Clinical Excellence Awards

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Clinical Excellence Awards

• October 2008
• Jonathan Montgomery
• Chairman ACCEA

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Objective

• To reward consultants who show the greatest
  sustained levels of performance and commitment to
  the NHS

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In a way that is

• Transparent, fair, based on clear evidence and
  perceived to be so
• Open and accessible to all eligible consultants
• Fair in its distribution of awards

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• 2009 5 Guides
• Applicants eligibility, how to apply
• Assessors scoring, details on criteria
• Employers committees annual reports
• Nominators ranking processes, citations
• Award holders reviews, changes of circumstance

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Eligibility

• At least one years experience at consultant
  level, medical or dental qualification, fully
  registered, employed in NHS or DH bodies
• Pre-conditions
• Participation in appraisal
• Fulfilling job plan
• Compliance with Private Practice Code
• Working to GMC/GDC standards of conduct

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Criteria for Excellence

• Performance over and above standard expected of a
  consultant in their post
• Sustained commitment to patient care, public
  health
• High standards
• Commitment to values and goals of the NHS

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The Pyramid
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A Competitive Scheme

• 2,243 national applications for 576 new awards
• All applications considered by regional
  sub-committees
• Some also by national nominating bodies, e.g.
  Royal College of Surgeons
• Shortlisted applications from either route
  considered by Chair and Medical Director

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Reviews 2006 2007
Total 459 590
5 year renewal or higher award 440 538
2 year renewal 10 8
1 year resubmission 8 43
Withdrawal 1 1
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Decision-making for national levels
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Distribution of CEAs at June 2007
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Application

• Candidate complete the application form.
• Submitted electronically on web-based form by
  1700 on 19 12 08
• Standardised presentation of case
• Personal statement, job plan, five domains
• Employer citation and confirmation of eligibility

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You already hold You can apply for
Discretionary Points or Level 1-8 Award Bronze Award through the national process and/or Level 9 from your employer
Bronze Award or Level 9 Award Silver Award
Silver Award Gold Award
Gold Award or an A Distinction Award Platinum Award

B Distinction Award Either a Silver or Gold Award
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2006
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Age of Awardees 2005
Award Level Age (mean at 1.04.05)
Level 9 50
Level 10 54
Level 11 53
Level 12 56
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Nomination

• Indication of relative esteem ranked lists
• Sub-Committees National Nominating Bodies
• Ensure consideration by Medical Director Chair
• Specialist Societies
• Consideration by sub-committees
• The process for nomination must comply with ACCEA
  requirements
• Must provide citations on request even if do not
  rank

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Comparison of success rates 2006
Bronze Recommend Awarded
Subcommittee 324 285 88
NNB 292 169 58
Subcommittee/NNB 137 131 96
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Citation

• Comment on quality of achievements
• Should relate to achievement within the
  competence of the nominating body
• Should not be provided by a colleague from the
  same institution
• Should be submitted by the President or Chairman
  of the nominating body

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Evidence

• Standard application form complete by consultant
• Personal statement, job plan summary 5 domains
• delivering high quality service,
• developing high quality service,
• managing a high quality service,
• research,
• teaching and training
• Employer (mandatory) and third party (voluntary)
  citations
• Nominations (ranked lists)

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The Form

• Personal statement.
• Should highlight the key achievements presented
  in detail in the rest of the application form
• Will be published if you are successful

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The Form

• JOB PLAN
• Summarises the candidates job
• Excellence does not require additional activity
  before it can be judged to be over and above
  expectations
• But excellence may be judged differently for
  contributions that that are a major part of the
  job receiving dedicated support

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• No one gets a national award unless their
  application has impressed a peers, employers and
  lay people
• BUT
• deserving people may not apply
• application forms may not do the applicants
  justice

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Evidence Needed

• Evaluation of applications not people
• Quality indications needed, not posts held
• Over and above expectations
• Sustained improvement needed for progression