Dean's statement on BMA publication of principles for effective working with Medical Associate Professions

23 January 2020

Statement from FICM Dean, Dr Alison Pittard on the recent publication of 'Principles for Effective Working with Medical Associate Professions' by the BMA.

“The BMA has today published two documents on Medical Associate Professions, which currently includes Advanced Critical Care Practitioners. They will be useful for employers and the wider medical workforce when considering the impact of these roles. 

Working variously with our regional trainer network and the National Association of ACCPs, we have kept constant review of the impact of introducing ACCPs into critical care services, including the impact on training opportunities for ICM trainee doctors. Whilst this has not been introduced universally without issue, the lessons learned from the more recent expansion in the role has helped units become more effective in this regard. The Faculty’s soon to be released Quality Report 2019 (summarising all quality management information collected during 2019), has shown that the vast majority of ICM trainee doctors do not feel ACCPs have had a negative impact on their training, with over 70% considering ACCPs to have had a net positive impact. Early findings from our current national evaluation project, which we are undertaking with Northumbria University, has supported this view.

As has been regularly commented upon by other involved organisations during our engagement with the MAP process; due to the defined curriculum, clear appraisal pathway and code of conduct we have for ACCPs, it is perhaps clearer for the critical care team to understand the role of ACCPs.  This is also understanding how the role works not just alongside doctors, but alongside the rest of the multiprofessional team – an absolute strength of our specialty area. This is in contrast to the view portrayed in today’s BMA publications, which suffer from a lack of engagement with groups that represent and support the Medical Associate Professions. It is disappointing that the BMA chose not to consult with the Colleges, Faculties and MAP associations about the areas they have covered before publication.” 

Dr Alison Pittard