Non standard doctors and the Responsible Officer

1. Non standard doctors and the Responsible Officer Responsible officer training day Stirling

2. Non Standard Doctors • Private doctors • Doctors in training • Locum doctors • Doctors working in NHS management • University Staff • Others

3. Doctors in Private Practice • Work predominantly in NHS Scotland • Employed full time private practice • Self employed full time private practice • Hospice doctors • Others

4. Private Practice but work predominantly in NHS Scotland • Enhanced appraisal in NHS Board ( appraisal where most work done) • Evidence from private practice • Private institutions facilitate this data • Complaints • Private institutions will require the form 4

5. Doctors in Private Practice • Work predominantly in NHS Scotland • Employed full time private practice • Self employed full time private practice • Hospice doctors • Others

6. Doctors employed in full time private practice • Resident medical officers in the large provider hospitals (Spire, BMI, Nuffield) • DH granted RO status to medical directors from BMI, Spire and Nuffield • Relate to the Company RO • Appraisal arrangements unclear • NHS Scotland appraisers (NES trained & allocated)

7. Doctors in Private Practice • Work predominantly in NHS Scotland • Employed full time private practice • Self employed full time private practice • Hospice doctors • Others

8. Self-employed doctors in full time private practice • Retired doctors “dabbling” in private practice • Relate to the company RO or private doctors federation RO (London) • ? Company RO may become a condition of admitting rights • Big private hospitals may NES train appraisers • Doctors – may approach local Board appraisal structure

9. Doctors in Private Practice • Work predominantly in NHS Scotland • Employed full time private practice • Self employed full time private practice • Hospice doctors • Others

10. Hospice doctors • One hospice per Board • Charities • Close working with NHS Scotland • Use the NHS Board structure • ? Cost

11. Doctors in Private Practice • Work predominantly in NHS Scotland • Employed full time private practice • Self employed full time private practice • Hospice doctors • Others

12. Other doctors in private practice • Small numbers (circa 20) • Cosmetic clinics (overseas temporary doctors) • Castlecraig Clinic • Governance unclear • Prepare a comprehensive list

13. Doctors in training • RO – medical director at NES • Deanery assessments • Input from Board CD/AMD • Portfolio to SOAR

14. Locum Doctors • Locum for 3 months in NHS Scotland (offered an appraisal) ? output • Agency locums - Agency responsible - NHS Scotland employer checks - Up to date form 4s • Locum Bank Scotland • Free agent locums ???

15. Doctors in Management Medical directors, Officers in SGHD, Post Graduate Deans • NALG Guidance • Separate from performance review • SAMD System • Access local appraisal structure (seconded doctors)

16. University doctors • Follett principles • Joint Appraisal • Whole practice evidence • Place of most work

17. others • Legal reports only • Tribunals • Retired doctors • Pharmaceutical company doctors • Ships doctors