Introduction to the RCGP e-Portfolio & Assessments

Peninsula School of Primary Care

Introduction of the new programme of WPBA

All trainees need to be on the new WPBA programme within two years of 05.08.2020.
Trainees will move onto the 'new’ programme when they change training years ie when moving from ST1 to ST2, ST2 to ST3 etc. This is irrespective of whether the trainee is full-time or on a less than full time rotation.
In any training year if the trainee has passed the mid-point of that training year it is recommended they stay on the ‘old’ programme. (The training year will be more than a calendar year if the trainee is less than full time.)
In any training year, if the trainee has not passed the mid point of that training year, it is recommended they move to the new programme. For any trainee on an extension they should stay on the old programme.

Annual Review of Competence Progression (ARCP)

Peninsula Postgraduate Medical Education follow two guidelines when arranging Annual Review of Competence Progression (ARCP) dates for all GP trainees.

All trainees regardless of whether they are working full time or less-than-full-time must have an Annual Review of Competence Progression (ARCP) on an annual basis (every 12 months in training)
All trainees must have a final ARCP within two months of their CCT date.

For trainees who are working full time and have not experienced any breaks in their training (long term sick leave, parental leave, etc), their annual and final ARCP dates will fall in sync with the end of their training year.

For trainees who are working LTFT or who are out-of-sync with their colleagues due to breaks in their training, their annual ARCP date may no longer fall in sync with the gateway between training years. ARCP panels are run every month and progress can be assessed at any point in the training year.

Trainees who are working LTFT or who are out-of-sync must submit their evidence on a pro-rata basis for their annual ARCPs. For example, an ST1 trainee working 60% LTFT must submit 60% of the total evidence required for his/her ST1 training year ahead of their annual ARCP. For a final ARCP, all evidence must be supplied regardless of whether working part time or full time.

When a trainee is out of sync in ST3, there is sometimes a shorter gap between their annual ARCP and their Final ARCP.

For more details please visit the LTFT webpage.

For any ARCP related queries, please contact the Helpdesk.

Mandatory ARCP Evidence

An ARCP cannot take place without the following on ePortfolio:

A full Educational Supervisors Review (ESR). Completed no earlier than 60 days before the ARCP date and no later than the evidence deadline.
Form R Part A & Part B uploaded to the Compliance Passport on ePortfolio. Please complete and upload it no earlier than 30 days before the ARCP date and no later than the evidence deadline.

GPST Checklist before each Educational Supervisors Review (ESR)

ALL trainees require an ESR every 6 months, whether working full time or LTFT.
Agree a date for face-to-face review with your Educational Supervisor (ES) – you should get in touch with them
Complete the self-rating for the review your ES will set up on the e-Po (do it in good time, so your ES has time to look at it before your review)
Make sure all your evidence is in place.

The Interim ESR

The Interim ESR is now available but should only be used:

If you do not have an ARCP in the next 8 weeks
If you are making satisfactory progress in all capability areas

It should not be used if:

If there are newly identified or previously declared Significant Events (GMC threshold of potential or actual serious harm to patients, not Learning Event Analysis), Complaints or Other Investigations which have not been resolved since their last ARCP i.e. any declaration made on the last Form R which is outstanding.
If an ARCP panel have asked for a full ESR to be completed.
If a Developmental Outcome (2, 3, 10.1 or 10.2) was received at the last ARCP.

General Points for Learning Logs

Old WPBA - Aim for a minimum 1-2 meaningful, reflective Learning Log entries per week
New WPBA – Aim for a minimum of 3 case reviews per month.
Try to log a minimum of 1 Learning Event Analysis(LEA) per year (events where, on reflection, things could have been done differently to bring about an improved outcome, and which have been discussed and reflected on with colleagues an have lead to a change in practice), best practice would be 1 per placement.
Make sure there is a good balance of clinical encounters as well as other types of log entries (see guidance on writing learning log entries)

WPBA SUMMARY

SPECIFIC REQUIREMENTS FOR ST1s

Old WPBA - You need to complete two cycles of MSF in ST1, each with a minimum of 5 replies from clinicians plus 5 non-clinicians if in primary care.
New WPBA - One MSF is required with 10 responses (5 clinicians and 5 non-clinicians).

REQUIREMENTS FOR HOSPITAL POSTS IN ST1/2

For each 6 months you spend in hospital posts you need to log:

Minimum 3 CBDs on the old WPBA, on the new WPBA 2 CBDs
Minimum 3 Mini-CEXs on the old WPBA, on the new WPBA 2 Mini-CEXs
And for each post (3, 4 or 6mo), you will need a CSR

(your Clinical Supervisor cannot be added to your ePortfolio; you need to request the assessment from ePortfolio which emails them a link to complete the assessment)

SPECIFIC REQUIREMENTS FOR GP PLACEMENT IN ST1/2

PSQ (minimum 40 responses) on the old WPBA, on the new WPBA PSQ is not required until ST3, but completing one in your ST1/2 GP placement would be useful learning and best practice.
Minimum 3 CbDs on the old WPBA, on the new WPBA 2 CBDs
Minimum 3 COTs on the old WPBA, on the new WPBA 2 COTs
CEPs - A range of additional Clinical Examination and Procedural Skills relevant to General Practice. The following 5 mandatory examinations must be completed by the end of ST3:

breast examination,
rectal examination,
prostate examination,
male genital examination,
female genital examination (which includes a speculum and bimanual pelvic examination).

Quality improvement activity (for more info see HERE and the RCGP guidance can be found HERE)
ESR and on the new WPBA a CSR as well.
Urgent & Unscheduled Care (including Out of Hours) should be added to the appropriate template, don’t forget to upload the completed OOH record form to the log entry once it’s been signed by your supervisor.

	ST1		ST2
	Old	New	Old	New
Mini-CEX/COT Any setting (face-to- face, telephone, or video)	6	4	6	4
	6	4	6	4
CBD / CAT	6	4 Cbd	6	4 Cbd
MSF	2	1 (with 10 responses)	0	1 (with 10 responses)
CSR	1 per post	1 per post*	1 per post	1 per post
PSQ	1 (in GP)	0	0	0
CEPS	Ongoing	Ongoing	Ongoing	Ongoing
Learning Logs	Many	36 Case Reviews	Many	36 Case Reviews
Placement Planning Meeting	Suggested	1 per post	Suggested	1 per post
QIP & QIA All trainees must demonstrate involvement in Quality Improvement at least once a year	0	1 (in GP)	0	1 (in GP) –if not done in ST1
Significant Event	-	Only completed if reaches GMC threshold of potential or actual serious harm to patients	-	Only completed if reaches GMC threshold of potential or actual serious harm to patients
Learning Event Analysis (LEA)	Several - previously called SEA	1	Several - previously called SEA	1
Prescribing Review	0	0	0	0
Urgent & Unscheduled Care (includes OOH)	2 in GP placement in ST1/2	2 in GP placement in ST1/2	2 in GP placement in ST1/2	2 in GP placement in ST1/2
L3 Child & Adult Safeguarding	Changes to Child & Adult Safeguarding Requirements	Changes to Child & Adult Safeguarding Requirements	Changes to Child & Adult Safeguarding Requirements	Changes to Child & Adult Safeguarding Requirements
CPR & AED Certification	Recommended	Recommended	Recommended	Recommended

SPECIFIC REQUIREMENTS FOR ST3

Minimum 3 CbDs on the old WPBA, on the new WPBA 5 CATs
Minimum 12 COTs including at least 1 audioCOT on the old WPBA, on the new WPBA 7 COTs
Level 3 certification in Child Safeguarding and Adult Safeguarding along with a reflective learning log entry demonstrating your competency and experience in safeguarding
6 reflective log entries on each of the OOH capabilities and a final, summarising piece reflecting on your overall OOH experience
1 cycle of MSF on the old WPBA, on the new WPBA 2, 1 MSF & 1 Leadership MSF is required.
Quality Improvement Project - uploaded to your ePortfolio learning log and reflected upon on the on the old WPBA, on the new WPBA the Quality Improvement Project could be part of your required Leadership Activity
PSQ (minimum 40 responses)
Valid CPR & AED certification
CEPs - A range of additional Clinical Examination and Procedural Skills relevant to General Practice along with the following 5 mandatory examinations must be completed by the end of ST3:

breast examination,
rectal examination,
prostate examination,
male genital examination,
female genital examination (which includes a speculum and bimanual pelvic examination).

Prescribing Assessment - This assessment involves a trainee reviewing their retrospective 60 prescriptions and mapping them against potential prescribing errors. Once all steps of the assessment are complete, evidence should be uploaded to the ePortfolio. Completion of the Prescribing Assessment is in lieu of 2 CBDs in ST3.

	ST3
	Old	New
Mini-CEX/COT Any setting (face-to- face, telephone, or video)	12	7
	12	7
CBD / CAT	12	5 CAT
MSF	2	2 (1 MSF, 1 Leadership MSF)
CSR	0	1 per post*
PSQ	1	1
CEPS	Across 3 years 5 Intimate plus a range of others	Across 3 years 5 Intimate plus a range of others
Learning Logs	Many	36 Case Reviews
Placement Planning Meeting	Suggested	1 per post
QIP All trainees must demonstrate involvement in Quality Improvement at least once a year	0	Can be part of Leadership Activity
Significant Event	-	Only completed if reaches GMC threshold of potential or actual serious harm to patients
Learning Event Analysis (LEA)	Several - previously called SEA	1
Prescribing Review	0	1
Urgent & Unscheduled Care (including OOH)	6	6
L3 Child & Adult Safeguarding	Changes to Child & Adult Safeguarding Requirements	Changes to Child & Adult Safeguarding Requirements
CPR & AED Certification	Submit by final ARCP evidence deadline	Submit by final ARCP evidence deadline
	eLearning is accepted for Safeguarding & BLS for the length of the pandemic

This page was last updated September 24th 2021 (2 days ago)

Peninsula School of Primary Care