Professor Colin J Suckling

1
Introduction

• Professor Colin J Suckling
• Chairman, SACDA

2
Evolution

• Impact of scoring system
• Monitoring and audit of outcomes
• Simplification of guide
• Modifications of forms
• Eventually, more substantial change demanded

3
Review Group

• Set up by previous government
• Risk of total abolition of Scheme
• Balanced argument convinced previous government
  to seek modernisation
• Current government has backed this approach
• But progress has been slow

4
Principles of Review

• Wide access to the scheme
• Level playing field for assessment
• Suited to needs of Scottish NHS
• Recognising clinical leadership and innovation in
  all their forms
• Compatibility but not identity with the ACCEA
  system
• Connecting with the DP system

5
Areas of agreement

• Wide access to the scheme v
• Level playing field for assessment v
• Suited to needs of Scottish NHS v
• Recognising clinical leadership and innovation in
  all their forms v

6
Areas without agreement

• Financial structure X
• Compatibility but not identity with the ACCEA
  system X
• Connecting with the DP system X
• Governance of the DP system X
• Work still in progress.

7
SACDAs response

• Substantial agreement on principles
• Danger of stagnation of developments
• Without engaging in management of DPs, things
  that could be done
• SACDA chose to put in place some developments
  including SACDA OnLine.

8
Whats new in 2009?

• Professor John L Reid
• SACDA Medical Director

9
Whats new in 2009?

• Online electronic application, citation, support
  and review (for all awards)
• Self nomination only (for A)
• New region with Advisers (and meeting) for
  smaller and special Health Boards.

10
SACDA Online

• Online application, citation, support and review
  system.
• Initiated and set up over 2007/08.
• There will be an opportunity to see a
  demonstration later.

11
Self Nomination Only (A)

• This is currently the only method of application
  for higher awards in Northern Ireland.
• It is encouraged and widely used in England and
  Wales.
• In recent years in Scotland has been receiving an
  increasing proportion (up to 40-50) of
  nominations by this route.
• Significant numbers of self nominations have been
  successful in recent years. (2 in 2008 32
  overall)

12
New Region

• New region with SACDA Advisers (and meeting) for
  smaller and special Health Boards.
• Current distribution covers 4 regions (Western,
  South Eastern, Eastern and North/North Eastern
  has created unbalanced groups with concerns about
  equity and fairness for all consultants.
• The new group has been created to represent
  smaller and special Health Boards to try to
  increase engagement with SACDA and improve
  quality of applications and outcomes.

13
Present SACDA Regions

• East No of consultants
• Tayside 392

14
Present SACDA Regions

• North/North East No of consultants
• Grampian 409
• Highland 163 Total
• Western Isles 13 602
• Shetland 10
• Orkney 7

15
Present SACDA Regions

• South East No of consultants
• Lothian 734 Total
• Fife 191 992
• Borders 67
• ( National Services 70 70)

16
Present SACDA Regions

• West No of consultants
• Glasgow Clyde 1190
• Lanarkshire 284 Total
• Ayrshire and Arran 193 1915
• Forth Valley 154
• Dumfries Galloway 94

17
Present SACDA Regions

• Region No. of of total Consultants Consu
  ltants
• West 1915 48.2
• East 392 9.9
• South East 992 25.1
• North 602 15.2
• North East
• National 70 1.7
• Total 3971 100

18
Proposed SACDA Regions 2009

• Region No. of of total Notional Actual
• Consultants Consultants Awards Awards
• Glasgow 1190 30 19 20
• Clyde
• Lothian 734 18.5 12 17
• Tayside 392 9.9 6 9
• Grampian 572 14.4 9 9
• Highland
• Smaller Health 1083 27.3 16 7
• Boards
• National Services

19
New fifth Region 2009

• SACDA Advisers from Senior Award Holders in the
  smaller Health Boards to facilitate interaction
  between consultants (and employers) and SACDA
  processes.
• Additional regional meeting in May to review all
  applications from the new region.

20
Why are we trying out these new approaches?

• There will be a new scheme replacing SACDA
  (eventually).
• Electronic submission will be used in the future.
• There is strong pressure to develop self
  nomination for all awards in future.
• Possible changes in the balance of national and
  local input to higher awards without losing
  SACDAs transparency, consistency and monitoring
  of process.
• Likely extension of some SACDA responsibilities
  and monitoring (and mentoring) to local
  discretionary points.

21
Secretariat

• Fiona Kennedy, Secretary
• Louise Lowe, Administrator

22
Responsibilities of the Secretariat

• Explanation of the SACDA Nomination 5 Yearly
  Review Processes
• Assisting on issues of eligibility
• Processing all nomination and review paperwork
• Arranging, attending and minuting all SACDA
  meetings
• Assisting with queries on the SACDA Online system
• Collation of the allocation of Discretionary
  Points by each Health Board
• Collation of the financial information for the
  funding of Distinction Awards

23
The Secretariat is not responsible for

• Maintaining the consultant information on the
  SWISS database
• Allocating the funding for distinction awards

24
SACDA Online

• Demonstration
• https//awards.sacda.scot.nhs.uk
• http//www.sacda.scot.nhs.uk