locum acronym

 

locum nourriture

locum traduction

locum tenens meaning

locum required traduction

locum medical

locum doctor

locum latin

locum physician

 

 

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List of NHS Acronyms

Acronym Definition

A&E Accident & Emergency

ADT Admissions, Discharges and Transfers

AfC Agenda for Change

AHP Allied Health Professional

AP Assistant Practitioner

AQP Any Qualified Provider

AWP Any Willing Provider

BAU Business As Usual

BHD Buckland Hospital Dover

BMA British Medical Association

BME Black and Minority Ethnic

BNF British National Formulary

CAB/C&B Choose And Book

CAB Clinical Advisory Board

CAC Children Assessment Centre

CAF Common Assessment Framework

CAMHS Children and Adolescent Mental Health Service

CAT Computerised Axial Tomography (scan)

CCG Clinical Commissioning Group

CCU Critical Care Unit

CDU Clinical Decision Unit

CEO Chief Executive Officer

CFH/CfH Connecting For Health (Please note, this should only ever be NHS CFH

please

CHAI Commission for Healthcare Audit and Inspection

CHD Coronary Heart Disease

ChYPS Children and Young Persons Service (formerly CAMHS)

CIC Community Interest Company

CIP Cost Improvement Programme

CMHT Community Mental Health Team

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CPA Care Programme Approach

CPD Continuing Professional Development

CPN Community Psychiatric Nurse

CQC Care Quality Commission

CQUIN Commissioning for Quality and Innovation

CRG Clinical Reference Group

CSU Commissioning Support Unit

DGH District General Hospital

DGS Dartford, Gravesham and Swanley

DoH/DH Department of Health

DNA Did Not Attend

DNR Do Not Resuscitate

DPA Data Protection Act

DQ Data Quality

DR Disaster Recovery

DS Discharge Summary

DSU Day Surgery Unit

DTC Diagnosis and Treatment Centre

DVH Darent Valley Hospital

E&D Equality & Diversity

ED Emergency Department

EDM Electronic Document Management

EDN Electronic Discharge Notification

EIA Equality Impact Assessment

EKHUFT East Kent Hospitals University NHS Foundation Trust

e-KSF (electronic) Knowledge and Skills Framework

ENT Ear, Nose and Throat

EPP Expert Patient Programme

EPR Electronic Patient Record

EQIA Equalities Impact Assessment

ERIC Estates Return Information Collection

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ESR Electronic Staff Record

ETD Education, Training and Development

EVMC Estuary View Medical Centre

EWAs Enterprise-Wide Arrangements

EWTD European Working Time Directive

FBC Full Business Case

FOI Freedom Of Information

FOIA Freedom of Information Act

FSC Social Care, Health & Wellbeing (KCC)

FT Foundation Trust

FTN Foundation Trust Network

GDC General Dental Council

GDS General Dental Services

GMC General Medical Council

GMS General Medical Services

GOS General Ophthalmic Services

GP General Practitioner

GPC (BMA) General Practitioners Committee

GPhC General Pharmaceutical Council

GPS Government Procurement Services

GPwSI General Practitioner with a Special Interest (in a particular clinical

specialty)

HASCIP Health & Social Care Integration Programme

HDU High Dependency Unit

HEMS Helicopter Emergency Medical Service

HES Hospital Episodes Statistics

HIA Health Impact Assessment

HIS Health Information Service/System

HLC Healthy Living Centre

HOSC Health & Overview Scrutiny Committee

HPA Health Protection Agency

HSCI Health Service Cost Index

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HSCIC Health and Social Care Information Centre

HSE Health and Safety Executive

HSJ Health Service Journal

HWK Healthwatch Kent

HWB Health & Wellbeing Board

HWE Healthwatch England

ICAS Independent Complaints Advocacy Service

ICO Integrated Care Organisation

ICP Integrated Care Pathway

ICT Information and Communication Technology

ICU Intensive Care Unit

IG Information Governance

IGG Intelligence Gathering Group

IGT/IG/IGTK IG Toolkit

IM&T Information Management and Technology

IP Inpatient

IRP Independent Reconfiguration Panel

ISA Independent Safeguarding Authority

ISTC Independent Sector Treatment Centres

ITT Invitation to Tender

ITU Intensive Therapy Unit

JHWS Joint Health and Wellbeing Strategy

JSNA Joint Strategic Needs Assessment

KCA Kent Council on Addiction

KCHT Kent Community Health Trust

K&CH Kent and Canterbury Hospital

KDAAT Kent Drug, Alcohol and Addiction Team

KHWBB Kent Health and Wellbeing Board

KIASS Kent Integrated Adolescent Support Service

KMPT Kent & Medway Partnership Trust – Mental Health

KPI Key Performance Indicator

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KSF Key Skills Framework

KSF (NHS) Knowledge and Skills Framework

LA Local Authority

Las Local Authorities

LAS Locum Appointment for Service

LAT Locum Appointment for Training

LDP Local Delivery Plan

LES Local Enhanced Service

LGA Local Government Association

LHB Local Health Board

LHC Local Health Community

LHW Local Healthwatch

LINks Local Involvement Networks

LMC Local Medical Committee

LSP Local Service Provider

LSP Local Strategic Partnership

LTA Long-Term Agreement

LTC Long-Term Conditions

MASH Multi-Agency Safeguarding Hub

MAU Medical Admission/Assessment Unit

MCN Managed Clinical Network

MCP Multi-speciality Community Providers

MHRA Medicines and Healthcare Products Regulatory Agency

MMR Measles, Mumps, Rubella (vaccination)

MRC Medical Research Council

MRI Magnetic Resonance Imaging

MRSA Methicillin-resistant Staphylococcus aureus

MTW Maidstone & Tunbridge Wells Hospital Trust

NAG National Advisory Group

NAO National Audit Office

NCVO National Council for Voluntary Organisations

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NDA National Diabetes Audit

NEAT New and Emerging Applications of Technology

NED Non-Executive Director

NHS National Health Service

NHSBT NHS Blood and Transplant

NHSCB NHS Commissioning Board

NHSCC NHS Clinical Commissioners

NHSE NHS Employers

NHSI NHS Institute for Innovation and Improvement

NHSLA National Health Service Litigation Authority

NHST NHS Trust

NHS LIFT NHS Local Improvement Finance Trust

NICE National Institute of Clinical Excellence

NIHR National Institute for Health Research

NMC Nursing and Midwifery Council

NRES National Research Ethics Service

NSCG National Specialist Commissioning Group

NSF National Service Framework

OBS Outline Business Case

ODP Operating Department Practitioner

OJEU Official Journal of the European Union

ONS Office for National Statistics

OOH Out Of Hours

OP Outpatient

OPCS Office for Population Censuses and Surveys Classification of Surgical

Operations and Procedures

OSC (Local Authority) Overview and Scrutiny Committee

OT Occupational Therapist/Therapy

PA Physician Assistant

PACS Primary and Acute Care Systems

PACS Picture Archiving and Communications System

PALS Patient Advice & Liaison Service

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PAS Patient Administration Service

PBC Practice-Based Commissioning

PbR Payment by Results

PCIS Primary Care Information Service

PFI Private Finance Initiative

PhwSI Pharmacist with Special Interest

PIAG Patient Information Advisory Group

PID Person Identifiable Data

PID Project Initiation Document

PIG Policy Implementation Guide

PMS Personal Medical Services

PPC (prescription) Pre-Payment Certificate

PPE Patient and Public Engagement

PPEI Patient and Public Engagement and Involvement

PPG Patient Participation Group

PPI Public and Patient Involvement

PPIC Private Patient Income Cap

PROM Patient-Reported Outcome Measure

PTL Patient Tracking List

Q&A Questions and Answers

QA Quality Assurance

QEQM Queen Elizabeth Queen Mother Hospital Margate

QIPP Quality, Innovation, Productivity and Prevention

QOF Quality Outcome Framework (Assessor Validation Reports)

R&D Research and Development

RCGP Royal College of General Practitioners

RCM Royal College of Midwives

RCN Royal College of Nursing

RCoA Royal College of Anaesthetists

RCP Royal College of Physicians

RCS Royal College of Surgeons

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RCSLT Royal College of Speech and Language Therapists

RCT Randomised Controlled Trial

RN Registered Nurse

RO Responsible Officer

RVH Royal Victoria Hospital Folkestone

RTT Referral To Treatment

SARS Severe Acute Respiratory Syndrome

SAU Surgical Admission Unit

SCG Specialised Commissioning Group

SCR Summary Care Record

SEAP Support, Empower, Advocate and Promote

SEAU Surgical Emergency Assessment Unit

SECAM South East Coast Ambulance service

SITREPS Situation Reports

SMR Standardised Mortality Ratio

SOC Strategic Outline Case

SOR Society of Radiographers

SPA Single Point of Access

SRO Senior Responsible Owner

SSRB Senior Salaries Review Body

TDA NHS Trust Development Authority

TUPE Transfer of Undertaking Protection of Employment Regulations

TWR Two-Week Referral

UCLH University College London Hospital

VCS Voluntary and Community Sector

VFM Value for Money

VTE Venous Thromboembolism

WHO World Health Organisation

WIC Walk In Centre

WTD Working-Time Directive

WTE Whole Time Equivalent

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WHH William Harvey Hospital Ashford

List of Glossary

Glossary Meaning

Acute Care A branch of secondary health care where a patient receives active

but short-term treatment for a severe injury or episode of illness,

an urgent medical condition, or during recovery from surgery. In

medical terms, care for acute health conditions is the opposite

from chronic care, or longer term care.

Antenatal Care

(Maternity)

The care patient receives from healthcare professionals during

pregnancy. The purpose of antenatal care is to monitor the patient

health, the baby’s health and support the patients to make plans

which are right for them.

Ambulatory Care Health services provided on an outpatient basis to those who visit a

hospital or other healthcare facility and depart after treatment on

the same day.

Commissioning A continual process of analysing the needs of the community,

designing pathways of care then specifying and buying services that

will deliver and improved agreed health and social outcomes within

the resources available.

Day Surgery Minor surgery that does not require the patient to stay in hospital

overnight.

Dermatology The branch of medicine concerned with the diagnosis and

treatment of skin disorders.

District Nurses Are senior nurses in the United Kingdom's National Health Service

who manage care within the community, leading teams of

community nurses and support workers, as well as visiting housebound

patients to provide advice and care such as palliative care,

wound management.

Diagnostic Tests Blood or urine tests, X-rays, ultrasound and other imaging

techniques that help clinicians see what is happening inside the

body to help them diagnose a patient condition.

Emergency Care An immediate response to time critical health care need.

End of Life Care An important part of palliative care for people who are nearing the

end of their life. End of life care is for people who are considered to

be in the last year of life, but this timeframe can be difficult to

predict.

Equality Act Passed in 1995, this law makes it illegal to offer a public service

which is inaccessible to someone because of their physical or

learning disabilities.

Follow-up A second or subsequent appointment to check on the outcome of a

treatment plan.

In-patients Care Provided in a hospital where patient will stay overnight at least one

night.

Integrated Care

Pathway

A multidisciplinary outline of anticipated care, placed in an

appropriate timeframe, to help a patient with a specific condition

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or set of symptoms move progressively through a clinical

experience to positive outcomes.

Minor Injuries Unit A hospital department in the UK largely staffed by emergency nurse

practitioners (ENPs) working autonomously looking after minor

injuries such as lacerations and fractures, and have access to X-ray

facilities.

Musculoskeletal

(MSK) Service

Care of conditions related to body muscles, bones and joint

mobility.

NHS Clinical

Commissioners

This is the membership organisation of clinical commissioning

groups. Their job is to help get the best healthcare and health

outcomes for their local communities and patients. In East Kent

there are four clinical commissioning groups (CCGs) as follows;

 Ashford CCG

 South Kent Coast CCG

 Thanet CCG

 Canterbury and Coast CCG

‘One Stop’ Care

Model

One stop shop is the Outpatient model to which EKHUFT aspire.

They are designed to allow us to reduce appointments and create

opportunities for getting consultations, diagnostic tests, and

treatment plan all in one appointment. For surgical patients it will

also include pre assessment and agreement of operation date.

Ophthalmology The branch of medicine that deals with the anatomy, physiology

and diseases of the eye.

Option Appraisal Comparing key points about several alternatives to guide a choice

that ensures agreed objectives are met as close as possible.

Outpatients Care Provided in a hospital or at a freestanding surgery centre.

Afterward patients are released to recuperate at home.

Paramedics The senior healthcare professional at an accident or a medical

emergency. Working on their own, or with an emergency care

assistant or ambulance technician, they assess the patient’s

condition and give essential treatment.

Palliative Care Care for people living with a terminal illness where a cure is no

longer possible. It’s also for people who have a complex illness and

need their symptoms controlled.

Patient Discharge To inform patient officially that he/she can or must leave the

hospital.

Primary Care The day-to-day health care given by a health care provider.

Typically this provider acts as the first contact and principal point of

continuing care for patients within a health care system, and

coordinates other specialist care that the patient may need

Pre-assessment Tests Checks made by a nurse before patient has an operation or other

healthcare procedure.

Pharmacy Outlet A chemist’s shop which dispenses prescription

Rheumatoid Arthritis

Service

Rheumatoid arthritis (RA) is where the joints of the body become

inflamed and cause pain and tenderness.

Self-care and

Preventative

Activities

Includes any intentional actions patient takes to care for their

physical, mental and emotional health.

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Specialist Care Care for people with severe health conditions in a specialist

hospital. Very small number of patients needs this type of

emergency or complex care.

Stroke A "brain attack". It can happen to anyone at any time. It occurs

when blood flow to an area of brain is cut off. When this happens,

brain cells are deprived of oxygen and begin to die. When brain

cells die during a stroke, abilities controlled by that area of the

brain such as memory and muscle control are lost.

Surgery The specialty of medicine that treats diseases and disorders by

cutting, removing or changing the body with an operative

procedure. Surgery could either be minor or major.

Telemedicine Use of new technology to help clinicians to discuss a patient access

to relevant medical images and information

Tiers of Care Tiered model of care seek to match intensity and acuity of the

problem to the intensity and acuity of the treatment; primary care

plays a key role in these models

Therapy Treatment that helps patient regains their ability to carry out tasks

of daily leaving.

Unscheduled Care Involve services that are available for the public to access without

prior arrangement where there is an urgent actual or perceived

need for intervention by a health or social care professional

Urgent Care The response before the next in–hours or routine (primary care)

service is available

Vascular Disease Includes any condition that affects the circulatory system, such as

peripheral artery disease. This ranges from diseases of the arteries,

veins and lymph vessels to blood disorders that affect circulation

Walk-in Centres Are staffed by teams of nurse practitioners who provide treatment

and advice for patients on a range of minor illnesses and injuries,

without an appointment.

Women’s Health Health issues specific to female anatomy.

 

 

From objectives to

the job plan

3.1 When the consultant contract was introduced in 2003, the BMA and the NHS

Modernisation Agency (part of the Department of Health) published several pieces

of guidance explaining different aspects of the contract alongside the terms

and conditions of service and the model contract. It was also issued for clinical

academics with the Consultant Clinical Academic Contract in 2004.

What the terms and conditions of service says about objectives

• The Job Plan will include appropriate and identified personal objectives that have

been agreed between the consultant and his or her clinical manager and will set

out the relationship between these personal objectives and local service objectives.

Where a consultant works for more than one NHS employer, the lead employer will

take account of any objectives agreed with other employers.

• The nature of a consultant’s personal objectives will depend in part on his or her

specialty, but they may include objectives relating to:

o quality;

o activity and efficiency;

o clinical outcomes;

o clinical standards;

o local service objectives;

o management of resources, including efficient use of NHS resources;

o service development;

o multi-disciplinary team working.

• Objectives may refer to protocols, policies, procedures and work patterns to be

followed. Where objectives are set in terms of output and outcome measures, these

must be reasonable and agreement should be reached.

• The objectives will set out a mutual understanding of what the consultant will be

seeking to achieve over the annual period that they cover and how this will contribute

to the objectives of the employing organisation. They will:

o be based on past experience and on reasonable expectations of what might be

achievable over the next period;

o reflect different, developing phases in the consultant’s career;

o be agreed on the understanding that delivery of objectives may be affected by

changes in circumstances or factors outside the consultant’s control, which will be

considered at the Job Plan review.

Source: Terms and conditions of service – consultants (England) 2003. Schedule 3, paragraphs 3.10: 3.13

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A guide to

consultant job

planning

Back to contents

3.2 Objectives should be set for most of the activities the consultant has in their

job plan. This can be explicit – in a stated objective, or implicit in the agreed

job schedule and annually agreed Programmed Activities (PAs) delivered. They

should set out a mutual understanding of what the trust and consultant will be

seeking to achieve over the year and how this will contribute to team, service and

organisational objectives.

3.3 Clear objectives provide focus for consultants and managers and will help with both

service provision and quality improvements. Objectives may be ‘hard’, relating to

quantifiable achievements, or ‘soft’, where they may be more descriptive about how

someone goes about their job.

3.4 The process should follow the SMART formula:

 • specific

 • measurable

 • achievable and agreed

 • realistic

 • timed and tracked

 Applying this method to objective setting will make the agreed objectives purpose

clear and agreement on each aspect should avoid problems arising later.

3.5 Objectives should cover all aspects of a consultant’s role; direct clinical care (DCC),

supporting professional activities (SPAs) including personal development and those

which are more professionally oriented and academic sessions, where appropriate.

However, all objectives should ultimately focus on the benefits to patients, although

in some instances, for example education and training, the impact may be less

direct or immediate. All objectives need to be clear in the way that they define

the individual consultant’s specific and personal objectives. It is only through

personalising objectives that meaningful progress can be made and measured.

3.6 A key role of medical managers is to take their organisation’s objectives and

translate them into meaningful objectives for consultant colleagues. They should

devise and seek to agree personalised service objectives.

3.7 Objectives should remain focused on key strategic and service aims. More general

contractual requirements, such as the need to retain professional registration,

participation in mandatory training or adherence to trust policies and procedures

do not necessarily need to be included as separate objectives as they are the

expectations of being an employee and are covered by employment law and

guidance. In some trusts there may be some benefits in having mandatory training

and other general requirements under one objective to ensure that it is reviewed at

job planning and receives necessary additional focus.

3.8 Managers share the responsibility for making the process work as intended; the

clinical director or lead clinician will have a fundamental role in setting and agreeing

the objectives of all the consultants in the directorate/specialty, and should guide

and direct the consultants in pursuing their objectives. In many instances this should

link to the trust’s annual plan and strategic objectives to maintain continuity and

business focus.

11

A guide to

consultant job

planning

Back to contents

3.9 In most instances, this is initially best achieved through the team of consultants

meeting and looking at the team’s objectives for all. Individual consultant objectives

should therefore link to the team objectives and individual job plans should be

considered collectively to see how they fit together and work as a whole towards

meeting the needs of patients.

 The clinical director’s aims should be to:

 • enhance the quality and efficiency of patient care

 • remove unnecessary duplication of effort amongst the consultant and wider

medical team

 • achieve comprehensive coverage of the SPA and other non-clinical work needing

to be done. Examples would be the contribution of the consultants to deliver the

education and training of junior doctors and other staff and involvement in quality

improvement processes

 • assure that responsibility for this work is shared and does not rest with one

individual consultant

 • provide the supporting resources needed for this work

 • regularly monitor progress.

3.10 Effective job planning will require the clinical

director to have an overview of objectives,

to seek the views of individual consultants,

(and potentially other) colleagues and

to achieve a consensus. It will also be

important to bring knowledge of trust

objectives and service requirements into

the objective-setting discussions.

 

 

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