The practitioners are aware of the role of NCAS (National Clinical Assessment Service) – in general terms about local procedures for an investigation into a practitioner’s performance. The Practices are usually referred to NCAS for a formal assessment in two main cases:
- When the practice has an incidence(s) of malpractice and Serious untoward incidents;
- When the practice has not been having any procedures or protocols and record keeping despite no malpractice had been found.
Manager should have the general conception that anything relating to records, CDM procedures, protocols, recruitment, health and safety etc. are issues, which could be dealt with internally without NCAS involvement. These could be resolved, some informally and some formally with PCT.
Manager should also be aware that in cases of malpractice, referral to NCAS might be made by PCT and in extreme cases of malpractice, where a patient has come to serious harm or death or in cases of fraud the referral to GMC may take place. Police may be called in by PCT or GMC as they deem fit.