1. AfPP Residential, York,
The role of the Health and Care Professions Council Elaine Buckley, HCPC Chair

2. Today HCPC and multi-professional regulation Renewal and CPD
CPD outcomes
Fitness to practise cases and themes
Preventing fitness to practise concerns

3. Standards and processes
The Register

4. Multi-professional regulator
359,037 registrants from 16 professions (May 2018)

5. What’s new? Revised ISP Consultation – 2018 Annual Report – 2018
Standards of education and training – 2017
Education Annual Report
Confidentiality Guidance 2017
Guidance on the use of social media – 2017
Returning to Practice guidance –2017
Continuing Professional Development guidance
Standards of conduct, performance and Ethics

6. Renewal date by profession

7. CPD standards
Undertake regular CPD and keep a record of what you do in the way most convenient for you.
Undertake different kinds of learning activities.
Think about how your CPD might improve your practice and benefit your service users.
Participate in an audit if we ask you to.
We audit a random sample of 2.5% of each profession at every renewal.

8. Standards for continuing professional development
A registrant must:
maintain a continuous, up-to-date and accurate record of their CPD activities;
demonstrate that their CPD activities are a mixture of learning activities relevant to current or future practice;
seek to ensure that their CPD has contributed to the quality of their practice and service delivery;
seek to ensure that their CPD benefits the service user;
upon request, present a written profile (which must be their own work and supported by evidence) explaining how they have met the standards for CPD.

9. Activity – constructing CPD Profiles
Take a moment and reflect on what CPD activities you have undertaken over the past 6 months.
Discuss them with your neighbour and consider the following:
What was the activity?
Type of activity (work-based, professional activity, formal / educational, self-directed or other)
Benefit to you (“quality of practice and service delivery”)
Benefit to service users (consider who they are)
What evidence would you use to support it?

10. ODP CPD 2016 portfolio submissions
Vast majority of portfolios were of high quality and complied with the standards.
Common issues with non compliant portfolios:
Further evidence required
Lack of depth in reflection on how the CPD activity impacted on self and\or service users

11. ODP CPD 2016 portfolio submissions
ODPs selected
322
Profiles accepted
261 (81%)
Profiles deferred 41
Voluntary deregistered 14
Lapsed (did not renew) 1
Removed (for non-engagement with the process) 5
Under scrutiny

12. Standards of conduct performance and ethics
New Standards published in January 2016
Key changes:
Language and layout much improved
Social media (standard 2.7)
Report concerns about safety (standard 7)
Be open and honest when things go wrong (standard 8)

13. Fitness to practise statistics
, and who raised concerns
Registrants - 350,330
Concerns raised – 2,259 (0.64%)
Cases considered by Investigating Committee Panel – 653
Hearings – 445
Struck off – 92
Employers –26.4%
Public – 40.9%
Employers –62.9%
Public – 6.3%
Source: Fitness to Practise annual report 2017

14. ODP Fitness to Practise cases
Number of cases 56 65
% total cases
2.68%
2.82%
% of register
3.73%
3.80%
Biggest complainant groups
Employer: 24 (43%) Self-referral: 16 (29%)
Employer: 27 (42%) Self-referral: 20 (31%)
Number of final hearings 29 20
Outcomes/sanctions
Caution: 3 Conditions of practice: 1 Not well founded: 3 Removed by consent: 1 Struck off: 11 Suspension: 10
Caution: 2 Conditions of practice: 1 Not well founded: 1 Removed by consent: 2 Struck off: 9 Suspension: 5

15. Fitness to Practise themes
Inappropriate use \ mismanagement of drugs
Assaults \ violent behavior
Boundary issues involving colleagues or patients
Alcohol +\ - driving offence

16. Adapted from Characters of Harm: Operational Challenges in Control
Malcolm Sparrow, 2008

17. The impact of fitness to practise proceedings on complainants, employers, witnesses and registrants Why is prevention important?
Psychological
Financial
Reduction in service capacity
Reputational loss
Adversarial experience

18. What are the triggers?
Workplace issues - workload pressures, blame culture, working patterns, dysfunctional relationships, poor supervision or management, lack of support for CPD
Personal circumstances - divorce, bereavement, financial pressures
Operating outside scope of practice or under-utilising skills
Professional isolation, lack of autonomy

19. Understanding the prevalence of fitness to practise concerns
Published on the HCPC website
The reason why we receive so many complaints about paramedics and social workers through literature review, interviews, focus groups and substantial review of cases
Common themes emerging relating to prevention;
Importance of education
Role of employers
Working practices and culture

20. Preventing problems – the evidence
Being valued, no blame culture
Strong team dynamics
Effective supervision, regular appraisal and performance management
Buddying schemes, team building exercises, professional networks
Self awareness, reflective practice, keeping up to date

21. Discussion: What is happening in your workplace to help colleagues continue to be safe and effective practitioners?

22. Highlights from previous HCPC events:
Supportive working culture
Appropriate caseloads
Supervision, mentorship and training
Support for CPD from employers
Increase employer’s understanding of the benefits/responsibilities of a registered workforce
Recognition of regulatory responsibilities by employers
HCPC Standards and working practices embedded in the workplace
Explain role of HCPC in promoting professionalism
Continue to inform public about when it’s appropriate to refer to the HCPC

23. HCPC Partner roles
We employ registrants as HCPC partners to make decisions and recommendations on behalf of the HCPC, the roles are:
Fitness to Practise Panel Members and Chairs and Legal Assessors  
Registration Assessors
Registration Appeals Panel Members
Visitors
CPD Assessors
More information online at

24. Finding out more and getting in touch
(lo-call)
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So if you have any queries about registration that I can’t answer today, or you think of later, here are the contact details for the registration department.
Are there any questions?