GMC to Toughen Tests for Overseas Doctors

The General Medical Council (GMC) announced that an international doctor who wants to work in the UK will face more tougher test before applying to register with the GMC. Following the recommendations prepared from an independent review as commissioned by the GMC, a number of changes are being made to the Professional and Linguistic Assessments Board (PLAB) test. PLAB test is taken to determine whether the International Medical Graduates (IMGs) have the knowledge and skills for medical practise in the UK. The PLAB test includes a written knowledge test and a practical assessment of clinical skills. The changes made in PLAB test are Limitation on the number of times applicant can sit in the exam. After passing the test, only within 2 years of time, applicants are allowed to apply for a licence to practice in the UK. A broader general knowledge test Completely modified practical assessment containing more scenarios, which will disclose real life discussions in the healthcare system of the UK. The scenario will evaluate applicant professionalism, understanding of ethics and clinical skills. From September 2016, a new assessment will be introduced in instead of PLAB test. ‘‘Medical Licensing Assessment’ or ‘MLA’ will be working title given to the new test format which will replace the traditional PLAB test at some point in the future. It must be taken by all medical professional who want to practice in the UK. It will give a reassurance that UK trained doctors and overseas doctors have been inspected and assessed to the same high level. Chief Executive of the GMC, Niall Dickson spoke on the changes of the PLAB examination. He said that medical professional employed in the UK must have the knowledge and practical skills to practice securely and effectively. And they must exhibit the professionalism patients expect. He further added that to ensure medical professional are at the GMC utmost level the new changes are added to the entry test for overseas doctors. In the UK healthcare, the contribution given by overseas doctor is precious and these new changes will deliver extra assurance to the patients that they have conceded a tough assessment and have exhibited high standards of care and knowledge. For more information about healthcare system of the UK, visit our blog page. 


The NHS - Challenges

National Health Service of the UK is the oldest publicly funded healthcare system in the world. The NHS is free at the point of use for all UK residents. Collectively, the term “NHS” refers to all four systems of its countries of the UK. Ir provides its services to a population of 54.3 million with 1.5 million workforces. It stands as one of the top five world’s largest workforces in the world. The NHS surface with huge pressures and big challenges at all times to keep it up itself. It is always in a critical transformation for better health care services for people’s lives and its success. Here we have some of the major challenges facing NHS of the UK. An aging population As the long-held healthcare, NHS has cured millions and millions of lives. Meanwhile, people are living longer and but, with more illnesses like diabetes, heart diseases. Estimating the aging population in the coming years, NHS need more service resources like more number of doctors, staffs and equipment. It outlines the need of on going treatment and care. The lifestyle choices The way people live these days are poor, they drink, smoke, eat junk and exercise less. These are the major reason to get ill and needing the medication, which is increasing the problem on its own. They have evolved new healthcare needs such as the increase in obesity and diabetes patient and patients’ resistance to the medication etc. urging more complex and advance healthcare services at the rising cost. Advancement in medicine and technology Advancements in the medicine and surgery with IT and technological innovations set modern NHS save up lots of lives. Though, the progress costs NHS considerable cost of around £10bn per year. Changing healthcare perspective Originally, it was just curing diseases. Now, people are health conscious on every way possible in all circumstances and seek more than just cure. The fast and efficient processing of medication, advices and appointments has people less vulnerable to health hazards. This progress to more living days, higher birth rates and lower infant mortality rate. Rising Costs The on-going financial crisis, rising cost of services, increasing need of workforces and supplies for the swelling population infers more investments in the NHS. This is the major challenge of the NHS hexing for an economic catastrophe in coming years. The Digitization and Automation in Patient Care 2020, General Practice Forward View and other longstanding campaigns seeks a massive investment plans alongside the uncertain political influence, puts a huge pressures and debts for the NHS. If only the NHS seeks no change by 2020, it estimates a funding gap of £30 billion. The long hauling NHS years, has faced many more challenges since its establishment. It still stands as the beloved foundation, as the reassuring healthcare source for many and as the inspirational working place for years to come. Find more NHS jobs here and visit our blog page for more updates on the UK's healthcare system and the NHS.


Agenda Planned for Expo 2016

This year Health and Care Innovation Expo has planned a packed two-day programme for Expo 2016. The Expo features includes A host of high profile speakers from two main stages Four specialist feature zones Eight pop-up university rooms More than 100 expert-led workshops An array of satellite events allowing peer-to-peer discussion on priority areas. Health and care Expo 2016 is taking place on 7th and 8th September 2016 at Manchester Central. It will focus on the major issues and development on health and care, implementation of the NHS Five Year Forward View. Main-stage highlights include: Ruby Wax, Comedian and Campaigner will be leading a board discussing innovation in mental health. Professor Bob Wachter MD, Digital health expert will be presenting the findings of his reviews of healthcare IT in England. A keynote speech by Simon Stevens, Chief Executive of NHS England The inspiring Kate Ganger Award for Compassionate care How study of failure can lead to success by Matthew Syed, author of “Black Box Thinking”, journalist and sportsman.  On appearance at the announcement of Expo 2016, Ruby Wax said that at some point of lives one in four people will suffer from mental illness and by 2020 the leading cause of death and disability will be stress and depression. She is very excited to share her thought to the experts at Expo 2016. She hopes that the Expo will help to find ways to break the stigma and alter mental health services and treatment for the future. Head of Health and Care Innovation at NHS England, Jane Dwelly added that he is very delighted to welcome high profile speakers, and very proud to host once again Kate Granger Awards. The Kate Granger Award is recognised as the best compassionate care across England. He further added that the NHS and wider health and social care sector is consistently cooperating, innovating and developing new full systems of care. The Expo is a great place to learn about new techniques, real melting pot of ideas and a way of working that can make difference in your own workplace or community. From late July, you will be able to book Pop-up University workshop. The NHS will inform openings of the booking. The same login and password can be used for Expo 2016 registration and also to the book workshops. It is expected that more than 5,500 people will register for Expo 2016. There will be no charge for hosts NHS England, public and voluntary sector staff to attend the event. Visit our blog page for latest update on medical recruitment and healthcare system of the UK. 


Overseas Nursing Programme

Many international nurses and midwives come to practice and live in the UK. To work as a nurse or midwife, you must get registered to the Nursing and Midwifery Council (NMC) which is the regulatory body of nursing and midwifery in the UK. When applying for the registration with the NMC, you must have a year of practice as a nurse or midwife. If you have been practicing for longer than this, then you need to complete at least 450 hours in the last 3 years. You can find out more about Registration Requirements for Overseas Nurses here. When your application meets the NMC’s standard requirement, you will need to undertake the Overseas Nursing Programme (ONP) in an approved education institution in the UK. You can find a list of approved education institution in the NMC’s website. The ONP is not widely available so, NMC recommends you to secure a place before travelling to the UK for the ONP.   The Overseas Nursing Programme is categorized into two parts: Twenty days protected learning, and A period of supervised practice in the UK. The time period in the supervised practice is about three months, all the candidates are required to cover it before registering with the NMC. The supervised practice is to qualify nurses and midwives under the United Kingdom system. In supervised course period nurses will develop their capabilities to take responsibilities like Communication, Quality of Care, Clinical Practice and Decision-Making, and Personal and Professional Development Training. In 20 days protected learning, you will cover topics like UK laws, health and safety issues, record-keepings, NMC Code of Conducts, drugs administration and your personal accountability as a registered nurse. You will only need to take the 20 days protected learning, if your educational and practical experiences taken in your home country closely matches the UK requirement for entrance to the registration. The ONP is designed to ensure fitness for practice in the UK for nurses who are trained outside the EEA. NMC checks all the proofs of your academic qualification, experience, IELTS test and then issue a decision letter. Your decision letter will confirm what part of the program you will undertake. You will have to complete the ONP in two years after the date of issue of the decision letter. If you don’t complete it within given time period, then NMC will close your application. Recruitment synergy is a medical recruitment agency in the UK. If you have any queries about registration with the NMC, please feel free to contact us anytime.  


A Framework for Action: Personalised Health and Care 2020

A Framework for Action for Personalised Health and Care 2020: Using Data and Technology has published on 13th November 2014 by the National Information Board (NIB). This framework is a set of requirements, proposals and case studies along with the action plans intended to ensure the delivery of digital health and care service by 2020. NIB created the Framework for Action with incorporation with the NHS England, the Local Government Association, Department of Health (DoH) and other various agencies. The aim of creating the framework is to support health professionals, patients and citizens take advantages of the digital opportunity.   The use of digitization will help to increase the quality and lessen the cost of health and care services. If the data and technology is used at its best in healthcare, it could provide patients and citizens more control over their health and welfare, empower professional medical careers, reduce administrative burdens and helps support in the development of new medicines and technology.   According to the framework, all the patient care records will be digital, real-time and interoperable by 2020 and clinicians in primary, urgent and emergency will be paperless by 2018. The framework also stated that, all the individual will be able to view their care records online by 2018 and will be able to write comments on those records by 2020. The Framework of Action has outlined some series of proposal that aims to Provide discrete health and care choices for everyone Provide accessibility to all the data, information and knowledge to healthcare professional at the time of need Preserve public trust on sharing confidential data Help healthcare professional to make utmost use of data and technology The best use of  tax returns for the investment in technology Focus on life-saving treatments and continuous innovation and growth Provide transparent quality care for patients Visit our blog page daily for more updates on UKs' Healthcare System. Recruitment Synergy is a UK based Medical Recruitment Agency. Remember us for Locum, temporary and permanent jobs across UK. We also provide  compliance support  and migration consultation to our candidates.


Clinical standards for Seven Day working

Illness can happen to anybody at any time. The patient admitted in the weekends get limited access to the primary care than other week days. There is often poor involvement of senior medical consultant in the assessment and consequent management of acutely ill patients in these days. Considering these facts, National Medical Director Bruce Keogh and responsible institution has established a seven day NHS service in 2013. During the establishment, NHS seven day service forum was focused on acute inpatient. The forum was established to provide consistent support services like diagnostic and scientific services with community, primary and social care. The NHS seven day services helps prevent unnecessary admission and support timely discharge of the patients. Poor emergency service in the weekends has led an increased variation in outcomes of mortality rates, patient’s experience, re-admission rates and length of hospital stay. To decrease the variation in outcomes, the seven day service forum developed 10 clinical standards for patients care based on the evidence and recommendations from Royal colleges and expert bodies. The 10 clinical standards are:      1.   Patient Experience Medical practitioners must actively involve patients, their families and carers with all the detail information of treatment, investigations and on-going care while making shared decisions. All information including severe condition must be clearly informed to the patients regularly. This should be done every day of the week.      2.  Time to first consultant review Patients admitted in emergency care must be seen with full clinical assessment by an appropriate medical consultant as soon as possible, at least within 14 hours of admission.      3.  Multi-disciplinary Team (MDT) review A Multi- disciplinary team must have a quick assessment to identify complex and on-going needs of all emergency inpatients. The decision for multi-disciplinary assessment should be overseen within 14 hours by a competent and estimation for discharge date should be placed along with complete medicines understanding within 24 hours.      4.  Shift handovers The decision of shift handover must be controlled by an experienced senior. Handover should be done at a selected time and place, with the multi- professional involvement. Communication and documentation should be included in handover process and must be revealed in hospital policy.      5.  Diagnostics Diagnostic services like x-ray, magnetic resonance imaging (MRI), echocardiography, endoscopy, bronchoscopy, ultrasound, computerized tomography (CT) and pathology must be accessible to hospital inpatients in all days of the week. The consultant directed diagnostic test results must be available seven days a week; for critical patients within 1 hour for urgent patients within 12 hours for non-urgent patients within 24 hours      6.  Intervention / key services Patients admitted in the hospitals must have all time access to the appropriate specialized consultant on-site or in a properly agreed networked provisions with clear procedure, such as: Critical care Interventional radiology Interventional endoscopy Emergency general surgery      7.  Mental health The patients who need mental health care must be assessed by psychiatric liaison within the appropriate period. patients who need emergency care should be seen within 1 hours patients who need urgent care should be seen within 14 hours      8.  On-going review Consultant must review all the patients on the AMU, SAU, ICU and other high dependency areas twice daily. All acutely ill patients who are directly transferred or those with worsen condition should be seen twice daily by a consultant.      9.  Transfer to community, primary and social care Support services must be available seven days a week in a hospital and in primary, community and mental health setting in order to ensure next steps in the patient’s care.      10.  Quality improvement Medical practitioners who are involved in providing acute care must participate in the review of patient’s outcomes.   Patient experience, patient safety and clinical effectiveness are the things which should be focused while evaluating patient outcomes. Trainees should be consistently checked for high quality healthcare service to the patient's. For latest update on National Health Service and UKs' Healthcare system, visit our blog page daily.  Feel free to contact us anytime for your Medical Recruitment Solution and migration solutions to work across the UK.