Board & Committees Structure

Council

Remit of the Council

1. Objectives
   1. To be the governing body of the Royal College;
   2. To approve applications for membership of the Royal College;
   3. To make decisions on behalf of the Royal College on matters relating to Royal College business;
   4. To oversee all work of the Committees of the Royal College and delegate work as necessary in the fulfilment of the Charitable objects;
   5. Delegate relevant powers to Committees and individuals as described in the Ordinances (Article 6.3 of the Ordinances);
   6. Create Byelaws and Regulations for the business of the Royal College.
2. Quorum

 The quorum for Council shall be the President (or nominated Deputy) plus three other officers and 8 elected or appointed members of Council.

3. Membership

The composition of the Council is described in the Ordinances. The Term of Office for Council Members is 3 years.

4. Responsibilities

1. Direct and monitor the work of the Committees and of the Royal College
2. Receive reports from committees of the Royal College and the President and Chief Executive
3. Determine policy and strategy for the Royal College
4. Respond to external developments and influences and provide Royal College position papers and advice for members
5. Ensure timely communication with members on developments within the Royal College
6. By resolution amend the Byelaws and Regulations for the Royal College within the power of the Charter and Ordinances
7. Ensure elections for Officers and Council Members and approve appointments
8. Approve nominations for membership and approve the removal of membership rights where appropriate
9. Monitor the financial status, investment strategy and risk management of Royal College, including receiving reports from the Chair of the Corporate Governance Committee and Treasurer as and when required
10. Make recommendations on the level of subscriptions for members

5. Meetings

As defined in the Ordinances:
a) Meetings are held at least 4 times a year.
b) The quorum is 12 voting members of Council of which at least 3 shall be Officers.

The current Council members are as follows:

President: Dr Katherine I M Henderson
Vice-President (Policy): Dr Adrian Boyle
Vice-President: Dr Ian Higginson
Vice-President: Dr Lisa Munro-Davies
Vide-President: Dr Carole M Gavin
Dean: Dr Jason Long (Acting Dean)
Treasurer Mr Scott R Hepburn
Chief Executive Gordon Miles

Lay Advisory Group

Remit of the Lay Advisory Group

Objectives
The Council has established the Lay Advisory Group (LAG) to provide advice from a lay perspective on the standards of care and training in Emergency Medicine.

Constitution
The LAG has an advisory role and reports to the Council.  The LAG remit covers the following:

• Highlighting areas of patient and carer concern to the Royal College and Council and advise on appropriate action
• Ensuring that the Royal College takes into account the patient, carer and public perspective in all appropriate activities.
• Being a resource for the Royal College to enable the delivery of a professional service that meets the needs and aspirations of patients, carers and the public.
• Developing patient, carer and public involvement in Royal College activities
• Developing patient information and education in Emergency Medicine
• Contributing to the development of Royal College policies
• Ensuring that decisions are made according to the Royal College’s role in protecting the public interest, and in promoting high professional standards
• Responding to requests for comments from Council, its Boards and Committees
• Highlighting the work of the Royal College whilst safeguarding the Royal College’s reputation.

To fulfil this remit the Chair of the Lay Group will liaise with the President and Chief Executive of the Royal College to determine how best to utilise the skills and experience of the lay members, having regard for their time available and budgetary constraints.  This may include involvement in Royal College projects and Committee work on an issue by issue basis, as well as sitting on some Royal College Committees.

Appointment process
The Council will form either an Appointments Committee comprising individuals whom the Council determines are suitably experienced for the role or ask the Chief Executive to put make suitable arrangements to establish a temporary Appointments Committee.

The Appointments Committee will make recommendations to the Corporate Governance Committee as to the appointment process.  It will then advertise the vacancies and select suitable candidates making recommendations to Council for the appointments.

After the appointments are made the Appointments Committee will report to Council on the outcome of the process and disband.

Membership
The composition of the Lay Advisory Group shall be determined by the Royal College Council.  There shall be a minimum of six and a maximum of 12 members of the Lay Group.  Any member of Council may attend meetings of the Lay Advisory Group as an ex-officio member.

The term of office for the Members will be three years subject to a maximum service of two terms of office.

There shall normally be four meetings per year normally held at the Royal College’s offices.   All members of the Committee shall be advised of the business to be transacted at any meeting even if they are unable to be present.

Chair
The Lay Group shall nominate and make recommendations to Council to appoint a Chair from amongst its numbers. The term of office for the Chair will be for three years.

The Chair is a member of the Council and will report to the Council. If the Chair is unable to attend a meeting of Council, the Chair will nominate a deputy from the Lay Advisory Group to attend.

In the absence of the chair a nominated deputy is to chair the meeting.

Lay Advisory Group

The Lay Advisory Group was created in 2008 as part of the College’s new constitution, and it has been fully operational since February 2009. It exists to contribute a non-clinical perspective to College decision-making at every level.
The Lay Advisory Group (LAG) provides advice from a lay perspective on the standards of care and training in Emergency Medicine. The LAG is primarily a lay, not a patient representative group.
Unlike other Medical Colleges, the nature of emergency medicine means that RCEM does not represent patients with specific conditions. In light of this LAG acts as a critical friend to the College, offering strategic advice from a non-institutional perspective. However the College does champion the needs of patients’ safety in emergency medicine and from time to time LAG may provide or source the patient perspective on specific issues when required.
The LAG has an advisory role and reports to the Council, the Chair of the LAG sits on Council. The LAG remit covers the following:

• Highlighting areas of patient concern to the Royal College and Council and advise on appropriate action
• Ensuring that the Royal College takes into account the patient and public perspective in all appropriate activities.
• Being a resource for the Royal College to enable the delivery of a professional service that meets the needs and aspirations of patients and the public.
• Developing patient and public involvement in Royal College activities
• Developing patient information and education in Emergency Medicine
• Contributing to the development of Royal College policies
• Ensuring that decisions are made according to the Royal College’s role in protecting the public interest, and in promoting high professional standards
• Responding to requests for comments from Council, its Boards and Committees
• Highlighting the work of the Royal College whilst safeguarding the Royal College’s reputation.

To fulfil this remit the Chair of the Lay Group liaises with the President and Chief Executive of the College to determine how best to utilise the skills and experience of the lay members, having regard for their time available and budgetary constraints. This includes involvement in College projects and Committee work on an issue by issue basis, as well as sitting on College Committees.

The role of the lay representative is to combine being a supportive member of a decision making panel, providing independent guidance and constructive challenges to current ways of thinking. All lay members are invited to act as individuals rather than on behalf of outside organisations, but they are encouraged to feedback information to those organisations with which they have links. The LAG has 12 members including representation from devolved nations.

Please contact the committee via Tamara Pinedo: tamara.pinedo@rcem.ac.uk or +44 (0)20 7067 4819.

The Trustee Board

As of 01 August 2021, the board comprises the following members:

President: Katherine Henderson
Dean: Will Townend
Treasurer: Scott Hepburn
VP President (Membership: Carole Gavin
Chair of Lay Group: Jayne Hidderly
Council Trustees: Maya Naravi & Anne Weaver
Member Trustees: Steve Jones, Javid Abdel
Lay Trustees: Ian Ailes, Mary Hockaday, Palvi Shah.

Nominations & Appointments Committee

Awaiting updated information.

Executive Committee

Remit of the Executive Committee

1. Objectives

1. To co-ordinate the work of the Royal College and to develop policy and strategy for discussion and approval by Council.
2. To act in accordance with the policy, strategy and budget agreed by Council to ensure that Council decisions are enacted, including:
   1. To consider and agree financial business cases for amendments in the budget;
   2. To arrange for responses to communications from the membership, enable swift reaction to events, communications and consultations from other agencies;
   3. To support the Chief Executive and staff with the operations of the College.

• To provide the Council with relevant information to support strategic decision making

The quorum for the Executive Committee must have the minimum attending:

• President or President Elect or Past President
• One of the Vice Presidents
• At least 3 other Committee members, one of whom should be a Committee Chair.

2. Membership

Membership of this Committee comprises:

President – Chair

President Elect (or Immediate Past President)

Registrar (Vice President – Membership)

Dean

Treasurer

Vice Presidents (2)

Vice President – Wales

Vice President – Scotland

Vice President – Northern Ireland

Vice President – Policy

Chair of Research Committee

Chair, Quality in Emergency Care Committee

Chief Executive

Deputy Chief Executive

Office Manager (Ex-Officio Committee Secretary)

Any additional co-opted member as authorised by Council

The President shall be the Chair or, in his/her absence, the President Elect (or Immediate Past President) is to chair the meeting.

Ex-officio members will be invited to relevant meetings but they will not have any voting rights.

3. Powers delegated by Council

1. To action powers delegated by Council
2. Assist the Chief Executive with the co-ordination and implementation of the work of the Royal College to implement Council decisions and policies.
3. ii) Develop policy and strategy for discussion and approval by Council

iii)      Ensure that Council policy, strategy and decisions are implemented

1. Ensure swift response to communications from the membership
2. Enable effective responses to events, communications and consultations from other agencies.
3. Deal with media enquiries (through nominated members of the Executive)

• Act on advice from the Corporate Governance committee in matters of governance
• To make spending decisions within with the budgets approved by Council, having consideration for the recommendations of the Treasurer and any advice from the Corporate Governance Committee.

1. Receive regular reports from the Treasurer , make decisions on virement requests and business cases for additional spend up to £50,000 per item, subject to any agreement or commitment being advised to the next Council meeting.
2. Receive regular reports on Royal College activities
3. Provide advice to Committee Chairs and Officers

• Organise elections.
• Provide information to the Council for strategic decisions to be taken

4. Meetings

Meetings are held between 6 and 10 times per year.  Where possible they will be arranged to coincide with other Royal College committee meetings, such as those of other major committees, and if members are unable to attend they should be encouraged to join the meeting by teleconferencing.

Corporate Governance Committee

1. Objectives

The objective of the Corporate Governance Committee is to develop, monitor and advise on corporate governance of the Royal College of Emergency Medicine and to ensure compliance with Charity Law and the recommendations of the Charity Commission.

2. Membership

Chair is appointed by Council from amongst the membership of the Lay Group and who must not be a paid employee or Officer of the College.  In his/her absence the Registrar shall be Chair. Other members are as follows:

Registrar

Treasurer

President

President Elect

Immediate Past President

Vice Presidents x 2

Dean

Ordinary Fellow(s) (maximum of two)

Chief Executive (ex officio)

Deputy Chief Executive (ex officio)

Head of Finance and IT (ex officio)

Member of the Lay Advisory Group

3. Responsibilities and delegated powers

Council delegates the following powers to the Committee:

Finance

Monitor income/expenditure

Make recommendations on fees and subscriptions

Make recommendations to the membership on investments (with appropriate professional advice)

Review and assess business plans for current activities and future developments

Ensure proper auditing of accounts

Monitor and manage financial risk

Take responsibility for decisions made regarding the building, lease, facilities management and insurance.

Human Resources

Advise the Chief Executive and Registrar on task analysis, job descriptions, person specifications, grading (with appropriate advice)

Ensure compliance with employment law

Ensure compliance with race, equal opportunity, disability and age discrimination legislation

Develop and update employment policies on sickness, grievance and disciplinary matters

Receive reports and recommendations from the Remuneration Sub-Committee

Agree the terms and conditions of employment and receive reports from the Remuneration Sub-Committee

Assist the Chief Executive and Registrar in employment matters.

Governance issues

To maintain the risk register of the Royal College and advise the Council on matters relating to corporate risk

To review the Register of Interests and make recommendations to Council as appropriate for good governance

To undertake to investigate any incidents relating to the administration of the Royal College

To ensure appropriate corporate liabilities are identified

To provide advice and senior input into matter relating to the administration and office activities

4. Meetings

Meetings are held at least three times a year.  Where possible they should be arranged to coincide with other committee meetings, such as those of other major committees, and if members are unable to attend they should be encouraged to join the meeting by teleconferencing.

The Corporate Governance Committee reports to the Council.  The Chair of the meeting shall make appropriate arrangements for keeping records of the meetings.

The quorum shall be 3 Members at least one of which should not be an Executive Committee member.

The committee is chaired by a Lay Chair and is responsible for assuring the administrative functions of the College, financial governance and responsible for HR issues within the College.

• Charter and Ordinances
• Membership information

Remuneration Sub-committee

The Remuneration Committee is a sub-Committee of the Corporate Governance Committee.  It shall have the following terms of reference:

1. Constitution

• The Council has established a sub-committee of the Corporate Governance Committee known as the Remuneration Sub-Committee.

• The Terms of Reference for the Sub-Committee outlined below are defined by the Council and may be amended by the Council at any time.

• The Sub-Committee has an advisory role and reports to the Corporate Governance Committee. The Sub-Committee remit covers decision making on the following:
  1. staff remuneration;
  2. President’s remuneration;
  3. Chief Executive’s remuneration
  4. The Royal College of Emergency Medicine Expenses Policy

2. Membership

• The Corporate Governance Committee is responsible for the appointment of members to the Remuneration Sub-Committee, for setting the term of members’ appointments and for the revocation of any such appointments.

• The Remuneration Committee shall comprise not less than three members. These shall be the Treasurer, the Registrar and a member of the Lay Group.

• The quorum shall be two Committee members one of whom should be the Committee Chairman unless he/she is unable to attend. All members of the Committee shall be advised of the business to be transacted at any meeting even if they are unable to be present.

• No one other than members of the Sub-Committee is entitled to be present at Committee meetings except that the Chief Executive Officer shall normally be in attendance as a non-voting member except when issues regarding his or her own remuneration are discussed.

• The Chair shall appoint one of the members to act as secretary to the Sub-Committee and shall produce such papers and minutes of the Sub-Committee’s meetings as are appropriate, in a timely manner.

• The Remuneration Sub-Committee is authorised by the Council to obtain professional advice subject to budget approval.

National Board: Northern Ireland

Chair:

National Board: Scotland

Chair:

National Board: Wales

Chair:

Regional Board: East of England

Chair: Dr Jane Evans
Vice-chair: Dr Nida Sun

Regional Board: East Midlands

Chair: Dr Asif Malik

Regional Board: London

Co-chair: Dr Shashank Patil
Co-chair: Dr Emma Rowland

Regional Board: North East

Chair: Dr Sohom Maitra

Regional Board: North West

Chair: Dr Andy Ashton
Vice-chair: Dr Simon McKay

Regional Board: South Central

Chair: Dr Divyansh Gulati
Vice-chair: Dr Natasha Dole

Regional Board: South East Coast

Chair: Dr Salwa Malik
Vice-chair: Dr Sarah Honess

Regional Board: South West

Chair: Dr James Gagg

Regional Board: West Midlands

Chair: Dr Kalyana Murali

Regional Board: Yorkshire & Humber

Chair: Dr Sally-Anne Wilson
Vice-chair: Dr Jonathan Thornley

Quality In Emergency Care Committee

The Quality In Emergency Care Committee shall have the following terms of reference:

Remit

1. To develop and review Evidence Based Guidelines for the speciality of Emergency Medicine
2. To develop Consensus Based Best Practice Statements for the speciality of Emergency Medicine
3. To set and monitor standards of Clinical Care, Best Practice and Clinical Procedures in Emergency Departments
4. To produce audit and quality improvement tools for Emergency Departments that will encourage uniform data collection and enable audit to be conducted in a systematic way
5. To develop and disseminate patient safety strategies for the speciality of Emergency Medicine
6. To develop and maintain the Quality section of the Royal College website

Membership
At present Membership of this Committee comprises:

Meetings
The Chairs of the Sub-Committees will give verbal and written reports of the activities of their subcommittees at meetings.

The Committee will meet 4 times each year. Two of the annual meetings will be “full” meetings, to which all members of the Committee and Subcommittees are invited. These also provide an opportunity for the Subcommittees to meet in person. The other two meetings will be business meetings of the main Committee and Subcommittee Chairs only. Other business will be conducted by teleconferencing and e-mail.

Quality in Emergency Care Committee

Chair: Dr Simon Smith
The Quality in Emergency Care Committee (QECC) is focussed on achieving a consistently high standard of care in all UK Emergency Departments, placing the specialty firmly at the centre of the current “quality agenda”. This will ensure that Emergency Departments continue to receive the resources they need, and are recognised for excellence in clinical care as well as time standards.

The committee aims to provide regular information and useful communications to Emergency Departments, supporting clinical quality and service improvement, providing guidance and administering relevant national audits.

Please note that until April 2014, the committee was named the Clinical Effectiveness Committee.

Objectives

• To develop Consensus Based Good Practice Statements for the specialty of Emergency Medicine
• To set and monitor standards of Clinical Care, Best Practice and Clinical Procedures in Emergency Departments
• To produce audit tools for Emergency Departments that will encourage uniform data collection and enable audit to be conducted in a systematic way
• To develop and disseminate patient safety strategies for the specialty of Emergency Medicine
• To develop and maintain the clinical effectiveness section of the RCEM website
• To advise the NHS, DOH and other relevant organisations regarding the IT requirements for emergency medicine, both nationally and locally.
• To advise the NHS, DOH, CQC, the Royal Colleges and other national bodies who have an interest in the quality of care and risk management in Emergency Departments.

RCEM Quality Strategy – Part A (January 2022)

Best Practice Sub-Committee

The Best Practice Sub-Committee of the Quality In Emergency Care Committee. It shall have the following terms of reference:

Remit

1. 1. To develop consensus based best practice statements and guidance for the speciality of Emergency Medicine
   2. To advise the NHS, DOH, CQC, the Royal Colleges and other national bodies who have an interest in best clinical practice in Emergency Departments.
   3. To develop and maintain the RCEM Guidance section of the Royal College website

Membership

Responsibilities
Chair of the Best Practice Subcommittee

1. Attend QEC meetings at least 3 times per year.
2. Chair subcommittee teleconferences, coordinate e-mail traffic or face-to-face meetings as necessary.
3. Co-ordinate the development of Best Practice Statements and guidance for the speciality.
4. Provide verbal and written reports to QEC
5. Regular communication with Chair of QEC and QEC administrator.
6. Liaise with other bodies with specific expertise in best clinical practice.

Co-opted members

1. Work with the subcommittee to produce Best Practice Statements for the speciality.
2. Attend at least one full QEC meeting per year.
3. Participate in one or more face-to-face meetings of the subcommittee per year.

Best Practice Sub-committee

Chair: Dr James France

Objectives

To develop consensus based best practice statements for the speciality of Emergency Medicine
To advise the NHS, DOH, HCC, the Royal Colleges and other national bodies who have an interest in good clinical practice in Emergency Departments.
To develop and maintain the best practice section of the College website.
The subcommittee has produced many excellent best practice guidelines which can be downloaded from the College Guidance page.

The subcommittee also reviews and endorses guidelines from other organisations that are relevant to Emergency Medicine. See the External Guidance page.

Many Emergency Departments have shared locally developed guidelines to help exchange best practice. These can be viewed on the Local Guidance page.

Also including:

Elderly Care & Frailty Special Interest Group

The Elderly Care & Frailty SIG reports to the Best Practice Sub-Committee. It has the following terms of reference.

Remit
Devise a strategy and work programme for approval by the Best Practice Sub-Committee focussed on improving the care for elderly and frail patients presenting at the Emergency Department.

Membership
The Chair will be nominated by the QEC Chair or Exec, with up to 8 other members co-opted as required, subject to budget constraints.
The term of office will be one year initially, extendable for a further two years at the discretion of the QEC Chair.

Meetings
The SIG shall meet by email or telephone conference when appropriate, subject to budget constraints.

Chair: Dr Rachel Morris-Smith

Contact on OPEMChair@rcem.ac.uk

RCEM has convened a new Special Interest Group looking at care for older people.

Major Trauma Special Interest Group

The Major Trauma SIG reports to the Best Practice Sub-Committee.  It has the following terms of reference.

Remit
Devise a strategy and work programme for approval by the Best Practice Sub-Committee focussed on improving the care for major trauma patients presenting at the Emergency Department.

Membership
The Chair will be nominated by the QEC Chair or Exec, with up to 8 other members co-opted as required, subject to budget constraints.

The term of office will be one year initially, extendable for a further two years at the discretion of the QEC Chair.

Meetings
The SIG shall meet by email or telephone conference when appropriate, subject to budget constraints.

Chair: Dr Jon Jones

To develop and promote consensus based best practice on major trauma.

Public Health Task & Finish Group
(Public Health Special Interest Group)

The Public Health EM SIG reports to the Best Practice Sub-Committee.  It has the following terms of reference.

Remit
Devise a strategy and work programme for approval by the Best Practice Sub-Committee focussed on improving public health.

Membership
The Chair will be nominated by the QEC Chair or Exec, with up to 8 other members co-opted as required, subject to budget constraints.

The term of office will be one year initially, extendable for a further two years at the discretion of the QEC Chair.

Meetings
The SIG shall meet by email or telephone conference when appropriate, subject to budget constraints.

Chair: Dr Ling Harrison

RCEM has convened a new Special Interest Group looking at public health.

Toxicology Special Interest Group

The Toxicology SIG reports to the Best Practice Sub-Committee. It has the following terms of reference.

Remit
Devise a strategy and work programme for approval by the Best Practice Sub-Committee focussed on improving the care for toxicology patients presenting at the Emergency Department.

Membership
The Chair will be nominated by the QEC Chair or Exec, with up to 8 other members co-opted as required, subject to budget constraints.

The term of office will be one year initially, extendable for a further two years at the discretion of the QEC Chair.

Meetings
The SIG shall meet by email or telephone conference when appropriate, subject to budget constraints.

Chair: Dr Johann Grundlingh

To promote the latest evidence and develop consensus based best practice on toxicology.

Ambulatory Emergency Care SIG

The Ambulatory Emergency Care SIG reports to the Best Practice Sub-Committee. It has the following terms of reference.

Remit
Devise a strategy and work programme for approval by the Best Practice Sub-Committee focussed on improving the care for ambulatory care patients presenting at the Emergency Department.

Membership
The Chair will be nominated by the QEC Chair or Exec, with up to 8 other members co-opted as required, subject to budget constraints.

The term of office will be one year initially, extendable for a further two years at the discretion of the QEC Chair.

Meetings
The SIG shall meet by email or telephone conference when appropriate, subject to budget constraints.

Mental Health SIG

The Mental Health SIG reports to the Best Practice Sub-Committee.  It has the following terms of reference.

Remit
Devise a strategy and work programme for approval by the Best Practice Sub-Committee focussed on improving the care for mental health patients presenting at the Emergency Department.

Membership
The Chair will be nominated by the QEC Chair or Exec, with up to 8 other members co-opted as required, subject to budget constraints.

The term of office will be one year initially, extendable for a further two years at the discretion of the QEC Chair.

Meetings
The SIG shall meet by email or telephone conference when appropriate, subject to budget constraints.

Mental Health Sub-committee

Chair: Dr Catherine Hayhurst

This subcommittee works to progress and promote emergency mental health care.

Paediatric Emergency Care Professional Advisory Group

The purpose of a Professional Advisory Group (PAG) for the care of children in EDs is to help co-ordinate College business and to be a resource for College and its members.

There has historically been a firm commitment by the College to improve provision of services for children, and to train emergency medicine doctors to look after children, which form around 25% of ED attendances. Consultants may train further in Paediatric Emergency Medicine (PEM), which is a route recognised by the GMC for subspecialty training 16 years ago (for both EM and Paediatric CCT-holders). However the majority of PEM care nationally is undertaken by generically trained EM clinicians in Emergency departments seeing patients of all ages.

Remit
To ensure that children’s interests are represented within all relevant aspects of College structure / business, and that PEM is recognised and developed as both a sub-speciality, but also a normal part of practice in most emergency departments.

To provide advice and support on all aspects of paediatric emergency care (at both core and specialist levels of clinical practice) to the College and its members. To help facilitate internal and external requests for representation on matters or documents relating to paediatric emergency care, ensuring that the College membership is fairly represented and is engaged.

PAG will sit within the Workforce Cluster of the RCEM Committee Structure and be Chaired by a Vice President of the College as the Cluster Leads.

Membership
The composition of the Paediatric Medicine Professional Advisory group shall be:

Chair (a Vice President of the College)
Deputy Chair (to be selected from other Committee members listed below)
2 RCEM members or fellows of whom at least one must practice in general (i.e. nontertiary) emergency departments.
Training Standards Committee PEM Lead
QEC PEM Lead
Curriculum Committee PEM Lead
RCPCH PEM representative
RCEM Representative on the Intercollegiate Committee for Emergency Services to Children (may be combined with another role)
An EMTA representative may be appointed but it is not considered essential
A Lay Member may be appointed from the RCEM Lay Group
Additional Members may be co-opted subject to budget and the approval of the Chair

Where possible the membership should also aim to ensure that there is good regional representation from across the UK. Membership will be opened up for expressions of interest against an agreed person specification.

Responsibilities of the Chair:
To deliver the responsibilities of the PAG within the Terms Of Reference, and to ensure that the interests of paediatric patients and members with paediatric expertise are represented. The Chair shall ensure fairness in recruitment to the committee, and that College policy is represented.
The Chair shall be a Vice President of the College

Responsibilities of the PAG
This group will provide an expert review panel to provide support on any area related to paediatric emergency medicine. The list below is designed to consider the most common areas, but it not intended to be exhaustive:
1. Ad hoc requests for comments on documents or representation at events /
meetings.
2. Requests for a PEM representative from RCEM to work on specific time-limited projects (e.g. intercollegiate, other Colleges, NHS government projects) or on specific documents / guidelines (e.g. NICE guidelines etc).
3. Support relevant RCEM Committees on training, curriculum and exams (both for EM training and sub-speciality PEM training) when requested, and
facilitate the production of training resources, including RCEM Learning
4. Service design and delivery including workforce issues
5. Supporting requests for PEM expertise for ISRs (where PEM-related concerns
have been raised).
6. Events and study days
7. Over-arching strategy and policy documents relating to paediatric
emergency care. This will include scanning proposed documents to ensure
that PEM-specific issues have been considered
8. Encouragement of EM trainees to gain sub-speciality PEM training
9. To ensure that PEM information on the RCEM website is adequate and up to date.
10. To examine cross-representation and to strengthen links with the RCPCH.
11. To ensure that PEM develops both as a sub-speciality in centres of excellence, but also as part of day to day practice in non-specialised EDs

Meetings: Formal Quarterly virtual meetings with ad hoc additional meetings as required. One of the quarterly meetings per annum should be face to face.

Pre-Hospital Emergency Care Professional Advisory Group

Awaiting updated information.

Safer Care Sub-Committee

The Safer Care Sub-Committee of the Quality In Emergency Care Committee. It shall have the following terms of reference:

Remit

1. To develop and disseminate patient safety and risk management strategies for the speciality of Emergency Medicine
2. To monitor and act upon NRLS safety incident data related to emergency medicine
3. to maintain a database of Safety Leads in all Emergency Departments
4. To commission and support research in conjunction with the Research and Publications Committee in the field of safety in the emergency department
5. To advise the NHS, DOH, CQC, the Royal Colleges and other national bodies who have an interest in risk management and patient safety in Emergency Departments
6. To ensure members are informed in a timely manner of key publications and resources for patient safety
7. To develop and maintain the Safety section of the Royal College website

Membership

Responsibilities

Chair of the Safer Care Subcommittee

1. Attend QEC meetings at least 3 times per year.
2. Chair subcommittee teleconferences, coordinate e-mail traffic or face-to-face meetings as necessary.
3. Co-ordinate the development and dissemination of safety information for the speciality of Emergency Medicine.
4. Provide verbal and written reports to QEC.
5. Regular communication with Chair of QEC and QEC administrator.
6. Liaise with patient safety and other bodies as appropriate.

Co-opted members

1. Work with the subcommittee to improve Patient Safety in Emergency Departments.
2. Attend at least one full QEC meeting per year.
3. Participate in 2 or more teleconferences or face-to-face meetings of the subcommittee per year.

Safer Care Sub-committee

Chair: Dr Emma Redfern

The QEC Safer Care subcommittee has been established to identify key themes and markers for patient safety, and develop and disseminate patient safety and risk management strategies for the specialty of Emergency Medicine (EM). The subcommittee will ensure that the College considers the safety of patients in all aspects of its work at all levels; National, Regional and Departmental.

Regular safety alerts and newsflashes are produced and distributed to ED safety leads. If you have any queries about safety in the emergency department, you can reach the administrator and committee Chair by emailing safety@rcem.ac.uk

• Committee Terms of Reference
• Find out more

Quality Assurance & Improvement Sub-Committee

The Quality Assurance & Improvement Sub-Committee of the Quality In Emergency Care Committee. It shall have the following terms of reference:

Remit

1. To develop clinical standards and audit tools for measuring and improving the quality of care delivered by the speciality of Emergency Medicine
2. To run the national audit programme of the Royal College and send out reports of the individual and comparative results to participating departments
3. Develop the national quality improvement programme of the Royal College
4. To advise the NHS, NICE, DOH, CQC, the Royal Colleges and other national bodies who have an interest in the quality of care in Emergency Departments.
5. To develop and maintain the RCEM Standards, Clinical Audit, and Quality Improvement sections of the Royal College website

Membership

Responsibilities

Chair of the Standards Subcommittee

1. Attend QEC meetings at least 3 times per year.
2. Chair subcommittee teleconferences, coordinate e-mail traffic or face-to-face meetings as necessary.
3. Co-ordinate the development of clinical standards and audit tools for the speciality.
4. Supervise the national audit programme
5. Provide verbal and written reports to QEC.
6. Regular communication with Chair of QEC and QEC administrator.
7. Liaise with DOH, HCC and other relevant Royal Colleges.

Co-opted members

1. Work with the subcommittee to develop auditable standards.
2. Help develop and test the audit tools
3. Work with the subcommittee to improve the quality of care in Emergency Departments.
4. Attend at least one full QEC meeting per year.
5. Participate in 2 or more teleconferences or face-to-face meetings of the subcommittee per year.

Quality Assurance & Improvement Sub-committee

Creating platforms and tools to empower clinicians and departments at a local level to monitor and raise standards of care in priority areas of Emergency Medicine

Chairs: Fiona Burton and Dale Kirkwood

Secretariat Lead: Emily Lesnik – please get in touch with Emily if you have any questions or are interested to join us here – emily.lesnik@rcem.ac.uk

An established group, we select three priority areas annually for national audit to enable departments to benchmark their performance against their peers. Over time this evolved to focus on local level improvement, benchmarking against themselves as the healthcare community, College and committee increasingly recognised that each department has its own unique population and resource challenges. Interhospital comparison and a ranking still has its place and roles in regulation but a heavy focus on that becomes problematic and demoralising at a local level. Focusing instead on improving services locally, for the population served mattered more than being the best and is more tangible and motivating. In 2018 the team moved to a Quality Improvement approach focusing on collaboration and best practice sharing. This has presented a whole host of challenges for the committee itself resulting in a need to apply the change methodology it promotes to its own inner workings to achieve its mission of improved patient care through greater empowerment and enablement of local departments to improve more effectively.

Key Objectives: Improve the quality of emergency care in high priority areas for patients by;

1. 1. 1. identifying areas of need as identified by the latest evidence and research and engaging the membership to help set short to medium-term improvement objectives at a national level
      2. increasing enthusiasm and motivation of clinicians locally to evaluate priority areas of care and focus energy to tackle identified problems
      3. provide a high-quality platform and suite of QI tools to facilitate evaluation and analysis of local problems and enable more effective PDSA cycling
      4. establish and utilise a network of engaged clinical QI professionals to share best practice and collaborate to increase the pace of change locally

Aspiration objective: To reduce the care quality gap by focusing support on the lowest performing trusts and developing a deeper understanding of the barriers that might exist to provide excellent care for all

Environmental Statement: This committee is working alongside the Environmental SIG to integrate Sustainable QI into all our programmes. Considering the “triple bottom line” when calculating the true value of health care by considering the patient-centred outcome alongside the environmental, social and economic impacts when making decisions and recommendations.

Equality, Diversity and Inclusion statement: We have integrated ethnicity data monitoring into our platform to form the start of a data set that will contain thousands of cases which can then be analysed to detect differences in care quality along gender, race and age lines. We have representation from the EDI committee at our programme development meetings and attend there’s to provide updates on this current body of work.

Sustainable Working Practices Committee

Creating successful, satisfying and sustainable careers in Emergency Medicine

Chair: Saurav Bhardwaj

The Sustainable Working Practices Committee (SWPC) is focussed on improving sustainability of the working life of emergency physicians and improving the working conditions in the workforce in Emergency Medicine.

SWPC have created guidance in vital areas such as the RespectED anti-bullying campaign, the Wellness Compendium, and supporting wellbeing though difficult situations such as covid and the death of a colleague.

The Committee have also produced the excellent EMPower suite of guidance, which includes:

• Returning to EM Clinical Practice, Skills Maintenance, Future Professional and Personal Development
• A Practical Guide to Flexible Working and Good EM Rota Design
• A Practical Guide for EM Clinical and Non Clinical Managers
• A guide to engage and retain your established EM staff

Careers Group
Co-Chairs Anna Buckley and Duncan Carmichael
This committee coordinates all activities aimed at developing, promoting and monitoring careers information for students and doctors in training grades on behalf of the College.

Further information and resources can be found here: Considering a career in EM

Including:

Anti-Bullying Task & Finish Group

Informatics Committee

1. Definitions

Informatics: The collection, analysis and use of data; the use of information technology and its governance in Emergency Medicine and related disciplines.

Casemix: The measures of acuity, resource use, costs and quality in Emergency Medicine and related disciplines.

Funding: The mechanism by which Emergency Medicine and related disciplines are funded in the UK and Ireland.

2. Objectives

• To lead and support the development of effective Informatics in Emergency Medicine in the UK and Ireland.
• To advise and liaise with the National Health Service and linked bodies, the Royal Royal Colleges and other national bodies regarding Informatics, Casemix and Funding in Emergency Medicine.
• To work with other committees of the Royal College of Emergency Medicine to develop standards, guidance and measures for Emergency Medicine and related disciplines.
• To communicate the work of the Informatics Committee to the Fellows and Members of the Royal College through the Informatics section of the Royal College website and by liaison.

3. Membership

• The chair of the Informatics Committee will be a current consultant in Emergency Medicine. Applications will be invited by the Royal College of Emergency Medicine and the most suitable applicant will be appointed by the Royal College Council.
• Membership of the Informatics Committee will be 4 – 12 co-opted members, in selecting members priority will be given to those who have related expertise to bring to the committee. These co-opted members may include doctors in training, nursing or other representatives, as well as consultants in Emergency Medicine.

4. Responsibilities

The Committee reports to Council.

The Chair of the Informatics Committee will:

• Attend Royal College meetings as requested.
• Chair Committee teleconferences or face-to-face meetings at least twice a year.
• Coordinate the development of Informatics in Emergency Medicine.
• Ensure the Royal College is appropriately represented on national bodies that relate to Informatics, Casemix or Funding.
• Provide verbal and written reports to the Royal College Council and Royal College Officers as appropriate.

Members of the Informatics Committee will:

• Work with the committee to deliver its objectives
• Physically attend at least one Informatics meeting per year.
• Participate in teleconferences and online workstreams as requested.

Informatics Committee

Chair: Dr Kirsty Challen

The Informatics Committee seeks to develop case-mix measures and high quality data collection and information technology systems for the specialty of Emergency Medicine.

Objectives

1. To develop case-mix measures and high quality data collection and information technology systems for the speciality of Emergency Medicine
2. To advise the NHS, DOH, HCC, Connecting for Health, the Royal Colleges and other national bodies who have an interest in data collection and information technology in Emergency Departments.
3. To develop and maintain the case-mix and information technology section of the College website

Information and resources about case-mix and IT can be found in the Informatics section on the Service Design & Delivery page.

For any enquiries please contact Sam.Mcintyre@rcem.ac.uk

Revalidation Committee

Chair Gillian Bryce
This committee coordinates College policy on revalidation and provides guidance to members and fellows with regard to revalidation.

The Royal College of Emergency Medicine’s role in revalidation, as with other medical royal colleges and faculties, is:

• To set educational, professional and clinical standards for the specialty, thus encouraging good medical practice and standards of care
• Develop and pilot methods to demonstrate a practitioner’s fitness to practice, both professional conduct and clinical competence, against the specialty standards
• To be able to provide assistance to individuals that are struggling to provide supporting information to demonstrate fitness to practice
• To have a system which will enable early identification of colleagues in difficulty throughout the 5 year cycle both at a local, regional and national level so that remedial action either locally or via the college can be implemented at the appropriate level
• Facilitate approving, obtaining and recording of relevant high quality CPD in line with the requirements of revalidation

The College has established a Revalidation subcommittee of the Professional Standards Committee, under the direction of the Revalidation Chair Dr Gillian Bryce, to continue and complete specific work streams as well as develop a quality assurance framework for revalidation.

This committee will continue to develop several work streams including:

• Developing guidance about the Specialty Standards Framework
• Piloting the specialty elements of Revalidation
• Developing appropriate multi-source feedback and patient feedback tools
• Establishing e-learning assessments
• Producing specialty specific guidance about appraisal
• Quality Assuring the revalidation process
• Develop a system of support for remedial problems/doctors in difficulty including local, regional and national support
• E-portfolio and WBA development
• Developing revalidation guidance for patients
• ‘Orphan groups’– there are a number of doctors in the specialty that do not work in the NHS who are EM doctors, these areas need to be identified so advice can be given regarding revalidation
• Providing detailed revalidation information on RCEM website for Fellows and Members
• Developing CPD modules appropriate for supporting revalidation.

The subcommittee has Revalidation Advisers from each National/Regional area.

Service Design & Configuration Committee

The Service Design & Configuration Committee shall have the following terms of reference:

Remit
The objective of this Committee is to coordinate all service design and delivery policy on behalf of the Royal College.

Membership
The composition of the Service Design and Configuration Committee shall be determined by the Committee Chair, a minimum of 3 persons is to comprise the Committee. At present, it comprises:

The committee may co-opt other members as required subject to budget.

Responsibilities
The committee reports to Council and will support the Royal College with policy development with regard to:

1) What does a good, modern Emergency Department look like?

2) What does a good emergency care system look like?

The Committee will take into account:

• Capability
• Structure and configuration
• Process and flow
• Outcomes

The committee will consider metrics and benchmarking.

Where other Royal College committees and groups have, or are undertaking work: the SDC will simply signpost this work, or draw upon it.

The committee’s output will be geared towards those involved in designing, commissioning, leading and delivering emergency medicine systems, at strategic and operational levels. It will also be geared towards increasing understanding of emergency care systems.

Meetings are held at least 3 times a year and at other times as decided by the group. Where possible they should be arranged to coincide with other RCEM committee meetings, and if members are unable to attend they should be encouraged to join the meeting by teleconferencing.

Individual responsibilities
Individuals who are elected to the committee have a personal responsibility. They will be expected to be an ambassador for the service design and configuration work of the Royal College, supporting, explaining and reinforcing the Royal College strategy, particularly around examinations.

Fellows and members may apply to be a member of the committee.

Service Design Committee

Chair: Ed Smith
This committee supports members and fellows involved in emergency department service design and configuration.

The Royal College of Emergency Medicine is dedicated to achieving the highest standards of practice and patient care. Designing and delivering services is at the heart of delivering these standards. The Service Design & Configuration Committee works to support this.

Within these pages you can find:

• Current key issues around service delivery
• System integration and service reconfiguration
• Commissioning and funding EDs
• Delivering quality in the ED
• Workforce including sustainable working
• ED design
• ED crowding (includes operational flow, and exit block)

For any enquiries about service design and delivery please contact Sam McIntyre: Sam.Mcintyre@rcem.ac.uk

Including:

Same Day Emergency Care Special Interest Group

Chair: Dr Tara Sood

RCEM has convened a new Special Interest Group looking at ambulatory emergency care.

Reviews & Benchmarking Committee

Including:

Invited Service Review Committee

The Invited Service Review Committee reports to the Quality In Emergency Care Committee. It shall have the following terms of reference:

Remit

1. To define for Council’s agreement the proposition to offer consultancy services to healthcare organisations that require independent and external advice.
2. To conduct reviews in organisations in a fair, non-judgemental and diplomatic manner.
3. Service reviews are conducted by at least two committee members and where possible a lay representative. A member of College staff will attend where possible, to provide support to the review team.
4. The review will be supported by a structured set of pre-visit materials.
5. Reviews will vary in scope and intricacy, tailored to the ED’s requirements.
6. The review team will consist of Consultants with the skills and experience required to resolve the issues concerned.
7. Reviews do not consider employment or capability issues.
8. To develop and maintain the Invited Service Review section of the College website.

Membership
The Chair of the Invited Service Review Committee will be a current consultant in emergency medicine with a demonstrable interest in service design and process management.

Up to 10 co-opted members, who have specific expertise to bring to the committee. These co-opted members will include Consultants who fulfil the job description for service reviewers and a lay representative. Co-opted members will have a term of 3 years, which is renewable for a further 3 years at the discretion of the Chair.

One lay representative to be nominated by the Lay Advisory Group with a term of 3 years, renewable for a further 3 years at the discretion of the Chair.

Responsibilities
Chair of the Invited Services Review Committee: (see job description)

• Provide advice to a review team.
• At times to work as Lead Reviewer.
• Attend Council meetings at least 3 times per year.
• Chair committee meetings as required.
• Co-ordinate the development and dissemination of best practice in the implementation of service reviews for the speciality of Emergency Medicine.
• Provide verbal and written reports to Council.
• To provide training for new members of the Review Team.
• Liaise with other agencies as appropriate.

Co-opted members and lay representative (see job description)

• Work with the committee to undertake Invited Service Reviews.
• To produce reports in a timely fashion.
• To attend at least one full ISR meeting per year.

Meetings
The Committee will meet up to 3 times a year as business requires and subject to budget constraints.

Invited Service Reviews

Chair: Dr Ian Higginson

RCEM undertakes reviews of emergency care services at the invitation of NHS organisations. A service review can help a failing ED to become good, and a good ED to become excellent.

Find out more

Paediatric Emergency Medicine Professional Advisory Group

The purpose of a Professional Advisory Group (PAG) for the care of children in EDs is to help co-ordinate College business and to be a resource for College and its members.

There has historically been a firm commitment by the College to improve provision of services for children, and to train emergency medicine doctors to look after children, which form around 25% of ED attendances. Consultants may train further in Paediatric Emergency Medicine (PEM), which is a route recognised by the GMC for subspecialty training 16 years ago (for both EM and Paediatric CCT-holders). However the majority of PEM care nationally is undertaken by generically trained EM clinicians in Emergency departments seeing patients of all ages.

Remit
To ensure that children’s interests are represented within all relevant aspects of College structure / business, and that PEM is recognised and developed as both a sub-speciality, but also a normal part of practice in most emergency departments.

To provide advice and support on all aspects of paediatric emergency care (at both core and specialist levels of clinical practice) to the College and its members. To help facilitate internal and external requests for representation on matters or documents relating to paediatric emergency care, ensuring that the College membership is fairly represented and is engaged.

PAG will sit within the Workforce Cluster of the RCEM Committee Structure and be Chaired by a Vice President of the College as the Cluster Leads.

Membership
The composition of the Paediatric Medicine Professional Advisory group shall be:

Chair (a Vice President of the College)
Deputy Chair (to be selected from other Committee members listed below)
2 RCEM members or fellows of whom at least one must practice in general (i.e. nontertiary) emergency departments.
Training Standards Committee PEM Lead
QEC PEM Lead
Curriculum Committee PEM Lead
RCPCH PEM representative
RCEM Representative on the Intercollegiate Committee for Emergency Services to Children (may be combined with another role)
An EMTA representative may be appointed but it is not considered essential
A Lay Member may be appointed from the RCEM Lay Group
Additional Members may be co-opted subject to budget and the approval of the Chair

Where possible the membership should also aim to ensure that there is good regional representation from across the UK. Membership will be opened up for expressions of interest against an agreed person specification.

Responsibilities of the Chair:
To deliver the responsibilities of the PAG within the Terms Of Reference, and to ensure that the interests of paediatric patients and members with paediatric expertise are represented. The Chair shall ensure fairness in recruitment to the committee, and that College policy is represented.
The Chair shall be a Vice President of the College

Responsibilities of the PAGThis group will provide an expert review panel to provide support on any area related to paediatric emergency medicine. The list below is designed to consider the most common areas, but it not intended to be exhaustive:

• Ad hoc requests for comments on documents or representation at events / meetings.
• Requests for a PEM representative from RCEM to work on specific time-limited projects (e.g. intercollegiate, other Colleges, NHS government projects) or on specific documents / guidelines (e.g. NICE guidelines etc).
• Support relevant RCEM Committees on training, curriculum and exams (both for EM training and sub-speciality PEM training) when requested, and facilitate the production of training resources, including RCEM Learning.
• Service design and delivery including workforce issues
• Supporting requests for PEM expertise for ISRs (where PEM-related concerns have been raised).
• Events and study days
• Over-arching strategy and policy documents relating to paediatric emergency care. This will include scanning proposed documents to ensure that PEM-specific issues have been considered.
• Encouragement of EM trainees to gain sub-speciality PEM training.
• To ensure that PEM information on the RCEM website is adequate and up to date.
• To examine cross-representation and to strengthen links with the RCPCH.
• To ensure that PEM develops both as a sub-speciality in centres of excellence, but also as part of day to day practice in non-specialised EDs.

Meetings: Formal Quarterly virtual meetings with ad hoc additional meetings as required. One of the quarterly meetings per annum should be face to face.

Workforce Committee

The Workforce Committee has the following terms of reference.

Remit
To define current workforce levels and future needs and configuration for sustainable careers.

To manage the work programmes of its sub-committees and working groups

Membership

Meetings: it shall meet by in person or telephone conference when appropriate subject to budget constraints

Sustainable Working Practices Sub-Committee

This Sub-Committee reports to the Workforce Committee.  It has the following terms of reference.

Remit

Devise a strategy and work programme for approval by the Workforce Committee focussed on improving sustainability of the working life of emergency physicians and improving the working conditions in the workforce in Emergency Medicine.  Develop a strategy for assisting emergency physicians with revalidation and remediation.

Membership

Meetings: it shall meet by in person or telephone conference when appropriate subject to budget constraints.

Remote & Rural Working Group

The Remote and Rural Working Group reports to the Workforce Committee via the Service Design and Configuration Committee. It has the following terms of reference.

Remit
Devise a strategy and work programme for approval by the Workforce Committee focussed on improving the sustainability of remote and rural emergency departments in the UK.

Membership

Meetings: The working group will share meetings with the Service Design and Configuration committee, it shall meet by in person or telephone conference when appropriate subject to budget constraints.

Consultant Contract Working Group

The Consultant Contract Working Group reports to the Workforce Committee. It has the following terms of reference.

Remit

Devise a strategy and work programme for approval by the Workforce Committee focussed on improving the retention of consultants in the workforce in Emergency Medicine.

Membership

The Chair with other members are co-opted as required subject it budget constraints.

Meetings: it shall meet by in person or telephone conference when appropriate subject to budget constraints.

CPD and Conference Committee

1. Objectives

The objective of the CPD and Conference Committee is to decide the strategy and to deliver project board oversight for the College conferences and events including the Scientific Conference, CPD Conference and study days.

It is responsible for overseeing the delivery of conferences and events. It reports to the Education Committee.

2. Membership

The Committee is chaired by the CPD Director.  If the Chair is absent the Chair of the Research & Publications Committee or Dean will Chair the Committee.

The Committee Membership will include:

3. Responsibilities and delegated powers

Council delegates the following powers to the Committee:

• To arrange conferences within the budget allocated
• To determine the conference and events strategies
• To oversee the conference planning process, including the conference themes, locations, speakers and programme.
• To act as the Project Board for the conferences, guiding the implementation work delivered by the Council’s Events Team personnel
• To set the study day educational output on an annual basis

4. Meetings

Meetings are held at least 4 times a year, predominantly via teleconferencing.  Where face-to-face meetings are required, they should be arranged to coincide with other committee meetings, such as those of other major committees.

Research Committee

Remit of the Research Committee

1. Objectives

To promote the academic development of the specialty, and consider matters relating to the publication of the Emergency Medicine Journal.  The work of the committee is divided into a number of portfolios, each held by a committee member. Each portfolio is approved by the Royal College Council.

The Chair or nominated deputy should be present along with four other representatives, one of whom should be a Royal College officer, if the Chair is not present.

2. Membership

Additional non-voting members may be co-opted with Council approval if specific expertise is required, subject to budget constraints.

3. Responsibilities

1. Actively participating in and directing the development of Academic Emergency Medicine
2. Engagement with UK academic structures on behalf of the Royal College
3. The administration of Royal College Research Fellowships and Grants
4. Organisation of the Royal College Scientific Meetings and for advising the Royal College Council thereon
5. Advising the Education and Examination Committee, and trainers and trainees, on matters related to Academic Emergency Medicine.
6. Liaison with the QEC on matters of mutual interest
7. Advising the Council on academic matters
8. The Royal College website, in its design and development strategy which will be presented to Council in an annual report. A committee member will be responsible for the web site portfolio and chairs a sub-group.  (See separate Terms of Reference).
9. The systems for the approval, presentation, standardisation and publication of Academic Royal College electronic and hard copy publications, which are to be approved by Council.
10. To be responsible for the Maurice Ellis Award committee. This consists of a Chair, one Specialist Registrar and four Consultants.  The Maurice Ellis Award Committee decides on the best applicant to receive this award.

The Regional Royal College Academic Leads will provide the link between the Publications & Research Committee and each region.  The Chair will be responsible for updating the job description of the RCAL’s.

A member of the committee will provide the link between the Royal College and the Management Board of the EMJ.

4. Meetings

Meetings are held 4 times per year or more frequently at the Chair’s discretion if business and budget allows.  Where possible they should be arranged to coincide with other Royal College meetings, such as the Council meeting and those of other major committees, and if members are unable to attend they should be encouraged to join the meeting by teleconferencing.

Training Standards Committee

The Training Standards Committee has responsibility for translating the Royal College’s aims for specialty training in EM into working systems throughout the UK.

1. Objectives

1. Setting standards for Emergency Medicine training and assessment within the GMC framework including working with the Education committee and the Deputy Chief Executive in the development of the curriculum and assessment system and working with the GMC, other Royal Colleges, postgraduate deaneries and EM Schools/Specialty Training Committees in the maintenance and improvement of standards of training.
2. National coordination of training, including providing advice to trainees and trainers in the UK on training and assessment and recommending trainees to the GMC for admission to the specialist register.
3. Acting as a link between the EM Schools/Specialty Training Committees and the Royal College and GMC.
4. Evaluation, via panel system, of applications for Certificates of Eligibility for Specialist Registration in Emergency Medicine received from the GMC.
5. Coordinating the Medical Training Initiative on behalf of the Royal College.
6. Working with HEE and the devolved equivalents in the setting of standards for entry to training and recruitment to training posts.

2. Membership

At present Membership of this Committee comprises:

3. Responsibilities

Quality

• Educational approval is the responsibility of postgraduate deaneries and the GMC. The Royal College is responsible for working with both to set standards for the approval of departments for EM training and to offer advice.
• Agreeing processes by which external assessors can be provided to participate in ARCP panels and Deanery quality visits.
• Compiling and submitting the annual specialty report on training to the GMC

Curriculum and assessment system

• Working with the Education Committee, Deputy Chief Executive and GMC to develop and update the Curriculum and assessment system and to provide guidance as appropriate.

Recruitment to specialty training

• Working with HEE and the devolved equivalents to compile the person specifications for entry to EM specialty training.
• Working with HEE and the devolved equivalents, other Royal Colleges and Deaneries to manage recruitment, including national recruitment to specialty training.

Training

• Working with other organisations to develop the content and structure of the EM training programme
• Enrolment and Registration of EM trainees
• Recommendation of trainees to the GMC for specialist registration
• Review of trainees’ CCT and CESR-CP dates
• Administration of the EM ePortfolio

CESR

• Evaluating applications for specialist registration in EM by the Certificate of Eligibility for Specialist Registration route
• Evaluation of posts recognised for entry to training via the CESR combined programme route

Medical Training Initiative

• Agreeing standards for GMC registration via the sponsorship route and administering sponsorship applications.

EM Schools

• Communicating with EM Schools on issues relevant to training,

4. Meetings

The committee meets four times a year.  All members should endeavour to attend but deputies can be sent with the agreement of the Chairman.

Including:

CESR Group

(Above)

Education Committee

Remit of the Education Committee

1. Objectives

The responsibilities of the Education Committee shall be:

1. To advise the Royal College Council on the content, syllabus and regulations for the form and conduct of any examination for Emergency Medicine that the Royal College may decide to establish, together with recommendations concerning the appointment of Examiners.
2. To advise the Royal College Council on the content, design and assessment of the Curriculum for Emergency Medicine Training.
3. To work with the Training Standards Committee to provide necessary support for training by overseeing the development of appropriate learning tools and assessment processes.
4. To ensure the College meets the General Medical Council’s Standards for Postgraduate Medical Curricula, Excellence by Design.

• Membership

At present Membership of this Committee comprises:

Permanent members:

• Dean (Chair)
• Vice President(s)
• CPD Director
• Chair, Careers Group
• Chair, Training Standards Committee
• Clinical Co-Chair RCEMLearning
• Head of School Representative
• Chair, Curriculum Sub-Committee
• Paediatric EM Lead
• ACCS Lead
• HST Lead
• CESR Lead
• RCSI Representative
• Lead Dean for EM
• FASSGEM Representative
• EMTA Core Trainee Representative
• EMTA Higher Trainee Representative
• Lay Advisory Group Representative
• Two Ordinary Fellows
• Deputy Chief Executive

In attendance:

• Head of Examinations
• MRCEM Examinations Manager (Committee Secretary)
• Training Manager
• Head of E-Learning
• Events Manager

Occasional members:

Chairs of various working groups.  Experts seconded by either the Dean or Council to carry out a specific task subject to budget constraints.

3. Responsibilities and powers delegated by Council
4. Examinations

• To arrange and provide oversight of all examinations
• To recruit and train examiners and maintain high standards of examiner conduct
• Exceptionally the Dean shall appoint Examiners
• To provide quality assurance of the content and standards of the exams
• To provide feedback to candidates and reports to Council
• To maintain up to date Royal College examination regulations
• To working with the TSC in linking EM training and assessment
• To establish and maintain the procedures that govern the College’s examinations.

1. Curriculum

• To maintain and update the Royal College Curriculum
• To integrate curriculum development with Royal College examinations
• To work with the TSC to incorporate the Curriculum into EM training
• CPD
• To identify training and educational needs for Fellows and Members
• To develop educational strategies and guidance to meet these needs including working with the Research and Publications Committee and contributing to the National Conferences
• To develop appraisal for Fellows
• To develop recertification for Fellows

1. Educational research

• To develop an evidence based foundation for the Royal College’s curriculum and examinations

1. International

• To liaise with other countries regarding Emergency Medicine examinations and curriculum development

1. E-learning & Lecture Notes

• To contribute to the development of Lecture Notes and a system for e-learning for the Royal College
• Portfolio
• To develop the Royal College portfolio, with input for TSC, to ensure it reflects and supports the Curriculum and developments in EM training and assessment

4. Meetings

Meetings are held up to four times a year and where possible they should be arranged to coincide with other RCEM committee meetings, and if members are unable to attend they should be encouraged to join the meeting by teleconferencing.

The quorum for this Committee shall be three members, plus the Dean, with members personally present or participating in a meeting by a telephonic or other link.

Information about examinations can be found in the Exams section
Information about the EM Curriculum can be found in the Curriculum section
Information about Continuing Professional Development (CPD) can be found in the CPD section
Information about eLearning is available on RCEMLearning
Information about research is available in the Research section

Advanced Clinical Practitioners Credentialing Sub-committee

The ACP Credentialing Sub-Committee is a Sub-Committee of the Education Committee.  It shall have the following terms of reference:

Purpose Statement

To develop, plan, evaluate and quality assure the credentialing of Emergency Care Advanced Clinical Practitioners, ensuring engagement with relevant stakeholders.

Membership

• Chair
• ACP Curriculum Lead
• College of Paramedics representative
• Royal College of Nursing representative
• Chair of the RCEM Training Standards Committee
• Consultant Nurse Representative
• Trainee ACP Representative
• Credentialed ACP Representative
• Two RCEM Ordinary Fellows
• RCEM Deputy CEO
• RCEM Training Manager
• RCEM Vice Presidents (ex-officio)
• RCEM Dean (ex-officio)

Remit

• To review and maintain the Curriculum for Emergency Care Advanced Clinical Practitioners (ECACP), reporting to the Education Committee and liaising closely with the Curriculum Sub-Committee and the Training Standards Committee.
• To review, maintain, develop and quality assure the ECACP Assessment Structure and Credentialing Process.
• To develop and maintain ECACP protocols, guidelines and other documentation as necessary.
• To ensure IT mechanisms to support the credentialing processes are fit for purposes, such as the ePortfolio.
• To identify and liaise with other relevant stakeholders and devise mechanisms to engage with these individuals/groups.
• To respond to external requests for curriculum changes or advice.
• To provide information as required for the Education Committee, Curriculum Sub-Committee or Council

Meetings: The Sub-Committee will meet up to four times a year.

Quorum: Four members from the membership list.

Chair: The Chair must be a Fellow of the College in good standing and will be appointed by competitive application by the Dean, a member of the Education Committee and the Director of Education.

Careers Sub-committee

Awaiting updated information.

Curriculum Sub-committee

The Curriculum Sub-Committee is a standing committee of the Royal College. It reports to the Education Committee, via the Chair of the Curriculum Sub-Committee.

The responsibilities of the Sub-Committee shall be:

• To review and maintain the Curriculum for training in Emergency Medicine and, as a result, has delegated powers from Council to decide on the content and nature of the Curriculum.
• To liaise with other Royal Colleges, Faculties and Intercollegiate groups including the Intercollegiate Committee for ACCS training.
• To consult on proposed curriculum changes
• To prepare Curriculum changes for submission to GMC via annual CAG process
• To respond to external requests for curriculum changes
• To implement change and undertake evaluation of that change
• To provide information as required for the annual specialty report to the GMC
• To develop a WPBA strategy to support the implementation of the curriculum

Membership

• Chair
• ACCS Trainer Representative
• HST Trainer Representative
• Paediatric EM Trainer Representative
• Representative of Examinations Sub-Committee
• Curriculum Development Lead (appointed via TSC)
• Four ordinary fellows
• EMTA HST representative (nominated/elected by EMTA)
• EMTA ACCS Trainee Representative (as appointed to Intercollegiate Committee for ACCS Training)
• Lay Representative (nominated by Lay Group)
• Dean (ex officio)
• Director of Education
• Curriculum and E-Portfolio Officer

The Chair may co-opt from time to time representatives from other groups including, but not limited to, PreHospital Emergency Medicine Committee, Safety Committee, e-Learning

The founding Chair will be appointed by the Dean for a term of three years.  In future, the Chair will be appointed by competitive application by the Dean, Chair of TSC and Deputy Chief Executive (or nominated deputies) and be ratified by Council.  The Chair must be a Fellow in good standing of the Royal College, be an active NHS trainer in Emergency Medicine, have prior experience in the development of the Royal College Curriculum, such as a key role in a RCEM CAG submission, or completed a term as member of the Curriculum committee.

The term of office of each member will be three years with the possibility of one further term if approved by the Education Committee (and if chair, ratified by Council)

The Committee meets four times per year.  The Committee is administratively supported within the Royal College.

The Chair (or a nominated deputy) is required to represent the Royal College at external meetings relating to the curriculum.

E-Learning Sub-committee

Including:

ELearning Editorial Board

Remit of the E-learning Editorial Board

The Sub-Committee is responsible for:

1. Objectives

The Elearning Editorial Board shall be responsible for:

1. Developing elearning content and technical functionalities which underpin the RCEM’s educational objectives and align with RCEMLearning’s mission statement.
2. Working with the Education Committee and relevant groups to ensure the RCEM’s elearning solutions are aligned with its curriculum and member/user expectations.

2. Membership

Membership is for three years and is renewable subject to approval by the Clinical Co-Chair. As of July 2016 membership of the committee comprises:

1. Permanent members:

1. Occasional members & members in absentia:

Chairs or representatives from other Royal College committees and working groups on an ad hoc basis, plus previous members of the Executive with elearning expertise who are no longer able to attend meetings due to clinical commitments or logistical issues but maintain a strong interest in digital education.

3. Responsibilities:

1. Content leads:

• Author and review new content for designated areas of the VLE
• Review new submissions and existing content
• Draft proposals for potential updates to existing sections for consideration by the Education Committee
• Draft proposals for potential new sections for consideration by the Education Committee
• Responsible for curation of exiting content

1. FOAMed lead and editorial board members

• To oversee consistent delivery of content on the RCFN
• To ensure RCFN content is aligned with the Royal College’s educational objectives
• To report to the Education Committee when requested
• Responsible for curation of existing content

4. Meetings:

Meetings will be held up to 3 times per year. Members will be encouraged to join by teleconferencing if unable to attend in person.

Examinations Sub-committee

The Examinations Sub-Committee is a standing committee of the Royal College of Emergency Medicine. It reports to the Education Committee.

Remit of Examinations Sub-Committee

The responsibilities of Examination Sub-Committee shall be:

1. i) To deliver the Royal College Examinations and ensuring quality control and quality assurance is carried out
2. ii) To train the Royal College examiners
3. iii) To develop new examinations as requested by the Education Committee

Membership

The composition of the Examination Sub-Committee is determined by the Royal College Council as follows: Chair, All College Lead Examiners, all Deputy Lead Examiners, two appointed examiners, EMTA Core Trainee Representative, EMTA Higher Trainee Representative, Lay member, Dean, Deputy CEO, Head of Examinations, FRCEM Examinations Operational Manager (Secretary).

The quorum for this Committee shall be nine members personally present or participating in a meeting by a telephonic or other link.

Responsibilities

• To lead and manage the delivery, development and quality assurance of all examinations
• To develop examinations which are fit for purpose and implement changes which improve the validity and reliability of all examinations as necessary in accordance with GMC requirements
• To monitor the performance of the College’s examinations, including areas of differential attainment
• To oversee the maintenance and development of question banks including reviewing the performance of examination questions
• To provide regulatory and policy documentation for examination candidates and examiners
• To oversee the delivery of examiner training
• To deliver financially within the budget set by Council and recommend fees increase when appropriate
• To lead and manage the College’s strategy on international examinations
• To provide statutory information to the GMC as requested

Meetings: are held up to four times a year.

Including:

MRCEM Primary Sub-committee

MRCEM Intermediate Sub-committee

MRCEM OSCE Sub-Committee

The MRCEM OSCE Sub-committee is responsible to the Examinations Sub-committee and Education Committee of the College.

Remit

1. Monitoring and developing examinations which are fit for purpose to test the delivery of training in Emergency Medicine (EM).
2. To ensure examinations meet the appropriate regulatory standards and requirements for GMC approval.
3. To implement changes which improve the validity and reliability of all examinations as necessary.
4. To sustain the high profile and renown of RCEM examinations internationally.

Membership

• Lead Examiner for the MRCEM OSCE examination (Chair)
• Deputy Lead Examiner for the MRCEM OSCE examination
• Eight current MRCEM examiners, who will be appointed for a period of three years renewable once.

Responsibilities

• To set the blueprint for the MRCEM OSCE examination, held twice per annum
• To maintain and develop the MRCEM OSCE question bank including reviewing the performance of scenarios
• To review the MRCEM OSCE examinations and lead in the development of changes to improve the validity and reliability of the assessment
• To monitor candidate performance and differential attainment
• To maintain the OSCE simulation kit and consumables

Meetings
Up to two meetings per year for blueprint setting, question (station) writing and review.

Reports and conduct
Reports relating to the MRCEM OSCE examination will be presented to the next Examinations Subcommittee meeting by the Lead Examiner.

The content of all meetings and email discussions should be regarded as confidential.

The MRCEM Final OSCE Subcommittee will be supported by a member of the College Examinations staff.

Declarations of Interest
In accordance with the College’s policy on conflicts of interest, all Subcommittee members are required to declare their interests.

Members of Examinations Subcommittees are not permitted to organise or contribute to external examination revision courses.

GeneralMembership of the Subcommittee can be terminated for repeated non-attendance at meetings or repeated failure to submit examination questions.

Membership of the Subcommittee automatically means attendance to at least one MRCEM OSCE examination per annum.

FRCEM Primary Sub-Committee

The FRCEM Primary Subcommittee is responsible to the Examinations Subcommittee and Education Committee of the College.

Remit

1. Monitoring and developing examinations which are fit for purpose to test the delivery of training in Emergency Medicine (EM).
2. To ensure examinations meet the appropriate regulatory standards and requirements for GMC approval.
3. To implement changes which improve the validity and reliability of all examinations as necessary.
4. To sustain the high profile and renown of RCEM examinations internationally.

Membership

• Lead examiner for the FRCEM Primary examination (Chair)
• Deputy Lead examiner for the FRCEM Primary examination
• Ten current FRCEM examiners who will be appointed for a period of three years renewable once.

Responsibilities

• To set FRCEM Primary examination question papers, held twice per annum
• To maintain and develop the FRCEM Primary question bank including reviewing the performance of examination questions
• To review the FRCEM Primary examinations and lead in the development of changes to improve the validity and reliability of the assessment

Meetings
There are four paper and standard setting meetings held at the College each year, Subcommittee members are expected to attend at least two.

Reports and conduct
Reports relating to the FRCEM Primary examination will be presented to the next Examinations Subcommittee meeting by the Lead Examiner.

The content of all meetings and email discussions should be regarded as confidential.

The FRCEM Primary Subcommittee will be supported by a member of the College Examinations staff.

Declarations of Interest
In accordance with the College’s policy on conflicts of interest, all Subcommittee members are required to declare their interests.

Members of Examinations Subcommittees are not permitted to organise or contribute to external examination revision courses.

General
Membership of the Sub-committee can be terminated for repeated non-attendance at meetings or repeated failure to submit examination questions.

FRCEM Intermediate SJP Sub-Committee

The FRCEM Intermediate SJP Subcommittee is responsible to the Examinations Subcommittee and Education Committee of the College.

Remit

1. Monitoring and developing examinations which are fit for purpose to test the delivery of training in Emergency Medicine (EM).
2. To ensure examinations meet the appropriate regulatory standards and requirements for GMC approval.
3. To implement changes which improve the validity and reliability of all examinations as necessary.
4. To sustain the high profile and renown of RCEM examinations internationally.

Membership

• Lead Examiner for the FRCEM Intermediate SJP examination (Chair)
• Deputy Lead Examiner for the FRCEM Intermediate SJP examination
• Ten current FRCEM examiners, who will be appointed for a period of three years renewable once.

Responsibilities

• To set FRCEM Intermediate SJP examination question papers, held twice per annum
• To maintain and develop the FRCEM Intermediate SJP question bank including reviewing the performance of examination questions
• To review the FRCEM Intermediate SJP examinations and lead in the development of changes to improve the validity and reliability of the assessment

Meetings
Paper setting meetings are held twice a year and Subcommittee members are expected to attend both meetings.

Reports and conduct
Reports relating to the FRCEM Intermediate SJP examination will be presented to the next Examinations Subcommittee meeting by the Lead Examiner.

The content of all meetings and email discussions should be regarded as confidential.

The FRCEM Intermediate SJP Subcommittee will be supported by a member of the College Examinations staff.

Declarations of Interest
In accordance with the College’s policy on conflicts of interest, all Subcommittee members are required to declare their interests.

Members of Examinations Subcommittees are not permitted to organise or contribute to external examination revision courses.

General
Membership of the Subcommittee can be terminated for repeated non-attendance at meetings or repeated failure to submit examination questions.

FRCEM Intermediate SAQ Sub-Committee

The FRCEM Intermediate SAQ Subcommittee is responsible to the Examinations Subcommittee and Education Committee of the College.

Remit

1. Monitoring and developing examinations which are fit for purpose to test the delivery of training in Emergency Medicine (EM).
2. To ensure examinations meet the appropriate regulatory standards and requirements for GMC approval.
3. To implement changes which improve the validity and reliability of all examinations as necessary.
4. To sustain the high profile and renown of RCEM examinations internationally.

Membership

• Lead Examiner for the FRCEM Intermediate SAQ examination (Chair)
• Deputy Lead Examiner for the FRCEM Intermediate SAQ examination
• Ten current FRCEM examiners, who will be appointed for a period of three years renewable once.

Responsibilities

• To set FRCEM Intermediate SAQ examination question papers, held twice per annum
• To maintain and develop the FRCEM Intermediate SAQ question bank including reviewing the performance of examination questions
• To review the FRCEM Intermediate SAQ examinations and lead in the development of changes to improve the validity and reliability of the assessment

Meetings
Paper setting meetings are held twice a year and Subcommittee members are expected to attend both meetings. Question writing meetings are held up to two time a year.

Reports and conduct
Reports relating to the FRCEM Intermediate SAQ examination will be presented to the next Examinations Subcommittee meeting by the Lead Examiner.

The content of all meetings and email discussions should be regarded as confidential.

The FRCEM Intermediate SAQ Subcommittee will be supported by a member of the College Examinations staff.

Declarations of Interest
In accordance with the College’s policy on conflicts of interest, all Subcommittee members are required to declare their interests.

Members of Examinations Subcommittees are not permitted to organise or contribute to external examination revision courses.

General
Membership of the Subcommittee can be terminated for repeated non-attendance at meetings or repeated failure to submit examination questions.

Membership of the Subcommittee automatically means attendance to at least one marking day per annum.

FRCEM Final SAQ Sub-Committee

The FRCEM Final SAQ Subcommittee is responsible to the Examinations Subcommittee and Education Committee of the College.

Remit

1. Monitoring and developing examinations which are fit for purpose to test the delivery of training in Emergency Medicine (EM).
2. To ensure examinations meet the appropriate regulatory standards and requirements for GMC approval.
3. To implement changes which improve the validity and reliability of all examinations as necessary.
4. To sustain the high profile and renown of RCEM examinations internationally.

Membership

• Lead Examiner for the FRCEM Final SAQ examination (Chair)
• Deputy Lead Examiner for the FRCEM Final SAQ examination
• Ten current FRCEM examiners, who will be appointed for a period of three years renewable once.

Responsibilities

• To set FRCEM Final SAQ examination question papers, held twice per annum
• To maintain and develop the FRCEM Final SAQ question bank including reviewing the performance of examination questions
• To review the FRCEM Final SAQ examinations and lead in the development of changes to improve the validity and reliability of the assessment

Meetings
Paper setting meetings are held twice a year and Subcommittee members are expected to attend both.

Reports and conduct
Reports relating to the FRCEM Final SAQ examination will be presented to the next Examinations Subcommittee meeting by the Lead Examiner.

The content of all meetings and email discussions should be regarded as confidential.

The FRCEM Final SAQ Subcommittee will be supported by a member of the College Examinations staff.

Declarations of Interest
In accordance with the College’s policy on conflicts of interest, all Subcommittee members are required to declare their interests.

Members of Examinations Subcommittees are not permitted to organise or contribute to external examination revision courses.

General

Membership of the Subcommittee can be terminated for repeated non-attendance at meetings or repeated failure to submit examination questions.

Membership of the Subcommittee automatically means attendance to at least one marking day per annum.

FRCEM Final OSCE Sub-Committee

The FRCEM Final OSCE Subcommittee is responsible to the Examinations Subcommittee and Education Committee of the College.

Remit

1. Monitoring and developing examinations which are fit for purpose to test the delivery of training in Emergency Medicine (EM).
2. To ensure examinations meet the appropriate regulatory standards and requirements for GMC approval.
3. To implement changes which improve the validity and reliability of all examinations as necessary.
4. To sustain the high profile and renown of RCEM examinations internationally.

Membership

• Lead Examiner for the FRCEM Final OSCE examination (Chair)
• Deputy Lead Examiner for the FRCEM Final OSCE examination
• Eight current FRCEM Final examiners, who will be appointed for a period of three years renewable once.

Responsibilities

• To set the blueprint for the FRCEM Final OSCE examination, held twice per annum
• To maintain and develop the FRCEM Final OSCE question bank including reviewing the performance of scenarios
• To review the FRCEM Final OSCE examinations and lead in the development of changes to improve the validity and reliability of the assessment
• To monitor candidate performance and differential attainment
• To maintain the OSCE simulation kit and consumables

Meetings
Up to two meetings per year for blueprint setting, question (station) writing and review.

Reports and conduct
Reports relating to the FRCEM Final OSCE examination will be presented to the next Examinations Subcommittee meeting by the Lead Examiner.

The content of all meetings and email discussions should be regarded as confidential.

The FRCEM Final OSCE Subcommittee will be supported by a member of the College Examinations staff.

Declarations of Interest
In accordance with the College’s policy on conflicts of interest, all Subcommittee members are required to declare their interests.

Members of Examinations Subcommittees are not permitted to organise or contribute to external examination revision courses.

General
Membership of the Subcommittee can be terminated for repeated non-attendance at meetings or repeated failure to submit examination questions.

Membership of the Subcommittee automatically means attendance to at least one FRCEM Final OSCE examination per annum.

FRECEM SBA Sub-committee

FRCEM OSCE Sub-committee

Skills Sub-committee

Awaiting updated information.

Ultrasound Education & Training Sub-committee

Awaiting updated information.

Emergency Medicine Trainees’ Association (EMTA)

The Emergency Medicine Trainees Association is constituted under the ordinances. It forms part of the membership cluster, with the Responsible Officer being the Registrar. The committee shall have the following terms of reference.

Remit
To provide a focus for Emergency Medicine Trainees and their training in the UK.

To encourage active involvement of all trainees to shape the development of Emergency Medicine as a specialty and improve their own training experience.

To provide a structure for trainees to influence College policy and highlight issues specific to trainees, and to represent their views on Council and RCEM Committees.

Membership

All RCEM members who are part of a training scheme for Emergency Medicine, at ST1 or
above, are considered members of EMTA

The composition of the EMTA Executive shall be:

Chair: Usually also the RCEM Council representative
Immediate Past Chair: (if still in training, otherwise a vice-chair)
Secretary/Treasurer: Academy of Medical Royal Colleges representative
Education Committee representative
Training Standards Committee representative
EMTA Conference Lead

One of the College Officers may choose to attend Executive meetings

The EMTA committee shall include all members of the Executive and any other trainee representatives to RCEM committees or task and finish groups, and the ACCS representatives to the ICACCST.

Quoracy for the Executive meeting shall be four of the seven trainee representatives. Quoracy for the committee shall be four of the seven trainee Executive members plus at least four other trainee representatives

EMTA shall maintain a Regional Representatives Group, a network of regional trainee representatives across all LETBs, deaneries and rotations to facilitate communication between trainees and awareness of reginal issues and variations in training. This will also include the trainee representatives on the national boards.

The Chair shall be a Trainee doctor holding an NTN or ST3-6 working in Emergency Medicine who is a Member of the Royal College of Emergency Medicine and who has sat on the EMTA committee during the last 3 years. The appointment of the Chair shall be made by ballot of EMTA members. This process will be handled by the office manager of RCEM.

Responsibilities

Ensure the views of trainees are represented within the Royal College of Emergency Medicine and to ensure two-way communication between trainees and the College.

Ensure the views of trainees are represented outwards, and to other linked organisations.

Provide advice to, and nominate representatives to, the Royal College and its committees upon invitation.

Promote communication between trainees and trainers.

Provide information and support for training and training-related issues to members in training.

Promote research and academic achievement by emergency medicine trainees.

Provide regular contributions to the EMJ supplement to update trainees on current issues.

Appoint a Conference Lead for the EMTA Conference responsible for design and approval of the programme, to liaise with the Events Team Manager who will arrange for the logistical activities to be provided by the Events Team.

In all activity manage reputational risk to the College and seek to ensure that there is alignment with relevant College strategy, policy and action.

Manage EMTA budget within the College standing financial instructions.

Advise Council on any changes suggested to the TOR of the committee.

Keep minutes of Executive, Committee and other meetings which should be circulated to the Registrar, Dean, and CEO. Ensure minutes of outside bodies on which EMTA is represented (e.g. Academy Trainees Group) are circulated to the relevant Responsible Officer.

Meetings: up to four times a year. At least two of these should be by teleconference if
possible, and if possible one should occur during the EMTA conference in order to minimise costs.

Forum for Associate Specialist & Staff Grades in Emergency Medicine (FASSGEM)

FASSGEM is constituted under the ordinances. It forms part of the membership cluster, with the Responsible Officer being the Registrar. The committee shall have the following terms of reference.

Remit
To provide a focus for emergency medicine doctors who are not in substantive consultant or training posts in the UK.

To encourage active involvement of all doctors in the afore mentioned group to shape the development of Emergency Medicine as a specialty and improve their own educational/training experience.

To provide a structure for FASSGEM doctors to influence College policy and highlight issues specific to them, and to represent their views on Council and RCEM Committees.

Membership
All emergency medicine doctors who are not in substantive consultant or training posts have previously been considered as members of FASSGEM but have to be RCEM members to be eligible to act as office bearers or representatives on regional or national boards.

The composition of the FASSGEM Executive shall be:

Chair: Usually also the RCEM Council representative.
Immediate Past Chair or Vice Chair
Secretary
Treasurer
Academy of Medical Royal Colleges representative
Training Standards Committee representative
FASSGEM Conference Lead

One of the College Officers may choose to attend Executive meetings.

The FASSGEM committee shall include all members of the Executive and any other representatives to RCEM committees or task and finish groups.

Quoracy for the Executive meeting shall be four of the seven FASSGEM representatives. Quoracy for the committee shall be four of the seven trainee FASSGEM members plus at least three other representatives.

FASSGEM shall maintain a Regional Representatives Group, a network of regional representatives across all regional boards, to facilitate awareness of any reginal issues. This will also include representatives on the national boards.

The Chair shall be a Staff or Associate Specialist doctor working in Emergency Medicine who is a Member of the Royal College of Emergency Medicine and who has sat on the FASSGEM committee during the last 3 years. The appointment of the Chair shall be made by ballot of FASSGEM members. This process will be handled by the office manager of RCEM.

Responsibilities
Ensure the views of FASSGEM doctors are represented within the Royal College of Emergency Medicine and to ensure two-way communication between them and the College.

Ensure the views of FASSGEM doctors are represented outwards, and to other linked organisations.

Provide advice to, and nominate representatives to, the Royal College and its committees upon invitation.

Provide information and support for FASSGEM doctors and FASSGEM-related issues to members.

Promote research and academic achievement by emergency medicine.

Provide regular contributions to the EMJ supplement to update FASSGEM doctors on current issues.

Appoint a Conference Lead for the FASSGEM Annual Conference, responsible for design and approval of the programme, to liaise with the Events Team Manager who will arrange for the logistical activities to be provided by the Events Team.

In all activity manage reputational risk to the College and seek to ensure that there is alignment with relevant College strategy, policy and action.

Manage FASSGEM budget within the College standing financial instructions.

Advise Council on any changes suggested to the TOR of the committee.

Keep minutes of Executive, Committee and other meetings which should be circulated to the Registrar, Dean, and CEO. Ensure minutes of outside bodies on which FASSGEM is represented (e.g. Academy of Royal Colleges) are circulated to the relevant Responsible Officer.

Meetings: These would normally be held at the FASSGEM Spring meeting and during the FASSGEM annual conference in order to minimise costs. Additional meetings may be called in exceptional circumstances and the use of teleconference will be considered.

Emergency Medicine Advanced Clinical Practiotioners’ Forum

The Emergency Medicine Advanced Clinical Practitioners Forum reports to Council and shall have the following terms of reference:

Remit

• To provide a focus and representation for ACPs and trainee ACPs (tACPs) within the College
• To encourage active involvement of all ACP associate members to shape the development of Emergency Medicine as a specialty and improve their own training experience
• To provide a structure for ACP associate members to highlight issues specific to ACPs and represent their views on Council and RCEM Committees.
• Support the planning and delivery of the ACP conference

Membership
Membership of the ACP Forum shall be limited to advanced nurses or advanced paramedics working in Emergency Medicine who are Associate Members (ACP) of the Royal College of Emergency Medicine in good standing.

The composition of the ACP Forum shall ensure regional representation across the British Isles and consist of:

Vacancies for regional representatives or the Chair will be advertised by the College at least two months before the end of the office.  Applicants for all roles will be required to submit a personal statement outlining their suitability for the role supported by a proposer and seconder.  Regional representatives shall be elected following a ballot of Associate Members (ACPs) in good standing within the relevant region.  The Chair shall be elected following a ballot of all Associate Members (ACPs) in good standing.

Responsibilities

• Ensure the views of Associate Members (ACPs) are communicated to the Royal College of Emergency Medicine and to disseminate information about changes to training or provision from those committees
• Ensure good communication is maintained with Associate Members (ACP)
• Share good practice and ideas for improvement to training and safeguard the educational needs of tACPs as far as possible
• Ensure regional representation updating the ACP Forum and relevant committees on local views and opinions
• Represent ACP and tACP views by membership of the relevant committees of the Royal College of Emergency Medicine and to ensure two-way communication between ACP Forum members and the Royal College
• Provide advice and nominate representative to the Royal College and its committees on invitation
• Circulate a summary of points raised after each Royal College committee meeting drawn up by the relevant representatives for review at the next ACP Forum meeting
• Provide notes of the meetings of the ACP Forum meeting
• Provide regular updates on current issues via the EMJ supplement
• Communicate with the regional representatives before parent committee meetings to ensure regional views and concerns are voiced and each regional representative has a duty to reply
• Disseminate information about changes to ACP Credentialing to Associate Members (ACP)
• Encourage social discourse and shared learning by the organisation of an annual conference open to all ACPs

Meetings: Up to four times a year.

EM Physicians Associates Special Working Group

Awaiting updated information.

Honours Committee

Objectives
The objective of the Honours Committee is to coordinate matters relating to national and College honours on behalf of the Royal College.

The Honours Committee reports to the Council.

Membership

At present Membership of this Committee comprises:

Responsibilities and powers delegated by Council

1. To establish criteria for the Royal College nomination of worthy individuals for a national honour.
2. To receive, identify and make nominations on behalf of the Royal College of persons worthy of a nomination for a national honour.
3. To receive, identify and make nominations to Council persons considered worthy of an Honorary Fellowship of the Royal College
4. To make recommendations and issue guidance as the Committee may consider appropriate to Council on the conferment of honours, medals and other Royal College awards.

Meetings
Meetings are held at up to twice a year and business may also be transacted by email or telephone conference call as the Chair deems appropriate.

Individual responsibilities
Members of the Honours Committee are expected to maintain the utmost confidentiality and discretion commensurate with their role.  They are also expected to be ambassadors for the work of the Royal College, supporting, explaining and reinforcing the Royal College strategy to promoting those exceptional individuals for national or other honours.

RCEM Fundraising Board

Awaiting updated information.

Environmental Special Interest Group

Awaiting updated information.

Including:

Green ED Working Group

Awaiting updated information.

Equality, Diversity & Inclusion Committee

Awaiting updated information.

Women in Emergency Medicine Special Interest Group

Awaiting updated information.

Global Emergency Medicine (GEM) Committee

The GEM Committee shall have the following terms of reference.

Vision
For RCEM to be a world-leader in the development of global EM that is clinically excellent, evidence-based, compassionate and equitable.

Mission
To provide a network for members and fellows involved in global EM.
To promote global EM activities to RCEM members and fellows.
To connect with other EM associations globally.
To develop global EM as a sub-speciality.
To encourage opportunities for practice, training and research in global EM.
To support the development of resources for EM systems globally.

Remit
The Committee is responsible for:

International College network

• Development a framework for governance of global EM work undertaken on behalf of the College
• Sharing and supporting collaboration between members for global EM work, coordinating opportunities for global EM contributions
• Providing advice and recommendations for members to work internationally through the College website and newsletters, EMJ, social media and global EM days at the college
• Liaison with equivalent global health committees of other Royal Colleges and relevant bodies.

Promotion of EM internationally

• Liaison with international EM societies to ensure EM is on the health agenda of all nations
• Increasing the quality of care in Emergency medicine internationally by electronic sharing and promotion of good practice, standards and quality improvement projects
• RCEM representation at key international EM conferences particularly focusing on low income countries
• Support for courses and conferences in LMIC for EM training and development
• Sponsorship of the next generation leaders of EM in low income countries for observer/conference attendance at RCEM meetings
• Appointment of RCEM representatives in other countries

Development of global health knowledge and expertise among College members

• Working with the College TSC to seek to encourage OOPEs (where possible considered for training, or for experience) overseas including academic, clinical and managerial opportunities (including humanitarian work)
• Development of RCEM fellowships to work with local teams to develop emergency care systems in LMIC
• Development of resources for global EM and systems development training for UK members

Membership
Chair, Deputy CEO, Eight ordinary fellows, Lay Representative (nominated by Lay Group), VP (ex officio)

The Chair may co-opt from time to time representatives from other groups including, but not limited to international development sub-committee, subject to budget constraints and that the Sub-Committee shall not exceed 20 members.

Meetings: The Committee may meet up to four times per year.

LMIC: Low and Middle Income Countries

Global Emergency Medicine Committee

The Global EM Committee was established in 2017 and is currently chaired by Dr Jason Long.
You can find out more about the committee’s work in the International Section

International Education Committee

The International Education Sub-Committee is a standing committee of the Royal College. It reports to the Education Committee, via the Chair.

The Sub-Committee is responsible for:

1. One year foundation programme in Emergency Medicine (EMFP)

• Reviewing and maintaining the Curriculum for the Foundations of Emergency Medicine one year training programme, and as a result, has delegated powers from Council to decide on the content and nature of this curriculum.
• Consult on proposed curriculum content and subsequent changes with relevant stakeholders.
• Responding to external requests for curriculum changes.
• Implementation of change and evaluation of that change.
• Developing a WPBA strategy to support the implementation of the curriculum.

2. Medical Training Initiative (MTI)

• Promoting the training and development opportunities available to international trainees through the MTI scheme.
• Utilising the partnerships developed via the one year training programme to create new sponsorship opportunities.

3. Induction, mentoring and support for international doctors working in the UK

• Providing help and support to international doctors working in the UK
• Developing ‘in country’ induction tools to help international doctors transition to working in the UK
• Developing induction, mentoring and buddying networks for IMGs whilst working in the UK

Membership

• Dean (Chair)
• Six ordinary fellows
• Deputy Chief Executive
• President (ex officio)
• Vice President (ex officio)

The Chair may co-opt from time to time representatives from other groups including, but not limited to, Curriculum Sub-Committee and RCEMLearning Editorial Board.  The term of office of each member will be three years with the possibility of one further term if approved by the Education Committee.

The Committee meets four times per year. The Committee is administratively supported within the Royal College.

International Education Committee

The International Education Committee was also formed in 2017 and is currently chaired by Dr Sundararaj Manou.