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Introduction

Introduction. Professor Colin J Suckling Chairman, SACDA. Evolution. Impact of scoring system Monitoring and audit of outcomes Simplification of guide Modifications of forms Eventually, more substantial change demanded. Review Group. Set up by previous government

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Introduction

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  1. Introduction Professor Colin J Suckling Chairman, SACDA

  2. Evolution • Impact of scoring system • Monitoring and audit of outcomes • Simplification of guide • Modifications of forms • Eventually, more substantial change demanded

  3. Review Group • Set up by previous government • Risk of total abolition of Scheme • Balanced argument convinced previous government to seek modernisation • Current government has backed this approach • But progress has been slow

  4. Principles of Review • Wide access to the scheme • Level playing field for assessment • Suited to needs of Scottish NHS • Recognising clinical leadership and innovation in all their forms • Compatibility but not identity with the ACCEA system • Connecting with the DP system

  5. Areas of agreement • Wide access to the scheme √ • Level playing field for assessment √ • Suited to needs of Scottish NHS √ • Recognising clinical leadership and innovation in all their forms √

  6. Areas without agreement • Financial structure X • Compatibility but not identity with the ACCEA system X • Connecting with the DP systemX • Governance of the DP system X Work still in progress.

  7. SACDA’s response • Substantial agreement on principles • Danger of stagnation of developments • Without engaging in management of DPs, things that could be done SACDA chose to put in place some developments including SACDA OnLine.

  8. What’s new in 2009? Professor John L Reid SACDA Medical Director

  9. What’s new in 2009? • Online electronic application, citation, support and review (for all awards) • Self nomination only (for A+) • New region with Advisers (and meeting) for smaller and special Health Boards.

  10. SACDA Online • Online application, citation, support and review system. • Initiated and set up over 2007/08. • There will be an opportunity to see a demonstration later.

  11. Self Nomination Only (A+) • This is currently the only method of application for higher awards in Northern Ireland. • It is encouraged and widely used in England and Wales. • In recent years in Scotland has been receiving an increasing proportion (up to 40-50%) of nominations by this route. • Significant numbers of self nominations have been successful in recent years. (2 in 2008 & 32 overall)

  12. New Region • New region with SACDA Advisers (and meeting) for smaller and special Health Boards. • Current distribution covers 4 regions (Western, South Eastern, Eastern and North/North Eastern has created unbalanced groups with concerns about equity and fairness for all consultants. • The new group has been created to represent smaller and special Health Boards to try to increase engagement with SACDA and improve quality of applications and outcomes.

  13. Present SACDA Regions East No of consultants Tayside 392

  14. Present SACDA Regions North/North East No of consultants Grampian 409 Highland 163 Total Western Isles 13 602 Shetland 10 Orkney 7

  15. Present SACDA Regions South East No of consultants Lothian 734 Total Fife 191 992 Borders 67 (+ “National” Services 70 70)

  16. Present SACDA Regions West No of consultants Glasgow & Clyde 1190 Lanarkshire 284 Total Ayrshire and Arran 193 1915 Forth Valley 154 Dumfries & Galloway 94

  17. Present SACDA Regions Region No. of % of total Consultants Consultants West 1915 48.2 East 392 9.9 South East 992 25.1 North & 602 15.2 North East National 70 1.7 Total 3971 100

  18. ProposedSACDA “Regions” 2009 Region No. of % of total Notional Actual Consultants Consultants Awards Awards Glasgow 1190 30 19 20 & Clyde Lothian 734 18.5 12 17 Tayside 392 9.9 6 9 Grampian 572 14.4 9 9 & Highland Smaller Health 1083 27.3 16 7 Boards & National Services

  19. New fifth “Region” 2009 • SACDA Advisers from Senior Award Holders in the smaller Health Boards to facilitate interaction between consultants (and employers) and SACDA processes. • Additional regional meeting in May to review all applications from the new “region”.

  20. Why are we trying out these new approaches? • There will be a new scheme replacing SACDA (eventually). • Electronic submission will be used in the future. • There is strong pressure to develop self nomination for all awards in future. • Possible changes in the balance of national and local input to higher awards without losing SACDA’s transparency, consistency and monitoring of process. • Likely extension of some SACDA responsibilities and monitoring (and mentoring) to local discretionary points.

  21. Secretariat Fiona Kennedy, Secretary Louise Lowe, Administrator

  22. Responsibilities of the Secretariat: • Explanation of the SACDA Nomination & 5 Yearly Review Processes • Assisting on issues of eligibility • Processing all nomination and review paperwork • Arranging, attending and minuting all SACDA meetings • Assisting with queries on the SACDA Online system • Collation of the allocation of Discretionary Points by each Health Board • Collation of the financial information for the funding of Distinction Awards

  23. The Secretariat is not responsible for: • Maintaining the consultant information on the SWISS database • Allocating the funding for distinction awards

  24. SACDA Online Demonstration https://awards.sacda.scot.nhs.uk http://www.sacda.scot.nhs.uk

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