Formalization of The Surgical Care Practitioner Role in the UK
Miss Jasmina Djordjevic , Mrs Bhuvana Krishnam
Restrictions on time spent by junior doctors in cardiothoracic surgery have lead to surgical duties to be preformed by Surgical care Practitioners SCPs. Department of Health ( DOH) UK has a fixed training programme, yet SCP roles vary between hospitals. Our main objective was to assess the role of the SCP nationally and to standardize our professional practise.
All SCPs in the UK were enrolled into this study by telephone interview and questioners.
35 cardiothoracic centres were enrolled and remaining centres were excluded (paediatric, private or centres without SCPs). Overall, 202 of the 230 questionnaires sent were returned for analysis.
170 SCPs and 33 trainees were enrolled of which 71% had RCS exam and PGDip and 37% had masters .
The centres with the SCPs working in each speciality is : cardiac ( 100 %), Thoracic ( 80 % ), clinic duties ( 49 %) , ward ( 31 % ) and transplant (26%). Only 35 % of the SCPs had a time allocation for professional development, educational sessions or other further surgical skills training.
Involvement of new technologies Endoscopic vein and radial artery harvesting ( EVH and ERAH) reduces the patient hospital stay , wound complication and encourages more audits and researches.
More than 47% nationally have Endoscopic programme developed by SCP’s.
New cardiothoracic centre’s implementation of 24hours / 7 SCP service.
We demonstrated that there is significant
variation in the role of SCPs across the UK
and of banding for the SCPs nationally
(band 6 to band 8)
Due to the increasing educational
support (Masterclass curses) organized
by Society of Cardiothoracic
Surgeons ( SCTS )/Association of Cardiothoracic
Assistants (ACSA) UK ,validated by Royal College
of Surgeons ( RCS ) UK and Edinburgh there is significant
professional upgrade of the qualified
SCPs to the band 8.
Reinstate of Exit Cardiac Exam annually organized by ACSA supported by SCTS and RCS to meet the National curriculum framework ratified by DOH.