Revalidation

The Committee says the GMC should be accountable to Parliament. The GMC is formally accountable to the Privy Council but "In the absence of a mechanism which makes this accountability effective" the MPs intend to exercise this function themselves on behalf of Parliament. Revalidation of doctors has been under discussion for over 10 years. This is considered too long the GMC is expected to ensure that there are no further delays and that the current target date of late 2012 is achieved. Reviewing the GMC's current proposals MPs warn that too little attention has been given to the issue of how to deal with doctors whose practice gives cause for concern. The Committee is also concerned that the use of the word 'remediation' may have the effect of pre-judging the appropriate response to a particular set of circumstances. In relation to appraisal systems, MPs broadly support the proposal that revalidation should be based on the conclusions of employers' appraisal systems. However, there is evidence showing that the record of employers on appraisal is patchy and the importance of patient and colleague involvement in the appraisal process is emphasised. MPs also felt there should be clear guidance about how Responsible Officers should act when a conflict of interest arises between their responsibility to their employer and their responsibility to the GMC. Finally the issue of doctors for whom English is a second language was considered. As the body responsible for revalidation and with a commitment to introducing it by late 2012, the GMC is expected to satisfy itself that it has the necessary powers to fulfil this role; if it is not satisfied it needs to say so publicly and report to Parliament what changes are necessary to allow it to fulfil its function effectively

GUIDELINES FOR REVALIDATING A PROCESS HAZARD ANALYSIS This book is derived from the experience of many companies in the chemical and hydrocarbon processing industries, and presents demonstrated, concise, and common sense approaches for a resource-effective revalidation of process hazard analyses (PHAs). It includes flowcharts, checklists, and worksheets that provide invaluable assistance to the revalidation process. The new edition, now as a guideline, provides a compete and thorough update of the first book and will provide much needed and requested guidance on PHA Revalidations including evaluating Prior PHA Studies, Identifying an Appropriate Revalidation Methodology, Preparing and Conducting the Revalidation Study Sessions, and Documenting the Revalidation Study.

The foundation of any successful process safety program is a current set of process hazard analyses (PHAs) for each of its processes. Revalidating PHAs to keep them up to date and applicable is a must. This book is derived from the experience of many companies in the chemical and hydrocarbon processing industries, and presents demonstrated, concise, and common sense approaches for a resource-effective revalidation of PHAs. It includes flowcharts, checklists, and worksheets that provide invaluable assistance to the revalidation process.

Compassion takes as its starting point 'Cum scientia caritas', the motto of the Royal College of General Practitioners. Translated as 'Science with compassion', it captures the technical and caring aspects of being a doctor. Science is continually developing but compassion is unchanging. But how relevant is compassion to the NHS today? Compassion is central to the practice of health care. Patients require compassion as much as they require knowledge and technical skill from their healthcare professionals. Compassion should be a motivation for anyone choosing a career in primary care. However, in recent years there have been startling instances where compassion has not been shown. Compassion: Compassion, Continuity and Caring in the NHS is a reminder that compassion is at the heart of good medical practice. The book is split into sections on patients, education and training, clinicians and future developments. There are overview chapters on access to health care, the changing model of NHS care, a history of GP selection procedures and ways of preparing the next generation of GPs. This wide-ranging book also contains chapters on specific topics: the role of the multidisciplinary team, homeless patients, prescribing, nursing in primary care, post-conflict symptoms, suicide prevention and more. Personal perspectives are also given: A layman provides a personal account of the end-of-life care his wife received. A junior doctor reflects on the different factors that guide compassion. And a doctor from the United States offers a worrying picture of primary health care's possible fate. This book looks to the future too with chapters on scholarship, building resilience, mindfulness, continuity of care and the development of a new professionalism. This book will help the reader reconsider and re-evaluate compassion - the characteristic so important in creating a long-term relationship between health professional and patient.

In this consultation paper, the Law Commissions of England and Wales, Scotland and Northern Ireland are seeking views on the regulation of health care professionals in the UK and social workers in England. In their first joint consultation, the Commissions are asking how a new legal framework would: give the regulators increased flexibility in the use of their powers while ensuring public accountability; enable them to ensure proper standards of professional education, conduct and practice; and have at its heart a duty on the regulators to protect the public. It makes provisional proposals which seek to simplify and modernise the law and establish a streamlined, transparent and responsive system of regulation of health care professionals, and in England only, the regulation of social workers

This classic reference has built a reputation as the "go to" book to solve even the most vexing pipeline problems. Now in its seventh edition, Pipeline Rules of Thumb Handbook continues to set the standard by which all others are judged. The 7th edition features over 30% new and updated sections, reflecting the exponential changes in the codes, construction and equipment since the sixth edition. The seventh edition includes: recommended drill sizes for self-tapping screws, new ASTM standard reinforcing bars, calculations for calculating grounding resistance, national Electrical Code tables, Corilis meters, pump seals, progressive cavity pumps and accumulators for lubricating systems. * Shortcuts for pipeline construction, design, and engineering * Calculations methods and handy formulas * Turnkey solutions to the most vexing pipeline problems

This report reviews the quality of health care in Portugal, seeks to highlight best practices, and provides a series of targeted assessments and recommendations for further improvements to quality of care.