No employment or engagement of unauthorised persons to practise medicine or dentistry
11. A licensee must not employ or engage any person —
(a)
to practise medicine or do any act as a medical practitioner unless the person is a medical practitioner; or
(b)
to practise dentistry unless the person is a dentist.
Qualifications, skills and competencies for Clinical Governance Officer
12. For the purposes of section 24(3)(b) of the Act, an individual is suitably qualified to be appointed a Clinical Governance Officer for an ambulatory surgical centre service or a specified service for an ambulatory surgical centre service if the individual —
(a)
where the licensee only provides dental procedures —
(i)
is registered under section 14(1) or (2) of the Dental Registration Act 1999 as a fully registered dentist;
(ii)
holds a valid practising certificate under the Dental Registration Act 1999; and
(iii)
has either of the following:
(A)
registration under section 14C(1) of the Dental Registration Act 1999 as a specialist;
(B)
at least 5 years of full‑time work experience within a period of 10 years providing dental surgical services on behalf of a relevant healthcare provider; or
(b)
in any other case —
(i)
is registered under section 20(1) or (2) of the Medical Registration Act 1997 as a fully registered medical practitioner;
(ii)
holds a valid practising certificate under the Medical Registration Act 1997; and
(iii)
has either of the following:
(A)
registration under section 22 of the Medical Registration Act 1997 as a specialist;
(B)
at least 5 years of full‑time work experience within a period of 10 years providing surgical services on behalf of a relevant healthcare provider.
Surgical assistants for procedures
13.—(1) A licensee must ensure that the number, qualifications and experience of persons assisting in a surgical procedure is adequate and appropriate to the type and nature of the surgical procedure.
(2) Without limiting paragraph (1), the licensee must ensure that —
(a)
where the surgical procedure is a dental procedure — there is at least one registered nurse or dental surgery assistant with relevant operating theatre experience of not less than 6 months assisting the dentist in the surgical procedure; and
(b)
where the surgical procedure is not a dental procedure — there is at least one registered nurse with relevant operating theatre experience of not less than 6 months assisting the medical practitioner in the surgical procedure.
Staffing requirements for post‑operative patient care
14. A licensee must ensure that —
(a)
there is an adequate number of nurses at each of the licensee’s approved permanent premises to monitor every patient at those premises who has undergone a relevant procedure; and
(b)
there is an adequate number of medical practitioners at each of the licensee’s approved permanent premises to assess every patient at those premises and provide medical care or intervention if necessary.
Standards for healthcare professionals
15.—(1) A licensee must establish, implement and regularly review processes and standards for every area of work undertaken by personnel who are healthcare professionals and clinical support personnel.
(2) Without limiting paragraph (1), the licensee must—
(a)
establish, implement and regularly review processes and standards for healthcare professionals and clinical support personnel undertaking any activity in the licensee’s provision of the ambulatory surgical centre service in the following areas:
(i)
preparation, dispensing and administration of medication;
(ii)
collection, packing and labelling of specimens;
(iii)
precautions to be taken to avoid contamination and degradation of specimens;
(iv)
proper and safe use of medical and surgical equipment, instruments, appliances, materials and facilities;
(v)
prevention, management, control and containment of the spread of any infection at those approved permanent premises; and
(b)
ensure that each healthcare professional and clinical support personnel has demonstrated, and documented to have demonstrated, that he or she is able to implement the processes or standards relevant to the area of work undertaken by the healthcare professional or clinical support personnel.
