Regulation 35(7) and (12)
1. Subject to paragraph 4, a doctor shall have his name included in the minor surgery list if he has provided the Board with a declaration that he is capable of carrying out all the procedures in respect of all the conditions listed in Schedule 7 and satisfies the conditions in paragraphs 3 and 5;
AND EITHER
(a)he has provided the Board with a certificate of satisfactory completion of a training course approved by the Northern Ireland Council for Postgraduate Medical and Dental Education, which he has attended within the 5 years prior to application for inclusion in the list;
OR
(b)he has obtained a Fellow of the Royal College of Surgeons qualification within the 10 years prior to application for inclusion in the list;
AND
(c)he will provide evidence that he complies with current guidance given by the Department on the protection of health care workers and patients from Hepatitis B;
AND
(d)a doctor shall confirm to the Board that he will carry out an annual self audit of minor surgery procedures including the minimum data set:—
(i)total number of procedures performed;
(ii)number of procedures by type (as outlined in Schedule 7);
(iii)number of complications and type;
(iv)number of complications which required referral for further investigation or treatment; and
(v)number of specimens sent for histology.
2. The criteria to be met by a doctor to ensure the continued inclusion of his name in the minor surgery list at quinquennial review are—
(a)he has carried out, during the preceding 5 years, an average of at least 20 minor surgery procedures per year;
AND
(b)he has provided for the Board an audit report of all procedures carried out during the previous 5 years indicating:—
(i)total number of procedures performed;
(ii)number of procedures by type (as outlined in Schedule 7);
(iii)number of complications and type;
(iv)number of complications which required referral for further investigation or treatment; and
(v)number of specimens sent for histology;
AND
(c)subject to sub-paragraph (d) he has confirmed for the Board his attendance within the last 5 years at an update course on minor surgery approved by the Northern Ireland Council for Postgraduate Medical and Dental Education;
(d)for doctors whose names were included in the minor surgery list prior to the date of issue of these criteria the first review shall take place 5 years after that date. Thereafter the review shall take place either 5 years from the previous review or 5 years after the doctor’s name was first included in the minor surgery list.
3. A doctor shall demonstrate to the Board that the premises/facilities within which he provides, or is proposing to provide, minor surgery services meet the following standards:
(a)physical facilities with:—
(i)sufficient space;
(ii)an appropriate couch or table;
(iii)proper lighting;
(iv)appropriate arrangements for privacy;
(v)hand-washing facilities; and
(vi)proper arrangements for the provision of sterile equipment (other than by boiling alone), compatible with modern surgical practice;
(b)resuscitation facilities and arrangements shall be in place to deal with situations such as anaphylactia or other similar reactions to local anaesthetic drugs.
4. Where a doctor’s name has previously been included in the minor surgery list of any Health Board in Scotland, or Health Authority in England or Wales, the Board may grant his application under regulation 35 without the doctor having to provide further proof of fulfilling the criteria set out in paragraphs 1 and 2.
5. Any other person in the practice involved in minor surgery procedures shall comply with guidance given from time to time by the Department on the protection of health care workers and patients from Hepatitis B.