Sheet 18  September 2012

  • The Deanery draws attention to the code of conduct statement issued by COGPED and the RCGP
  • Any circumstances that come to light where it is suspected that standards of probity have been breached will be investigated and, if substantiated, reported to the GMC for fitness to practice investigations.
  • Examples of possible breaches of probity include:
    • GPSTs signing off WPBAs for each other (possible collusion)
    • WPBAs being signed off by more junior doctors (eg Foundation doctors) or nurses without appropriate experience (possible coercion)
    • Entering WPBAs as having been done when they have not been witnessed (fraud)

CSR

This may only be completed by the named clinical supervisor. This may be a consultant, GP or other fully trained doctor. Should a GPST consider that they do not know who their CS is, or that they should have a different CS allocated (perhaps who knows them better), then this should be discussed with the relevant department, supported if necessary by the local GP Education office.

CBD

This may only be done by: 

  • A relevant consultant, GP or other relevant fully trained doctor.
  • Specialist trainee (not GPST) in a relevant speciality of ST3 level or above.
  • NB in all cases the assessor should have received training on how to do CBDs

Mini Cex

This may only be done by: 

  • A relevant consultant or other fully trained doctor (NB this assessment should not be done by a GP within general practice)
  • Specialist trainee (not GPST) in a relevant speciality of ST3 level or above.
  • NB in all cases the assessor should have received training to do the assessment

COT

This may only be done by: 

  • A GP who has been trained to assess COTs – this will normally be a GP ES, CS or OOH CS, but may include other fully trained GPs

DOP

These may only be done by: 

  • A relevant consultant, GP or other relevant fully trained doctor.
  • Specialist trainee (not GPST) in a relevant speciality of ST3 level or above.
  • A senior nurse with relevant training – this should be made clear on the form – ie an experienced practice nurse would be appropriate to assess Cervical cytology DOP, but not a Rectal DOP
  • NB in all cases the assessor should have received training to do the assessment