The Local Education and Training Board for South London [email protected]@nhs.net London Foundation Training 2013 and beyond Dr Andrew Frankel.

The Local Education and Training Board for South London [email protected]

London Foundation Training 2013 and beyond

Dr Andrew Frankel

Postgraduate Dean HE South London

Lead Dean for Foundation

mailto:[email protected]


The last 3 years

• Liberating the Health service• Foundation for Excellence

Report• Response to Psychiatry Task-

Force• GMC visit to London 2012



Immediate challenges

• ARCP for Foundation• Revalidation for Foundation



ACHIEVEMENTS

• Positive GMC Visit• Improvements in Quality

Management Processes• Foundation for Excellence• Team Up• Coaching & Mentoring• Good Practice



The next 3 years

• GMC approval of trainers• Introduction of Tariff for

Training• Trust Reconfigurations• Modernisation of the

Foundation Posts• Meaningful reconfiguration of

service and training – Population Health

• Implementation of BT BC• Multi-professional training



Commissioning Shared Services*

NCE

L LE

TB

Medical Royal Colleges

GM

CHEE

HEE DEQ

Heads of Schools

Medical Schools

Local Education Providers

Foundation Schools

Provider Shared

Services*

Lead Providers (Incl. Interim Lead

Providers

PG Dean

DEQ

HEE Medical Director

* commissioning and provider Shared Services illustrated will run as one shared service owned jointly by the LETBs from 1 April 2013

London now has three LETBs which have overall responsibility for medical and dental education in London on behalf of HEE

• Health Education England

• London’s three LETBs

• Directors of Education & Quality

• Postgraduate Deans

• Heads of Schools

• Lead Providers

• Foundation Schools

• Medical Schools

• Local Education Providers

• LETB Shared Service*

• GMC

• Royal Colleges

SO

UTH

LET

B

PG Dean

DEQ

NW

L LE

TB

PG Dean

DEQ



London’s three LETBs

• The DEQ has overall responsibility for driving improvements in the quality of health professional education and training, education capacity and infrastructure to meet the requirements of the whole workforce within the LETB area and where appropriate, across London;

• Each LETB has a Postgraduate Dean employed by HEE who will ensure the delivery of safe, high quality postgraduate training programmes for doctors and dentists within the LETB area;

• The Heads of Speciality have a key role in advising the DEQs about standards for the quality of training, specialty workforce planning and linking across London for their specialties;

• The Postgraduate Dean and the DEQs will be supported by Shared Service quality management team aligned to LETB areas;

• LETBs Quality Manage the Lead education Providers (LPs) in their role as LP;

• Local Education Providers (LEPs) are Quality Managed by the LPs within their LETB area and the postgraduate dean has responsibility for overseeing this accountable to the DEQ.

3* Commissioning and Provider Shared Services will run as one organisation from 1 April 2013

Commissioning Shared Services*

NCE

L LE

TB

Medical Royal Colleges

GM

C

HEE

HEE DEQ

Heads of Schools

Medical Schools

Local Education Providers

Foundation Schools

Provider Shared Services*

Lead Providers (Incl. Interim Lead Providers

PG Dean

DEQ

HEE Medical Director

SO

UTH

LET

B

PG Dean

DEQ

NW

L LE

TB

PG Dean

DEQ



The role of the postgraduate dean

2

• Each LETB has a Postgraduate Dean that is accountable to that LETB’s Director of Education and Quality and to the Medical Director of Healthcare Education England.

• The Postgraduate Dean and the DEQ roles will be separate to ensure both the necessary focus on Postgraduate Medical and Dental Training and to permit the DEQ to develop the multiprofessional agenda within the LETB.

• On behalf of the DEQs, the Postgraduate Deans:

• will ensure the delivery of safe, high quality postgraduate training programmes for doctors and dentists within the LETB area with shared responsibility for continuing professional development

• is responsible for ensuring, through the LP contracts, that training programmes meet LETB commissioning requirements, the regulatory standards of the GMC and GDC and are compliant with curricula, the ‘Gold Guide’ etc.

• will be Responsible Officer for doctors in postgraduate training, reporting to the HEE Medical Director and will be the main point of contact for the GMC

• Will work in partnership to provide clinical leadership for the provider shared service



What do we mean when we talk about the Shared Service?

*Indicates where LETB Shared Service will need to link with HEE Shared Service

**

LETB Shared Service

Planning & Commissioning

Support

(Medical and Non-Medical Planning

and Commissioning)

Provider Support

(PSSO: Operations and Professional

Development)

Shared Finance Support*

Shared Information

Service

(BI, Information Systems)

Corporate Services

(HR*, facilities, Communications, Governance)

Inte

rim L

ead

Prov

ider

s

(Den

tal,

GP,

Fou

ndati

on

NCEL LETB SOUTH LETB NWL LETB



London’s Shared Service - Professional Support and Development functions

5

• Lead Providers and Local Education Providers will be supported by the Shared Service which includes, amongst others, the following key functions:

Operations Provides administrative functions associated with the following on behalf of Lead and Local Education Providers and other stakeholders • Recruitment of postgraduate doctors, dentists in London and some nationally

recruited specialties with recently expanded remit to include Specialist Community Public Health Nurses;

• Annual reviews;• Trainees in difficulty;• Specialty trainee rotations;

Professional Development

Integrated function supporting both doctors and dentists in meeting professional development objectives and supporting providers in managing their education and workforce challenges. Service lines include:• Professional Support Unit (including MedNet);• Medical Workforce Development;• Faculty Development (including managing trainees in difficulty).



LETBLETB LETB

At 1 April 2013, London’s Shared Service will incorporate a shared quality team with locally oriented team members

4

• Postgraduate Deans and DEQs will be supported in managing and driving up the quality of medical education by a shared inter-disciplinary quality team

• The Head of Quality will continue to be the day to day contact for the GMC with regard to quality matters across London. The Head of Quality will work with the Postgraduate Deans and locally oriented quality managers to ensure a local focus.

DEQ

PG Dean

DEQ

PG Dean

DEQ

PG Dean

Shared Service

The Shared Service quality management team fulfil crucial statutory quality management functions for the GMC and the GDC. Including:

• Quality monitoring• Visits co-ordination• Quality report development

Head of Quality

LETB Quality

Manager

GM

C

LETB Quality

Manager

LETB Quality

Manager

Day to day quality dialogue

Senior level dialogue and issue escalation route



Head of Speciality

2

• The Heads of Speciality have a key role in advising the LETBs on standards for the quality of training, specialty workforce planning and working across London for their specialties. Each Head of School will work with all three Postgraduate Deans in this role.

• Their pan-London role will help to bring consistency in the way that quality issues are handled within trusts.

• The Heads of Speciality remain professionally accountable to their respective Royal Colleges providing an important link between the Postgraduate Deans (and therefore the LETBs) and the Royal Colleges.



• Tranche 1 and 2 Expressions of Interest completed by LPs

• Tranche 1 Response Templates issued to LPs

• It is aimed to complete the process by Autumn 2013

The MDECS 3 process is underway



• Foundation Faculty Groups• Responsible to DME• Managed by FTPDs, MEMs• Accountable to FSD

• Foundation Schools• Led by FSDs and FSM

• Foundation School Management Committees• Amalgamate board and operational functions• Responsible to PGD

HOW WILL THIS LOOK FOR FOUNDATION?



• London Wide Governance• Lead Dean• Foundation Training Forum • London Foundation Training Operational Group• FP Progression Review Group• FP Quality Management Operational Group

• Quality Management visits

• Partner Deanery Arrangements

• East of England Liaison Group• South London Liaison Group



• F1 Abroad• Annual report to GMC• Information flows• Quality Shared Service

• Coordination of visits• Coordination of Action plans

• London wide projects• Excellence in leadership• Team up• Coaching and mentoring

• Central finance • Medical school• GP• Partner LETBs

• E-Portfolio Contract• High risk Trainee in Difficulty management• Survey support

• GMC Survey response• Annual questionnaire• Curriculum mapping

• Good practice dissemination• Synapse• Annual conference

Central Foundation Team





• More general speciality care• Multi disciplinary team delivery• Empowering patients to make decisions about their care• Lifelong Learning and Development • More time for doctors to decide their speciality• More flexibility to move between speciialities• Transferable competencies• Training environments must have capacity• Doctors need time to train• Implementation of change should cause least disruption

SHAPE OF TRAINING - PRINCIPLES




The Local Education and Training Board for South London [email protected]@nhs.net London Foundation Training 2013 and beyond Dr Andrew Frankel.

Documents

london foundation training

quality of training

training board

hee shared service

dental education

education capacity

dental training

south london lead dean