1. Out of Hours Nov 2011

2. Definition: OOH GMS contract “18.30-08.00 and all day weekends and on public holidays” “18.30-08.00 and all day weekends and on public holidays”COGPED “also the type and style of working that takes place in this time” “also the type and style of working that takes place in this time”

3. RCGP: The six competencies ‘Care of acutely ill people’, Curriculum Statement 1. Ability to manage common medical, surgical and psychiatric emergencies in the OOH setting. 2. Understanding of the organisational aspects of NHS OOH care. 3. Ability to make appropriate referrals to hospitals and other professionals in the OOH setting. 4. Demonstration of communication skills required for OOH care. 5. Individual personal time and stress management. 6. Maintenance of personal security and awareness and management of the security risks to others

4. Sessions 12 per year 4-6 hours

5. Options for Sessions · Observation of NHS Direct · Undertaking a course in telephone triage · Updating CPR skills · Participating in simulated emergency medical situation training · Participating in a shift with a team of para- medics. · Working with a GP in A&E · Working in an OOH / Walk-in Centre · Undertaking home visits for an OOH service

6. Role of Trainer Evaluation GPRs skill, competency and learning needs Evaluation GPRs skill, competency and learning needs Educational planning of OOH Educational planning of OOH Read sessional feedback sheet from Clinical Supervisor @ OOH provider? Read sessional feedback sheet from Clinical Supervisor @ OOH provider? Evaluate portfolio evidence, validate competences and confirm required level of exposure Evaluate portfolio evidence, validate competences and confirm required level of exposure

7. Role of Trainee Organising sufficient sessions Organising sufficient sessions Gaining competence and confidence Gaining competence and confidence Maintaining portfolio of evidence Maintaining portfolio of evidence

8. Role of OOH Service Provide adequate Clinical Supervision Trained supervisors Trained supervisors Time and space for debrief Time and space for debrief Documentary feedback Documentary feedback Adhere to QA for OOH Training from London Deanery

9. Role of PCO Commissioning Commissioning QA OOH services QA OOH services

10. Role of Deanery Training clinical supervisors Training clinical supervisors QA of OOH Training QA of OOH Training

11. Feedback sheets http://www.londondeanery.ac.uk/general- practice/during-training/out-of-hours-ooh http://www.londondeanery.ac.uk/general- practice/during-training/out-of-hours-ooh http://www.londondeanery.ac.uk/general- practice/during-training/out-of-hours-ooh http://www.londondeanery.ac.uk/general- practice/during-training/out-of-hours-ooh

12. Priorities Adequate clinical supervision (as per Deanery QA document) Adequate clinical supervision (as per Deanery QA document) Improved communication, esp where problems emerge Improved communication, esp where problems emerge Documentation of session using Feedback Forms Documentation of session using Feedback Forms Range of learning opportunities/clinical exposures possible to ensure RCGP competences met Range of learning opportunities/clinical exposures possible to ensure RCGP competences met