recognition for trainers in job plans rick turnock head of the mersey deanery school of surgery...

Recognition for Recognition for Trainers in Job PlansTrainers in Job Plans

Rick TurnockHead of the Mersey Deanery School

of Surgery

Regional Representatives’ Meeting RCS 5th November 2009

STRAW POLL!STRAW POLL!

National Audit Office Survey May 2006 National Audit Office Survey May 2006 of NHS Consultantsof NHS Consultants

In answer to the question….

““Does your job plan adequately compensate Does your job plan adequately compensate for the time needed to undertake the for the time needed to undertake the activities of training and formal teaching”activities of training and formal teaching”

Recognition for Trainers in Job Recognition for Trainers in Job PlansPlans

National Audit Office Survey May 2006 of National Audit Office Survey May 2006 of NHS ConsultantsNHS Consultants

In answer to the question….

““Does your job plan adequately compensate Does your job plan adequately compensate for the time needed to undertake the for the time needed to undertake the activities of training and formal teaching”activities of training and formal teaching”

62% of consultants answered “no”



South Trent Proposal 2007

• AES 0.5 pa (4-6)• TPD 0.75 – 2 pas

Present situation• AES no payment• TPD achieved


Northern• AES no payment• TPD 0.5 – 1 pa

Mersey• AES no payment • CST PD 1.0 pa

PMETB Generic Standards for TrainingPMETB Generic Standards for TrainingDomain 1 – Patient Safety

1.3 Those supervising clinical care provided by trainees must be clearly identified,…

……with time for these responsibilities with time for these responsibilities clearly identified within their job plan.clearly identified within their job plan.


PMETB Generic Standards for TrainingPMETB Generic Standards for TrainingDomain 6 – Support and development of trainees, trainers & local faculty

6.29 Trainers must be supported in their role…

…….and have a suitable job plan with an .and have a suitable job plan with an appropriate workload and time to develop appropriate workload and time to develop traineestrainees


PMETB Generic Standards for TrainingPMETB Generic Standards for TrainingDomain 8 – Educational resources and capacity

8.3 In regard to trainers, including clinical supervisors, …

……adequate time for training must be adequate time for training must be identified in their job plans.identified in their job plans.


Gold GuideGold GuidePara 4.20:Para 4.20:

““In line with PMETB’s developing standards, In line with PMETB’s developing standards, educational supervisors should be educational supervisors should be specifically trained for their role. There specifically trained for their role. There should be explicit and sufficient time in job should be explicit and sufficient time in job plans for both clinical and educational plans for both clinical and educational supervision of trainees.”supervision of trainees.”

Recognition for Trainers in Recognition for Trainers in Job PlansJob Plans

“… “… timetime for these responsibilities clearly for these responsibilities clearly identified within their job plan.”identified within their job plan.”

“… “… appropriate workload and appropriate workload and timetime to to develop…”develop…”

“… “… adequate adequate timetime for training must be for training must be identified in their job plans.”identified in their job plans.”

“… “… sufficient sufficient timetime in job plans” in job plans”

So what is appropriate time?So what is appropriate time?


ISCP recommends….ISCP recommends….

• AESAES:: 0.25 pa per trainee to a maximum of 4 trainees

• CST TPDCST TPD:: 2 pas (or 1 if deputy etc.)

• TPDTPD:: 1 pa for 30 -40 trainees & pro rata


In summary:In summary:

1. Regulatory & Advisory bodies have published recommendations

2. Evidence clear that implementation is patchy at best

3. Further recent endorsement in “Future Doctors” PMETB October 2009


So how do we make So how do we make it happen? !!it happen? !!


PMETB Generic Standards for TrainingPMETB Generic Standards for TrainingDomain 7 – Management of education and training

It is highly desirable that all employing It is highly desirable that all employing organisations, as Local Education Providers organisations, as Local Education Providers of postgraduate medical education and of postgraduate medical education and training, have an executive or non-executive training, have an executive or non-executive director at Board level with responsibility….director at Board level with responsibility….


How to make it happen??!!How to make it happen??!!

1. Heads of School to lobby PGDs – put pressure on SHA / Medical Directors

2. Individuals put case to CD / MD citing PMETB / ISCP published guidelines with explicit support from Head of School

3. Lobby to ensure that there is a Board level champion, and use them!


KSS issued guidance to all TrustsKSS issued guidance to all Trusts

AES 0.25 / traineeTPD 1 pa / 20 trainees

1.5 pa / 20 -40 trainees2 pa / >40 trainees

Clinical Supervisors 0.25 paRecruitment 0.25 – 0.5 pa or,

1 - 6 days professional leave


Job Planning for consultant trainersJob Planning for consultant trainersBlack D, Br J Hosp Med70:5:294-5. 2009

recognition for trainers in job plans rick turnock head of the mersey deanery school of surgery...

Documents