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Bare Below The Elbow

Bare Below the Elbow (BBE) Policy Uniforms and work wear must not impede effective hand hygiene, and should not come into contact with patients during direct patient care activity. All staff will adopt the “bare below the elbows‟ dress code whenever they are engaged in a direct patient care activity. Key requirements for the Trust in relation to uniform and work wear: A‟ bare below the elbows‟ approach will be adopted at all times by all staff in the clinical area. This includes nurses, doctors, professionals allied to medicine and administration staff who work in a clinical area. Any staff who do not wear uniform but have patient contact must adhere to the „bare below the elbows‟ initiative for the facilitation of hand decontamination. Clothing worn by all staff must be clean and fit for purpose and hands decontamination before and after each patient contact. Coats etc. can either be left in ward „rest room‟ or carried with you as long as they are removed whilst hand decontamination takes place. Please see the Department of Health Guidance on uniform and work wear policies for NHS employees. The Trusts Dress Code Policy does not define clinical area. However this policy makes clear that Bare below the elbow in “clinical areas” means that from the door that provides direct access to a ward or department where patients are seen or treated or in any facility where personal care is being provided all staff must comply with the following :- Nails should be short and clean – no nail polish or extensions. Wrist watches must not be worn. No other jewellery should be worn around the wrist. Alert bracelets must be removed and attached around lanyard or pinned to uniform. No rings with stones should be worn – one plain band is permitted. Sleeves must be short or rolled securely up to the elbow in order to allow access to the wrist for good hand wash technique. Ties should not be worn or, if worn, should be tucked in. Where there is no facility for leaving coats, bags etc. outside the „clinical area‟ these should be removed and secured immediately on entering the area where patients are treated or seen. Although policies only exist for the clinical professions, Senior Management Team has endorsed the proposal, that all staff including managers, social care staff, pharmacy and support staff visiting clinical areas must also be compliant. Video Player Media error: Format(s) not supported or source(s) not found Download File: 00:00 00:00 00:00 Use Up/Down Arrow keys to increase or decrease volume.

Boost your medical career by working in the UK

Boost your medical career by working in the UK… If you’re considering relocating to work in the UK, here some facts to help with this life changing decision. The country The UK is a culturally diverse and densely populated country. Out of the 65 million people living in the UK, 7.9 million were foreign-born nationals in 2014. It’s a tolerant society that is culturally and creatively advanced. Although the National Health Service was founded in 1948, the UK has implemented international healthcare recruitment programmes since the 1930s when the first wave of foreign workers was brought into the UK from British colonies. Healthcare Whilst both public and private healthcare systems operate in the UK, the public sector provides the majority of the country’s healthcare. With over 1.6 million employees, the NHS alone ranks in the top 5 largest work forces globally and is regarded as the best healthcare system in the world, dealing with over a million patients every 36 hours. In 2014 the UK was rated number 1, out of the 11 wealthiest nations, for healthcare provision (The Commonwealth Fund). In 2014 the NHS employed 150,273 doctors and 377,191 qualified nursing staff. Currently 37% of the doctors registered with the GMC have studied and gained their primary qualification abroad. All this amounts to a wealth of opportunity for people considering the move to the UK. Benefits • Opportunities to work The NHS is reliant on overseas workers to meet the demand and to bridge skills gaps, especially in A&E, Anaesthetics, Care of the Elderly, Acute Medicine, Respiratory and Radiology. In nursing in particular there are enormous staff shortages: according to the Royal College of Nursing 14% of London nursing posts were vacant at the end of 2014. • Wide ranging roles The NHS offers over 60 different specialisms. Opportunities to engage in a wide range of healthcare issues are abundant, together with great chances to further your training and career prospects. • Exposure to a different culture and practices Working in another country enables you to experience a new skill set and different medical practices. The chance to stretch yourself and understand foreign values is an invaluable tool throughout your career. • Opportunities for training and research In partnership with the royal colleges, there are opportunities for further training throughout all the specialisms, and those working in the UK have access to an unrivalled environment for research thanks to our Universities, the NHS, and the National Institute of Health Research. • Pay The pay is good. The NHS works to a pay scale, with extra supplements for additional duties and being on call. The private sector sets salaries according to budget. • Accommodation Many NHS hospitals have access to accommodation (mostly for single workers) that is significantly cheaper than UK rental market value to help with the first stages of your relocation. • Opportunities for women 77% of the NHS workforce is female, with nursing staff accounting for 30% of the total workforce, making the NHS a great environment for women to thrive and succeed. Working in the UK can provide you with greater breadth of experience, better qualifications, and the opportunity to work in the best healthcare system in the world. At Globalmedirec, we are committed to helping you make the transition easily and we are there every step of the way to ensure that your experience of working in the UK is a success. Globalmedirec has a proven record of providing excellence in healthcare recruitment, please visit our site today for more information,


GMC Council approves development of UK medical licensing assessment (UKMLA) The GMC Council has approved a plan to work with partners to develop a unified assessment for every doctor seeking to practise in the UK. Over time we are confident that the UKMLA will help to drive up standards and that it could become an international benchmark test for entry to medicine. Professor Terence Stephenson the Chair of the General Medical Council It has been given a working title of the United Kingdom Medical Licensing Assessment (UKMLA). The new assessment would replace the current Professional and Linguistic Assessments Board test (PLAB) which is now taken by International Medical Graduates (IMGs). Professor Terence Stephenson the Chair of the General Medical Council, said: ‘These are early days but the Council has decided that we should develop a licensing assessment which creates a straightforward and transparent route to medical practice in the UK. ‘Medicine is an increasingly mobile profession and we must have systems in place which not only make sure that UK-trained graduates meet the required standards but that all doctors practising here have been examined and evaluated to the same high level. ‘We believe it would be fairer and more reassuring for the public for there to be a standard for entry to the register that everyone can rely on. Over time we are confident that the UKMLA will help to drive up standards and that it could become an international benchmark test for entry to medicine. ‘Our aspiration is that this assessment should apply to any doctor joining the medical register. ‘We do not want to create a one-size-fits-all system of undergraduate education – the diversity of our current medical schools can and should be cherished – but we do think all those becoming doctors in the UK should have demonstrated that they have the skills and competence to practise here and have all passed the same assessment before being admitted to the register with a licence to practise. ‘There is much to discuss and we are conscious that there is an enormous amount of detail still to be worked up. But we are determined to work with our partners to find a way forward that is both workable and puts patient confidence and safety first. ‘We will now begin a second phase of work, engaging extensively with partners and groups affected, and with a range of expert advisers to help us identify the format, timing and content of the UKMLA.’ A full public consultation will take place before the UKMLA is introduced.    The provisional timeline of scheduled work on the UKMLA is as follows: 2015/16 choosing UKMLA model 2016/17 development of the UKMLA model 2018 testing and low level piloting of the UKMLA 2019 UKMLA goes live for IMGs 2019/20 UK graduate testing of the UKMLA 2021 UKMLA goes live for UK graduates Video Player Media error: Format(s) not supported or source(s) not found Download File: 00:00 00:00 00:00 Use Up/Down Arrow keys to increase or decrease volume.

Access to postgraduate training for EEA and international doctors

Video Player Media error: Format(s) not supported or source(s) not found Download File: 00:00 00:00 00:00 Use Up/Down Arrow keys to increase or decrease volume. While there are shortages in some specialties in the UK, this is not the same for training posts. Competition for training posts is intense and is continuing to increase. Up-to-date details on competition for junior doctor posts are available from NHS Specialty Training. The NHS is heading towards a system of self-sufficiency meaning that it will be less reliant on overseas medical staff. EEA doctors If you are from the EEA you may enter speciality training programmes in the UK on the same basis as UK doctors. You must meet entry requirements, and it is important to check with the appropriate royal college whether any recognition can be given for training already undertaken abroad. On completion of speciality training in the UK, EEA doctors are granted a Certificate of Completion of Training (CCT) which makes you eligible for entry to the UK specialist register. The CCT provides recognition as specialists in all other member states of the EEA. Can I train to be a GP? EEA doctors are free to train as GPs on the same basis as UK doctors and your qualifications will be recognised in other EEA countries. There are a few countries which have a two-tier system of general practice – a basic tier, the training for which meets the minimum requirements set out in European legislation, and a specialist tier, the training for which takes longer. Although UK training lasts for the three-year minimum set out in legislation, it may only be recognised for the basic tier in some other countries. If you move elsewhere you may need to be assessed on an individual basis for admission to the specialist tier. This has been a problem for a few doctors returning to Germany, for example. If you think that it may apply to you, please check with the authorities in your own country before beginning your training in the UK. Doctors from non-EEA countries Information on training opportunities, the application process and the competition for training posts is available on the NHS Specialty Training website. • IMPORTANT INFORMATION Non-EEA doctors coming to the UK are restricted from working as a doctor-in-training. The only exceptions to this restriction are if you qualified at a medical school in the UK • The only training posts available to non-EEA doctors who have not qualified at a medical school in the UK are posts where no suitable resident worker has been found to take up the post. Doctors from outside the EEA can take up these posts by obtaining a Tier 2 (General) visa The overseas doctors training scheme (ODTS)/international sponsorship scheme (ISS) The ODTS/ISS is a dual-sponsorship scheme administered by the medical royal colleges in the UK. It was launched to provide highly-skilled overseas-qualified doctors with structured and supervised specialist training in postgraduate training posts in the UK. Doctors who qualified in, or are resident in, the EEA are not eligible. ODTS/ISS graduates are expected to return to their own country on completion of the agreed period of training. What do I need to do in order to be considered by one of the royal college schemes? To be considered for one of the royal colleges ODTS/ISS schemes (the names of these can vary) you will need to have been recommended to the relevant royal college in the UK by a sponsoring organisation in your own country. The sponsors overseas must satisfy the royal college that they can personally vouch for you with regard to your professional expertise and competence in English. In addition, the sponsor must satisfy the royal college that suitable employment will be arranged for you on your return. Each college has its own criteria for selection of candidates for sponsorship under the schemes, but some general rules apply. You must possess a qualification which is acceptable for full registration in the UK. If accepted on a scheme, you will not be required to sit the PLAB test in order to gain registration, but proof of a high standard in English is a prerequisite, ie an overall score of at least seven in the IELTS exam with a minimum of 7 in speaking and 6 in reading, listening and writing. In addition, you will normally be required to have obtained a postgraduate medical qualification in the specialty in which you wish to train in Britain and have at least two years’ clinical experience in medicine or surgery gained at postgraduate level. However, for details of requirements specific to your specialty you should contact the relevant royal college. Please note – competition for places on the ODTS/ISS is very high and some colleges are ceasing to run such schemes, especially in light of the recent changes to the immigration rules for postgraduate doctors and dentists and due to withdrawal of funding. You will need to check the current situation with the appropriate individual royal college. Medical Training Initiative (MTI) The MTI is an initiative that allows non-EEA doctors to get training and experience in the UK for up to two years. It does not allow formal approved training posts (such as speciality and foundation training posts), but is rather approved posts by Deaneries and relevant Medical Royal Colleges for education and training. Because the MTI assists the NHS with employers and recruitment, exchange programmes with overseas health services and organisations are promoted. As a result, the MTI operates under Tier 5 by authorising these government authorised exchanges. Further details about the MTI, are available on the Academy of Medical Royal Colleges website.