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Background
2006 - The Safeguarding Vulnerable Groups Act 2006 passed as a result of the Bichard Inquiry which was set up following the Soham murders in 2002.
2007 - The Independent Safeguarding Authority created to act as an independent agency to check that those working with children and vulnerable adults and patients were safe to do so (workers fall into `Regulated and `Controlled workers see overleaf for definition.
No opt-out
For GMS Practices - Registration with ISA taking place over period of 5 years and requires Enhanced CRB check for all those working with children, vulnerable adults and patients this is referred to as the Vetting & Barring Scheme.
For PMS and Single-handed GP contractors these are not currently included in the national implementation but the Performers List Regulations are likely to be amended in the near future (approx. July 2010) which will require that new GPs joining the Performers List will have to be ISA Registered. It is not clear whether these will have to follow the same timescales but the arrangements for employed non-contractors and staff performing Controlled and Regulated apply as per the national implementation timescales for ISA Registration.
APMS Contractors - Where an APMS contract with a PCO is held by an individual, there is no requirement for the individual contractor to register with the ISA. However, where the contract with the PCO is held jointly (e.g. by a company), then those who are involved in the hands-on management of the contract and/or work as a GP will be required to register and also those employed by the APMS practice.
A practice partner (GMS or PMS) will commit an offence from 12th October 2009 if he/she knows or has reason to believe that one of the partners is barred. Also once ISA registration is fully in place it will also be an offence if a GMS partner fails to ascertain whether another partner is ISA registered.
Once ISA registration is available, the cost of registration will be a one-off cost and ISA Registration will continue so that it will not need to be renewed when a person already registered changes jobs.
Those who are working as volunteers will not pay a fee, but if they subsequently enter relevant employment they will be required to pay the fee current at that time.
Please see overleaf for table showing stages of ISA Registration implementation
Date of implementationRegulated WorkersControlled WorkersResponsibilities of PracticeDefinition: Those working with children or vulnerable patients either intensively (3+ days or more per 30 days) or frequently (once a month or more
GP Partners, all other GPs, Practice Nurses, Healthcare Assistants, other Healthcare professionals i.e. Practice Managers, DNs, HVs etc.Definition: Those with frequent access to sensitive records about children and vulnerable patients and who work with children or vulnerable patients either intensively (3+ days or more per 30 days) or frequently (once a month or more but DO NOT give advice to patients
Cleaners, Receptionists, data entry clerks, administrative staff
From 12 October 2009It will be a criminal offence for a person in this group to seek or undertake work if they are on a barred ISA list (e.g. what was the PoVA and PoCA list).
NB Regulated workers on a barred list may work as a Controlled worker IF ADEQUATE SAFEGUARDS ARE IN PLACE see practice responsibilities right column
Cannot appoint a person into a regulated activity role if the employer knows or has reason to believe that the person is on a barred list.
BUT Risk assessment required for Regulated Workers on a barred list to ascertain whether they can work as a controlled worker with identified safeguards in place
Does NOT require sight of or require a CRB check
Employers should ask new recruits if they are on a barred ISA list.
If an employer suspects that a person may be on a barred list then further checks should be undertaken.
Employers have a duty to inform the ISA of any individual working with patients and/or children where they consider them to have caused harm or pose a risk of harm (the ISA will expect that an investigation will have been conducted prior to any referral to them)
Failure to inform the ISA constitutes a criminal offence.From 26 July 2010Those in new posts MAY apply for ISA registration (i.e.not mandatory) and an enhanced CRB check may be applied for using one form (can apply for this through an umbrella body with details of the CRB body used).
Same as aboveFrom November 2010Registration becomes MANDATORY for those starting new posts.
It will be a criminal offence to start such a new post without being ISA registered.All new recruits to a regulated activity role MUST be registered with the ISA.
The employer must check that the new recruit is ISA registered prior to the new recruit commencing work.
Failure to do this will be a criminal offence.
When hiring a freelance locum GP directly (i.e. not through a locum agency), practices must check that the locum is ISA registered. When a GP locum is supplied by a locum agency, the agency will be responsible for ensuring the locum is registered with the ISA.
There will be no charge for checking whether a person is ISA registered.From 1 April 2011Those in post who have never had a CRB check can start to apply for ISA registration.
Same as aboveFrom January 2012Those in post who have had a CRB check three or more years ago can start to apply for ISA registration.
Same as aboveFrom January 2014ISA Registration becomes possible for those workers in this categoryAs above for those new recruits to a regulated activity role.
Can check whether new recruits to controlled activity are ISA registered prior to the new recruit commencing work. By 25 July 2015Mandatory requirement that all Regulated workers are ISA registeredMandatory requirement that all Controlled Workers are ISA registered.
.The employer must check that all regulated and controlled workers are ISA registered.
As noted above, for freelance locum GPs, unless the locum is supplied via a locum agency, the contracting practice must ensure that the locum is ISA registered.
Locum agencies will be responsible for ensuring their GP locums are registered.
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