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IOC Conditions Bank: Interim Orders for Dental Professionals, Exercises of Auditing

The conditions that can be imposed on dental professionals under investigation by the General Dental Council (GDC). The conditions cover various aspects such as notification of employment, disclosure of conditions, health issues, practice restrictions, and more. The document emphasizes the importance of protecting the public interest while considering interim conditions.

Typology: Exercises

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IOC CONDITIONS BANK
INDEX Pages
1. Conditions which are normally included in all determinations of conditional registration……………………………………………1
2. Alleged health issues……………………………………………………………………………………………………………............. 2
3. Alleged personal alcohol and/or drug misuse problems………………………………………………………………………………...2
4. Alleged personal alcohol misuse………………………………………..…………………………………………………………...........2
5. Alleged personal drug misuse……………………………………………………………………………………………………………...3
6. Treating Psychiatrists……………………………………………………………………………………………………………................3
7. Prescribing practices……………………………………………………………………………………………………………………......3
8. Practice restrictions General work ………………………………………………………………………………………………….......4
9. Practice restrictions specific procedures ……………………………………………………………………………………………….5
10. Dental professionals currently living outside the UK ……………………………………………………………………………………5
11. Auditing areas of practice………………………………………………………………………………………………………………......6
12. Dental professionals working privately ……………………………………………………………………………………………….…..6
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IOC CONDITIONS BANK

INDEX

    1. Conditions which are normally included in all determinations of conditional registration…………………………………………… Pages
    1. Alleged health issues…………………………………………………………………………………………………………….............
    1. Alleged personal alcohol and/or drug misuse problems………………………………………………………………………………...
    1. Alleged personal alcohol misuse………………………………………..…………………………………………………………...........
    1. Alleged personal drug misuse……………………………………………………………………………………………………………...
    1. Treating Psychiatrists……………………………………………………………………………………………………………................
    1. Prescribing practices……………………………………………………………………………………………………………………......
    1. Practice restrictions – General work ………………………………………………………………………………………………….......
    1. Practice restrictions – specific procedures ……………………………………………………………………………………………….
    1. Dental professionals currently living outside the UK ……………………………………………………………………………………
    1. Auditing areas of practice………………………………………………………………………………………………………………......
    1. Dental professionals working privately ……………………………………………………………………………………………….…..

Where interim conditions are being considered, they should be designed to allow a registrant to continue practising whilst minimising the risk to the public in the areas of concern.

The IOC should be more concerned with risk management and protection of the public, than with guiding and assisting the registrant towards remediation of deficiencies in his/her practice. That is more the province of the Practice Committee.

The IOC must ensure that any conditions imposed are workable, enforceable and will protect the public, the wider public interest and/or the dental professional’s interests. Conditions should normally follow the format of conditions set out in the IOC conditions bank. However, conditions should always be tailored to fit the specific circumstances of each case.

The IOC should also bear in mind that certain conditions may not be appropriate to some categories of registrant.

GENERAL D ENTAL C OUNCIL

IOC Conditions Bank

Confidential (C) Non- confidential (NC)

Notes column

The Committee may choose as many conditions from the bank as they feel appropriate and justified. The bank is split into separate sections to facilitate committees choosing appropriate conditions.

1. CONDITIONS WHICH ARE NORMALLY INCLUDED IN ALL DETERMINATIONS OF CONDITIONAL REGISTRATION

Numbers 1-4 should always precede all other conditions. Numbers 5 and 6 should always be placed at the end of the list of conditions.

IOC 1 He must notify the GDC promptly of any post he accepts for which GDC registration is required [ and the Commissioning Body on whose Dental Performers List he is included ].

If employed, he must provide contact details of his employer and allow the GDC to exchange information with his employer or any contracting body for which he provides dental services.

He must inform the GDC of any formal disciplinary proceedings taken against him, from the date of this determination.

He must inform the GDC if he applies for dental employment outside the UK.

He must inform [promptly/ within 1 week etc] the following parties that his registration is subject to the conditions, listed at ( ) to ( ), above:

Any organisation or person employing or contracting with him to undertake dental work

  • Any locum agency or out-of-hours service he is registered with or applies to be registered with (at the time of application)
  • Any prospective employer (at the time of application)
  • [ The Commissioning Body in whose Dental Performers List he is

NC Include relevant bracketed text if working within the NHS. Scotland has Health Boards, Wales, Local Health Boards and Northern Ireland just a single Health and Social Care Board.

IOC 2 NC If the registrant is self employed you should specify from whom you require contact details.

IOC 3 NC

IOC 4 NC

IOC 5 NC Always 2nd to last condition. All non-confidential conditions should be incorporated into the brackets in this condition.

The Committee to choose the appropriate time.

Include bracket text if working within the NHS.

IOC 13 He must limit his alcohol consumption in accordance with medical advice, abstaining absolutely if so advised.

C

5. ALLEGED PERSONAL DRUG MISUSE

IOC 14 He must abstain absolutely from the taking of drugs.

He must take drugs only as prescribed for him by any registered medical or dental practitioner responsible for his care.

He must refrain from self-medication, [ apart from / including ] over the counter drugs which do not require a prescription, and take drugs only as prescribed for him by any registered medical or dental practitioner responsible for his care.

He must not possess those drugs listed in Schedules 1 - 3 of the Misuse of Drugs Regulations 2001, as may from time to time be amended.

C

IOC 15 C

IOC 16 C

IOC 17 C

6. TREATING PSYCHIATRISTS

IOC 1 8 a. He must remain under the care of his Consultant Psychiatrist and must allow the GDC to exchange information with them about his health and the treatment he is receiving.

b. He must seek a report from his Consultant Psychiatrist, for consideration by this Committee, prior to any review hearing.

C

7. PRESCRIBING PRACTICES

IOC 19 He must not prescribe those drugs listed in Schedules 1 - 3 of the Misuse of Drugs Regulations 2001, as may from time to time be amended.

He must not keep psychoactive drugs including opiate analgesics and benzodiazepines, except for those drugs required for the treatment of medical emergencies.

He must not administer or prescribe benzodiazepines or other sedating drugs.

The practice arrangements shall be such that he shall not have any direct or indirect access to benzodiazepines or other sedating drugs.

He must not prescribe for himself, or a member of his family.

NC

IOC 20 NC

IOC 21 NC

IOC 22 NC

IOC 23 NC

IOC 24 He must not prescribe any drugs. NC

8. PRACTICE RESTRICTIONS – GENERAL WORK

IOC 25 He must not engage in single-handed dental practice. [ and must only work at premises where another dental professional or dental professionals are working at the same time as he is working and with whom he has made personal contact before he commences treatment of patients at each session ].

He must confine his dental practice to general practice posts [ in a partnership / group practice / of at least 3 members etc ].

a. He must confine his dental practice to general practice posts as a [ salaried GDP /Associate/Assistant ] under the supervision of a named [ Trainer/Principal ].

b. He must seek a report from his supervisor, for consideration by this Committee, prior to any review hearing.

a. He must confine his dental practice to National Health Service [ training / supernumerary ] posts in [ nominated specialities ], where his work will be supervised by a named Consultant.

b. He must seek a report from his supervisor, for consideration by this Committee, prior to any review hearing.

a. He must confine his dental practice to posts [ in dental research / public health medicine ], where his work will be supervised by a named Consultant.

b. He must seek a report from his supervisor, for consideration by this Committee, prior to any review hearing.

He must refrain from all forms of dental practice which involve him [ directly/indirectly ] in the clinical care of patients.

He must confine his dental practice to posts within the National Health Service and not undertake any private practice.

He must not be responsible for the administration of any dental practice.

He must limit his dental practice to [ x ] sessions per week.

NC Tailor the words in the brackets to the individual circumstances.

IOC 26 NC

IOC 27 NC The level and type of supervision would need to be defined. You may need to tailor this for different groups of registrants.

IOC 28 NC

IOC 29 NC Non-clinical posts. The level and type of supervision would need to be defined.

IOC 30 NC

IOC 31 NC

IOC 32 NC

IOC 33 NC A session may be defined differently dependent upon the type of work in which the registrant is engaged.

9. PRACTICE RESTRICTIONS – SPECIFIC PROCEDURES

IOC 34 He must refrain from certain types of practice, [ e.g. sedation, complicated procedures, etc. ]

NC Tailor the words in the brackets to the individual circumstances.

b. He must provide a copy of this log to the GDC prior to any review or alternatively, confirm that there have been no such cases.

a. He must maintain a log of all patients to whom he has [ issued repeat prescriptions etc ].

b. He must provide a copy of this log to the GDC prior to any review or alternatively, confirm that there have been no such cases.

IOC 43 NC

12. DENTAL PROFESSIONALS WORKING PRIVATELY

IOC 44 He must inform the Regional Director of Public Health that he is subject to investigation by the GDC and of the conditions, ( ) to ( ), above.

NC