary Care in 2009, with capacity for a total of
150 candidates. The first three courses were held in February & March 2009 in
Edinburgh, Glasgow & Aberdeen. The next training courses will be held in November
2009 & February 2010 in the same locations.

RCGP Scotland and the British Geriatrics Society (Scotland) and Royal College of
Physicians, held a one day conference „Care Homes – We Can Do Better‟ in the context
of „Shifting the Balance of Care‟. Following discussions with the Scottish Government and
MSP Shona Robison, RCGP Scotland and the British Geriatrics Society (Scotland) have
produced a paper demonstrating the need for improvement and better care of the elderly
in Scotland; this includes care homes and those in the community. The multi-author paper
entitled „Frailty, Older People and Care Homes‟, was submitted to the Minister in
October 2009, with the aim of holding an early meeting to discuss forward action in
response to the recommendations.

The Scottish Academic Forum (SAF) was created to bring together key organisations
that have a significant role to play in the development and delivery of undergraduate and
post graduate education and CPD for general practitioners in Scotland. Membership is
drawn from NHS Education for Scotland (NES), Undergraduate and Postgraduate
Departments of General Practice, Scottish School of Primary Care, Scottish Government
Education Department and RCGP Scotland. A Short Life Working Group chaired by
Professor Lewis Ritchie formed worked over a 10 month period during 2008/09 in the
production of a draft paper entitled Academic General Practice in Scotland: Securing
the Future. The paper was presented to the Cabinet Secretary for Health & Wellbeing at
a meeting on 10 September. The paper has been widely circulated across Scotland, and a
follow up meeting has been arranged for early November to discuss issues arising for Post
Graduate Directors and University Heads in implementation of the report
recommendations.

Working closely with the Scottish Development Centre for Mental Health and the Primary
Care Research Unit of Stirling University, RCGP Scotland successfully secured £550,000
funding from the Scottish Government for a new initiative, Living Better: Improving
Mental Health & Wellbeing of People with Long Term Conditions. Together with the
above organisations, the 3 year Living Better project will be managed in partnership with
voluntary organisations including Depression Alliance Scotland, the British Heart
Foundation (BHF Scotland) and Diabetes UK (Scotland) who will deliver training to GP
practices across Scotland.        Over the 3 year period the project aims to improve the
detection and diagnosis of mental health in primary care among patients with long term
physical conditions, principally Coronary Heart Disease (CHD) and diabetes, and to set up
appropriate interventions and treatments including medical and non-medical options. The
project is now commencing its 2nd year and is running in 5 sites across Scotland.
 Supporting Members


The Membership Liaison Group (MLG) continues to share ideas and to act as the
members‟ voice for RCGP Scotland. The group has been joined by Dr Susan Taylor this
year as the remote and rural representative. The Honorary Treasurers will join the
meeting in November 2009 to discuss faculty finances and faculty planning. Discussion
Topics at MLG during the past 12 months

The review of faculties has been a topic discussed at all meetings and MLG members
were giving the opportunity to take part in the focus group organised by the college to
discuss the next stages of the review and specifically the structure and the work of the
faculties.

MLG tasked the Faculty Support Manager to produce a survey for the AiTs across
Scotland to ask them what they thought the College provided or did not provide for them.
The next stage is to dissect the results of this survey and take forward the actions on
behalf of the faculties in Scotland.

Other topics raised have included Revalidation and Appraisal, CSA preparation courses
and the need to ensure that all members were given equal opportunity to attend these
across the whole of Scotland. Jenny Britton was invited to update the group on the work
of the GP Foundation which was approved at RCGP Council in June and is due to be
launched at the annual conference. The Education Chairs joined the meeting in August
2009 and there was an opportunity to discuss issues of company sponsorship and looking
at alternatives as well as the inconsistency of speaker‟s fees across the Scottish Faculties.

Faculty activities across Scotland

All Faculties across Scotland continue to meet regularly to share good practice which has
led to meetings to discuss nMRCGP, EPASS, contracts for sponsorship, standardising
administrative procedures within faculty offices and exchanging ideas on events to support
members across Scotland. The Scottish Faculties have worked together to ensure that
the Health & Work workshops were undertaken across Scotland and these will be run
again in 2010. In addition to the core activities for the faculties (Faculty Board, AGM,
communication with members by way of quarterly newsletters etc), below is a flavour of
the other activities that have been undertaken.

The West of Scotland have continued to build on last year‟s success of running practice
staff courses and held further courses this year which were very well received. The
feedback from the practice manager course was extremely positive and the faculty intends
to run more courses in 2010. Last year‟s Clinical Skills Assessment event to help
candidates prepare for sitting the examination in 2010 is again taking place at the request
of the local Deanery with 140 delegates expected to attend over 2 days.

Other events held have been “The Melting Pot of Care” which was a joint meeting with the
University section of General Practice. NHS Superannuation Scheme Workshops have
been run both in Glasgow and in Dumfries and Galloway area. Induction and reception
event for AiTs has been held with AiTs now numbering over 500 in the West.

The annual Fulton lecture was presented by Dr Ian McKee MSP and in conjunction with
the university a short series of CPD meetings have been arranged this year. The Faculty
has also been asked to endorse as a co-host the AMEE 2010 Conference which is to be
held in Glasgow and will be the largest meeting of health professions education in the
world.

The East of Scotland Faculty has increased the amount of events available to the whole
primary care team and membership of the local faculty.

The faculty has now launched a new award which is open to all ST1, 2 & 3 GPs. This
award invites them to submit and present a poster which is relevant to their own
experience in general practice. The poster will have a clinical theme and may be based
on a case or a series of cases, a particular „hot topic‟ or an audit undertaken during a
General Practice placement. This award will now be presented annually at the Faculty
AGM each September. Each entry will be on display at the AGM and it is planned that the
winning entry will be submitted for consideration each year to the RCGP annual
conference.

The faculty was invited to the Tayside Centre for General Practice conference in June to
promote the work of the College and, in particular, the RCGP national conference to be
held in Glasgow in November. The faculty administrator attended on behalf of the College.

The annual John Lawson Lecture took place in June with Professor Steve Field delivering
the lecture. Professor Field‟s title was “Quality General Practice: Towards Revalidation
and Practice Accreditation”. A full day course for practice reception staff took place in
June and this event was fully subscribed. The faculty has been approached by the local
Family Planning Department regarding the possibility of the RCGP running the annual
Family Planning Update day in Tayside. This is an extremely popular day (last year had
150 delegates) and it is an event that is valued by local GPs.

Future Events to be delivered include a re-run of the over subscribed practice receptionist
course held in June 2009. A GP study day, AKT preparation courses, Health & Work
workshop, Woman Doctors Group meetings, additional practice receptionist courses, joint
event with the local University Undergraduate department, retired GPs forums, Asthma
study day and Family Planning update day.

The faculty was invited to join with NHS Education for Scotland (NES) who run the
introductory courses in August for ST1 and ST3 GPs. The faculty administrator attended
both events and the RCGP was given part of the programme to promote the work of the
College and the local faculty.

Following the decision to abolish the Scottish Practice Nurse Association (SPNA)
membership fee there has been a steady increase in membership. The committee is
working hard to let practice nurses in their area know that membership is now free and
encouraging nurses to join the association online. The SPNA has had representation on
the GP Foundation development group where it is proposed that practice nurses can
have a link with the RCGP and have use of many of the resources that are available via
the RCGP. It is felt that this link with the RCGP will be beneficial for practice nurses and
the SPNA will continue to input into this group.

The South East of Scotland Faculty are adding to their already busy programme of
events and an AiT Induction evening was held on the 27 August (39 delegates) and the
first very well attended Summer Ball took place during June. Inequality and Deprivation
Lectures were held this year with topics such as “Real & Rhetorical Approaches to
Inequalities in Health”, “The Psychology of Deprivation” and “Scottish Health Inequalities –
What Can Be Done?”

In addition, a full day workshop on Leadership Skills for GPs and two half day workshops
on child protection and child consultations took place. Discussions are taking place
around the possibility of holding a residential event similar to those held in the North East
of Scotland and the Faculty office continues to offer practice staff courses throughout the
year.

The Faculty Administrator in the South East has recently taken on the role of part-time
MLG administrator to support the Faculty Support Manager and Head of RCGP Scotland
to take forward the administrative tasks of this group.

The North East of Scotland now has an extensive programme of educational and social
events available across the faculty area. The programme has now been extended to
provide more events for those outside Aberdeen city to ensure that the faculty is meeting
the needs of their more remote and rural colleagues. A roadshow to the islands is
currently being organised for Spring 2010 which will provide social and education
opportunities to those members living in Orkney and Shetland.

The type of events that have been held across the area are “Working in Teams”, “Asthma
in Adults & Children”, “Palliative Care”, “Cardiology”, “Understanding the Contracts”,
“Dealing with Difficult People”, “Paediatric & CPR”, “Summer Ball”. The dedicated Events
Team are now working on a programme of events for 2010 for Practice Supervisors,
Moray and the residential courses.

The Faculty also hold committee meetings around Fellowship, iMAP and Vision. With
additional meetings being held with NHS Grampian, Community Health Partnership,
University of Aberdeen and NHS Education to see how they can work together.

A new award has been announced this year which is being co-badged with Roxburghe
House in Aberdeen to recognise quality and achievement within palliative care whether by
an individual within a primary care team or the whole primary care team.

In the North of Scotland, a booklet has now been produced for both mentors and pupils
for the Highland Schools Medical Mentor Scheme (HSMMS) and so far a total of 9 pupils
have been in touch with local mentors and more mentors are currently being sought by the
faculty office.

Events which have taken place this year include the annual GPST Clan Gathering, a study
day for GPs, the Richard Smith lecture which was given by Prof David Haslam, GP staff
training and the faculty have recently approved the delivery of a range of practice staff
events which include “medical terminology”, “managing violence”, “data protection” and
“customer care”. The faculty continues to support its AiTs by taking part in the GPSTs
reception within the local deanery and also holding their own careers event.

The task of organising the next nMRCGP examination preparation day is being undertaken
by the faculty office and this will take place in January 2010.
 Promoting General Practice

PR Activity

The RCGP Scotland Communication Strategy continues to be delivered successfully. A
training session for new spokespeople was held at the end of 2008 for our new Deputy
Chair, D Bill Mathewson, and patient group Chair, Sue Kinsey. There have been 28 press
and radio hits since the last Annual Report was produced which is a significant increase on
4 in 2007. Highlights included two appearances on BBC Radio 2‟s Medical Matters
programme, an article on the dangers of 10 minute appointments and a piece on our
forthcoming Gala Awards Evening.

The RCGP Scotland web pages have been fully reviewed to make best use of the site.
Both structure and content has been updated and improved and content kept up-to-date.

Scottish members‟ magazine hoolet, is currently on hold following the resignation of the
editor, Dr Chris Johnston. RCGP Scotland will undertake a full review this year which will
incorporate research with members and a fresh look at design, content and delivery.
RCGP Scotland will work closely with the team in London to ensure there is no duplication
and that a consistent approach is taken. In the meantime, RCGP Scotland is very grateful
to the faculty administrators who will facilitate a fuller contribution from RCGP Scotland in
each of their quarterly faculty newsletters.

RCGP Scotland will hold the first annual Gala Awards Evening which will deliver 3 new
awards and will generate good news about General Practice. The „GP of the Year‟ award
is based upon patient nominations which were canvassed using a poster campaign in
practices throughout Scotland. The patient nominations will be used to promote and
celebrate General Practice in Scotland, through an attractive printed booklet available
on the evening, and which will be distributed to a range of stakeholders. These patient
testimonials provide great first hand accounts of excellent patient care and will also be
used as a resource for „GP Week‟ in February that we will deliver with our colleagues at
the Scottish General Practitioners Committee (SGPC).

Policy

The College in Scotland continues to respond to major health policy consultations and
answer requests for representation on various working groups. Major topics (all
mentioned elsewhere in this report) during the year included:

„Better Health, Better Care‟ is the Scottish Government's programme to deliver a
healthier Scotland by helping people to sustain and improve their health, especially in
disadvantaged communities, ensuring better, local and faster access to health care. Chair
of RCGP Scotland Dr Ken Lawton participates in the Shifting the Balance of Care Delivery
Group. Further to this RCGP Scotland submitted a response to the follow-on consultation
entitled Development of Workforce response to “Better Health, Better Care”.

A constant healthcare issue in Scotland which is addressed in BHBC is the problem of
Alcohol misuse (reflected in the aforementioned training course offered by RCGP
Scotland). RCGP Scotland recently responded to a major consultation entitled Changing
Scotland’s Relationship with Alcohol – A Discussion Paper on Our Strategic Approach.
At the June meeting of Scottish Council, the Health Inequalities Short Life Working Group
was conceived. This has resulted in a highly successful event held September (mentioned
above).

The Review of Nursing in the Community was brought forward as an action point from
Delivering for Health and remains extremely contentious. The original review was to
record the work nurses do well in providing modern care for people of Scotland, and make
recommendations for the future delivery of these nursing services in the community. Dr
Sheena Macdonald, East Scotland Faculty and RCGP Scotland Deputy Chair (Policy) Dr
Bill Mathewson sit on the Review of Nursing in the Community Programme Board, and
continue to voice the GP concerns.

On the ever prominent issue of Revalidation, RCGP Scotland responded to the
consultation entitled: Responsible Officers and Their Duties Relating to the Medical
Profession and Dr Ken Lawton continues to sit on the RCGP Revalidation Delivery Board.

In terms of Education and Training for general practice, we contributed opinion to The
Governance Of Postgraduate Medical Education And Training In Scotland: A Document
For Consultation and earlier in the year to the Aspiring to Excellence Consultation
document on the Tooke Report.

Details of all responses to consultation documents can be found on the RCGP Scotland
website www.rcgp-scotland.org.uk



RCGP Scotland
November 2009

								
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