ࡱ>  5bjbj aa u$$$$$$$$8%%$jU4%4%(\%\%\%(((TTTTTTT,(XZU$(((@((U^)$$\%\%0$U^)^)^)(F$\%$\%T^)(T^)^)KN)LL"T:U0jULv[^)v[DN^)N8$N(((UU^)(((jUv[((((((((( ~#:   Clarification of the use of the College publication Guidelines on staffing and workload for histopathology and cytopathology departments in limiting the workload of pathologists Professor Peter Furness, Director of Professional Standards In recent months the College and RCPath Consulting have undertaken invited reviews of a number of cellular pathology departments and have become aware that the College workload guidance may, on occasions, be misinterpreted and used in an unintended and rigid manner in discussions on working practices between medical staff and managers. The national consultant contract is time-based (programmed activities) and the intention of the College guidance is to indicate an appropriate workload for a period of time. The College acknowledges that there will normally be variations in the amount of work that can be safely delivered by pathologists depending on their experience and the types of work being performed. It is therefore appropriate to be flexible in interpreting the guidance in the interests of good patient care, and not limiting work by a rigid interpretation of a fixed number of points per day. The College is concerned to be told that its guidance could be used in this unintended and rigid manner. As a result, this clarification is being published and the matter will be emphasised in the next full update of the guidance. The guidance document states that it is intended to: a) support departments of pathology in balancing staffing with the anticipated workload, so as to ensure that a sustainable, high-quality service is provided for the benefit of patients b) facilitate equitable distribution of work among pathologists within a department c) provide information for job planning. It goes on to add: It is expected that service users and commissioners will find this guidance helpful in predicting the resource implications of changes in demand. It also states: These guidelines are not intended to provide a basis for a fee per case system of payment. Nothing in these guidelines is intended to alter the nationally agreed terms and conditions of service of consultants or associate specialists, in which time is the basis of remuneration. Point (a) above was intended to provide a tool for long-term, overall planning that ensures a high quality and stable service. It was not intended to provide a tool whereby pathologists may limit the amount of work they do on a daily basis, especially not in a way that may potentially harm patients. In its third edition the guidance moved from retrospective calculation of workload points to prospective calculation. This was intended to facilitate the equitable prospective distribution of workload between pathologists, not to justify stopping work after a specific number of points had been delivered on any one day. The guidance states: Most pathologists should be able to achieve 36 points for each DCC PA assigned to reporting, averaged over a working week. (emphasis added for the purpose of this clarification) The identification of an optimum number of workload points per PA for a single average pathologist was necessary to allow calculations of an appropriate workforce to deliver any given workload, and hence to assist workforce planning and the development of job plans. The document does not say that 36 points per PA is the most that any pathologist can deliver and this figure is not intended to act as a cap on the amount of work a pathologist may deliver in a single day.     050118  PAGE \* MERGEFORMAT 2   050118  PAGE \* MERGEFORMAT 1  R n xy,K.0{sosososoh1>jh1>Uh9uhHPJaJnH tH h*gPJaJnH tH hPJaJnH tH hhPJaJnH tH hEhh)VaJ h)V5aJ h5aJ h hS+2h9uhCJKH\^JaJmHnHsHtHu,hCJKH\^JaJmHnHsHtHu* g Vz$Ld^`La$gd$d`a$gd$d^a$gd $da$gd$`x^``a$gd)V $da$gd:d@& ^gd.gdM$a$gd"PM np#gdu d$d`a$gd$d^a$gd ./012345ݖ󖋄qh9uhHPJaJnH tH h1> hFLhu jfh#hu Uhu j8Xh#hu UhHZhM$jhy!hMUmHnHsH uhh"PMhCJh*gmHnHu ho\Zhu jho\Zhu Uh}, hRhu hjhu U"12345$d^a$gd O"gdu 8 0 01h:p. 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