DRAFT

 

ACC Council Meeting Minutes

Bloomsbury Room, Canterbury Hall
London 

Tuesday 6th December 2005

 

Present:  Tony Parkin (TP) [Chair], Teresa Davies (TD) [Secretary], John Wolstenholme (JW) [Treasurer], Gordon Lowther, Peter Howard,Edna Maltby, Kim Smith, John Crolla, Jonathon Waters (JWa), Maj Hulten, Ros Hastings, Michele Fenlon, Simon McCullough, Chris Wragg, Amanda Dixon-McIver

1          Apologies for absence

 Rod Howell, Lorraine Gaunt, Rob Morgan, Val Davison and Hazel Harvey- Smith

TP welcomed Maj Hulten as the new president. Selwyn Roberts, ACC Safety Officer will no longer routinely attend but will attend as required.

2             Minutes of the Meeting held on September 6th 2005

 

Val Davison was noted twice in the attendance list

Correct spelling McColloch to McCullough

Amanda Dixon-McIver was present

5.3 – TD to organise meeting not TP

6.2 change Will to will

6.5 change Federation of Healthcare Scientists to Federation For Healthcare Science

8.3 change though to through

 

3          Chair’s Report

 3.1 The Annual General Meeting at BSHG

Went smoothly, although disappointment at low attendance. 

 3.2       ACS meeting

 18th November.  TP attended. 

Meeting to plan assessor training held 29th November 2005. There are 9 Assessors in place for cytogenetics who work together to ensure consistency.  JLC had previously received comments expressing concern about process but this was felt to be reducing now more people have gone through the process and most issues raised have now been addressed

Data comparable overall from ACS between cytogenetics and other disciplines with respect to returning portfolios for further information. It was noted that assessors work in pairs and are matched with different ones each time to ensure consistency.  PH presented an overview at the BSHG meeting which is now on the ACC website.  No changes planned to the process as MSc is under discussion to replace pre registration training.

 ACS meeting also had presentation from Mark Searle, Chief Executive of HPC who flagged up future consultation on post-registration qualifications.  Registrants may be required to undertake re-validation exercise. Registration may be of teams rather than individuals.

 3.3       Federation for HealthCare Science (fhcs)

 AGM was held on 2nd November 20, JWa attended. 

Included two presentations

Chris Pearson (Director of Programme, Skills for Health) on the aim to embed HCS NOS into practice and learning and establish national career and qualifications networks.

Peter Sharp, Chairman of Physical Sciences and Engineering Section of the fhcs discussed the future of training for HealthCare Scientists.

The funding for fhcs has up to now been by DH but there will need to be a membership levy in the future, possibly £1 per member.

 3.4         Launch of Career Framework for Healthcare Scientists: (JWa attended)

 Documents now on website  www.dh.gov.uk/publications

ACC professional body is the member not individuals.  Need to be included otherwise miss out.  Council agree in principle. 

TP is representative from ACS on Federation.  Federation brings HCS together as one body.

New advisors to replace DH Assessors for appointments at band 8 and 9 with advice based on career framework.

TP was asked if it was intended to use current assessors as new  advisors on Clinical Scientist appointments – not yet clear. 

 3.5         KSF

 Target is to have KSF outlines in place by end December 2005. Noted the guidance in framework document not very explicit.  ACC in process of drafting KSFs for bands 2-9. CMGS are shadowing ACC in producing KSFs. 

 3.6         NOS Workshop 13-14 October 2005

 TP, VD & Stuart Imrie met Skills for Health Team Manager Pippa Hodgson and  Project Managers Michelle Logan and Martin Broom.  Development Manager interviews being held 7th December 2005.  Skills for Health want to work with genetics early so will look at pre-registration training. Work to include scope and practice guidelines. 

 3.7         Reference Laboratories

 First period of funding coming to end in 2007.  ACC responded to request from DH on future direction of Reference Laboratories.

 3.8         Definition of Junior Member of ACC

 Current definition is at or below B16. May need to have a rule change at next AGM but thought to be enough flexibility in current rules for 2006 elections pending AFC completion.  Agree to interpret “junior” as AFC band 7. Will need formal rule change at next AGM.

 3.9         UKNEQAS report from Steering Group meeting 5th December. 

 Reviewing ideal number of cases per year.  Need to assess across whole range but not necessarily annually.  May recommend limit of 20 cases per year across the scheme, whilst complying with duty to cover all tissues but not necessarily every year.  Concerns that staff no longer see UKNEQAS in a positive light. 

Annual report due in New Year and will elicit feedback from the profession. 

KS asked if the best practice guidelines inform standards for UKNEQAS  - yes they do

Noted new ISCN 2005 now published – expect to use for UKNEQAS from April 2006. 

 3.10     Retirement of David Couzin

 TP wrote on behalf of ACC to express thanks for his contribution to the profession and to send best wishes.  

3.11     A grade training

 8 PCCC certificates signed. 

 3.12     National Screening committee

 Karyotyping prenatal samples referred through Down Screening programme -no formal response yet received, although thought to be imminent

 4               Restructuring Council

Trustees (RH, VD, JC) have been asked to consider structure of ACC Council.

JC has put draft notes together for consideration by other Trustees. 

One suggestion is to have an ACC Council Executive body with sub-committees feeding in information through representatives.  Plan to circulate draft prior to the next meeting.   Any change would need to comply with rules of Friendly Society.  Aim to present to next AGM.  Other options may be to form a Limited Company or charitably status as BSHG

Action: Trustees  

5               ETC report

 Report circulated. 

 5.1              Internal Assessor Training

 Three day training to be held in May 2006.

 5.2              Technologists

 Joint ACC/CMGS meeting held to agree on what is required of technologists to be considered  ‘fit for purpose’ at point of registration. ACC and CMGS also        working together on joint competence criteria on ‘Scope of Practice’.

 5.3              RCPath Workforce Database

 Start-up funding for this is for first 2 years. Discussion on how this should continue.  TP raised the question of do we want to pay for something we already get through ACC collection for the benefit of the DH want. Require more information and detail before we can support paying for this.  Vote – unanimous – not to pay.

Also need to consider the linking of workload with workforce.  Concern if data is submitted individually as to the accuracy of the final data.  To be raised at next RCPath Council. 

Action: JC

 5.4              DH trainer posts

 Kirsty Toone (Norfolk, Suffolk and Cambridge WDD) is point of contact for funding which will be based on AfC pay bands.  Five posts funded (3.0 wte)

 5.5              DH National Trainer

Gavin Cuthbert still not being paid by DH.

Current A grade trainees will continue until at least 2008 but Gavin’s funding ends before then.  Concern over gap in funding

JW stated the administrator post to support Gavin not yet appointed which is adding to pressure on Gavin’s time.

 5.6              AFC and Trainees

 Concern that WDD trainees are not funded fully under AfC.  Noted that White Paper trainees are being fully funded.

 6          Technical Training

 VRC met end of November.  Launch date of Voluntary Register April 2006.  Not yet Limited Company but expect documentation to be in place early 2006.  Next meeting is in February.  Ready to commence registration process.  Framework for education does not need to be in place by then.  Voluntary register will run for a minimum of 2 years.  HPC representative will attend next VRC meeting.  It would be useful to publicise prior to launch of voluntary registration.  Possibly have meeting for ACC technical staff before April. 

Council supported this.  TP said it would be useful if CMGS and ACC were to ratify actions of AGTC.  ACS may be asked to provide advice on the assessment process.

The 2nd VRC newsletter will be available soon. 

Noted that 25% of technologists have to be members of ACC to be accepted by HPC. 

7          Professional Standards Committee

Last meeting held 18th October

 7.1       EM, EUROP LEUK NETWORK –will try to get copy on a website used by    PSC draft haem/mc to incorporate them.

 7.2        QF PCR workshop needed (especially troubleshooting).  QF PCR User Group            Network (Sue Hamilton) is now in place so probably not need workshop at      present.

 7.3        Ros H is involved in producing European Cytogenetics Guidelines, which are     in preparation. See web site   www.eurogentest.org.

 7.4        FISH in multiple myeloma - guidelines from EMM have been placed on ACC    website for information only – note:  not ratified by Council. 

 7.5        PSC page on ACC website under development. 

 7.6        UK data collection also to be done through Ros H.   A number of problems -

Council agreed to develop website to collect audit data. TP requested costs/options for developing data collection. To ask HOD about utility of data – do we want it?  Proposal to next Council re need for data and costs to develop it          further.

            Action:EM

 7.7        PND guidelines ratified following comments at last Council, now on ACC          website.

 7.8      Draft Haematology guidelines -  Cardiff workshop difficult due to number of    areas needing discussion.  Few decisions were made.  Fiona Ross,  Sarah Ryley and Helen Dickinson have put together draft framework - out to profession for comment with end of November deadline.    

 7.9        SOPs for running a workshop now developed on ACC website.

 7.10          Progress with main guidelines hinge on new ISCN and changes in banding         scores with PSC.  Draft after January meeting.

            Action EM

 7.11          Future Workshop – Postnatal:  Cambridge in May.

 7.12     CVS questionnaire underway.

 7.13     Sarcomas – cross discipline with Histopathology for guidelines.  Preliminary       meeting has taken place – possibly meeting in March.

 7.14          PSC will present update at  ACC  Spring meeting.

8          GENCAG  report

8.1              Minuted that UKGTN to invite specialist Cytogenetics labs to join. 

8.2       Sub group of UKGTN is looking at microarray technology .

9          Scientific matters

 CVS database- new one released a few weeks ago.  A paper has been  submitted to journal Prenatal Diagnosis about the database.

 10        JCMG/RCPath/BSHG reports

SAC held on 24.11.05. John Old is new Chair

 10.1          John Crolla now JCMG chair, Gayle Norbury takes over from Steve Abbs.     

10.2          UKGTN website now live.  Funding for commissioning route remains unclear.

10.3     The JCMG draft Consent and Confidentiality document is now with Scottish   lawyers – to be published shortly.

10.4     Human Tissues Act – outcome of draft consultation expected April 2006.

 

10.5     Metabolic  Biochemistry – pathways of care for metabolic testing published.      www.metbio.net

 

10.6     Nothing more on IVVD

 

10.7     Trainees at RCPath collected feedback from  ACC/CMGS on views about

            Part 2 exam – 49 may sit Part 2 in the next 5 years.

 

10.8     John Old – new Vice President of RCPath.

 

10.9     JWa– confirmed as RCPath representative on ACC Committee

 

10.10      Sian Morgan – confirmed as representative on ACC Committee (Trainee)

 

10.11      Closer links with Histopathology SAC – exploring areas of common interest      feedback

 

10.12      Move to modular exam for MRCPath part 1 exam from 2007 with written in Spring and practical in autumn.

 

10.12  JC reported HST funding – limited period of funding, 50/50 and only available           in some areas.

 11        JLC Report

 Session at York to discuss Registration was poorly attended, may be due to publicity and timing of the session . Now felt to be enough experience in labs to support individuals now registration had been in place for some time.  A session is planned for the Spring meeting – aim for pre-reg trainees.  JLC has continued to work to maintain communication with junior.

 12        Treasurer report

Accounts healthy.  No bids for travel awards received

 

13        Shortage  Occupation

 

Cytogenetics now approved as shortage occupation which will make it easier to get work permits for “suitably qualified” overseas applicants.  Thanks to Barbara Gibbons

 14        Application  for membership

 

None received from BSHG

Action TD to check with Ruth Cole.

 

15        Amniocentesis Bank

 

Information discussed previously. Ethics approval received, no action yet. 

 

16        Funding for Study Days and Best Practice Workshops

 

Now agreed. Document on ACC  website.

 

17        ECA conference

 

Option of Edinburgh but too expensive.  Venue to be agreed.  All UK noted to be expensive.

 

18        ACC – Logo

 

BSHG – suggestions not accepted.  Suggestion from ADM accepted

Should we change name to Association for Clinical Cytogenetics – would require rule change?

 

19        Rare chromosome support group

 

MH drew council’s attention to the group which produces information for parents – available on web site www.rarechromo.org.

 

20        Her 2 testing

Noted that DH announced testing new diagnosis Breast Cancers for Her 2 -which involves FISH testing. Currently done in Oxford/Sheffield/Dundee/Bristol

 

 

Dates for 2006:

March  7th                           Sept 5th

June     6th                    Dec 5th

 

The meeting closed at 3.45 pm