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
The Local Education and Training Board for South London [email protected]
The last 3 years
• Liberating the Health service• Foundation for Excellence
Report• Response to Psychiatry Task-
Force• GMC visit to London 2012
The Local Education and Training Board for South London [email protected]
Immediate challenges
• ARCP for Foundation• Revalidation for Foundation
The Local Education and Training Board for South London [email protected]
ACHIEVEMENTS
• Positive GMC Visit• Improvements in Quality
Management Processes• Foundation for Excellence• Team Up• Coaching & Mentoring• Good Practice
The Local Education and Training Board for South London [email protected]
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
The Local Education and Training Board for South London [email protected]
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
The Local Education and Training Board for South London [email protected]
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 Local Education and Training Board for South London [email protected]
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
The Local Education and Training Board for South London [email protected]
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
The Local Education and Training Board for South London [email protected]
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).
The Local Education and Training Board for South London [email protected]
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
The Local Education and Training Board for South London [email protected]
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.
The Local Education and Training Board for South London [email protected]
• 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
The Local Education and Training Board for South London [email protected]
• 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?
The Local Education and Training Board for South London [email protected]
• 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
The Local Education and Training Board for South London [email protected]
• 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
The Local Education and Training Board for South London [email protected]
The Local Education and Training Board for South London [email protected]
• 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]