Park House 184 Kennington Park Road London SE11 4BU [ t ] 020 7582 0866 [ f ] 020 7820 9684 [e] info@hpc-uk.org [w] www.hpc-uk.org CPDCON/EP September 2004 Although HPC has made every effort to ensure this document is accurate it should only be regarded as general guidance. The rules and other information on which it is based are liable to change at any time and you should not rely upon this document for advice which applies to an individual's specific circumstances. If you need such advice please contact HPC at the address above.
Continuing Professional Development - Consultation paper
contents Foreword 1 Introduction 2 Timetable 2 The consultation process 3 Consultation events 3 How to respond 4 Our proposals: 5 - Basic approach 5 - Proposals for the Rules for Continuing Professional Development 6 - Proposals for the Standards of Continuing Professional Development 7 - Proposals for Guidance on Preparing the Audit Profile 14 Summary of Questions 16 Appendices: 17 - Appendix 1 Examples of Continuing Professional Development activity 17 - Appendix 2 Examples of types of evidence for Continuing Professional Development 17 - Appendix 3 Prompt questions to accompany the proposed Guidance on Preparing the Audit Profile document 18 Regulatory Impact Statement 20 Annexes: 21 Annex 1 - Relevant sections of the Health Professions Order, 2001 21 Annex 2 - Your Views on CPD and our Response in 2002 22 Annex 3 - Consultees in 2004 23 Annex 4 - Glossary 28
foreword I am pleased to introduce this consultation on our proposals for a Continuing Professional Development (CPD) scheme for our registrants. In our first consultation document, published in June 2002, we outlined our overall vision of how we would carry out our duties. We said then that we would be linking registration with continuing professional development (CPD), as we are entitled to do by law. However, we agreed to postone our preparations for this until we had completed most of the other tasks we were required to undertake. Because we have now undertaken most of these tasks, we are seeking your views on our proposals for the statutory Rules and the Standards for CPD. This is an important event in the development of professional self-regulation. We believe that it is a vital part of our basic function, which is to protect the public that we require individual registrants commit themselves to their own professional development and that employers, too, recognise the importance of CPD.We will therefore be requiring all of our registrants to undertake CPD and seeking to ensure that the CPD carried out by our professions is robust and effective. To assist in this, we need to work with a variety of stakeholders, including, among others, professional bodies and associations, providers and potential providers of CPD programmes, and employers. We are consulting with our stakeholders in three main ways: We have published this consultation document, which includes a full explanation of our proposals and asks for feedback; We have put the information in the document on our website at www.hpc-uk.org, and you can use the website to tell us your views; We are holding a series of meetings across the UK, which everyone is welcome to attend. Council looks forward to receiving your responses to this document, by attending one of our public meetings or via our website (www.hpc-uk.org) as we continue with our mission of becoming the best health regulator in the UK. Professor Norma Brook President Continuing Professional Development 1
introduction Background HPC s function is to safeguard the health and wellbeing of people who use the services of the professionals registered with us. At the moment, we regulate the following twelve professions: arts therapists; biomedical scientists; chiropodists and podiatrists; clinical scientists; dietitians; occupational therapists; orthoptists; paramedics; physiotherapists; prosthetists and orthotists; radiographers; and Timetable STAGE 1 July 2004 PREPARATION FOR CONSULTATION STAGE 2 13th September-6th December 2004 THE CONSULTATION (See below) STAGE 3 from 2005 ANALYSIS AND FEEDBACK speech and language therapists operating department practitioners (from Autumn 2004) We could regulate other professions in the future. Since we were set up, we have: set Standards of Proficiency for registrants; set Standards of Education and Training for the professions we regulate; established the process for approving and monitoring education programmes and providers; set Standards of Conduct, Performance and Ethics for registrants and people who want to become registrants; created and kept a Register of health professionals who meet our standards; and taken action when we have learned of allegations that registrants have failed to meet our standards. We are now consulting with our stakeholders, including all our registrants, on our proposals for Continuing Professional Development (CPD). This includes our proposed Standards of CPD, our proposed guidance on the standards and on the legal Rules which we propose to use to set the scheme up. STAGE 4 Mid June 2005 SUBMIT STATUTORY RULES FOR CPD TO THE PRIVY COUNCIL FOR PARLIAMENTARY SCRUTINY STAGE 5 August 2005 STATUTORY RULES AND STANDARDS FOR CPD IMPLEMENTED STAGE 6 August 2007 AUDIT COMMENCES 2 Continuing Professional Development
The Consultation Process The HPC s consultation will last three months, from September to December 2004. Council is keen to receive comments from all Tuesday 21st September Mold Beaufort Park Hotel Mold Flintshire CH7 6RQ Wales stakeholders. To encourage this, in addition to publishing this document on paper, information will be included on our website and public meetings will be held across the United Kingdom. For information about the meetings and the latest information Wednesday 22nd September Bolton Nelson Suite The Pack Horse Hotel Bradshawgate Bolton Lancashire BL1 1DP about the consultation please visit the website www.hpc-uk.org Consultation Events Tuesday 28th September Leicester Tiger Bar Leicester Tigers Rugby Football Club Aylestone Road Leicester LE2 7TR The HPC will be launching its consultation on 13th September 2004. We will then be holding 46 public meetings over 23 days across the United Kingdom to present our proposals to interested parties and gain their views. Our public meetings are open to everyone: please contact HPC to reserve a place: Email: events@hpc-uk.org Wednesday 29th September Thursday 30th September Sheffield Wolverhampton Platinum Suite Sheffield United Football Club Bramall Lane Sheffield S2 4SU Victoria Suite Britannia Hotel Lichfield Street Wolverhampton WV1 4DB Telephone: +44 (0)20 7840 9817 Fax: +44 (0)20 7820 9684 At each session, members of the Education and Training Committee will give a short presentation on our proposals. After the presentation, you will be able to ask questions or make comments. The table below shows the timetable of events. Monday 4th October Tuesday 5th October Fort William Glasgow Moorings Hotel Banavie Fort William, PH33 7LY Scotland Lecture Theatre and Crush Hall Hampden Park The national Stadium Hampden Park Glasgow G42 9BA Scotland We will hold two meetings in each location, from 2:00pm 4:00pm and from 6:00pm-8:00pm. All dates are in 2004. Tuesday 12th October Hastings The Cinque Ports Hotel Summerfields Bohemia Road Hastings, East Sussex TN34 1ET Date Location Venue Monday 13th September Thursday 16th September London Orkney Islands Lecture Theatre Brunei Gallery School of Oriental & African Studies 10 Thornhaugh Street Russell Square London WC1H 0XG Phoenix Theatre The Pickaquoy Centre Muddisdale Road Kirkwall Orkney, KW15 1RR Scotland Wednesday 20th October Thursday 21st October Oxford Ipswich Summer Hill Room The Oxford Centre 333 Banbury Road Oxford OX2 7PL Galleria Ipswich Town Football Club Portman Road Ipswich IP1 2DA Continuing Professional Development 3
Wednesday 27th October Thursday 28th October Tuesday 2nd November Swansea Bath Belfast Holiday Inn Kingsway Circle Swansea SA1 5LS Wales County Suite Hilton Bath City Walcot Street Bath BA1 5BJ McWilliam Suite Wellington Park Hotel 21 Malone Road Belfast BT9 6RU Northern Ireland Monday 29th November London Tuke Hall, Regent s College Conference Centre Ltd. Inner Circle Regent s Park London N1 4NS We are committed to making our events accessible to everyone and we have confirmed that all the venues we are using have wheelchair access. If you think you will need any other special assistance please let us know (please contact the Events Manager on 020 7840 9708 or events@hpc-uk.org) as far ahead as possible, so that we can be sure your needs will be met. It will be best if you can provide us with at least three days notice of any special needs you may have. Thursday 4th November Tuesday 9th November Thursday 11th November Londonderry Plymouth Southampton Tyrconnell Suite Tower Hotel Derry, Butcher Street, Londonderry BT48 6HL Northern Ireland Ballroom New Continental Hotel, Millbay Road Plymouth Devon PL1 3LD Matthew Le Tissier Suite Southampton Football Club Friends Provident St Mary s Stadium Britannia Road Southampton SO14 5FP How to Respond If you would like to respond to this consultation document, please send your response to: CPD Consultation Health Professions Council Park House 184 Kennington Park Road London SE11 4BU Telephone: +44 (0)20 7840 9812 Fax: +44 (0)20 7820 9684 Email: consultation@hpc-uk.org Wednesday 17th November Thursday 18th November Wednesday 24th November Thursday 25th November Dundee Edinburgh Sunderland Penrith Earl Grey Suite Hilton Dundee Earl Grey Place Dundee DD1 4DE Scotland Apex Suite Apex International Hotel 31-35 Grassmarket Edinburgh EH1 2HS Scotland Banqueting Suite Sunderland Football Club Sunderland Stadium of Light Sunderland SR5 1SU Exhibition Hall Rheged, Redhills Penrith Cumbria CA11 0DQ You can also respond via our website at www.hpc-uk.org where this document is also available. We have asked a number of questions in this document and it would be very helpful for us if your response addressed them. However, you do not have to follow this format. The aim of this consultation is to provide individuals and organisations with an opportunity to air their views of our proposals. So you should bear in mind that any response you send to the HPC could be made public. For instance, we may quote your views on a topic to help illustrate a point. If you are writing on behalf of an organisation or as part of an organised campaign, we may say who has sent us the response as well, but we will not name any individuals. The closing date for receipt of responses to the Council is 6th December 2004. 4 Continuing Professional Development
our proposals Basic Approach The HPC s proposed Standards of Continuing Professional Development will identify what is expected of a registrant. The scheme is based on the assumption that learning is continuous. Its focus will be on the outcome of the CPD which we will expect. We do not propose to make detailed requirements for this CPD, or establish an exhaustive list of all the areas that each Standard covers; nor do we propose to set specific curricula for CPD. For example, we do not propose to specify and monitor the number of hours each registrant should undertake each year, or the number of events they should have attended. We propose that the Standards and guidance will be generic, by which we mean that they will apply to all registrants and will not vary from profession to profession. We aim to make them sufficiently flexible so that they can be adopted by any of the professions we regulate. The HPC s requirement in relation to CPD will be set out in the Standards and in statutory Rules approved by the Privy Council. These Rules will require all registrants to undertake CPD and those who fail to do so without good reason may be refused renewal of their registration. The basis of the scheme will be that registrants will make a self-declaration of their compliance when they renew their registration, but they will need to maintain a record of their CPD activity and we will audit samples of CPD activity, to ensure that the scheme is working properly. We will not include the Standards in the statutory Rules, as the process for changing Rules is more complex and time-consuming than that for changing Standards, and the latter may need to be amended from time to time to meet changing circumstances. We recognise that our registrants practise in a variety of contexts. We therefore propose that our CPD scheme will be context-driven, meaning that it will be related to each registrant s area and scope of practice. The Standards will apply to all registrants. They will cover registrants who are wholly or mainly engaged in the practice, teaching or management of the profession in respect of which they are registered, or in research in those fields. They will cover registrants in full-time and part-time employment, and who are self-employed. As with all professional training the Health Professions Council will rely upon other providers to offer CPD courses. A wide variety of organisations including, amongst others, professional bodies and education providers, will be able to provide such training and give support and advice. Continuing Professional Development 5
proposals for the rules for continuing professional development Our proposed Rules are set out below. They are only a draft as the final text has to be approved by the Privy Council: THE HEALTH PROFESSIONS COUNCIL (CONTINUING PROFESSIONAL DEVELOPMENT) RULES 200X The Health Professions Council, in exercise of its powers under articles 19(1) and (2) of the Health Professions Order 2001* and of all other powers enabling it in that behalf and following consultation in accordance with article 41(3) of that Order, hereby makes the following Rules: 3.3 If a registrant fails to meet a requirement imposed by paragraph (1)(a) or (b) or one imposed by the Committee under paragraph (2) the Committee may refuse to renew the registrant s registration or direct the Registrar to remove the registrant s name from the register. 3.4 Before taking any action under paragraph (3) the Committee shall provide the registrant with an opportunity to make written representations to the Committee. Question 1: What are your views of the HPC s proposed Rules? Citation and commencement 1. These Rules may be cited as the Health Professions Council (Continuing Professional Development) Rules 200X and shall come into force on [date] 200X. Interpretation 2. In these Rules the Committee means the Education and Training Committee; and the Order means the Health Professions Order 2001. Continuing Professional Development 3.1 A registrant must undertake continuing professional development in accordance with the standards specified by the Council under article 19(4) of the Order and which apply to him; and maintain a written record (including any supporting documents or other evidence) of the continuing professional development he has undertaken. 3.2 The Committee may at any time require a registrant to submit his continuing professional development record for inspection; and provide the Committee with such other evidence as it may reasonably require; for the purpose of determining whether the registrant has met the requirements of paragraph (1). * S.I. 2002/254. 6 Continuing Professional Development
proposals for the standards of continuing professional development 1. Context 1.1 Introduction In the Council s Standards of Conduct, Performance and Ethics published in April 2003, Standard 5 states that all registrants must make sure that their professional knowledge, skills and performance are of a high quality, up-to-date, and relevant to their field of practice. In the Council s Standards of Proficiency published in July 2003, Generic Standards 1a.7 and 1a.8 set out the obligation of the registrant to maintain their fitness to practise and the expectation that all registrants must understand the need for career-long self directed learning. These Standards clearly identify that it is the responsibility of registrants to keep themselves up-todate through lifelong learning throughout their career, to reflect changes in practice. Although this learning will be closely related to the individual needs of the registrant, the ultimate purpose of continuing professional development is to contribute to high-quality patient care. The constantly changing and complex work environment, together with the changing attitudes and needs of society will determine the direction of the continuing professional development (CPD) undertaken by the registrant. The proposed Standards of Continuing Professional Development outlined in this document set out the key requirements for and expectations that the Council has of registrants. 1.2 What is Continuing Professional Development? For the purposes of these Standards Continuing Professional Development (CPD) is defined as a range of learning activities through which professionals maintain and develop throughout their career to ensure that they retain their capacity to practise safely, effectively and legally within their evolving scope of practice. The Council has used this definition, which comes from the Allied Health Professions Project (2003)*, because it was the preferred definition arising from our initial, informal consultation on CPD in November 2003 The range of CPD learning activity is extensive and includes: work-based learning, for example, reflective practice, clinical audit, significant event analysis, user feedback, membership of a committee, journal club; professional activity, for example, member of specialist interest group, mentoring, teaching, expert witness, presentation at conferences; formal/educational, for example, courses, undertaking research, distance learning, planning or running a course; self-directed learning, for example, reading journals/articles, reviewing books/articles, updating knowledge via WWW/TV/press; other activities, for example, public service. A more extensive list of examples can be found in Appendix 1. Question 2: Are there any additional activities which you believe should be included in Appendix 1? It is recognised that the way in which the individual registrants take part in CPD and the range of their CPD activities will be dependent on: experiences and opportunities for CPD in their work; their profession and speciality within it; personal learning needs; preferred learning style; the relevance of the CPD activities to their practice; the context of practice. * Allied Health Professions Project (AHP): Demonstrating competence through CPD - Final Report, AHP Project, London http://www.dh.gov.uk/consultations/closedconsultations/fs/en Continuing Professional Development 7
Within the scope of the Register, registrants must choose to engage in CPD within their evolving or current scope of practice. Examples of this are given in Box 1. This covers those who are in practice, education or management in respect of the profession in which they are registered, or in research in those fields. Shown in Box 1 below are some examples of relevant CPD activity related to the context of registrants practice. Box 1 Examples of context-specific CPD activity Practice attendance at a short course on new legislation impacting on practice critical appraisal of a journal article with a group of peers in-service presentation to colleagues on a new technique Education member of a Learning & Teaching Committee reviewer for a professional journal undertake study for formal teaching award In determining the Standards for CPD, the Council recognises that registrants are already engaged in a diverse range of CPD activities as an integral part of their professional life. Some CPD activities are opportunistic and are taken on as an evolving component of working life. Following the response to the 2002 Consultation, the Council decided that the proposed scheme for CPD should not be based simply on the number of hours undertaken each year. The scheme should be based upon on-going learning and development, with a focus on individuals learning achievements and how these enhance service delivery, either directly or indirectly. Question 3: Do you agree with this approach for CPD? Please give us your views. 2. The CPD Standards 2.1 The Proposed Standards All registrants will be required to undertake Continuing Professional Development (CPD) as a condition of their registration. The Council s proposed Standards for CPD setting out the key obligations of registrants are detailed in Box 2 below. Management member of a national occupational group for managers undertake study of management modules supporting the development and implementation of national or local policy Research conference presentation member of Local Ethics Research Committee referee of articles for scientific journal Box 2 The Standards for Continuing Professional Development A registrant must: 1. maintain a continuous, up-to-date and accurate record of their CPD activities; 2. demonstrate that their CPD activities are a mixture of learning activities relevant to current or future practice; 3. seek to ensure that their CPD has contributed to the quality of their practice and service delivery; 4. seek to ensure that their CPD benefits the service user; 5. present a written portfolio containing evidence of their CPD upon request. 8 Continuing Professional Development
Question 4: What are your views of the HPC s proposed Standards for CPD? Question 5: Are there any other Standards for CPD that should be included? 2.2 The CPD Standards Process The overall CPD Standards process will operate by: i ii iii iv each registrant making a self-declaration at each registration renewal that they continue to meet the Council s Standards for CPD; sample audits of registrants taken at random from each section of the register; submission of a profile of evidence by registrants selected for sample audit; assessment of profile against the Standards of CPD using appropriate and experienced partners. The proposed process for meeting the Council s CPD requirements is shown in Figure 1 (overleaf). Question 6: What are your views of the HPC s proposed CPD Standards process? Continuing Professional Development 9
the CPD review process Figure 1: the Bi Annual Review Start HPC executive send renewal form Registrant submits completed renewal forms to HPC HPC executive check completed form Was form and requested information, including payment and CPD declaration complete? NO HPC executive ask for requested/relevant information to be provided before end of professional year YES HPC executive randomly select a registrant for CPD review YES Was requested/ relevant information provided before end of the professional year? NO Was the registrant randomly selected for CPD review NO YES HPC executive requires registrant to submit CPD profile within 28 days Registrant is renewed YES Did the registrant send the profile within 28 days Registrant is NOT renewed NO HPC executive send a reminder to the registrant after 28 days to submit within 1 month Registrant has a right to appeal Did the registrant send the profile within 2 months? NO YES CPD Review Process 10 Continuing Professional Development
Figure 2: the CPD Profile Review From Bi annual Renewal process HPC executive requests registrant to submit CPD profile within 28 days Did registrant submit CPD profile within 28 days YES HPC executive check if CPD profile is complete. Is profile complete? NO A reminder is sent to submit additional information within 14 days. Is information received within timescale? NO NO NO YES A reminder is sent to submit within another 28 days. Is profile received within timescale? YES HPC executive arrange for CPD profile to be assessed NO Registrant s CPD profile is assessed by 2 assessors, one of whom is profession specific Does the CPD profile meet the minimum standard of CPD? NO Registrant does not meet the minimum CPD Standard YES Any conditions? NO Registrant meets the minimum CPD Standard YES HPC executive requests that conditions be met within 3 months Registrant is renewed YES Were the conditions met within the timescale? NO Registrant is NOT renewed Registrant has a right to appeal Continuing Professional Development 11
3. The Audit Process 3.1 What Registrants Will Be Required To Do The HPC will require all our registrants to keep ongoing and regularly updated records of their CPD. We will audit a sample of registrants CPD in each profession. We will require the registrants we select for the audit to submit a profile within 28 days (and we will send a reminder at the end of the time if we have not had a profile back, providing a grace period of 28 days). The profile must set out the Continuing Professional Development (CPD) they have undertaken. This should not be an onerous task if the registrant is following CPD Standard 1 (i.e. to maintain a continuous, up-to-date and accurate record of their CPD activities). We will appoint two CPD assessors to evaluate the profile. At least one of these CPD assessors will be from the same section of the Register as the registrant being assessed. The assessors will advise us whether the registrant has met our Standards of CPD. Registrants can appeal against a decision and their appeal will be submitted to the Registration Appeals Panel of the Council. Only registrants who have been on the register for more than two years will be liable to audit. Question 7: Have you any views on the proposed audit process as set out? 3.2 The Profile for Submission for Audit The contents of each profile will consist of: front cover (pro-forma provided); contents page; summary of practice history for the last two years (maximum 500 words); statement of how Standards of CPD have been met (maximum 1500 words) on the pro-forma provided; documentary evidence to support statement. The registrant will be required to attach appropriate supporting evidence to their statement. A range of evidence can be used, for example: letters from users, personal development plan, contribution to policy statements, business plans, course assignments, learning contracts or guidance material, peer assessment forms, learning packages, workshop attendance, certificates. A more extensive list of examples can be found in Appendix 2. Question 8: Is any further information required for the profile? 3.3 Sampling of CPD The HPC proposes to audit a sample of registrants CPD each year, rather than checking each and every registrant. We believe that this is safe to do because we trust that, as professionals, registrants will take responsibility for, and keep to, the Standards of CPD. By auditing a sample of registrants, rather than all registrants, we will keep the costs of assessment down and achieve better value for registrants money. We have had advice from the Statistical Service Unit of the University of Reading on how to conduct an effective audit of compliance with our CPD requirements. The advice was: to choose separate random samples of registrants for each of the 12 professions we regulate. This is because each profession is effectively unique and therefore needs testing by itself; and to audit 5% for the first four professions in 2007; these will be the Prosthetists and Orthotists, Orthoptists, Speech and Language Therapists and the Paramedics. Thereafter, we will then audit 2.5% of each profession, subject to a review of the initial audits. Samples of this size will allow us to be confident that we have a good picture of whether registrants are generally complying with our requirements or not, while keeping costs down to manageable levels. Statistical theory says that the 12 Continuing Professional Development
larger the population we are checking, the smaller the proportion we need to sample to be confident that we have got an accurate picture of compliance. The levels of 5% and 2.5% are based on providing us with confidence about compliance for the numbers of health professionals on our register (about 150,000 in total). Of course, we will use different-sized samples if we find that the proportions we currently propose using are not working adequately in some way. Guidelines on preparing a profile will be available to registrants and these will contain some prompt questions to facilitate completion of the pro-forma statement on how CPD Standards have been met. Outline details can be found below in Section 4 of this document, with further information contained in Appendix 3. Question 9: What do you think of the proposed size of the audit sample. 3.4 Evaluation of the Audit Process The HPC plans to evaluate the audit process in the first few years following implementation to assess its effectiveness and ensure that appropriate adjustments are made. Continuing Professional Development 13
proposals for guidance on preparing the audit profile 1. As a registrant you will be required to: Complete the proforma provided for the front cover. Provide a contents sheet for the profile. Write a summary of their practice history for the past two years [no longer than 500 words]. (see A below) Write a statement [no longer than 1500 words] identifying how they have met the standards. (See B below) Provide written evidence to support their statement. 2. Summary of Practice [Work] History This is the descriptive element of the profile. It should provide a concise account of your (registrant s) role and work context. The summary should include the key responsibilities relating to your role, identify the specialist areas in which you work and identify the key people with whom you communicate and collaborate. Question 10: Do you believe that the summary of practice (work) history should contain anything else and, if so, what? 3. Writing A Statement Identifying How CPD Standards Have Been Met This statement should identify how you have met the CPD Standards, and be completed using the pro-forma provided and with reference to Box 3 below. The statement will reflect your personal learning and development, which in turn will be dependent on your job context and role. The outcomes of the learning may impact directly or indirectly on the service user depending on whether, for example, you are a clinician, educator, manager, or researcher. Box 3 Standard 1: How have you maintained an up-to-date and accurate record of your CPD activity? How do you identify your learning needs? Standard 2: In what ways has the mixture of learning activities you have used for your CPD been relevant to your current or future practice? Standard 3: How does your learning relate to your ability to practise safely, effectively and legally? How does your professional development relate to your evolving scope of practice? What aspects of your work have changed as a result of your development? Standard 4: What are the main areas in which your learning has enhanced what you offer to clients/users/patients? How has your learning enhanced your contribution to service delivery? Standard 5: See section 4 below. Addressing these questions requires you to take a critical and evaluative (reflective) approach to your learning and how it has impacted on your work. A number of prompt questions have been developed under each of the above Standards to help with this process and can be found in Appendix 3. 4. The Evidence to Support Your Statement You are asked to support your statement with appropriate evidence. The evidence should relate directly to what has been written in your statement and therefore support fulfilment of the standards. Evidence must relate directly to and be cross-referenced with the CPD Standards. 14 Continuing Professional Development
You should draw on information/materials that you already have, probably stored in a portfolio, as ongoing maintenance of a record of CPD is/will be a requirement of registration. You will need to decide how that information demonstrates your adherence to the CPD Standards. You should draw on information/materials that you already have, probably stored in a portfolio, as ongoing maintenance of a record of CPD is/will be a requirement of registration. You will need to decide how that information demonstrates your adherence to the CPD Standards. A range of evidence can be used, for example: letters from users, personal development plans, course assignments, business plans, learning contacts or guidance material, peer assessment forms, learning packages, workshop attendance and reflections, learning and reflections on dissemination of research/publications. Appendix 2 provides further examples of evidence that might be used. Any published material that you draw on must be referenced. Question 11: Are there any additional activities which you believe should be included in Appendix 2? The material chosen needs to: reflect a range of learning activities demonstrate professional development over time identify the benefits to the user, the service and practice Example A personal development plan [PDP] could help to demonstrate that you take a structured approach to your learning and ongoing development [CPD Standards 1 & 5]. Peer review and your subsequent learning could provide evidence of feedback and how you have responded to this [CPD Standards 3 & 4]. A business plan may identify learning needs and subsequent action plan related to this [CPD Standards 1, 2 & 5]. Reflection on practice and discussion in supervision or with a mentor could identify benefits to the service user and provide evidence of feedback and how you have acted on this [CPD Standards 3 & 4] Question 12: Do you believe that requirements should be set for the number of pieces of evidence to be submitted? Question 13: How can the assessors satisfy themselves that all documentary evidence is verifiable as either an original piece of work or, where claimed, that the registrant has actually contributed to the work? Question 14: Do you believe that the information contained in the Guidelines for Preparing a Profile and the prompt questions detailed in Appendix 3 are adequate to allow registrants to take a critical and evaluative approach to their learning and how it has impacted on their work, and to demonstrate that they have met the CPD Standards? If not, please suggest more appropriate questions. Dissemination of research findings, discussion and feedback could benefit the service user and provide feedback [CPD Standards 4 & 5] Continuing Professional Development 15
summary of questions Consultation questions on the proposals for Statutory Rules, the Standards for CPD, and Guidance on Preparing the Audit Profile are set out below: Proposals for the Rules for Continuing Professional Development Your views are invited on the Rules for Continuing Professional Development as follows: Question 1: What are your views of the HPC s proposed Rules? Proposals for the Standards for Continuing Professional Development Your views are invited on the Standards of Continuing Professional Development as follows: 1. Context Question 2: Are there any additional activities that you believe should be included in Appendix 1? Question 3: Do you agree with this approach for CPD? Please give us your views. 2. The Standards for CPD Question 4: What are your views of the HPC s proposed Standards for CPD? Question 5: Are there any other Standards for CPD that should be included? Question 6: What are your views of the HPC s proposed CPD Standards process? 3. The Audit Process Question 7: Have you any views on the proposed audit process as set out? Proposals for Guidance on Preparing the Audit Profile Your views are invited on the Proposals for Guidance on Preparing the Audit Profile as follows: A. Summary of Practice [Work] History. Question 10: Do you believe that the summary of practice (work) history should contain anything else and, if so, what? B. Writing a Statement Identifying How CPD Standards Have Been Met Question 11: Are there any additional activities that you believe should be included in Appendix 2? C. Evidencing your statement Question 12: Do you believe that requirements should be set for the number of pieces of evidence to be submitted? Question 13: How can the assessors satisfy themselves that all documentary evidence is verifiable as either an original piece of work or, where claimed, that the registrant has actually contributed to the work? Question 14: Do you believe that the information contained in the Guidelines for Preparing a Profile and the prompt questions detailed in Appendix 3 are adequate to allow registrants to take a critical and evaluative approach to their learning and how it has impacted on their work, and to demonstrate that they have met the CPD Standards? If not, please suggest more appropriate questions. Question 8: Is any further information required for the profile? Question 9: What do you think of the proposed size of the audit sample? 16 Continuing Professional Development
appendices 1&2 Appendix 1: Examples of CPD activity Work based learning Professional activity Formal/educational Self-directed learning Other Learning by doing Case studies Reflective practice Clinical audit Coaching from others Discussion with colleagues Peer review Gaining and learning from experience Involvement in wider work of employer e.g. representative on a committee Shadowing Secondments Job rotation Journal club In-service training Supervision of staff/students Visits to other departments and reporting back Role expansion Critical incident analysis Completion of self-assessment questionnaires Project work/management Involvement in a professional body Member of specialist interest group Lecturing/teaching Mentoring Examiner Tutor Branch meetings Organising journal clubs or other specialist groups Maintaining and/or developing specialist skills e.g. musical ability Expert witness Member of other professional bodies/groups Presentation at conferences Organiser of accredited courses Research supervision National assessor Appointment to a promoted post Courses Further education Undertaking research Attendance at conferences Submission of articles/paper Seminars Distance learning Courses accredited by professional body Planning or running a course Reading journals/articles Review of books/articles Updating knowledge via www/tv/press Progress files Public service Voluntary work Courses Appendix 2: Examples of types of evidence for CPD Things you may have produced Materials demonstrating reflection & evaluation of learning & practice Materials acquired from others Information leaflets Case studies Critical literature reviews Adapted user/student notes Policy or position statements Discussion documents Procedural documents Documents relating to national or local processes (e.g. schemes for peer review, mentorship or clinical supervision) Recent job applications Reports (e.g. on project work, clinical audit, reviews of activity) Business plans Protocols Guidance materials (e.g. for service users, colleagues or students) Clinical audit tools Clinical guidelines Course assignments Action plans Course programme documents Presentations Articles produced for publication Questionnaires Research papers/proposals/funding applications/ethical approval applications Induction materials for new members of staff Learning contracts Contributions to work of a professional body Contributions to work of a special interest group Profiles drawn from learning portfolios Adapted documentation arising from appraisal, clinical supervision, job evaluation, compliance with locallyimplemented competence frameworks. Documentation from compliance with local or national CPD schemes Evaluation of courses/conferences attended Personal development plans Documented and approved claims for academic credit for prior or experiential learning Testimonies Letters from users, carers, students or colleagues Course certificates Continuing Professional Development 17
appendix 3 Note: The reference numbers used below for the Appendices relate to this CPD consultation document and would be appropriately re-numbered for any formally published version of the Guidelines for Preparing a Profile. Prompt Questions The purpose of the prompt questions is to help you think about your learning and the affect this has had on your practice. You are not expected to answer all of the questions or to follow them verbatim. You may choose to select several questions and write your statement using them as your guide. You may also develop your own headings. Make sure that your statement relates to the published CPD Standards. Standard 1 A registrant must maintain a continuous, up-to-date and accurate record of their CPD activities. How have you maintained an up-to-date and accurate record of your CPD activity? What method did you employ to record your CPD e.g. monthly portfolio update? Who approved your CPD plan? How do you identify your learning needs? For example What structures do you use to help you identify your learning needs (e.g. appraisal, peer review, clinical supervision, mentorship schemes, personal development plan)? How do you gain the views and advice of others to help you identify your learning needs? How do you decide on what CPD activity to do? How do you ensure an appropriate mix of CPD activity to meet your needs? Standard 2 A registrant must demonstrate that their CPD activities are a mixture of learning activities relevant to current or future practice. In what ways has the mixture of learning activities you have used for your CPD been relevant to your current or future practice? What different learning activities have you used for your CPD (see Appendix 1 for examples of CPD activity)? How has each learning activity related to your current/ future practice e.g. practice improvement, enhanced patient care, etc? Standard 3 A registrant must seek to ensure that their CPD has contributed to the quality of their practice and service delivery. How does your learning relate to your ability to practise safely, effectively and legally? For example, How have you responded to changes in practice (e.g. new legislation)? How is your work informed by codes of practice? What dilemmas have you been faced with and how have you dealt with these? What have you learnt from positive and adverse incidents? How has this learning informed your practice? What support mechanisms do you use to seek advice and what action have you taken afterwards this? How has the evidence base informed your practice? How does your professional development relate to your evolving scope of practice? For example, How have you kept up-to-date within your current role? If there have been changes to your role, how did you prepare for these? How have you responded to these changes? What advice have you sought when faced with an experience or situation that is outside of your current scope of practice? What support mechanisms do you use and how have they helped you? How does your involvement with relevant groups support your development? 18 Continuing Professional Development
How do you think your scope of practice may change in the future? What new learning needs have you identified and how do you plan to meet these? What aspects of your work have changed as a result of your development? For example, How have you kept up-to-date within your current role? What areas of practice do you feel more confident in? What new avenues/sources of support do you use? Have you taken on new responsibilities as a result of your learning? Standard 4 A registrant must seek to ensure that their CPD benefits the service user. How has your professional development benefited the client/user/patient, the service and your practice? What are the main areas in which your learning has enhanced the service you offer to clients/users/patients? How has your learning enhanced your contribution to service delivery? How has your learning enabled you to: Improve your communication with others? Ensure that the services you deliver meet the diversity of the community you serve? Deal with ethical issues that arise in your day-to-day practice? Work more effectively in your professional environment? Respond to change effectively? Standard 5 A registrant must present a written portfolio containing evidence of their CPD upon request. You should refer to Appendix 2 for examples of types of evidence which may be used as proof of any Continuing Professional Development detailed in your statement. Continuing Professional Development 19
regulatory impact statement The Council s objective is to introduce a Continuing Professional Development scheme which ensures that its registrants continue to meet its requirements for continued registration. The scheme set out in this document is based on the assumption that learning is continuous. Its focus will be on the outcome of the CPD which the Council will expect. The Council does not propose to make detailed requirements for this CPD, or establish an exhaustive list of all the areas that each Standard covers; nor does it propose to set specific curricula for CPD. The Council proposes that the Standards and guidance will be generic; they will apply to all registrants and will not vary from profession to profession. It is proposed that they be sufficiently flexible so that they can be adopted by any of the professions the Council regulates. The Council recognises that its registrants practise in a variety of contexts. It therefore proposes that the CPD scheme will be contextdriven, meaning that it will be related to each registrant s area and scope of practice. The Standards will apply to all registrants. They will cover registrants who are wholly or mainly engaged in the practice, teaching or management of the profession in respect of which they are registered, or in research in those fields. They will cover registrants in full-time and part-time employment, and who are self-employed. The requirement in relation to CPD will be set out in the Standards and in statutory Rules approved by the Privy Council. These Rules will require all registrants to undertake CPD and those who fail to do so without good reason may be refused renewal of their registration. The basis of the scheme will be that registrants will make a self-declaration of their compliance when they renew their registration, but they will need to maintain a record of their CPD activity and the Council will audit samples of CPD activity, to ensure that the scheme is working properly. Those affected by these proposals will primarily be HPC registrants, who will now be required to meet CPD requirements and Standards which were not previously required of them. The impact of this will be significant, but the Council does not believe that it will be excessively burdensome. However, this regulatory impact statement forms part of our consultation and if you believe that the proposals will have a regulatory impact which we have not identified we would welcome your comments. 20 Continuing Professional Development
annex 1 Relevant sections of the Health Professions Order, 2001 This consultation deals with the provision for Articles 10 and 19 of the Order. The relevant extracts from the Order are set out below. Renewal of registration and readmission 10.1 Where a person is registered and wishes to renew his registration at the end of a prescribed period, he shall make an application for renewal to the Education and Training Committee in accordance with rules made by the Council. 10.2 The Education and Training Committee shall grant the application for renewal if the applicant (b) satisfies the Education and Training Committee that he has met any prescribed requirements for continuing professional development within the prescribed time; 10.3 Where an applicant does not satisfy the Education and Training Committee that he has met the requirements mentioned in paragraph (2)(b), the Committee may renew the applicant s registration on condition that he satisfy those requirements within a specified time and if the person fails to comply with the condition, subject to article 11(3) and 37(3), his registration shall lapse and, in accordance with prescribed procedure, his name shall be removed from the register. 19.2 The rules may, in particular, make provision with respect to registrants who fail to comply with any requirements of the rules, including making provision for their registration to cease to have effect. 19.4 If the Council makes rules under paragraph (1), it shall establish the standards to be met in relation to (a) continuing professional development; and article 15(3) to (8) and articles 16 to 18 of this Order shall apply in respect of those standards as if they were standards established under article 15(1)(a). 19.5 In the articles mentioned in paragraph (4), references to education and training shall, for the purposes of that paragraph, be treated as being to education, training or experience. 19.6 In respect of additional qualifications which may be recorded on the register the Council may establish standards of education and training and article 15(3) to (8) and articles 16 to 18 shall apply in respect of those standards as if they were standards established under article 15(1)(a). 10.4 Where a person s registration has lapsed, he may apply to the Education and Training Committee to be readmitted and the Committee shall grant the application if (a) the applicant meets the conditions set out in article 9(2)(b); and (b) he satisfies the Education and Training Committee that he has met such requirements as to additional education, training or experience as the Council may specify under article 19(3) and which apply to him. Post-registration training 19.1 The Council may make rules requiring registrants to undertake such continuing professional development as it shall specify in standards. Continuing Professional Development 21
annex 2 Your Views on CPD and our Response in 2002 In your comments to the Council in 2002 concerning its proposals for post-registration education and training, you qualified your support for the importance of professional development with concerns about the practicalities of finding the time and money for training. In response the Council stated in its Key Decisions (published November 2002) document that The Council has decided that, given the support for the principle of CPD that you expressed in the consultation, and its own belief that CPD is integral to working as a professional, it will be linking CPD to registration in the future. At that time, registrants will have to demonstrate that they have met the Council s CPD requirements in order to continue to register. However, given the concern that exists about the details of how the CPD system could operate, it will not be linking CPD to registration for the next three years. The Council has decided to hold a consultation on CPD within two years, when it will set out its proposals in more detail. Between now and then, it will be talking to key stakeholders such as professional bodies to ensure that it develops consistent proposals that do not cut across or duplicate work already in progress. However, the Council has already decided that its system and processes for CPD must: Avoid monitoring registrants compliance based simply on the number of hours undertaken each year Be linked to national standards Take account of the work of others, such as the Allied Health Professions (AHP) project on demonstrating competence through CPD that is currently being undertaken Take account of the needs of part-time and self-employed registrants Require individual registrants to commit themselves to CPD. The consultation will include assessment of the work of others, discussion of key issues with the professions and other interested parties, and most importantly, an ongoing discussion with registrants. 22 Continuing Professional Development