1. Registered charity no 212808 15/06/10 Advisory Appointment Committees, Job Description Approvals & SPA’s Chris Milford Council Lead for AACs

2. Registered charity no 212808 RSA Selection & Role College Appointment Main function of the RSA was to approve job descriptions and in some specialties to chair the local specialty training committee/act as Programme Director.

3. Registered charity no 212808 RSPA Selection & Role RSPA selected by the Specialty Association and ratified by the Council of the Royal College of Surgeons of England. Core Functions and Responsibilities To provide specialty advice to the Director for Professional Affairs in relation to delivery of surgical services and in the developing field of revalidation of surgeons To consider and approve job descriptions for the College – comment on the professional content of the JD in relation to clinical, teaching, & research work

4. Registered charity no 212808 SPA’s The College believes that normally 2.5 SPA’s would provide an adequate amount of time to fulfil these responsibilities for the majority of surgeons but should be subject to annual appraisal and job planning.

5. Registered charity no 212808 RSPA requirements…….. The essence of wisdom is the ability to make the right decision on the basis of inadequate evidence Alan Gregg (1890 - 1957)

6. Registered charity no 212808 RSPA Support (induction pack) Guidance for regional specialty advisers on approving job plans (2005) College policy re SPA Awareness and commitment to equality and diversity legislation requirements - therefore mandatory equality and diversity training will be provided as part of the induction to the role unless received elsewhere

7. Registered charity no 212808 AAC numbers 2009 Cardiothoracic surgery12 General Surgery155 Neurosurgery22 Otolaryngology34 Paediatric Surgery3 Plastic Surgery27 T & O Surgery149 Urology45 TOTAL447

8. Registered charity no 212808 Consultant Job Plan Process Provisional job plan prepared by source Trust Sent to RSPA for approval (RSPA NOT to approve job in own Trust) Following approval back to source Trust Trust approach College for AAC representative College seek AAC representative (the only statutory external influence on the committee) Trust constitute appointment committee

9. Registered charity no 212808 Consultant Job Plan Process for CTS, Neurosurgery, Transplant (have secondary approval process) Provisional job plan prepared by source Trust Sent to RSPA for approval (RSPA NOT to approve job in own Trust) College seek central approval from Society President Back to Trust following central approval Trust approach College for AAC representative College seek AAC representative (the only statutory external influence on the committee) Trust constitute appointment committee

10. Registered charity no 212808 JD reviews in CTS JD subcommittee Small cohort of individuals to share workload Combine regional and central process Homogenous advice using pre-agreed BMA type JD format (usually very well received)

11. Registered charity no 212808 Issues that have arisen in the last year Reduction of SPA’s in JD’s How to maintain a ‘dialogue’ with Foundation Trusts when JD has not been approved JD ‘approved’ by Head of School (as opposed to RSPA) What sanctions are available if Foundation Trust appoints without College Assessor/ <2.5 SPA ? ‘Trust Consultant’ appointed without AAC

12. Registered charity no 212808 The Man in the Arena “It is not the critic who counts….the credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood….who errs, who comes short again and again….but who does actually strive to do the deeds; who spends himself in a worthy cause” (Theodore ‘Teddy’ Roosevelt, 1910 – 26 th President of the USA)