welcome to health education england, north west · • process: tpd signs off (must get permission...

Welcome to Health Education England,

North West

Alison Waghorn, Head of School of Surgery

Associate Dean

Joanne Rowell Head of SchoolAlison Waghorn

TPD

AES

Nadeem Khwaja

Associate Head of

School – trainee

education lead

Vijay Bhalaik

Associate

Head of

School –

educators lead

DME (Director of Medical Education)

Trust Specialty Training Lead (TSTL)

AES

HEE Offices

Manchester Office

Three Piccadilly Place,

Manchester, M1 3BN

Liverpool Office

Regatta Place, Brunswick

Business Park, Liverpool,

L3 4BL

Lead Employer

lead.employer@sthk.nhs.uk

natalie.villegas@sthk.nhs.uk

rachel.murphy@sthk.nhs.uk

Occupational health

Health and wellbeing

Administrative Structure:

School of Surgery

Programme Support Manager:

Ashley Barrett: ashley.barrett@hee.nhs.uk / 0161 268 9520

Programme Support Coordinator:

Laura Griffiths: laura.griffiths@hee.nhs.uk / 0161 268 9614

Programme Support Officer for:

Core Surgery, Paediatric Surgery, Neurosurgery, Cardio-thoracic Surgery and Trauma &

Orthopaedic Surgery:

Angela McMahon: angela.mcmahon@hee.nhs.uk / 0161 268 9513

Programme Support Administrator for:

General Surgery, OMFS, ENT, Urology, Plastic Surgery and Vascular Surgery:

Ian Griffiths: ian.griffiths@hee.nhs.uk / 0161 268 9575

Programme Support Assistant:

Abi Beech-Eccles: abigail.beech-eccles@hee.nhs.uk / 0161 268 9705

https://www.nwpgmd.nhs.uk/Specialty_Schools/Surgery

Your training

PDP: Personal Development Plan

Every year

counts

PDP

1. SWOT analysis

2. Set your goals: ‘learning gap’

3. Short Term: 6 months: Improve general fitness (gym

regularly), Regular level 3/4 PBA – DHS (20), take on rota

manager, audit on burns treatment, find a research

project

Medium term: 2 years: Undertake a marathon, level 3

PBA – hip replacement, undertake leadership module,

have one peer reviewed paper submitted

Long term: >5 years: South African Ultra marathon

(89k), Consultant hip surgeon with an interest in redo

surgery, three peer reviewed papers

Original ideas from Vijay Bhalaik

JCST certification guidelines

JCST certification guidelines

Direct link: http://www.jcst.org/quality-assurance/certification-guidelines

ISCP: setting up an AES

• Learning agreement: within 4 weeks of starting

• Populate every area on ISCP

• Interim review within 3 months

• Final review and AES report (need CS report)

• EVERY 6 months

• Get the dates in the diaries at the beginning (3 dates)

• Bring your on-call rota / holidays to the meeting

Minimum ARCP Requirements

First 10 months then annually

• 13 Cex - ?Capabilities in Practice (CiP) – OPD, WR, ET, MDT,

OT

• 13 CBD – ?Critical Conditions

• 13 PBAs / DOPs (demonstrate: levels 2,3,4) – Index procedures

• 1 MSF

• 1 Audit

• 1 Piece of evidence of reflection

• 1 Observed Teaching

• PDP

• LA, interim review, final report, AES report every 6 months (twice

in a year)

• GMC survey(may vary slightly from specialty to speciality: see global objectives on ISCP)

New Curriculum

• New phases: 2-3 phases

• New Assessments:

• MCR – Multiple Consultant Reports

• Generic Professional Capabilities

• Capabilities in Practice

Generic Professional Capabilities

• Domain 1 – Professional values and behaviours

• Domain 2 – Professional skills: practical /

communication / complexity / uncertainty / clinical

• Domain 3 - Professional knowledge:

• Domain 4 – Capabilities in health promotion and illness

promotion

• Domain 5 – Capabilities in leadership and team working

• Domain 6 – Capabilities in patient safety and QI

• Domain 7 – Capabilities in safeguarding vulnerable groups

• Domain 8 – Capabilities in education and training

• Domain 9 – Capabilities in Research and Scholarship

Capabilities in Practice • Managing an outpatient clinic

• Managing in-patients and ward rounds

• Emergency care

• Managing an operating List

• Multi-Disciplinary Team working

• Level 1 - Able to observe only

• Level II a - Able and trusted to act with direct supervision:

• Level II b -

• Level III - Able and trusted to act with indirect supervision:

• Level IV - Perform at the level of a day 1 consultant

• Level V - Performs beyond the level expected of a day one

consultant

Personalise your education programme

• Met with TPD?

• Met with AES?

• Undertaken PDP?

• Study leave?

• Next year?

ARCP process (revalidation)

Revalidation

• For trainees the route to revalidation is through

the ARCP process

• The Postgraduate Dean is the Responsible Officer

• Form R as part of the ARCP every year – NO

FORM R – NO PROGRESSION – online

• Deferral of revalidation sometimes happens and it is

not detrimental (ARCP 2 and 3 OK)

ARCP

• At least one face to face a year (Interim Progress Review): usually

between Nov and March or (May and July)

• ARCP Assessment Panel: usually May / June / July: online (Dec / Jan)

• ARCP Feedback Panel: June / July: face to face to confirm ARCP

outcome if outcome 1 is not issued (Jan / Feb)

• ~10 months to get all WBAs etc.

• Need everything signed off by ARCP Assessment Panel (TPD may give

an earlier date)

• TPD / SAC rep often review everything online before the ARCP

Assessment Panel

• CCT guidelines: jcst.org.uk or through ISCP site: up load once a year:

where you are: miscellaneous

ARCP outcomes: Gold guide

• ARCP 1 –

• ARCP 2 –

• ARCP 3 –

• ARCP 4 –

• ARCP 6 –

• ARCP 8 –

• CST: ?How much extra time?

• ST1- 8: ?How much extra time?

ARCP outcomes: Gold guide

• ARCP 1 – satisfactory can progress to next level

• ARCP 2 – Specific development needs (no extra time)

• ARCP 3 – Development needs (extra time)

• ARCP 4 - released from the training programme

• ARCP 6 – CCT awarded

• ARCP 8 – when OOP

• CST: Extra 6 months (exam)

• ST1- 8: one extra 1 year

Form R?

Form R (online)Policies and procedures

• ONCE A YEAR and at time of ARCP

• PART B every year – (PART A is at the start)

1. Whole Scope of Practice

2. Declarations relating to Good Medical Practice

3. Update to previous Form R B (old declarations)

4. New declarations: significant event, complaints,

other investigations

5. Compliments (not in ISCP portfolio)

Whole Scope of

Practice?

Whole Scope of

Practice

• PROBITY: must declare

• Training posts

• OOP (out of programme), mat leave, OOP(T), OOP(E),

OOP(C), OOP(R) etc.

• Non-NHS bodies – related medical practice: ‘BoTox,’

your own company, creating medical videos or websites,

Sports events, Medical Blog, Teaching (outside allocated

hospital – (paid or on a specific course)

• Volunteering: medical officer at venture scouts, helping

as a doctor in the Syrian crisis

• Locum work: declare shifts (inside and outside

allocated hospital)

Declarations of Good Medical Practice

• Referral to GMC (can happen as a direct referral by patient

or relatives)

• Any conditions, warnings or undertakings placed on you

by GMC, employing trust, other organisation (e.g. University)

• E.g. unable to undertake on-call, bullying and harassment

• Health Statement:

• (must not allow their own health to endanger patients)

Physical restriction,

mental health condition etc. –

what you have done to counter

these and that OH knows.

No detail needed.

Declaration of

Significant Events etc??

Declaration of

Significant Events etc

• IF IN DOUBT DECLARE OR ASK AES / TPD • Significant event: e.g. asked to write a statement, CD involved,

• Complaints: patient written in to complain about a team

• Other investigations: Never events, SUI, if generated external publicity

• Any senior members of the trust (beyond your AES) are involved:

e.g. CD, DME, HR

• RESOLVED (2) or UNRESOLVED (3)

• EVIDENCE OF REFLECTION on

ISCP (A MUST)

When things do quite go to plan

MHPS?

MPHS (Maintaining High Professional

Standards) REFERRAL - (Trust to LE)

• Data Protection Breach: FAMILY, CELEBRITY

SOCIAL MEDIA

• Probity issues: Plagiarism, Inaccurate publication

claims

• Good Medical Practice: Patient care your first

concern, Team working, Infection control breaches

GMC Referral

Criminal offence or ‘caution’

Sectioned under Mental Health Act

PLEASE INFORM EVERYONE BELOW:

• AES

• TPD

• Lead Employer

• HR at trust

• Defence Union

• HEE NW administration/RMO (dean)

• GMC

Exception reporting?

Exception reporting

• Over Contracted hours: AES

• If asked to work over hours: Guardian of Safe working

• Educational contract not being delivered

• AES within first four weeks

• If significant problems let TPD know you are speaking

with AES

• Exception report to DME if no change (copy in AES

and TPD)

Bullying and Harassment

• Lead employer policies on website

• Talk to AES if possible

• Talk to TPD or DME if AES not possible etc.

• Informal resolution (AES / TPD facilitate)

• Informal Formal resolution (TPD / HOS facilitate)

• If you refer to lead employer – formal investigation

New Guidelines

Website

https://www.nwpgmd.nhs.uk/Specialty_

Schools/Surgery

New guidelines

• Reflection

• Time out of training

• Study leave

• LTFT

• Sick leave

• OOP

Reflection as a result of SUI / MPHS

investigation / GMC investigation

• Write your own reflection and have a detailed discussion of this written

reflection with your CS or AES on the topic.

• Do not upload a detailed reflection on the case or incident, but after your in

depth discussion, please upload a short piece on the ISCP site – saying:

• “In depth discussion was undertaken between ‘Y’ trainee and ‘Z’ supervisor on ‘X’

date on the significant case / SUI mentioned in Form R,” and then short piece on

your outcomes i.e. ‘What did you learn’ and ‘How did it change your practice.’

• Ask your AES or CS involved in the discussion to make some brief comment

about reflection process in their report at the end of the 6 months.

• Other pieces of compulsory reflection on cases that are not being investigated

e.g. on equality and diversity issues and examples of compulsory critical cases

can be done as before – please upload the whole reflection.

• You must ensure that all reflections in the portfolio and used as evidence for

appraisal and revalidation must have any personal information that can identify

individuals (including patient identifiers) or organisations removed prior to

loading. That does not include the declarations on assessments by AES / CS.

Other pieces of reflection

• Other pieces of compulsory reflection on cases that

are not being investigated e.g. on equality and

diversity issues and examples of compulsory critical

cases can be done as before – please upload the

whole reflection.

• You must ensure that all reflections in the portfolio

and used as evidence for appraisal and revalidation

must have any personal information that can

identify individuals (including patient identifiers) or

organisations removed prior to loading.

Time out of training

Maternity leave etc – stopping and starting the clock

GMC position statement – Nov 2012 – (Competence)

• More than total of 2 weeks sick: lead employer needs to be notified

• More than 4-6 weeks: consider return to work package

• All TOOT to be declared on Form R

• Exact CCT finish time to be decided at ARCP panel A

• You need to write to JCST with exact dates to change CCT (copy to

Ashley Barrett and TPD)

• Discussion at ARCP panel A or interim panel: How long to extend

• Usually extend anything over 6 weeks

• Return to work: form to fill in with AES before leave and before return

Study leave

• 30 days maximum: regional educational days count – 70%

attendance required

• FS1 – form - www.nwpgmd.nhs.uk/studyleave

• Process: TPD signs off (must get permission from hospital for

leave - you sign a disclaimer)

• TPD / Study leave administrator: Specialty schools information:

e.g. ENT

• You or study leave administrator send to study leave at HEE NW.

• Study Leave team: studyleave.nw@hee.nhs.uk

0161 625 7680 / 7670 / 7681

• Website: £764 a year – can go over in a year but may have to

cut back another year

• FS2 – fill in form within 3 months of course etc.

• PLAN

TPD role

• Courses that are compulsory for curriculum e.g.

ATLS, paediatric life support

• Compulsory courses - listed in JCST guidelines

• One relevant conference a year (HEE NW limited

travel and accommodation fees)

• Overseas applications – once through TPD – will go

to postgraduate dean – rigorous assessment

• Courses relevant to curriculum and not covered in

regional teaching e.g. management course, teaching

course (TPD discretion and likely to have price limit)

Other courses

• Simulation; Non–technical skills course and technical

skills course for all trainees

• Mentoring: Training trainees to be mentors

• ‘Buddying CT trainees’

• ST3 interview course – support

• Educators of the future – RCSEd – ST7/8 trainees

• Surgical Scousers: surgicalscousers@hotmail.com

• SCAPEL: http://www.scalpelmanchester.com/new/

• NW research collaborative – Nick Heywood

nheywood@doctors.org.uk

Courses run by HEE NW

www.nwpgmd.nhs.uk/medical-leadershipPostgraduate module in medical leadership (one module HEE NW funded)

www.nwpgmd.nhs.uk/educator-developmentPG certificate in workbased postgraduate medical education (one module HEE NW funded)

LTFT

• Carer, illness (personal or family)

• Talk to TPD

• Apply

• ltft.nw@hee.nhs.uk

• 60 - 80%

• Supernumerary (60% only)

• Once agreed: HR in trust and lead employer have to agree

• Working pattern needs to be agreed with AES and Trust

• Need to write to JCST with exact dates and % calculation

Sick Leave

If you are sick you must inform:

• AES and CS and anyone else who is affected

• Senior member of Trust HR who links with lead

employer

• > 2 weeks (14 days) not necessarily consecutively

– refer to lead employer

• AES, CS, Trust HR

• TPD

• Lead employer: Occupational Health

OOP

• OOP(T) – TPD, AD, SAC, GMC

• OOP(R)

• OOP(E) – extraordinary circumstances only

• OOP(C) – extraordinary circumstances only

• Remember: Pensions scheme and National Insurance

• JCST

Added extras

www.nwpgmd.nhs.uk/careers

advice/careers

TPD or AES

(Head of School)

Research collaboratives www.nwpgmd.nhs.uk/research-north-western-deanery

(Lead Employer)

(Lead Employer)

School of Surgery

Excellence in training awards:

nominations in March