Re: U.S. Consultants & UK question
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|From:||RUSS ALLISON <Allison@cardiff.ac.uk>|
|To:||Melody Ricci <email@example.com>|
|Date:||Thu, 15 Jul 1999 08:11:59 GMT0BST|
The Council for Professions Allied to Medicine is a Statutory body,
set up by act of law by Parliament which "regulates" (most) several
of the professions sometimes called allied to and sometimes called
"supplementary" to medicine. Therefore physiotherapists,
radiographers, speech therapists, chiropodists/podiatrists, etc etc
are covered, as a a group called Medical Laboratory Scientific
Officers(MLSOs) - Med Techs in the USA. "Our Group" is not called
MLSOs under the current legislation, but let's not worry about that
for the moment.
"Our group" i.e. Med Tech equivalent, includes histotechnologists
with exactly the same entry requirements (to the profession) as any
other Med Tech, the same salary, terms and conditions of service.
There is no equivalent to the "histotechnician" although all med
techs are supported by "laboratory aids".. These latter have no
formal qualifications or training (as yet!).
The Council for Professions Supplementary to Medicine "regulates" the
profession by the maintenance of a Register of those who are
Qualified to be our equivalent of Med Techs. To get on the Register,
you have to have a suitable qualification, have completed a course of
in-lab training (which is recorded in a log-book) and passed an oral
exam carried out by an external examiner.
To remain on the Register has, until now been easy. you just behave
yourself and make sure you do not drop any terrible "clangers"
Suitable qualifications for entry are determined (assessed, agreed
followng investigation, etc) by a Board made up of elected members of
the profession(s). There are "professional" Boards for each of the
Overarching the Boards is the "Council" which is appointed by
government to ensure appropriate and representative membership,
including medical (pathologist, for example), lay and other sections
In turn, the Privy Council - a tier of government probably unique to
the UK (and perhaps its former colonies). The Privey Council
"advises" the government and is made up entirely of government
appointees. To be a "Privy Councillor" is an honour - a BIG one.
The Council is able to exert its effect by making it obligatory for
all hospitals to use only "State Registered" staff for pathology
investigations. Let us, for these purposes, forget about lab aids
and what they can and cannot do. In fact anyone "buying"/using
pathology services must do so only from labs employing State
Registered staff, even private nursing homes, for example.
Private laboratories, espcially the reputable ones, only use state
Registered staff for a variety of purposes, including - they believe
in the system, it is considered a mark of quality, it wouold not help
to hev employed unregistered staff in any litigation proceedings!
This legislation is now some thiry years old and in
the process of being repealed in favour of a new ACT.
The professions will have more autonomy under this Act, because the
professional boards will disappear and advice will be sought directly
from professional bodies (rather than elected individuals - who may
or may not be members of, or represent the views of - the
The overarching Council will include elected members of the
professions; at present two from each profession.
A major difference with the new Act is that there will be criteria to
be fulfilled to REMAIN on the REGISTER. i.e. a system to demonstrate
continuing competence to practice. Most likely, this will be
determined by professional bodies through schemes of continuing
professional development and evidence of continuing competence
(tested, in all probablitity, or at least formally logged)
Well done anyone who has slogged it thru to the end. Any questions,
please do not be afraid to e-mail me (unless you work in the UK and
disagree with anything I've said!!)
Russ Allison, Wales
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