References

Briffa N. Medical associates: junior doctors should pick their battles. BMJ. 2019; 365 https://doi.org/10.1136/bmj.l4265

Datta ST, Davies SJ. Training for the future NHS: training junior doctors in the United Kingdom within the 48-hour European working time directive. BMC Med Educ. 2014; 14 https://doi.org/10.1186/1472-6920-14-S1-S12

Department of Health. Supporting guidance to HSC 1998/204 Working cTime Regulations implementation in the NHS (archived). 1998. https://bit.ly/3LAmemZ (accessed 23 May 2022)

A health service of all the talents: developing the NHS workforce.London: DH; 2000

The curriculum framework for the surgical care practitioner.London: DH; 2006

Department of Health. The regulation of medical associate professions in the UK Consultation document. 2017. https://tinyurl.com/2p989b7e (accessed 23 May 2022)

Shape of training. Securing the future of excellent patient care. 2013. https://bit.ly/3MMafV2 (accessed 23 May 2022)

Health Education England. Multi-professional framework for advanced clinical practice in England. 2017. https://bit.ly/3yRjKhm (accessed 23 May 2022)

Health Education England. Establishing common standards for continuing professional development, assessment and appraisal guidelines for medical associate professionals. 2019. https://bit.ly/3wDmrBO (accessed 23 May 2022)

Health Education England. Medical associate professions. 2020. https://bit.ly/3MUQTNz (accessed 23 May 2022)

Holmes S. Development of the cardiac surgeon assistant. Br J Nurs. 1994; 3:(5)204-210 https://doi.org/10.12968/bjon.1994.3.5.204

Jones A, Arshad H, Nolan J. Surgical care practitioner practice: one team's journey explored. J Perioper Pract. 2012; 22:(1)19-23 https://doi.org/10.1177/175045891202200103

Are patients happy with SCPs operating?. 2006. https://publishing.rcseng.ac.uk/doi/pdf/10.1308/147363506X90763

Nicholas M. The surgical care practitioner: a critical analysis. J Perioper Pract. 2010; 20:(3)94-99 https://doi.org/10.1177/175045891002000301

Quick J. The role of the surgical care practitioner within the surgical team. Br J Nurs. 2013; 22:(13)759-765 https://doi.org/10.12968/bjon.2013.22.13.759

Royal College of Surgeons of Edinburgh, Federation of Surgical Specialty Associations. Surgeons call on UK government to reconsider regulation of surgical care practitioners. https://tinyurl.com/ynem9j4c (accessed 26 May 2022)

Assistants in surgical practice: a discussion document.London: RCSE; 1999

Royal College of Surgeons of England. The curriculum framework for the surgical care practitioner. 2014. https://bit.ly/38dgWQQ (accessed 23 May 2022)

Royal College of Surgeons of England. Surgical care practitioner programmes. Providing a quality mark for surgical education 2021. https://bit.ly/3MGAGva (accessed 23 May 2022)

Cardiac surgeons' assistants: guidelines for heads of departments.London: SCTS; 1994

Surgical care practitioners: an audit across the surgical specialties

09 June 2022
10 min read
Volume 31 · Issue 11

Abstract

Introduction:

The Royal College of Surgeons of England (RCS), when devising their curriculum for surgical care practitioners (SCPs), aimed to provide a level of training to produce a practitioner able to work across the surgical patient's journey, providing care to, arguably, an advanced level. This audit planned to examine the reality of this.

Method:

SCPs from a closed group, on the Facebook social media platform were invited to complete an online questionnaire about their role as an SCP.

Results:

A total of 92 responses were gathered from across the surgical specialty SCP community and from around the UK. Data were collected on the breakdown of the SCP's role and working practices.

Conclusion:

The data collected demonstrated the multifunctional nature of the SCP and their ability to work at a level as envisioned by the RCS curriculum.

Like many aspects of health care, surgery is undergoing a period of change. The introduction of new technologies, economic pressures and constant efforts to reduce patient waiting times have all contributed to major changes to the delivery of care. The European Working Time Directive (Department of Health (DH), 1998) triggered a shift in the cultural climate, as established patterns of care and training became unsustainable under the new regulations (Datta and Davies, 2014). Role redesign was a possible solution, identifying a need for additional, non-medical practitioners to provide an extended range of services outside of their traditional roles. Training programmes for several such roles therefore had to be developed and evaluated. More recently, this has led an umbrella term being used to categorise this emerging group, ‘medical associate professions’ (MAPs) (DH, 2017).

This development has not been without criticism. Concerns have been raised regarding the impact on doctors' training opportunities and the siphoning off of experienced frontline healthcare staff, but this has not been demonstrated by research to date (Quick, 2013; Briffa, 2019).

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