1. Recognition for Trainers in Job Plans Rick Turnock Head of the Mersey Deanery School of Surgery Regional Representatives’ Meeting RCS 5 th November 2009

2. STRAW POLL!

3. National Audit Office Survey May 2006 of NHS Consultants In answer to the question…. “Does your job plan adequately compensate for the time needed to undertake the activities of training and formal teaching” Recognition for Trainers in Job Plans

4. National Audit Office Survey May 2006 of NHS Consultants In answer to the question…. “Does your job plan adequately compensate for the time needed to undertake the activities of training and formal teaching” 62% of consultants answered “no” Recognition for Trainers in Job Plans

5. South Trent Proposal 2007 AES0.5 pa (4-6) TPD0.75 – 2 pas Present situation AESno payment TPDachieved

6. Recognition for Trainers in Job Plans Northern AESno payment TPD0.5 – 1 pa Mersey AESno payment CST PD1.0 pa

7. PMETB Generic Standards for Training Domain 1 – Patient Safety 1.3 Those supervising clinical care provided by trainees must be clearly identified,… …with time for these responsibilities clearly identified within their job plan. Recognition for Trainers in Job Plans

8. PMETB Generic Standards for Training Domain 6 – Support and development of trainees, trainers & local faculty 6.29Trainers must be supported in their role… ….and have a suitable job plan with an appropriate workload and time to develop trainees Recognition for Trainers in Job Plans

9. PMETB Generic Standards for Training Domain 8 – Educational resources and capacity 8.3In regard to trainers, including clinical supervisors, … …adequate time for training must be identified in their job plans. Recognition for Trainers in Job Plans

10. Gold Guide Para 4.20: “In line with PMETB’s developing standards, educational supervisors should be specifically trained for their role. There should be explicit and sufficient time in job plans for both clinical and educational supervision of trainees.” Recognition for Trainers in Job Plans

11. “… time for these responsibilities clearly identified within their job plan.” “… appropriate workload and time to develop…” “… adequate time for training must be identified in their job plans.” “… sufficient time in job plans” So what is appropriate time? Recognition for Trainers in Job Plans

12. ISCP recommends…. AES:AES:0.25 pa per trainee to a maximum of 4 trainees CST TPD:CST TPD:2 pas (or 1 if deputy etc.) TPD:TPD:1 pa for 30 -40 trainees & pro rata Recognition for Trainers in Job Plans

13. 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 Recognition for Trainers in Job Plans

14. So how do we make it happen? !! Recognition for Trainers in Job Plans

15. PMETB Generic Standards for Training Domain 7 – Management of education and training It is highly desirable that all employing organisations, as Local Education Providers of postgraduate medical education and training, have an executive or non-executive director at Board level with responsibility…. Recognition for Trainers in Job Plans

16. 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! Recognition for Trainers in Job Plans

17. KSS issued guidance to all Trusts AES0.25 / trainee TPD1 pa / 20 trainees 1.5 pa / 20 -40 trainees 2 pa / >40 trainees Clinical Supervisors0.25 pa Recruitment0.25 – 0.5 pa or, 1 - 6 days professional leave Recognition for Trainers in Job Plans Job Planning for consultant trainers Black D, Br J Hosp Med 70:5:294-5. 2009