Continuing Professional Development (CPD)
Maintaining and enhancing professionalism in chiropractic
Maintaining and enhancing professionalism in chiropractic
All GCC registered chiropractors (whether practising or non-practising) must keep up to date with the latest developments within the profession, including those relating to legislation as well as chiropractic technique. This helps to ensure that all registrants are practising in both their patients and their own best interests.
Its CPD programme is the GCC’s way of ensuring that all chiropractors are continually broadening and deepening their knowledge, as required by the annual CPD requirements specified within its legislation (CPD rules).
As part of the GCC’s commitment to CPD, it has introduced a new focussed element to the CPD programme. Focussed CPD allows the GCC to have all registrants examine, self-reflect and evaluate their skills and abilities on a specific topic, for example, first aid and communications. This element of the CPD programme will be subject to change for each CPD year.
See below for the current CPD Focus subject.
In addition to focussed CPD for all registrants, the GCC will also require recent graduates to include a focus on clinical governance within their CPD. The introduction of this additional focussed CPD will help to support the GCC's aims of developing professionalism.
This additional CPD requirement is aimed at those who have qualified within the last two years and who register with the GCC for the first time.
See below for the current additional new registrant CPD requirement.
The GCC has produced a CPD Guide to assist registrants in completing their annual online CPD summary.
Registrants can complete and submit their annual CPD summary via the GCC Registrant Portal.
If you have any questions regarding CPD, email email@example.com
The GCC has produced a CPD FAQ and Mythbuster guide to answer some of the most commonly asked questions and address many misconceptions surrounding CPD and its purpose.
The GCC CPD programme provides a set structure for registrants to follow in order to satisfy statutory CPD rules. The basic requirements of this programme are that each year you must:
In addition, the CPD activity you undertake must:
Learning with others can include both formal learning, such as seminars and lectures, as well as informal learning, which includes clinical audit and can be conducted either in person or remotely. However, to qualify as learning with others it must incude the ability for direct and immediate interaction with either a presenter/ organiser or others present.
Allowable as Learning with others
Not allowable as Learning with others
GCC rules require you only submit 2.5 hours for each full month of the CPD year that you are registered ie. if you joined the register on 1 January, you would need to complete 8 months of CPD, which amounts to 20 hours in total.
In all cases, half of the CPD requirement must include learning with others, so for the example above, you would need to complete a minimum 10 hours with others.
If you are a recent graduate and are taking part in the Royal College of Chiropractors’ Post-Registration Training Programme, you can include most of those activities as part of your CPD, the only exception being the business development training.
A key aspect of reinforcing and deepening the learning gained from your CPD activity is reflective evaluation. Along with the other healthcare regulators, the GCC is committed to supporting reflective practice among registrants, and the CPD reporting form is designed to assist with this.
You may find it helpful to discuss with others (ie. colleagues, peers or those who facilitate your professional development etc) the learning and development opportunities that are likely to be most effective in meeting your learning objectives, although this would not form part of your CPD itself.
Such discussions may consider:
The GCC has produced a CPD Guide to assist you in completing the annual online CPD summary.
CPD summaries must be completed online before 30 September, which is one month following the end of the CPD year.
We have produced a registrant CPD Guide to assist you in completing your online summary.
While the GCC generally audits only a small number of CPD summaries each year, we do encourage all registrants to update and upload evidence of their learning throughout the year.
We appreciate that registrants will occasionally have difficulty in completing their CPD summary or learning due to unforeseen events. As such, the GCC CPD programme does allow the Registrar to waive part or all of a registrant’s learning for one year if they have experienced exceptional circumstances.
This CPD focus is for the year 1 September 2022 to 31 August 2023.
For the 2022/2023 CPD year, all GCC registrants must include a particular focus on consent relating to Principle E of The Code, which requires chiropractors to obtain informed consent for all aspects of patient care.
This focus on consent follows the publication of new guidance in July 2022 that sets out the basis on which patients provide consent to treatment. It underlines the requirement that you must be satisfied that consent has been given before undertaking any examination, investigation or treatment. Furthermore, it sets out the principles on which good clinical decisions should be based and provides a framework for good practice that covers the various situations that chiropractors may face in their work.
As part of your annual CPD return for 2022/2023, the information you submit to the GCC by 30 September 2023 must include self-reflection on your knowledge and competency concerning consent.
In your CPD submission, let us know how well you feel your knowledge and its application regarding consent enables you to provide a safe and effective service for your patients. If you have identified any issues about consent, you should explain how you plan and/or plan to address any areas for development and improvement.
We have included two questions on the online CPD portal (found via your GCC Registrant Portal page) to enable you to provide this information, as follows:
1) Thinking about consent,
(a) how well do you feel you understand and exercise your professional responsibilities with regard to obtaining valid, informed, ongoing consent for assessment and care, and
(b) where do you think the gaps/areas for improvement might be in your knowledge and its application?
2) Thinking about areas for improvement in your knowledge and the application of your professional responsibilities about consent,
(a) how have you or will you address these factors to enable you to improve your practice during this CPD year, and
(b) how do you intend to ensure your knowledge and actions regarding consent will continue to develop in future years?
This additional CPD focus for new registrants is for the year 1 September 2022 to 31 August 2023.
The GCC expects all recent graduates to commence their professional life with due regard to the essential elements of clinical governance. These include accountability for providing a safe and effective service and safeguarding high standards of care.
Therefore, in addition to the CPD requirements for all registrants, the GCC will require recent graduates to include a focus on clinical governance. The introduction of this additional CPD will help to support the GCC's aims of developing professionalism.
This additional CPD requirement is aimed at those who have registered with the GCC for the first time and have qualified within the last two years.
GCC expectations for new registrants
The GCC expects new registrants to:
These additional CPD activities will continue to form part of the expected 30-hour CPD requirement for the year (not in addition to).
There are six areas of clinical governance:
GCC requirements for each of these areas are explained within this document. Participation in the Royal College of Chiropractors' ‘PRT’ postgraduate training programme is the most straightforward way to address and meet these requirements.
Understanding and applying which standards and guideline components are relevant to your chiropractic practice is a vital part of ensuring that you are working in the best interests of patients and providing the highest quality of care. For this element of clinical governance CPD, the GCC expects you to reflect on your:
You are expected to plan and undertake appropriate CPD activity that helps you identify relevant practice standards and understand how to apply them. The Standards-Based Practice module (ref ‘SBP1’) of the RCC PRT programme is designed to address this requirement.
Using evidence to inform practice
Principle C of the GCC Code requires all chiropractors to select and apply appropriate evidence-based care. This helps ensure that the most effective care available is provided to improve patient outcomes. For this element of clinical governance CPD, the GCC expects you to reflect on your:
You are expected to plan and undertake appropriate CPD activity that develops your ability to apply an evidence-based approach in your patient care planning. The Using Evidence to Inform Practice module (ref ‘EBP1’) of the RCC PRT programme is designed to address this requirement.
A clinical audit evaluates existing practices against current best practice, thereby helping you to provide the highest quality of care to your patients. Undertaking a clinical audit involves:
For this element of clinical governance CPD, the GCC expects you to reflect on your:
You are expected to plan and undertake appropriate CPD activity that addresses or consolidates your understanding of a clinical audit and its application and/or outlines the outcomes of a clinical audit you have undertaken in your clinic. The Clinical Audit module (ref ‘CA1’) of the RCC PRT programme is designed to address this requirement.
Safety incident reporting and learning
All chiropractors are encouraged to adopt incident reporting as part of a blame-free safety culture and a routine risk management tool. Sharing incidents locally helps to ensure that the practice provided in your clinic is safe and effective. Sharing safety incidents nationally and internationally using the Royal College of Chiropractors’ CPiRLS system allows all chiropractors to learn from the collective experience, thus contributing to improvements in safety and effectiveness across the whole profession. For this element of clinical governance CPD, the GCC expects you to reflect on your:
You are expected to plan and undertake appropriate CPD activity that furthers your understanding of, and ability to apply, patient safety incident reporting and learning in patients’ best interests. The Safety Incident Reporting and Learning module (ref ‘SIRL1’) of the RCC PRT programme is designed to address this requirement.
Patient recorded outcomes (PROMS)/patient experience measures (PREMS)
Actively collecting feedback data from patients and directly involving them in measuring clinical outcomes are important aspects of assuring the quality of the services you provide. For this element of clinical governance CPD, the GCC expects you to reflect on your:
You are expected to plan and undertake appropriate CPD activity that helps you identify/address any gaps in your understanding of PROMS and PREMS. You may wish to consider participation in PROM and PREM data collection to help you drive improvement in your services to patients. The PROM/PREM learning module (ref ‘PRD1’) of the RCC PRT programme addresses this requirement.
Reflecting on your sense and understanding of a topic or situation allows you to identify further learning and professional development areas. Reflective practice is all about active reflection on your experiences and then implementing changes or improvements in your everyday practice. For this element of clinical governance CPD, the GCC expects you to reflect on your:
You are expected to plan and undertake appropriate CPD activity that helps you identify/address any gaps in your understanding of reflective practice and its application. The Reflective Practice learning module (ref ‘RP1’) of the RCC PRT programme addresses this requirement.
Guidance on recording your Clinical Governance CPD activities
Guidance on how to complete the clinical governance elements of your CPD return using the online portal is provided here.
The following table outlines some of the commonly noted activities that the GCC will only accept as CPD learning activities if the learning outcomes are specified.
To be considered a CPD learning activity, you must...
|Using social media||Tell us how you are learning and developing through this activity.|
|Spine checks||Tell us, for example, about the time you spent offering spine checks at a community event and what you learnt while you were there.|
|Voluntary work||Tell us how the learning from your volunteering has contributed to your professional learning and development.|
Tell us about your work with a committee and describe how it contributes to your, or the wider profession’s, learning and development.
|Teaching||Ensure your own learning and development is being taken forward; it is not enough to repeat a session/teach a class as usual.|
|Gaining practice building information||Ensure this is not solely for business purposes, as opposed to learning, for example finding out how to increase your patient numbers to maximise business growth.|
|Visiting exhibition stands at conferences||Discuss and/or think about what you are seeing on the stands, rather than just having a look.|
Each year, every registrant must complete half of their learning requirement with others. For most registrants, this means 15 hours of CPD learning with others.
While learning can take place in a formal setting, such as a lecture or seminar, it can also be informal. The GCC will accept many different types of informal learning, such as:
It is important to remember to keep some evidence of this activity for your CPD summary and report.
As evidence of informal learning, we recommend noting key issues and topics discussed, the date, number of hours and those who attended. Furthermore, ask all of those in attendance to sign the note and email a copy to each one. That way all in attendance can upload a copy for their own CPD summary and report.
The GCC routinely audits CPD summaries to check the quality of returns and to ensure compliance. This audit reassures the GCC, as well as the public and patients, that all registered chiropractors are keeping their skills and knowledge up to date.
The GCC has previously focused on checking evidence of attendance. However, this tells us little about how well registrants are engaging with the process. The GCC wants to ensure the CPD audit is more meaningful to you, and useful for us as the regulator, in demonstrating that you take your continued professional learning and development seriously.
As part of its recent CPD audits, the GCC has focused on different aspects, such as the responses to the first aid questions posed, and first aid activities undertaken in 2019/20 and for 2020/21 the focus was on the learning activity registrants have chosen to reflect on. This is listed in their CPD summary as the learning activity which they felt was of most significance to them.
For our annual random audit of CPD summaries we focussed on the learning activity registrants had reflected on, that is the learning they felt was most significant to them, together with qualitative analysis of the responses to the following four reflective questions:
We found that 87% of registrants engaged sufficiently and demonstrated good reflective learning, which was encouraging. Those that hadn't were asked to submit a further reflective statement, after which all were acceptable.
It is our intention to progress towards encouraging and supporting reflective practice among chiropractors.
The GCC will use the findings from the audits to inform our future guidance as well as help improve compliance and to provide more support, with a particular focus on reflective practice.
You should complete the CPD summary as normal and upload evidence you have for your learning with others. Take care when completing the summary and consider your responses to ensure they fully address the questions being asked.
You can upload evidence of your learning via the GCC Registrant portal in the same place that you complete your CPD record summary. Do not post any documents to the GCC as they will not be accepted.
If there is a question on how your CPD summary meets the requirements we will contact you for further information, which you will need to submit within a set timeframe.
If you provide a response that is unclear or does not show reflection, the GCC will work with you to understand why. If you wilfully do not comply, the GCC may take steps to remove you from the Register. The GCC takes continued learning and development seriously. We expect all registrants to do so too.
Each year there will be a small number of cases where registrants have not met the requirements of the GCC CPD programme, or they have not submitted a CPD record summary at all.
In these cases, the GCC will attempt to open a dialogue with the chiropractor to resolve any issues. However, in instances where registrants do not engage with the process, or their CPD does not meet the expected standard, the Registrar will have little option but to remove them from the register.
In these cases, the registrant will always be given the opportunity to engage with the process so that the Registrar may take as much information into account as possible on which to base their decision.
In the unlikely event that a registrant’s name is removed from the register for failing to comply with the CPD requirements, an option will be open to them to appeal the Registrar’s decision. An appeal must be lodged within 28 days from the date of the removal notice.
Further information on the appeals process can be found here.
For registrants experiencing difficult times, which prevent them from undertaking learning and development activities, GCC rules allow us the waive all or part of the CPD learning requirement.
In certain circumstances the Registrar may exercise a discretion to waive all or part of a registrant’s CPD requirement or allow longer for CPD to be completed if exceptional circumstances have prevented you from completing your CPD by the end of the CPD year.
Ill health and bereavement are both generally acceptable. However, all applications are considered on a case-by-case basis.
The following generally not considered to be exceptional and for which CPD is unlikely to be waived:
If you have not been able to do some or all of your CPD due to exceptional circumstances, you may apply for a waiver via the Registrant portal. Once signed in, go to My CPD Summary, click the waiver link and complete the details, including providing evidence. You will be asked to confirm the number of hours you have not been able to complete as the Registrar will need to know how many hours they are being asked to waive.
The following details some forms of evidence that the GCC is likely to accept. In some circumstances that Registrar may ask to see evidence of a specific course that you booked.
Long term illness
A medical report or letter from the medical practitioner responsible for your care, confirming the nature of the illness, the date you became ill and when you may be able to undertake CPD and complete your report.
An original medical report as outlined above. A certified copy of the death certificate in case of bereavement
A medical certificate or letter from the medical practitioner responsible for the care of the patient, confirming the nature of the illness.
A letter confirming the period of leave from your employer, documentation showing maternity/paternity pay, or a GP letter.
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