School of General Practice

School of General Practice

Professor John C Howard, Head of School of GP & Dean

of Postgraduate GP Education

Application and Assessment for Approval/Re-approval for GP Training

For Practices, Trainers and Associate Trainers

This form should be completed on-line as a word document and returned by email.

We cannot accept this form in any other format

Guidance

This form is based on the standards in the GMC’s “The Trainee Doctor” for specialty and GP training and allows Practices, Trainers and Associate Trainers to apply for approval or re-approval through a self-assessment process against the Health Education East of England criteria. Questions are linked to relevant GMC Standards; the applicant should reflect on how they meet the standards. Deanery assessors will provide feedback on the evidence provided by the applicant. The form is only to be completed by all parties electronically. This means that when re-applying, personal and organisational data can be returned to the applicant and only corrections will need to be entered. Paper based supporting evidence should be maintained which should be available if a visit is required. HEEoE will consider supporting evidence from the Trainer but will also place weight on BOS reports from trainees received in between Trainer assessments. These may be available to Trainers and their practices via their Training Programme Director.

The applicant’s self assessment is based on the practice’s available evidence which should be listed for all statements. The intention is that reflecting on the Practice’s and or Trainer’s performance will help to identify development needs. Although the standard for appointment and re-appointment is satisfactory in all areas examined, recognition of excellence should be recorded where appropriate. The standards will be kept up to date as GMC and HEEoE guidance changes. Applicants should refer to the General Practice :: Gaining Approval for Training :: East of England Deaneryand other supporting documents on the website for more information about evidence requirements.

Initial applicationscombine a self assessment and a HEEoE assessment including a visit to the practice to assess the learning environment; approval is for 2 years. Where there has been no change to the practice circumstances and trainee reports are uniformly good, the first re-application at 1 year after approval will constitute a self-assessment by the Trainer, a review of a video of the candidate teaching and an interview by the local TPD/AD. If successful the practice will be approved for a further 3 years at which time a full self-assessment will occur. After this the Trainer will be expected to submit a self assessment every 3 years. Providing the self assessments and trainee reports are consistently satisfactory or higher, a formal practice visit will only be required every 6 years.

Any self assessment which generates a cause for concern or unsatisfactory reports from trainees or others will automatically trigger full HEEoE visits. Some self assessments will receive a full HEEoE visit to quality assure the system. Trainers will be informed on submission of their self assessment if they are to receive a quality monitoring visit and will have not less than 4 weeks notification before such visits. Other information in addition to that contained in this form may be requested. Applicants will see any visitor’s report before a final determination of the outcome of the application is made. Appeals may be made to the Postgraduate GP Dean and will initially be heard by a panel drawn from the GP School Board under the chairmanship of the Deputy GP Dean.

The GMC standards can be found at Trainee_Doctor.pdf_39274940.pdf

Professor John C Howard

Postgraduate GP Dean

Section 1 - General Information – Trainer/Associate Trainer

Information / Applicant’s details / GMC
Specialty training domain
Name / -
Date of Birth / -
Date of Application / -
Type of Application / (delete as appropriate) Trainer/Associate Trainer/Retainer Supervisor/Learning environment
Date of last Trainer approval (if applicable) / -
GMC Number
Please give your next re-licensing date / -
Home Address and phone number / -
Email / -
Mobile Number / -
Number of clinical sessions a week / 1.3
Completion of GP training (year – JCPTGP cert or CCT)
Do you have any other roles outside the practice/ OOH service?
If so, state number of sessions and clarify the role. / 1.3, 8.4
Please record your GP employment history / 1.2
Information / Applicant’s evidence and reflections / GMC / Deanery comments
Qualifications
Please give dates and awarding institutions as appropriate. (MRCGP or FRCGP essential for trainers, desirable for associate trainers) / 1.3
Date of most recent Equality and Diversity training please send a copy / 3.1
Date of last appraisal/revalidation / 1.3
Please declare any health issues that affect your role / 1.3
Please declare any, convictions, cautions or GMC investigations that may affect your role / 1.3

Section 2 - General Information- Practice

PLEASE ENCLOSE YOUR ORGANISATION’S LATEST LEAFLET OR WEBSITE LINK

Practice/organisation Name
Practice/organisation Address
Telephone Number 1
Telephone Number 2
Branch Surgery address if applicable
Fax Number
Practice/organisation Website
Responsible PCT
Please describe the services your organisation currently provides including arrangements for Out of Hours care
Practice Manager Direct Dial
Practice Manager Email
List practice/organisation policies that protect patient safety including educational and audit activities
Trainer Group
Practice Type: Urban/rural/mixed
Practice Status: GMS/PMS/other
Number of Patients
Please provide your last QOF score (and comment if you wish)
Describe any limits on your provision for special needs trainees
Record any special characteristics of your practice or organisation
Other GPs in Practice
Please list all names / Please confirm role within practice (Principal, Retained GP, Regular Locum, Salaried Assistant, Other)
Name / Role / For number of years / Number of Sessions / Involvement in teaching? If yes, please describe details
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
If more than 10, please list here
Do any of the GPs have roles outside the practice? If so please describe
Administrative Team – Please confirm role (management, special area of responsibility, general admin, secretarial, receptionist, other)
Number of staff / Role / Sessions / Involvement in teaching? If yes, please describe details
Practice Professional Staff – Practice Nurse, Nurse Practitioner, Healthcare Assistant, Phlebotomist, Counsellor, Other (please describe)
Attached Professional Staff – District Nurse, Midwife, Health Visitor, CPN, Social Worker, Other (please describe)
Describe any other teaching activities undertaken in your organisation

Section 3 - Trainer CPD/Educational Development (please attach your Appraisal Form 4 or equivalent)

Information / Applicant’s evidence and reflections / GMC / Deanery Comment
Summary of CPD courses (clinical and educational) attended in the last three years / 1.3
Outline your learning plan with regards to your educational development (qualifies where applicable for CPD payment) / 1.3
How has your clinical CPD/development affected your role as an educator? / 6.32
Describe how you keep up to date with Deanery and RCGP policies / 6.34
Describe your personal involvement in audit and significant events review in the last year / 1.3,
6.14
Describe how you assure the quality of your teaching / 2.2
Please confirm that you have received peer feedback on an episode of teaching within the last three years. (e.g. video review of a teaching episode).Please forward the feedback & your reflection on it with this application.
(Suggested evidence = EoE DeaneryPeer Review form
Describe how you receive feedback from trainees and colleagues about training in you practice / 6.7
TPD Feedback / To be completed by Deanery / 6.7 / (TPD Proforma to be provided as supporting evidence)
Trainee Feedback x 3 years / To be completed by Deanery / 6.7 / (BOS survey resultswhere permitted by trainee)
How has feedback on previous applications/visits informed your personal development? / 6.33
What changes have you made to the practice as a result of previous visits? / 6.33
Describe the practice’s ambitions as a provider of education, including challenges and opportunities you foresee. / 6.29,6.32
Please give an overview of any research/educational innovation you have been involved in over the last 3 years
Please record the results of MRCGP outcomes from your trainees over the last 3 years including number of attempts at CSA/AKT / 9.1
Which Trainer Group do you attend; please list the dates of your last 5 attendances / 6.34
What were your learning points?

Section 4 – Educational Processes and your Trainee

Information / Applicant’s evidence and reflections / GMC / Deanery comments
Please attach a copy of your standard trainee contract (default - BMA model contract) and state when this is given to the trainee / 2.1
How do you ensure each trainee has a current educational contract? / 6.4
Does the trainee’s placement comply with the EWTR? / 6.10, 2.1
Does your practice comply with the Data Protection Act and the Freedom of Information Act? / 2.1
Do you ensure your trainee is registered with a GP and is aware of health and safety and occupational health policies relevant to their working environment? / 6.1
Please attach a typical induction timetable / 6.1
Please attach your teaching timetable for a standard week / 6.10
Please attach a typical trainee timetable for a standard week / 6.10
How do you assess your trainee’s initial needs/competence? / 6.2
What are the arrangements for appropriate trainee supervision within the practice; what are the arrangements for clinical and educational supervision in the event of the Trainer’s absence? / 6.29,
6.12
How do you ensure a broad mix of cases for your trainee? / 5.1
Please outline your practices/organisations usual educational activities / 6.17
How do you ensure that your trainee utilises all members of the team both individually and collectively for educational purposes? / 6.17
Please describe how you liaise with the trainee’s other clinical or educational supervisors and how this information is shared with or checked with the trainee / 1.9, 6.33
How do you ensure adequate supervision and follow up of learning about Out of Hours services? / 6.29, 6.33
What methods do you use for formative assessment and setting learning objectives / 6.2, 6.6
How do your monitor your trainee’s progress in reaching their learning objectives? / 6.31
How do you identify, support and manage trainees whose conduct, health or performance give rise to concern? / 1.8
Please confirm your trainee has not been undermined or undermined others / 6.18
What is your routine involvement with your trainee’s eportfolio? / 6.31
What safeguards do you have to ensure appropriate consent is obtained for minor surgery or other procedures? / 1.4
Please outline recent significant changes which may affect training; do you or your organisation plan any such changes in the future to your premises or your team? / 8.1
Does your trainee have their own dedicated consulting room? If no please explain your arrangements, including the provision of available lockable storage space for the trainee / 8.6
What teaching/training equipment does your organisation possess? / 8.2
What electronic and physical resources does your organisation have to support training? / 8.2, 8.5, 8.6
What drugs/ equipment do you provide for your trainee’s clinical practice? / 8.1
How do you ensure trainees are competent in minor surgery, child health surveillance, child protection, audit and significant event audit / 5.1
How do you ensure the trainee receives current career advice including information about academic opportunities? / 6.26, 6.9
What arrangements do you have to allow the trainee to feedback any concerns? / 6.7
How do you facilitate a trainee working flexibly or less than full time? / 3.3

Section 5 – Summary and Determination

This section brings together the assessments done in the foregoing pages to produce an overall recommendation. Please enter a summary assessment from all the entries in each of the Sections 1-4 – either Cause for Concern or Satisfactory.

Section / Self assessment / Deanery assessment / Visitors Comments/evidence seen / Agreed overall assessment
1 – The Trainer
2 – The Organisation
3 – The Trainer’s CPD
4 - Processes
OVERALL

HEEoE Assessor and /or Visitor’s final comments:

Practice Visit Report:-

Highlights
Areas for Development
Recommendations
Trainer:
Practice:

HEEoE Assessor’s name:…………………..and electronic signature or please tick this box to confirm the recommendation

Visitor’s names and electronic signatures or please tick the box to confirm your recommendation:1……………………………………………..

2……………………………………………..

3……………………………………………..Date of assessment:…………..

4……………………………………………..

Trainer’s name…………………….. and confirmation to accept the assessment/recommendation

(please tick box to accept the assessment, or if possible sign electronically)

Version 9

April 2014