Postgraduate School of GP School Quality Management Visit to Cornwall Partnership Trust

6th June 2014

 

Postgraduate School undertaking visit: GP

Primary author of report (name and job title): Paul Thomas, Head of School

Local Education Provider visited: Cornwall Partnership Trust (CPT)

Visit team (names and educational job titles)

Chair

Paul Thomas (Head of School)

Panel member 1

Helen Paley (Associate Dean)

Ley representative

Martin Cooke

Programme / Specialty

No. of trainees seen

No. of trainers seen

Psychiatry

2

4

Evidence considered prior to review taking place: Verbal feedback from Cornwall Associate Deans, GMC trainee survey

Date visit report ratified by SWPPME

1st September 2014

Date visit report made available to provider

1st September 2014

Date provider ratifies visit report

22nd September 2014

Circulation of this report: PPME Quality Team, CPT Director of Medical Education, CPT Medical Education Manager

 

Executive Summary

This was an enjoyable visit to an organisation that provides a very high standard of training. Highlights include planned teaching, supervision, teamwork and organization. The main recommendations were around handover and increased familiarity with the curriculum needs of GP trainees.

 

 Paul Thomas

Head of GP School

 

 

 

Key recommendations

Ref

Department / Programme / Specialty

Key recommendation(s)

1

Psychiatry

To ensure all trainees adopt email AND verbal handover if face to face handover is not possible – review 6/12

2

Psychiatry

To encourage trainees in GP to take up community opportunities when workload on the wards allows – review 6/12

3

Psychiatry

To adopt the use of the super condensed GP curriculum – review 6/12

The Super Condensed Curriculum Guides have been designed to be used by both Clinical Supervisor and GP Specialty Trainees in order to support hospital units and their attached Clinical Supervisors deliver an educational experience of the highest quality feasible that is relevant to the GP trainee, thus improving consistency of approach and outcome throughout the Deanery

4

Psychiatry

To review security arrangements to allow ease of access of clinical staff to the wards – review 6/12

 

Areas of good practice

Department / Programme / Specialty

Area(s) of good practice

Psychiatry

System of pairing medical students with ST1 and 2 doctors in a mentoring scheme to enhance the educational experience for both students and trainees

 

Regular relevant weekly teaching with “breakout groups” to orientate teaching toward the needs of GP trainees

 

GP trainees report excellent supervision both clinically and educationally. A weekly hour long slot and ad hoc supervision when needed

 

Monthly meeting with primary care in “hub” meetings to discuss cases, topics and referrals. Trainees are invited to these meetings

 

Trainees value the sense of teamwork in general and are encouraged to develop a partnering relationship with a fellow trainee for the purposes of patient continuity and service

 

A regular monthly meeting of the Junior Doctor Committee with consultant body to discuss work issues

 

Trainees commended the administrative support for the smooth running of rotas, leave and such issues. The visiting team found that the organisation of the day was exemplary

 

 

Summary of the visit

Patient safety inc. handover and induction

Handover was flagged in the trainee survey as a red outlier. The trainers were aware of this and considered that the way the questions are asked in the survey means that this was a national phenomenon. The trust had reviewed handover policy and trainees interviewed reported that handover occurred by email and telephone ( face to face was usually not possible)

Induction was thorough and trainees were satisfied that they were prepared for the working environment

Trainees reported shortage of keys and fobs for access to wards. This was an issue for trainers also.

Department / Programme / Specialty

Area(s) of development

psychiatry

To formalise system for handover to specify BOTH email and verbal handover to ensure that information is both sent and received- review 6/12

To consider reviewing security arrangements to facilitate access of clinical staff to wards- review 6/12

Supervision – clinical and educational (inc. career guidance, feedback)

Excellent clinical and educational supervision. Senior colleagues always available for support. Weekly planned hour long supervision

Department / Programme / Specialty

Area(s) of development

Training environment (inc. access to educational resources

Excellent teamwork and training environment. Good access to IT and induction onto the RIO clinical system

Department / Programme / Specialty

Area(s) of development

Work load

Trainees reported workload would allow for additional opportunities relevant to GP training, in particular community work and opportunities to work with the home treatment team

Department / Programme / Specialty

Area(s) of development

Psychiatry

To actively promote opportunities to work in the community when the workload on the wards allows - review 6/12

Adequate experience / achievement of curriculum competencies

Trainees reported good experience. Teaching is oriented towards GP training. No issues with WPBA. Trainers have a good knowledge of primary care ( two of those interviews had trained in GP)

Discussion around curriculum and adoption of the “super condensed” GP curriculum as a guide

Department / Programme / Specialty

Area(s) of development

Psychiatry

Use of the Super-condensed curriculum as a guide – review 3/12

Teaching – local, regional and study leave

High quality weekly relevant teaching in psychiatry

Release for regional teaching monthly. Trainees again rate regional teaching as relevant and of high quality

Department / Programme / Specialty

Area(s) of development

 

 

Undermining, bullying and harassment

No issues

Department / Programme / Specialty

Area(s) of development

Additional comments / feedback

Trainees report excellent administration to ensure smooth running of meetings, rotas, leave arrangements etc.

The visiting team also found administration and organisation of the day to be excellent

Department / Programme / Specialty

Area(s) of development

 

 

 

Visit Panel Chair Declaration

This completed report is a true and accurate account of the discussion that I participated in or were reported to me from this visit.

The key recommendations have been identified within this report have been identified with good faith.

I can confirm that any areas of significant concern and that have a direct impact upon patient safety has been brought to the attention of the relevant Director of Medical Education (or equivalent), responsible Medical Director and Executive Lead for Quality at Health Education South West Peninsula Postgraduate Medical Education.

Chair name:

Dr Paul Thomas (Health Education South West)

Chair educational role:

 

Head of GP School

Date of signature:

 

 

 

 

 

 

 

 

Health Education South West Peninsula Postgraduate Medical Education Declaration

I as signatory on behalf of Health Education South West, Peninsula Postgraduate Medical Education can confirm that the information and associated recommendations provided via this report has been reviewed and deemed appropriate for the purpose as stated.

That recommendations contained within this report have been documented as part of the quality management processes of Health Education South West Peninsula Postgraduate Medical Education and where appropriate will be reported to the General Medical Council (GMC) as required.

Name:

Dr Martin Davis

HESWPPME educational role:

 

Associate Dean for Quality

Date of signature: