1. Practitioners with Special Clinical Interest Clare Gerada

2. recommendations NAG NAG Core business case framework Core business case framework Set of core generic SKE Set of core generic SKE Qtd is amended Qtd is amended Model portfolios Model portfolios Generic training Generic training

3. Clinical Governance Enthusiastic response from profession Enthusiastic response from profession But need to make safe But need to make safe Need robust CG framework Need robust CG framework

4. Accreditation How ? How ? Who ? Who ? When ? When ?

5. What is certain Must be the service Must be the service Must be the practitioner Must be the practitioner Must ensure patient safety Must ensure patient safety

6. NAG Sign of business case for PCO Sign of business case for PCO Define and agree core competencies Define and agree core competencies Question – local or national Question – local or national

7. Business case Service Portfolio Service Portfolio Need Need Lay involvement Lay involvement MDT MDT etc etc Practitioner Portfolio Practitioner Portfolio Experience Experience competencies competencies

8. Practitioner portfolio Core and special interest competencies Core and special interest competencies Evidence for revalidation Evidence for revalidation Support and appraisal mechanism Support and appraisal mechanism

9. Training Mixed Mixed But …..consistent But …..consistent Diploma = for portfolio Diploma = for portfolio appraisal appraisal

10. Service portfolio How do they maintain standards? How do they maintain standards?

11. recommendations NAG NAG Core business case framework Core business case framework Set of core generic SKE Set of core generic SKE Qtd is amended Qtd is amended Model portfolios Model portfolios Generic training Generic training