Royal College of Pathologists Council Meeting

Issues arising from the Royal College of Pathologists Council meeting held on the 2nd November 2006

The following summary of the meeting has been submitted by Mr Stephen Halloran, member of the South East Regional Council. If any ACB members have issues or views that they would like aired at the next South East Regional Council meeting please contact Stephen on telephone number: 01483 464121 or email: s.halloran@nhs.net

A bid made to the DoH for an e-Learning initiative had been approved. In part this was due its potential multi-professional impact. A meeting was planned with Julia Moore, who had assembled the bid, for specialty representatives to take this forward. It was intended that would be an aid to learning rather than representing the whole curriculum.

Peter Furness represents the College in its interactions with the Commercial Division of the DoH. He had spoken with Ian Barnes regarding the introduction of new tests into diagnostic services. Ian Barnes would be setting up a meeting of stakeholders before the New Year.

Danielle Freedman from Luton & Dunstable Hospital Trust stated that there had been a tendering for Pathology services within Bedfordshire and Hertfordshire, and the bid from L&D Hospital Trust had not been successful. The short-list consisted of four private sector organisations and the Bart's & London Hospital Trust. She was concerned that the pre-qualifying questionnaire was weighted against NHS Trusts as one of the criteria was the existing provision of services to ‘many' other organisations.

The President had attended the International Liaison Committee of Presidents. Many Pathology services world-wide were encountering similar issues as we face in the UK . In New Zealand tests were being categorised into community practice tests (approximately 80 of these) and hospital tests (more specialise). The 80 community tests could be put out to tender to the private sector. This had led to a number of hospital laboratories to close in New Zealand , and several consultant pathologists had migrated to Australia as a consequence.

The College document on ‘Who can request a test' would be circulated for consultation in the near future.

The Life Sciences Taskforce had recently met with Sue Hill. The College would be tasked with investigating the roles and responsibilities of medical and non-medical staff (with and without the MRCPath). Funding for 1-2 years would facilitate work with the Education Department, SACs and CATTs. The CATTs would examine the curricula for clinical scientists, and the appropriate qualifications for 7/8 Agenda for Change Bands.

The proposed DoH changes to pre- and post-registration training of Clinical Scientists was discussed. It was proposed to reduce the time for training to State registration from 4 years to 3 years. It had also been proposed that there should be elements of shared training between the various Clinical Scientist professions. Formal training would be provided by Higher Education Institutions. The number of trainees commissioned would be linked with Consultant posts available. It was felt that this would not work for some high growth professions such as Clinical Genetics.

There had been the first meeting of the Carter Steering Group. The Pilot sites would start work in January, but the template that they would need to use had not been finalised. Information from the Pilot sites would be placed on the College website in due course.

The Healthcare Resources Groups would support the DoH's Payment by Results plan by allocating a tariff for patient episodes and the associated diagnostic test costs. Costs would be determined in part by complexity. A National Procedures Catalogue would be agreed, that may be based on the list of tests developed by the Keele Benchmarking scheme. Several key issues needed to be addressed by the Expert Working Group.

The Academy of Medical Royal Colleges had discussed issues around the new Consultant contract, including the inclusion of external activities. There was a pressure on study leave budgets around the country.

The proposal put forward by College on the issue of Membership/ Fellowship and Good standing were generally agreed by the membership.

The Workforce database would be implemented from January 2007.

The Workforce Review Team had issued its final recommendations for Pathology specialties. There were some discrepancies in the figures issued by the WRT and the College's figures.