West Midlands Regional Advisory Panel On The Approval Of Medical Practitioners Under Section 12(2) Of The Mental Health Act 1983 CRITERIA FOR APPROVAL And GUIDANCE ON COMPLETING THE APPLICATION FORM Any queries please contact: Mrs Heather Waltham Mental Health Co-ordinator for Regional Services Birmingham and Solihull Mental Health NHS Foundation Trust Regional Services Unit 1, B1 50 Summer Hill Road Birmingham B1 3RB Tel: Fax: 0121 301 1250 0121 301 1277 Please keep this guide for future reference 1 2 CRITERIA FOR APPROVAL 1.0 CRITERIA FOR APPROVAL Before completing the application form would you please ensure that you meet the panel’s criteria for approval:- 1.1 CAREER GRADE PSYCHIATRISTS Should, either: (a) Have had three year’s post registration clinical experience in relevant areas. This should include the equivalent of at least four months full time psychiatric experience in a post within the last three years which forms part of a training scheme approved by the Royal College of Psychiatrists and which involves dealing, at least in part, with patients detained under the Mental Health Act 1983. or, (b) Have Membership of the Royal College of Psychiatrists. 1.2 PSYCHIATRISTS FROM OVERSEAS Should either: (a) Have a qualification equivalent to the MRC Psych. such as the European C.C.S.T., American Board Examination, F.R.A.N.Z.C.P. etc. Applicants with overseas qualifications who have had no previous experience of using the Mental Health Act 1983 would need to undergo an individual period of Induction and Training from their employer as recommended by the Regional Advisory Panel. Further information may be obtained from Heather Waltham. or, (b) Applicants would need to fulfil paragraph 1.1 (a) above. Please Note: The term ‘OVERSEAS’ is used here to identify all regions not covered by the Mental Health Act 1983 (England and Wales). 3 1.3 STAFF AND ASSOCIATE SPECIALIST GRADE PSYCHIATRISTS Applications which are received from: (a) Staff and Associate Specialist Grade psychiatrists who within the last three years have fulfilled the criteria that would apply to any career psychiatrist or general practitioner. Will be dealt with in the same way as those from career psychiatrists/general practitioners. (b) Staff and Associate Specialist Grade psychiatrists who fulfill the criteria for a career grade psychiatrist/general practitioner, but who have not worked in either of these fields for the last two years. The Medical Director of the Trust should ensure that there is a local mechanism to ensure the doctor is introduced to mental health issues prior to seeking approval for Section 12(2) recognition. (see Guidance on Introductory Training available from Heather Waltham. (c) Staff and Associate Specialist Grade psychiatrists who do not fulfil the Panel’s criteria either that for psychiatrists or that for general practitioners, but who have more than 5 years of psychiatric experience, may be considered by the Regional Advisory Panel. Their applications will be dealt with in the same way as those from overseas doctors and an assumption made that they will have very limited knowledge of the Mental Health Act. They should, therefore, undergo the same form of Introductory Training Programme organised by the Medical Director of the local Mental Health Trust, as described in the Guidance on Introductory Training available from Heather Waltham. 4 1.4 GENERAL PRACTITIONERS Should either, (a) Have the MRCGP or, (b) Have had three years full time equivalent experience as a principal. IN ADDITION, they must:(c) During Post Graduate Education have had an appropriate full-time or equivalent experience in psychiatric work involving use of the Mental Health Act 1983. (d) Supply written references from TWO local consultant psychiatrists who have current Section 12(2) approval, which should be submitted with the application form. 1.5 FORENSIC PHYSICIANS/FORENSIC MEDICAL EXAMINERS The Regional Advisory Panel recognises Forensic Physicians as a unique group. Many Forensic Physicians/FMEs will be General Practitioners and could qualify for approval under Paragraph 1.4 above. However they can seek Section 12(2) approval as a Forensic Physcian/FME if they satisfy the following criteria:(a) Have had 3 years post-registration clinical experience in relevant areas [see 2.7 para (a)] (b) Have had a minimum of 6 months full time or 12 months part time (or the equivalent) employment as a Forensic Physcian/FME. (c) Be able to confirm that they have taken part in a significant number (normally 15) of formal mental health assessments, (Sections 135, 136, 2, 3, or 4) during the previous twelve month period. (d) Give the name and address of the local lead Forensic Physician whom the Regional Advisory Panel will approach for a reference (which will include evidence with respect to training), in support of their request for Section 12(2) approval. 1.6 Those practitioners who do not fulfill the above criteria but who have other training or experience may submit their application together with evidence of ‘special experience’ of qualifications such as Diploma in Psychological Medicine or a Diploma in Medical Jurisprudence to the Panel for special consideration. (Please enclose copies of Certificates) 5 GUIDANCE ON COMPLETING THE APPLICATION FORM BEFORE COMPLETING THE APPLICATION FORM PLEASE: Ensure that you meet the criteria for approval Read through the Guidance on completing the Application Form Complete the form BY PRINTING IN BLACK INK Answer ALL of the questions Include detailed information where requested. If insufficient information is supplied or your Application Form is not legible it will be returned to you and this will delay the processing of your application. 1.0 APPLICATIONS FROM DOCTORS FROM OVERSEAS, STAFF AND ASSOCIATE SPECIALIST GRADE PSYCHIATRISTS (see paragraphs 1.2 and 1.3) Must be accompanied by a letter from the Medical Director of their Mental Health Trust to say that they are satisfied that the applicant has satisfactorily completed the Introductory Training set out in the Panel’s Guidance Note “Mental Health Law Introductory Training for Staff and Associate Specialist Grade psychiatrists seeking Approval Under Section 12(2) of the Mental Health Act 1983” 2.0 MEDICAL INDEMNITY (question 4) Applicants should be aware that medical indemnity by the NHS does not usually cover assessments made beyond health authority or trust premises with the exception of domiciliary visits. You should personally arrange for appropriate medical indemnity cover. 3.0 ADDRESS AND TELEPHONE NUMBER(S) FOR CONTACT (questions 5 and 6) When applying for approval it is most important that you supply an address and telephone number(s) for contact that can be included on the Regional Data Base and in the Regional Schedule of approved doctors should approval be granted. This must be the FULL address including the postcode. 6 4.0 CURRENT APPOINTMENT (question 7) Please give details of your present appointment (grade/designation/specialty), your employer and the date on which you took up the post. 5.0 QUALIFICATIONS (question 8) Please give details of qualifications obtained, including preliminary psychiatric examinations, and the dates on which they were obtained. 6.0 EDUCATION AND TRAINING IN USE OF MENTAL HEALTH ACT 1983 (question 9) When answering this question please provide evidence of:(a) Post registration clinical experience. This should be a minimum of 3 years and in addition to psychiatry, relevant areas could include general practice, accident and emergency medicine and older adult medicine. (b) The extent of your experience in the use of the Mental Health Act 1983. (c) Where and when this was obtained. (d) The continuing postgraduate psychiatric education you have received. (e) Training you have received in the past 5 years on the use of the Mental Health Act 1983 and more recent legislation. Please give dates of Courses attended. 7.0 REFERENCES (question 11) Please carefully follow the instructions on the form as the reference requirements differ according to the type application being made. References can only be accepted from Consultant Psychiatrists having current Section 12(2) approval who are able to confirm that they have had professional working knowledge of the applicant for a period of at least three months within the last six months. References should be enclosed with the application form. 7 8.0 NOTES TO APPLICANTS: (a) If approval is recommended by the panel, practitioners must attend a two day Training Course organised by the Regional Advisory Panel. On the production of a Certificate of Attendance at such a Course first time approval will normally be granted for a period of five years. At the discretion of the panel, first time applicants may be granted provisional approval for a period of one year, during which time practitioners must attend a two day Training Course organised by the Regional Advisory Panel. On the production of a Certificate of Attendance at such a Course, the Panel will extend the "Approval" for a further four years. (b) When re-approval is sought applicants will be expected to have attended a minimum of 9 hours Refresher Training within CPD on the use of the Mental Health Act 1983 and other more recent legislation, over a five year period spread out over at least 3 or more separate Courses. (Refresher courses are organised by the local Panel members and Clinical Tutors as part of the Mental Health Trusts’ academic programme.) (c) If you are granted approval, your name and address for contact ( as given in question 5 and 6) will automatically be included on the Schedule of Approved Medical Practitioners which is circulated to the following agencies around the region:- Health Authorities, NHS Trusts, Social Services Departments, Police Authorities, Clerks to the Justices and the Prison Medical Service. These details will be stored on computer and registered under the requirements of the Data Protection Act 1984 L:\S.12(2) Forms\Criteria and Guidance for Approval (April 07) 8 CHANGE OF ADDRESS / CONTACT DETAILS You should note that it is your responsibility to notify me of any change of your address, telephone number, designation or other circumstances affecting your Section 12 approval so that our Register can be kept up to date. If you change your address (work or home) without advising me, and we no longer have an address for contact, your name will be removed from the Regional Schedule and there is a danger that your approval may lapse without your knowing. Please return to: Mrs Heather Waltham Mental Health Co-ordinator for Regional Services Regional Services Birmingham & Solihull Mental Health NHS Trust Unit 1, B1 50 Summer Hill Road Birmingham Tel: 0121 301 1250 or 0121 301 1251 B1 3RB Fax: 0121 301 1277 Please change to: Surname .................................................... .................................................................... Forenames ................................................ .................................................................... Current Appointment ..................................................................................................... Locum/Substantive (please delete as appropriate) Hospital/Surgery Address: ..................................................................................................... ..................................................................................................... ..................................................................................................... Postcode .................................................................................... Tel ..................................................... Ext .............................. Mobile ......................................................................................... Home Address: ................................................................................. (Include Y/N) NB Please indicate if you wish your home address, telephone number and/or mobile telephone number to be included on the Regional Schedules which are circulated to relevant agencies. ..................................................................................................... .............................................. Postcode ................................... Tel .......................................................................... (Include Y/N) Mobile ..................................................................... (Include Y/N) Unfortunately we can only include telephone numbers where the home address is to be included on the schedule. 9 10