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Health and Social Security - Approved Panel Minutes - 14 June 2017

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Health and Social Security Scrutiny Panel

Record of Meeting

Date: 14th June 2017

 

Present

Deputy R. Renouf , Chairman Deputy T. McDonald

Senator S. Ferguson

Deputy J. Hilton

Apologies

Deputy G. Southern , Vice-Chairman

Absent

 

In attendance

Dr S. Whiteman, Medical Director of Primary Care, Health and Social Services

Miss K. Boydens , Scrutiny Officer Mr A. Harris , Scrutiny Officer

 

Ref Back

Agenda matter

Action

 

1.  Draft  Health  Insurance  (Performers  List  for  General  Medical Practitioners) (Amendment) (Jersey) Regulations 201-

The Panel met Dr Whiteman for a briefing to discuss P.33/2017 "Draft Health Insurance (Performers List for General Medical Practitioners) (Amendment) (Jersey) Regulations 201-" lodged on 10th May 2017.

The Panel noted that the proposed amendment called to facilitate the introduction of trainee doctors into GP practices in Jersey. Currently trainees would not be permitted to access the Health Insurance Fund for the purpose of claiming medical benefit and prescribing.

Dr Whiteman advised that any medical practitioner in general practice had to be on the Performers List to access the Health Insurance Fund. There was currently no provision for doctors wishing to qualify as GPs (Speciality Trainees and Foundation Year 2 trainees) to be on the List. Therefore, P.33/2017 had been lodged by the Minister for Health and Social Services to facilitate this.

Dr  Whiteman  confirmed  that  GPs  had  been  consulted  prior  to  the Proposition being lodged, and that the Primary Care Body fully supported the proposed amendment.

It was noted that a Foundation Year 2 doctor was someone in their second  year  of  the  post-graduate  programme,  which  included  time training in general practice. The doctors then applied to enter a specialist training scheme which could be obstetrics and gynecology or general practice. It was hoped that the amendment would encourage trainees, once fully qualified, to stay in Jersey.

The  Panel  raised  concerns  about  safety  issues  regarding  trainees treating  patients.  Dr Whiteman  explained  that  all  trainees  would  be subject  to  peer  reviews  and  that  their  work  would  be  overseen.  A

 

 

 

governance mechanism would be put in place whereby an accredited trainer would oversee trainee work. Furthermore, it was noted that Health Education England had issued guidelines on how many patients trainees were permitted to treat. It was expected that GP surgeries participating in the programme would charge their patients at a reduced rate should they be treated by a trainee.

Dr Whiteman advised that several GP practices in Jersey were interested in participating in the training programme. If successful, it was noted that they would receive a trainer's grant from Health Education England.