1. The FP Reference Guide Stuart Carney & Carrie Moore UKFPO

2. The Reference Guide  The review process  Key changes  August 2009 revisions  August 2010 – 2 nd Edition  Discussion  Implementation  Communications

3. The Reference Guide  Like the “Gold Guide”  Provides guidance on culture, structures and systems required to deliver the FP Curriculum.  1 st edition 2005  1 st revision 2007  2 nd revision 2009  2 nd edition 2010

4. Objectives  Common UK-wide Operational Framework  Requirements to enable FP curriculum delivery  Supports quality management  Aligned to Gold Guide where appropriate

6. Timeline August 20092 nd revision – urgent changes October 2009First full draft for comment February 2010“Health check” by regulators March 2010Submit to 4 UK health departments for approval April 2010Publish 2 nd edition August 2010Implementation

7. The Review Process Proposal Stakeholder Discussion and Review Legal E&D UK FP Board Regulators The Four UK Health Departments

8. 2009 - Changes  No provision to hold places for those who fail finals  Foundation Schools can only prospectively approve the second year of a two-year programme for acquisition of competences outside of the UK  Requirement to complete PMETB / COPMeD survey

9. 2010 - LATs and LAS’  F1 vacancies  Less than or equal to 12 months  Post-registration doctors  LAS posts  F2 vacancies  12 month posts must be appointed with deanery/foundation school and enable completion of FACD  <12 month = LAS posts

10. 2010 - Supervision  Educational/Clinical supervisors  Must be registered and licensed medical practitioners  Adequate time in job-plans and appraised  Academic supervisor  Must liaise with educational supervisor  Adequate time in job-plan and appraised

11. 2010 - Transfer of Information  Aims to highlight doctors who may require additional support  Information for FSDs and FTPDs  Future developments expected

12. 2010 - Inter-School Transfers  Uses same criteria as special circumstances:  Carer responsibilities  Medical condition or disability requiring local follow-up  Typically restricted to August transfers

13. 2010 - Inappropriate tasks  Prescription and transcription of cytotoxic or immunosuppressive drugs  Must be specifically trained and assessed  Appropriate supervision  Consent  F1 and F2 requirements aligned to GMC guidance  Must understand the proposed intervention, risks, and prepared to answer questions

14. 2010 - Review of Progress  Annual review for all foundation doctors  Should convene a panel comprising two members to consider outcome  Doctors in difficulty  Panel chaired by FTPD with an educational supervisor and a lay person  Advise FSD about outcome and further action

15. Discussion  How will you implement the changes?  Timing  Resources  What additional communication support should the UKFPO provide?