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Managing performance: PCT structures
Responsible groups
1. PCT's have been advised to work towards consistency of
performance procedures across all contractors and employees. They are
advised to have a two-tier model, comprising:
A decision making group (DMG)
- Responsibilities include:
- Managing performance concerns
- Taking decisions on individual cases
- Liaising with other agencies, eg referring to NCAS, GMC
- Membership
- Minimum of 4 PCT members, including Chief Executive, PEC Chair, Clinical Governance lead, Senior HR manager and
Medical Director/Adviser
- LMC representative - full or observer status
- Lay person
Performance advisory group (PAG)
-
Responsibilities include:
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Provision of expert resources
-
Local investigation of a case
-
Production of a remedial training plan for an individual GP
-
Training of DMG and PAG members involved in local investigation
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Training of remedial supervisors, trainers and mentors.
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Membership
-
Deanery or Career Development Unit representative
-
CPD tutors and/or Associate GP Directors
-
Lay member
-
DMG members as above.
2. In addition a PCT may seek help and advice from the GP
Associate Director and/or the Career Development Unit.
- Advice and help at all stages of managing performance concerns
- Advice on planning and provision of training programmes following local performance procedures or NCAS assessment
- Advice on recruitment, training and provision of staff to supervise educational and other development programmes ( GP Associate Director)
- Collaboration across deaneries on common standards for competencies, training for trainers and quality assurance ( GP Associate Director)
3. A PCT may also contact NCAS for:
- Advice on PCT performance structures and policies
- Advice and help at all stages of managing performance concerns
- Performance assessment of individual doctors
- Liaison with other bodies, eg Healthcare Commission, GMC.
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