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Just a few comments about what has been said so far. My concern about mandatory CPD is - who in Swizerland has dictated hours which should be spent attending courses/conferences or lectures? The reason I ask, is that until the value (effectiveness) of mandatory CPD can be established, attendance to courses does not automatically result in a more competent practitioner - perhaps one who has nodded off half way through a conference is a good example of this (and there are many of those!). The other comment is that expectations placed upon managers to pay for CPD courses is a culture which should be fostered, although I guess the reluctance they have to pay for these is partly due to a fear of their investment then being poached by other employers. Due to individual trust budget-holding, the development of staff within the NHS is still viewed as a local concern, not a national (transferable) investment. Vikki ******************************************************************* Victoria Sparkes MSc MCSP e-mail [log in to unmask] Lecturer phone +44 (0)1707 286274 Department of Physiotherapy fax +44 (0)1707 284977 University of Hertfordshire Hatfield Campus College Lane Hatfield Herts AL10 9AB. ******************************************************************* %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%