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Mandatory Training in the GP Practice – Fact or Fiction

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Being in a service industry, as it were, and considering the highly critical nature of the services supplied to the public, you might expect that staff training is mandatory. You might think that a CQC inspection team would make your training regime a central focus of its deliberations. However, the question of mandatory training is not a clear cut one.

What training is mandatory?

First, the CQC will expect to see certain training across the board. For example, induction training should be a key policy and procedure. All your employees should be introduced to:

- Practice rules, policies, processes, and procedures

- A description of practice facilities, events, and programmes

- Organisational chart and lines of report

Induction training should be reviewed regularly, and updated accordingly, which brings us on to the next part of training that is considered to be mandatory.

Continuous training

All employees should be encouraged to improve their knowledge and capability throughout their careers. Much of this will be by way of continuous professional development (especially for clinical staff). However, where procedures change or processes are impacted by new regulations, a practice should put in place training procedures to keep all employees informed and aware. Team meetings can be used for this, or perhaps online resources made available.

Some practices schedule team training sessions, or tackle needs at regular team meetings. However, additional training might be considered to be required on an ‘ad-hoc’ basis.

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Ad-hoc training

As well as providing training when changing regulations, processes and procedures dictate, you should also consider the changing nature of the practice, and the changing responsibilities of individuals within it. It is here that the ‘mandatory training’ tag becomes complicated and why the CQC cannot stipulate the full scope of training that a practice must provide. Of course, the CQC expects every practice to provide evidence of training in certain competencies, such as:

- Basic life support

- Infection control

- Fire safety training

- Care in mental health

- Safeguarding adults at risk

However, every member of staff will have individual training needs according to their roles and responsibilities. You’ll need to demonstrate that adequate training is made available to individuals, and that this training is linked to their clinical roles.

In other words, training is mandatory, though, while some training is mandatory for all employees, specific training is mandatory for individuals – but the CQC cannot provide mandatory training lists for all cases. The exact training needs will be left to the GP practice to identify, source, and provide, while the CQC will determine effectiveness under its Key Line of Enquiry E3. Under this KLOE you’ll need to show that your employees “Have the skills, knowledge and experience to deliver effective care and treatment”.

So, in a nutshell, mandatory training is a fact. A complete guide to what training is mandatory is fiction.

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