Peninsula Postgraduate Medical Education

Information Pack for General Practice Specialty Trainees 

Author(s) 

Primary Care School of Peninsula Postgraduate Medical Education 

Responsible Executive or Member

Dr Andrew Eynon-Lewis, Head of Primary and Community Care Education

Summary

This pack is designed to contain all the necessary information and contact details that General Practice Specialty Trainees will require throughout their training

Circulation

All General Practice Specialty Trainees within Postgraduate Medical Education

The Peninsula Postgraduate Medical Education website.

Equality Act 2010

Due regard has been given to the Equality Act 2010 in preparing this information pack.

 

Please note information is correct at time of writing but may be subject to change.

 

National Training Number

Before commencing the Specialty Training year one (ST1) you will be asked to complete an Enhanced Form R, this is related to revalidation (as explained later in the document) but also so you can be allocated a unique National Training Number (NTN) which is required in order to register for the Royal College of General Practitioners (RCGP) ePortfolio. This number stays the same throughout all your training years.

If you have not received your number by the time you have started your training please contact Gemma Lush  It is important you keep this number for your records as it is required on a number of important forms throughout your training.

Associates in Training and Membership of RCGP

Please ensure that you register with the RCGP as an Associate in Training (AiT) for your Membership of the Royal College of General Practitioners (MRCGP). Information regarding how to register will be sent out by the GP School in July before you commence your training.

There is a local AiT representative for GP trainees in the South West Peninsula, please email the School of Primary Care administration team if you would like to contact the local representative.

The MRCGP is an end point of assessment to make sure a doctor has satisfactorily completed training for GP and is safe to practise within the UK. It is a necessary requirement for you to gain your Certificate of Completion of Training (CCT) and once you have passed you will be eligible for membership of the RCGP.

There are three elements in order to gain your MRCGP:

  • Applied Knowledge Test (AKT) – an assessment of knowledge, similar to an MCQ
  • Clinical Skills Assessment (CSA) – an assessment of clinical, professional, communication and practical skills relevant to general practice, similar to an Objective Structured Clinical Examination (OSCE)
  • Workplace based Assessment (WPBA) – an evaluation of progress and performance over time, best assessed in the workplace setting and recorded through your ePortfolio.

More information about the assessments can be found on the RCGP website:

www.rcgp.org.uk

The RCGP have also created a package to help trainees through their GP trainee journey.  You can find more information here.

Certification Procedure

Before the General Medical Council (GMC) will issue you with a CCT you will need to have been successful with the MRCGP assessments and you cannot practice without the certificate. Full details of the procedure can be found here.

The RCGP will advise the GMC that all the relevant training has been successfully completed and the GMC will then issue your certificate. Please note that there is a fee for this and details can be found on the link above.

You also need to ensure you have the correct status on the Performers List (e.g. locum, salaried, principal) – this should be the list held by the Area Team in which you will carry out the majority of your work. Again, once you have been revalidated by Health Education England, you should contact the Area Team where you are working and make arrangements to transfer to the Area team responsible for updating the Performers List. You cannot be allocated an appraisal until this transfer is completed.

Notification of Change in Circumstances

You must notify your local Patch Administrator as soon as possible if you have had/intend to have a change in circumstances, such as change of address or email etc, whilst you are in your GP training programme. You must also inform the School of Primary Care administration team

These changes also include your intention to take paternity/maternity/adoption/family leave or any other changes to your training programme. Changes could affect how your salary payments are made and your end of training date, therefore it is imperative you notify all relevant teams.

To notify us of any changes please complete the change of circumstance form and return it to your local Patch Administrator and Gemma Lush

Less Than Full Time Training

If you wish to train at less than full time please follow the link below for more information:

Less than full time working

You must inform the School of Primary Care as soon as possible if you wish to work less than full time; your first point of contact within the team is Gemma Lush. You can either work 50%, 60%, 70% or 80% whole time equivalent and your training time will be extended to reflect this accordingly. 

Whilst working less than full time you are expected to complete the same amount of assessments as your full time colleagues but in a longer time frame. For example at 60% it will take you 20 months to complete a 12 month full time posts, in which you will have the full 20 months to complete the same number of assessments that the full time trainees have included in 12 months.

GPST Committee

A representative from each Scheme attends quarterly meeting to represent trainees to raise and discuss training issues that arise. The committee members also include a BMA, an AiT (College) and a Less Than Full-Time representatives. To see who your Scheme representative is please go to the GPST Committee page.

Inter-Deanery Transfers

It is possible for GPSTs to be helped to move between areas within the UK. The arrangements for this apply to both full time and part time trainees and you must have completed at least one full year of GP training. Movement is at the discretion of the School of Primary Care you are currently part of and you will be expected to ensure that you have well-founded reasons for moving that were not present when you agreed to your training post. It is important that trainees give as much notice as possible when requesting a transfer as training vacancies in other areas may not be readily available and arrangements, therefore, may take some time to set up.

Details about the application process, which is centralised and run by the London Deanery

Out of Programme Training and Research

You can take one year out of your GP training for Out of Programme Experience (OOPE) this is usually only granted between your second and third year due to service provision, and there must be a clear educational element.

More information about how to apply for OOPE

Details of the Peninsula OOP Policy

Swaps in Posts

It is the policy of Peninsula Postgraduate Medical Education that the trainees accept their allocated rotations and that no swaps will be authorised, unless in extreme extenuating circumstances.

General Practice Placements

Introduction

Throughout your three year GP training programme your contract will be with the acute trust in which you are based.  Doctors on rotations in their Specialty Training year one (ST1) and Specialty Training year two (ST2) will have an attachment at a training practice for (normally) six months whole time equivalent.  The placements are designed to enable you to develop a wider range of the competencies needed for the Certificate of Completion of Training (CCT). The level of competency expected in the attachment should reflect this.

Performers List

All GP Specialty Registrars working in a practice placement are required to be registered on the NHS England National Medical Performers List (NPL), which is overseen by NHS England. You can check whether you are on the list using the NPL website

If you already are on NHS England National Medical Performers List, you will need to transfer between NHS England Regions. You would need to fill in and email the NPL2 form to the new area team and the area team you are leaving. The form can be found on the following link: https://www.england.nhs.uk/joint/ and the contacts for the relevant Area Team can be found at https://www.performer.england.nhs.uk/AT/SearchByPostcode.

Please note this only applies to trainees transferring between NHS England Teams. If you are transferring from Wales or Scotland, you will need to let us know as soon as possible so we can liaise with NHS England to start your application process.

You will also need to let your current area team know you are leaving.

If you are not on NHS England National Medical Performers List, you no longer need to submit the NPL1 application form and undertake a face to face identity check. Instead, you are required to inform us as soon as possible so we can liaise with NHS England to start your application process.

It is the GP registrar’s legal responsibility to maintain appropriate indemnity cover at all times within their training programme

It is also the responsibility of GP registrars to inform the Performers List of any changes to their circumstances such as:

•           Resignation / removal from training

•           Dismissal

•           Failure to achieve CCT or

•           Referral to GMC

•           Moving into a hospital post

Before starting in Practice Placements

Whilst in GP you are employed by the Lead Employer.  Before a Trainee can be added to the Performers List and be paid they must contact their Lead Employer.

Medical Indemnity Provision

Cover is currently under review. Details will follow in due course. For more information in the meantime click here.

Travel Expenses

Trainees’ entitlement to excess mileage is administered by the Lead Employer.  In determining trainees’ entitlement for excess mileage trainees should refer to Section 17 of the Terms and Conditions of Service Handbook accessible via the link below.

https://www.nhsemployers.org/employershandbook/tchandbook/afc_tc_of_service_handbook_fb.pdf

To avoid any ambiguity the base for all GP trainees is their principle place of work; during a hospital placement the Trust will be their base and when they rotate to a practice this will necessitate a compulsory change of base and as such they will be eligible to claim excess mileage payable at the reserve rate.

You cannot claim travel expenses for planned educational days (VTS teaching or deanery-wide events) or Annual Review of Competence Progression panels.  You may claim travel for courses that you attend as part of study leave. All the details of how to claim study leave expenses, together with the appropriate form are on our website via this link.  

Out of Hours

The Out Of Hours requirements have recently changed; please refer to the updated information here.

Annual Review of Competence Progression (ARCP)

Introduction to ARCP

The ARCP panel is an essential part of your approval for progress from one year to the next, and in your final year it is your sign off to initiate the CCT process. The panel meet to review every STs evidence of competence to progress to the next year or training, or completion of training. It is, therefore, very important that you provide the evidence by the dates given if you wish to continue or complete your training.

The ARCP review is part of the ePortfolio and relies on the evidence from your Work Place Based Assessments (WPBAs). You must submit the evidence requested via the ePortfolio in advance of being ‘screen reviewed’ three weeks before the panel are due to sit. If you do not have all the necessary evidence it is likely you will be called to attend the panel in person. Unlike other hospital-based specialty training, within the GP programme, not all trainees are expected to attend panel face-to-face. Only those who have failed to complete the necessary evidence, failed exams or have been recommended to attend the panel by their Educational Supervisor are called. 

Less Than Full Time trainees will generally have more panels than their full time colleagues. This is due to trainees having to have at least one ARCP per year, regardless of whether they are progressing from one training year to the next training year, or completing their training

ARCP Outcomes

There are a number of outcomes which you can be rewarded at an ARCP panel, these are:

  • Outcome 1: Satisfactory progress – Achieving progress and the development of competencies at the expected rate. Means you may continue your training with no restrictions.
  • Outcome 2:Development of specific competencies required – Additional training time not required. Means you will be allowed to progress but will have to provide specified evidence within a given time frame in your next.
  • Outcome 3:Inadequate progress by the trainee – additional training time required. Means you need an extension to your training because you have not reached the required standard but might do so with further training. If you do require an extension within the standard of training we must follow this cannot be longer than six months whole time equivalent.
  • Outcome 4: Released from training programme – with or without specified competencies. Means you have been released from training for reasons which will be made clear to you at the time.
  • Outcome 5: Incomplete evidence presented – additional training time may be required. Means you have not presented satisfactory evidence to the panel event though it may exist and by presenting the evidence requested you will be awarded a different outcome.
  • Outcome 6: Gained all required competencies – will be recommended as having completed the training programme and for award of CCT. This is awarded at the end of ST3/4 and means you have completed your training successfully.

Education in Training

Background

The RCGP published a new curriculum for GP training in early 2007. The main changes included developing the role of the Educational Supervisors (ESs) and how the half day release courses are run.

Educational Supervisors

As a GP trainee you will have an Educational Supervisor (ES) throughout your training programme. You should contact your ES within 6 weeks of starting your training to arrange an initial meeting; this must be documented on your ePortfolio and various electronic agreements signed. You will then meet your ES every six months to complete the necessary six monthly reviews. At the end of your training year the review triggers the ARCP and therefore, it is vital these are completed well and in a timely manner. These meetings are a compulsory part of your training. The necessary evidence required for each review can be found on the website link below:

http://www.rcgp.org.uk/gp-training-and-exams/mrcgp-workplace-based-assessment-wpba.aspx

Throughout the first two years of your training programme you will generally have the same ES who will then become your Clinical Supervisor (CS) whilst you are in a placement at the same practice as the individual.

Whilst you are in hospital posts your CS will be a member of the ward team who has undergone the necessary training to become an approved CS, and it is your responsibility to arrange this. They will not be added to your ePortfolio as any necessary assessments can be completed without a log in from the main ePortfolio page.

In your third year when you change practices your ES will also change to a GP within the same practice as your placement.

Your ES will be a skilled educationalist and experienced GP, who is ideally placed to support you and facilitate your development in the first two years of GP training. The success of the relationship between you and your ES will greatly depend on how well you prepare for your meetings and how effectively you use this relationship to enable your development. We hope that you will find your ES to be a useful resource to help and support you as you progress through your training.

Educational Days

Each of the five centres within the five localities will run the three year training programme for GPSTs. This means a series of day release meetings in ST1 and ST2. In ST3 the meetings are more regular and in the form of half day release. The local Training Programme Directors (TPDs) plan and deliver this programme. It is an opportunity to study areas of the curriculum most appropriate to group learning.

Follow this link for information about the five VTS programmes

Leave Whilst in Training

Study Leave Funding

Please see the HEE SW GP study leave page

Maternity Leave

Full details about maternity leave whilst on the GP programme

You must complete a change of circumstance form and forward to the local Postgraduate administrators (see VTSchemes) and the hospital/practice as soon as possible if you are going on maternity leave and they will be able to give you guidance. Within the school of Primary Care your main point of contact should be Gemma Lush.  You must also confirm your return to work date as soon as this is known, this is due to arranging your posts for when you return. There is no guarantee that you will be able to return to the posts you were previously allocated to.

Sick Leave     

Absence from training - Key Points

Absences from training, other than for study leave or annual leave, may have an impact on a doctor’s ability to demonstrate competence and progression through the curriculum. The General Medical Council has determined therefore that within each 12 month period where a trainee has been absent for a total of 14 days or more (when a trainee would normally be at work), a review of whether the trainee needs to have their CCT date extended will be triggered.

If you have had more than 14 days off in any one year (August to August) due to sickness, maternity/paternity leave, jury service or other unforeseen circumstances, this will affect your training time and any days above this must be added to your completion of training date, thus extending your programme.

If you are absent from training for any reason, you must inform your Lead Employer and the School of Primary Care.

Please email your Lead Employer and Gemma Lush

Prolonged Absence from Training

Supported Return To Training (SuppoRTT)

For trainees who have been absent from training for a prolonged period (usually 3 months or more), a specific range of support measures have been developed. Please see information about this on our website here.

The RCGP have released a number of principles regarding absence from training. The following should be referred to when a trainee has been absent from training due to sickness, jury service, maternity leave or paternity leave.

  • The RCGP will allow time off from the training programme for sickness absence, jury service, maternity leave or paternity leave.
  • Trainees should confirm with the RCGP and their School of Primary Care that their plans to make up lost time will mean that their programme of training conforms, on completion, with regulatory requirements.
  • Trainees who have been on sick leave and have returned to training on reduced hours because of an occupational health recommendation should meet with their TPD to ensure that they will be completing the required three years of training.
  • It is RCGP and GMC guidance that training periods of less than three months in duration will not normally count towards a CCT. However, in cases where a GP in training has to make up time lost through sickness, jury service and/or maternity/paternity leave. The RCGP may be able to request that the GMC accept training periods of less than three months towards CCT as long as a full three year training programme is completed. The final decision regarding this lies with the GMC.

The RCGP have also issued guidance regarding prolonged absence and returning to training. This may now affect when you can CCT if you have had longer than 12 months off and are returning to training with less than three months to CCT.

Please see more detailed information here.

Revalidation

Introduction

Revalidation is the GMC’s new way of regulating licensed doctors. The aim is to support doctors in their professional development, helping to improve quality, patient safety and public confidence in the profession.

Licensed doctors, including, doctors in Foundation Year two and Specialty Training will have to revalidate every five years, they will also be revalidated when they receive their CCT. However, if their training is less than five years as with GP training the first revalidation will be at the point of their CCT.

The employing practice will be asked, every six months, if their trainee/s have been involved in any formal Serious Untoward Incidents (SUIs) or Significant Event Investigations (SEIs) and whether these have been resolved or not. Practices will also be asked whether trainees have been involved in any conduct or capability investigations or complaints.

Enhanced Form R

All trainees will have to annually complete an Enhanced Form R prior to their ARCP. This is a mandatory form that required them to answer questions about whether they have been involved in any complaints or investigated incidents over the last year.

The information provided by the practice and the trainee will be made available to the trainees ARCP panel who will complete a section on the ARCP form as to whether there are any current unresolved causes of concern. In turn these pieces of information will be given to the Revalidation Manager who will be able to advise the Responsible Officer whether this trainee can be recommended for Revalidation to the GMC, or if further investigation needs to take place.

Further Information

If you have any questions regarding Revalidation please email Revalidation.SW@hee.nhs.uk. More information regarding Revalidation can be found on the following websites:

            Revalidation

            http://www.gmc-uk.org/doctors/revalidation.asp

Staff Contact Details

Office Contacts

Health Education England, working across the South West
Peninsula Postgraduate Medical Education
Plumer House
Tailyour Road
Crownhill
Plymouth
PL6 5DH

 

Office hours are 9am to 5pm Monday to Thursday and 9am to 4pm on Fridays.

Please note that the office is closed between Christmas and New Year. Please do not submit anything one week prior to this.

The contact details for the administration staff are as follows:

Senior Education Team

The contact details for the medical workforce within the School of Primary Care are as follows:

Local Education Team

Each area within the Peninsula has a number of GPs (the TPDs) who lead on the training delivery and education, these are as follows


School of Primary Care Team Structure

Other useful information and contacts

The Gold Guide

The Gold Guide is a reference guide for postgraduate specialty training in the UK - read it here

Lead Employer

Details can be found here.

General Medical Council (GMC)

The GMC is the body responsible for postgraduate medical education and training. The website is full of useful information for GPSTs:

Royal College of General Practitioners (RCGP)

The RCGP leads on all aspects of GP training across the UK through providing guidance and running the GP assessments. They can provide information on the assessments a GPST is required to complete during their training and can also help with any problems with the ePortfolio.

The RCGP have also created a package to help trainees through their GP trainee journey.  You can find more information here.

The British Medical Association (BMA)

The BMA can provide guidance on a number of issues regarding trainees, such as contract etc.

  • Main telephone – 020 7387 4499

For BMA members who require new employment advice and information queries, there are a number of other contact details:

MDDUS – Medical Indemnity

MDDUS
Macintosh House
120 Blythswood Street
Glasgow
G2 4EA

Contact Email: gainslie@mddus.com  
Contact number: 0141 2281272

 

Website and Media

The website is full of useful information and links. It is regularly updated so please use it as a first resource if you have any questions. Constructive feedback of the website is welcome, and if you think there is anything which needs to be added please contact Sarah Anderson