1. WSOA Quality Reports GMC Trainee Survey 2013 & EPEFs D Maloney

2. GMC Trainee report http://www.gmc- uk.org/education/national_summary_reports.asphttp://www.gmc- uk.org/education/national_summary_reports.asp Outlier reports Vs Indicator reports Vs ARCP/ RITA outcome

3. Doctors in training overall satisfaction in different post specialty – Wales Number 2013 Average 2013 Number 2012 Average 2012 GP19890.119088.9 Pathology1989.32189.3 Radiology5187.45884.3 Public Health586.4881.5 Paeds & CH21584.821283.2 Anaesthetics24584.624985.4 Surgery40378.744176.5

4. WSOA Satisfaction - 2012

5. WSOA Satisfaction – Since 2007

6. Outlier reports i.e. RAG

7. Cumulative RAG Indicators Trust / BoardSite Denominator Overall Satisfaction Clinical Supervision Handover Induction Adequate Experience Work Load Educational Supervision Access to Educational Resources Feedback Local Teaching Regional Teaching Study Leave Abertawe Bro Morgannwg University Lhb Morriston Hospital 33 Princess of Wales Hospital 12 Aneurin Bevan Lhb Nevill Hall Hospital 14 Royal Gwent Hospital 29 Betsi Cadwaladr University Lhb Wrexham Maelor Hospital 12 Ysbyty Glan Clwyd 10 Ysbyty Gwynedd 10 Cardiff & Vale University Lhb University Hospital of Wales 65 Cwm Taf Lhb Prince Charles Hospital Site 6 The Royal Glamorgan Hospital 12 Hywel Dda LhbWest Wales General Hospital 8

8. Programme Group Trust / Board Site Denominator Overall Satisfaction Clinical Supervision Handover Induction Adequate Experience Work Load Educational Supervision Access to Educational Resources Feedback Local Teaching Regional Teaching Study Leave Specialty Anaesthetics Abertawe Bro Morgannwg University Lhb Morriston Hospital18 Princess of Wales Hospital4 Aneurin Bevan LhbRoyal Gwent Hospital13 Betsi Cadwaladr University Lhb Wrexham Maelor Hospital5 Ysbyty Glan Clwyd4 Ysbyty Gwynedd5 Cardiff & Vale University Lhb University Hospital of Wales55 Cwm Taf LhbThe Royal Glamorgan Hospital5 Hywel Dda LhbWest Wales General Hospital3 Core Anaesthetics Abertawe Bro Morgannwg University Lhb Morriston Hospital11 Princess of Wales Hospital8 Aneurin Bevan Lhb Nevill Hall Hospital10 Royal Gwent Hospital13 Betsi Cadwaladr University Lhb Wrexham Maelor Hospital5 Ysbyty Glan Clwyd5 Ysbyty Gwynedd3 Cardiff & Vale University Lhb University Hospital of Wales6 Cwm Taf Lhb Prince Charles Hospital Site3 The Royal Glamorgan Hospital9 Hywel Dda LhbWest Wales General Hospital3

9. Abertawe Bro Morg

10. Aneurin Bevan

11. Betsi

12. Cardiff & Vale

13. Cwm Taf

14. Hwyel Dda

15. 'Induction' indicator Did you get all the information you needed about your workplace when you started working in this post? Did someone explain your role and responsibilities in your unit or department at the start of this process? How would you rate the quality of induction in this post? (This refers to your induction to the organisation in which you worked.) Did you sit down with your educational supervisor and discuss your educational objectives for this post?

16. Welsh School 2012 -13 N.B. WSoA only has induction days for CT1& ST3

17. ‘Educational Supervision’ indicator Did you have a designated educational supervisor (the person responsible for your appraisal) in this post? In this post did you have a training/learning agreement with your educational supervisor, setting out your respective responsibilities? In this post did you use a learning portfolio? In this post were you told who to talk to in confidence if you had concerns, personal or educational?

18. Educational Supervision

20. 'Feedback' indicator How often did you have informal feedback from a senior clinician on how you were doing in this post? Did you have a formal meeting with your educational supervisor to talk about your progress in this post? Did you have a formal assessment of your performance in the workplace in this post?

21. Feedback

22. 'Clinical supervision' indicator How would you rate the quality of clinical supervision in this post? In this post did you always know who was providing your clinical supervision when you were working? In this post how often, if ever, were you clinically supervised by someone who you felt wasn’t competent to do so? In this post how often did you feel forced to cope with clinical problems beyond your competence or experience? In this post how often have you been expected to obtain consent for procedures where you feel you do not understand the proposed interventions and its risks?

23. Welsh School – Clinical Supervision

25. Adequate experience How would you rate the practical experience you were receiving in this post? How confident are you that this post will help you acquire the competencies you needed at that particular stage of your training?

26. Adequate Experience

27. 'Local teaching' indicator How would you rate the quality of this local/departmental teaching for this post? For how many hours per week was the local/departmental basis specialty-specific teaching provided in this post? When attending these local/departmental sessions, in this post, how often did you have to leave a teaching session to answer a clinical call? In this post who provided the local/departmental teaching?

28. Welsh School – Local Teaching

29. ‘Workload’ Indicator How would you rate the intensity of your work, by day in this post? How would you rate the intensity of your work, by night in this post? In this post, how often have you worked beyond your rostered hours? In this post, how often did your working pattern leave you feeling short of sleep when at work?

30. 'Regional teaching' indicator In this post, was specialty-specific teaching provided on a deanery/regional/school wide basis? In this post how frequently was this deanery/regional/school specialty-specific teaching provided? Were you able to attend these whilst in this post? How would you rate the quality of this deanery/regional/school specialty-specific teaching for this post

31. 'Study leave' indicator In this post how would you rate the encouragement you had to take study leave? In this post were you able to access funds to cover the cost of all courses that were recommended for you to complete? Were any days subtracted from your study leave allowance for compulsory training in this post (in or out of hospital)? In this post did you have difficulty obtaining study leave for any of the following reasons?

32. Access to educational resources indicator Overall, how would you rate the educational resources available to you in this post? How good or poor was access to each of the following in your post? –Library –Online journals How good or poor was access to each of the following in your post? –E-learning resources –Inernet access –Space for private study How good or poor was access to the following in your post? –Equipped rooms for group teaching –Simulation facilities

33. ARCP unsatisfactory Outcomes ProviderMeanLower_CIUpper_CI NHS Education for Scotland (West Region)11.799.5414.49 Wessex Deanery11.178.414.71 Wales Deanery10.367.8613.54 East Midlands Healthcare Workforce Deanery9.347.0512.26 North Western Deanery8.476.5910.82 London Deanery8.037.19.07 NHS West Midlands Workforce Deanery7.675.8310.02 Yorkshire and the Humber Postgrad Deanery7.656.089.58 NHS Education for Scotland (North Region)7.384.1712.74 South West Peninsula Deanery7.054.4511.01 Severn Deanery6.374.169.63 Kent, Surrey and Sussex Deanery5.762.9410.95 NHS Education for Scotland (SE Region)5.312.999.26 Northern Deanery5.063.457.36 NHS Education for Scotland (East Region)4.92.1110.97 East of England Multi-Professional Deanery4.842.957.83 Oxford Deanery4.722.937.53 Mersey Deanery3.411.915.99 Northern Ireland Medical Dental Training Agency1.250.493.16

34. ARCP unsatisfactory outcomes (Exam Failure excluded) ProviderMeanLower_CIUpper_CI NHS Education for Scotland (West Region)7.695.8510.05 Wessex Deanery7.595.310.75 NHS Education for Scotland (North Region)4.261.968.97 Severn Deanery4.232.497.11 East Midlands Healthcare Workforce Deanery3.962.526.17 North Western Deanery3.752.535.52 Wales Deanery3.42.035.62 Yorkshire and the Humber Postgraduate Deanery2.962.014.34 Northern Deanery2.71.584.56 East of England Multi-Professional Deanery2.641.345.12 NHS West Midlands Workforce Deanery2.371.423.94 Oxford Deanery1.820.843.92 NHS Education for Scotland (South-East Region)1.510.514.34 Kent, Surrey and Sussex Deanery1.50.415.32 Northern Ireland Medical Dental Training Agency1.250.493.16 NHS Education for Scotland (East Region)1.020.185.56 London Deanery0.880.591.31

35. Handover In this post, which of the following best describes handover arrangements BEFORE night duty? In this post, which of the following best describes handover arrangements AFTER night duty?

36. Welsh EPEF indicators

37. Summary Good with an overall improvement Still some pockets to improve Induction should be possible in particular to improve Educational Supervisors role crucial Don’t forget to give more informal feedback