1. HEKSS GOOD PRACTICE WORKSHOP QUALITY AND INNOVATION IN EDUCATION (EDQUIN) Improving the handover process to support learners
Angela Pendleton – Medical Education Manager
Kelie Jest – Acting Education Registrar
Dr Jinny McDonald – CT3 Psychiatry

2. A large Mental Health Care Trust.
We are Kent and Medway NHS and Social Care Partnership Trust
A large Mental Health Care Trust.
who cover an area of 1,450 sq miles over approx 50 sites.
Medway Rota
Dartford Rota
Thanet Rota
Pembury Rota
Maidstone Rota
Canterbury Rota

3. Who covers the rotas? 1st Oncall - Junior Doctor Rotas Core – 15
GP – 33
Foundation Year 2 Doctors – 12
SAS Doctors – 5
2nd Oncall – Senior Oncall Rota - Advice by telephone
Higher
SAS
Consultants

4. Review of Handover - GMC Survey past 3 years
Below outlier
Above outlier
n<3, results not published
Within the lower quartile (Q1), but not a below outlier
Within the upper quartile (Q3), but not an above outlier
Within the middle quartile (Q2/IQR)
Programme Group
Indicator
2012
2013
2014
Kent and Medway NHS and Social Care Partnership Trust
Handover
36.51
41.19
51.67
Core Psychiatry Training
41.35
36.46
42.5
Forensic Psychiatry
N less than 3
GP Programme - Psychiatry
35.71
46.88
67.31
General psychiatry 20
37.5
41.67
Old age psychiatry
N less than 3 
Psychiatry F2
39.29

5. Handover Challenges…………..
Geography
Different Managers on each site
Different types of rotas
Monitoring handover
Communication
Locums covering the rota

6. Handover Project Two focus group meetings Meetings Transcribed
Transcript analysed and common themes identified
Common themes identified to form a questionnaire
Questionnaire sent to all junior doctors
Responses analysed and taken back to the focus groups
Interventions implemented over 3 months and then the same questionnaire is re-circulated
Results to be compared with the first survey results

7. Responses to Handover Project
Audit of handover
New Handover Protocol
Updated Handover Policy
Better Communication
Initial meeting between supervisor & trainee
Induction Packs
Handover Books/Bleeps/Mobiles
Monitoring - Clinical Leads
Meetings with Locums/Leads in East and West Kent

8. GMC Survey Results 2015 2015 36.51 41.19 51.67 56.25 19.54 increase
Below outlier
Above outlier
n<3, results not published
Within the lower quartile (Q1), but not a below outlier
Within the upper quartile (Q3), but not an above outlier
Within the middle quartile (Q2/IQR)
Programme Group
Indicator
2012
2013
2014
2015
Noticeable Improvements since 2012
Kent and Medway NHS and Social Care Partnership Trust
Handover
36.51
41.19
51.67
56.25
19.54 increase
Core Psychiatry Training
41.35
36.46
42.5
65.00
23.65 increase
Forensic Psychiatry
N less than 3
GP Programme - Psychiatry
35.71
46.88
67.31
52.27
16.56 increase
General psychiatry 20
37.5
41.67
40.63
20.63 increase
Old age psychiatry
N less than 3 
Psychiatry F2
39.29
1.79 Increase

9. Questions