At the start of a new contract awarded to us in 2014, five medics from the previous medical provider were TUPE’d across to us. As part of our transition and implementation, recruitment, induction and clinical governance processes, our remote medical services team carried out an initial assessment of all five medics.
This was undertaken to ensure that the medics met our standards from a clinical perspective, for their assigned duties on the platforms, as detailed in the job description provided to us by the client.
In particular, competencies required in the key areas were assessed to ensure the medics were able to satisfactorily perform for example, infrequent, high risk, and critical healthcare activities, such as advanced life support and thrombolysis.
It was noted that the existing job description provided to us no longer accurately reflected the duties undertaken by the medics on their platforms. This was reviewed and updated in conjunction with the client and medics. A comprehensive training matrix to support the job description was developed with the client. This matrix included mandatory and client specific training requirements, and a plan was put in place to close the identified competency gaps. The medics, for example, had been undertaking fitness testing (the Chester Step test) of emergency response team members, but it came to light that two of the medics had never received the appropriate training and the assessment was being administered incorrectly. This was quickly addressed with in-house training delivered by our occupational health team.
In addition to the clinical supervision in place, a bespoke medic feedback process was implemented. The frequency of medic feedback is always discussed and agreed with our clients and, in this instance, feedback was requested following each trip completed by the medics. Before the end of each medic’s trip they were required to present their graded medic feedback form to our clinical governance co-ordinator, who would then complete her/his feedback section and forwarded it to the client’s health manager, copying the medic in. The health manager completed his section and forwarded it to the OIM for completion of his section.
The completed medic feedback form was then returned to the medic and our clinical governance co-ordinator who reviewed the feedback provided with the medic. Any issues highlighted were addressed as per our medic feedback procedure.
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