Transcript Modernising Medical Careers

Yorkshire and the Humber Postgraduate
Deanery
School of Public Health Annual
Conference
Times are a-changin
David Wilkinson MD FRCS
Postgraduate Dean
Consultant Vascular Surgeon
Come gather
'round
people
Wherever
you roam
And admit
that the
waters
Around you
have grown
What are we trying to achieve?
• Security of supply
• Right number of right people with right skills at
right time in right place
• Responsive to needs of patients, public
and service
• Excellence in education and training
• Transparency of funding and value for
public money
GMC
• Extensive statutory powers (S34 Medical Act
1983)
• Agree independence of Deans from LETB
• Visiting educational team available
• Plans to approve trainers - consultation
• Change “shape” of training
• Set generic outcomes - consultation
• Clarify CPD
• Employer liaison advisors
• Vital QA oversight of Deanery QM role
HEE
• Accountable to SoS via DH
• Will ensure compliance with education
outcomes framework
– No other country, high level relationships OK but poor
indicators for 2012 / 2013
• Allocation of education and training funding
• NHSCB and PHE input to strategic operating
framework (& social care next year)
• Authorise LETBs and hold them to account
• There will / should be tension between HEE
and GMC
LETB
• What the service will look like,
workforce needs
• Multi professional
• Throw the net wide
– employers, Medical Schools and HEIs,
local authorities, primary care
• QM role??
Yorkshire and the Humber
Local Education and Training
Board
• YHLETB was established as a formal
sub-committee of the NHS North of
England SHA Board at its January 2012
meeting
Provider representatives
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Sir Andrew Cash, Chief Executive, Sheffield Teaching Hospitals NHS
Foundation Trust
Dr Peter Belfield, Medical Director, Leeds Teaching Hospitals NHS Trust
Mr Patrick Crowley, Chief Executive, York Hospitals NHS Foundation trust
Mr Chris Butler, Chief Executive, Leeds and York Partnership NHS Foundation
Trust
Ms Christine Boswell, Chief Executive, Rotherham, Doncaster and South
Humber Mental Health Foundation Trust
Mr Phillip Marshall, Director of HR, Harrogate and District NHS Foundation Trust
Mr Bryan Millar, Chief Executive, Bradford Teaching Hospitals NHS Trust
Mr Phil Morley, Chief Executive, Hull and East Yorkshire Hospitals NHS Trust
Ms Juliet Greenwood, Chief Nurse, The Rotherham NHS Foundation Trust
Dr Steve Ball, GP Representative (South Yorkshire)
Dr David Brown, GP Representative (West Yorkshire)
Dr Mike Holmes, GP Representative (North and East Yorkshire and Northern
Lincolnshire)
HEI representatives
• Professor David Cottrell, Dean of Medicine,
University of Leeds
• Professor Tony Kendrick, Dean, Hull York Medical
School
• Professor Rhiannon Billingsley, Pro Vice Chancellor,
Faculty of Health and Wellbeing, Sheffield Hallam
University
• Ms Shirley Congdon, Pro Vice Chancellor Learning
and Teaching, Dean of School of Health Studies,
University of Bradford
Non executive director representative
• Mrs Kathryn Riddle, Chair, NHS North of
England Cluster SHA
Local government representative
• Mr Steve Walmsley, Deputy Chief Executive,
Local Government Yorkshire and the Humber
SHA Workforce and Education
• Mr Jonathan Brown, Strategic Workforce Planning
Manager
• Mr Mike Curtis, Deputy Director of Finance
• Ms Joanna Valentine, Acting Associate Director
Leadership and Organisational Development
• Mrs Sharon Oliver, Associate Director, Education
Commissioning & Workforce Development
• Dr Mark Purvis, Director of Postgraduate General
Practice Medical Education
• Mr Adam Wardle, Workforce Programme Director
• Mr David Wilkinson, Postgraduate Dean
Deanery
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Have to move posts
Respond directly to regulator
Protect the money
PGD is at core of LETB
Multi professional Deanery
Apart from
LETB
• Not difficult, mindset, skilled set of staff, commissioning,
workforce planning and development
• Multi professional Schools
• ▼back office, simulation, innovation, learn from and
about each other
Deanery Functions
• The Postgraduate Dean’s office
• Education provision
• Programme management
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Recruitment
Revalidation and doctors in difficulty
Academic Training
Less than full time training
Inter Deanery transfers
Programme Support
• Quality management, data and workforce
• Finance
Reorganisation
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Speak to staff
Principles
Formal consultation
Proposal
Faculty and Staff meeting
Senior team
Team meetings
Go live!
Themes
• Quality management
• Patient safety; Serious Incidents,
revalidation
• Clinical Skills investment and strategy
• Workforce planning
Revalidation
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RO role
Pilot - Assessment Paperwork
Serious Untoward Incidents
Conduct / Probity
Absence – central reporting
mechanism
Serious Incident reports Sept 2010 – Feb 2012
LARGE
MEDIUM
SMALL
PSYCH
Main events
• Obstetric
• Drug errors
• Delayed diagnosis
• Deteriorating patient
• Wrong site surgery
Importance for trainee ?
Personal reaction
• Learning - all
• Remediation – some
• External referral - few
Main locations
• General wards
• Labour ward
• Emergency Department
• Theatres
Simulation and Clinical Skills
• Large investment across a
number of specialties
• Practice on simulator first
• Curriculum development?
• Local delivery to reduce costs
• Quality training
• Patient safety
Simulation – next steps
• Postgraduate
School strategies
• Commissioning
model development
• Faculty training
• Faculty time
Workforce Planning - Drivers
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DH / JWG
Workforce predictions - CfWI
Colleges
Local workforce data
Employers
Planning
Workforce planning
How many trainees do we need ?
• Lack of data on proportion of service vs training
• ‘Bulge’ of CCT production; will outputs exceed opportunities ?
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promote GP capacity
promote GP choice
assist less popular
encourage alt workforce
review distribution
Impact
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Service
Training quality
Cost
Patient safety
Reduction / Expansion
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ST1/CT1 level
GP
Core Surgery
Foundation
Anaesthetics / ICM
Medical and surgical specialties
Leadership & management
Clinical Leadership
Opportunities
• Piloted in 2010/11
• Developed in 2011/12
• National drive to improve clinical
leadership
• 12 month out of programme experience
• Match-funding
• Plan to continue
Thank you
Questions?