Bradford VTS Practice Managers meeting

1
Bradford VTS Practice Managers meeting

• Whats new in November 08?

2
Session plan

• Presentation - whats new in 2008?
• Coffee/tea at about 11 am
• Group work on scenarios involving trainee
  employment issues
• Lunch at about 12.30

3
Why be a training practice?(a reminder)

• Helps with recruitment of GPs
• Trainers educational skills useful for the
  practice
• Improves trainers morale and makes burnout less
  likely
• Keeps all doctors in touch with new developments
• Financial benefit trainees salary paid,
  trainers grant
• Kudos of being a training practice
• Stimulus to maintain clinical standards and
  standards of record keeping
• Deanery may support improvement to premises

4
Changing organisation and terminology

• Bradford VTS now Bradford Specialist Training
  Scheme for GP
• GP registrars are now GP trainees (again) but
  abbrev to GPSTr (GP specialist trainee)
• Years of training are ST1, ST2 and ST3
• Course Organisers are now Training Programme
  Directors
• Yorkshire and Humber Deanery now includes old
  Yorks Deanery and the old S Yorks and Humber
  Deanery, but has 3 divisions (were W Yorks)
• GP training recruitment now organised on national
  system - seems to send good trainees to Bfd!

5
nMRCGP - new in 07/08

• Bradford VTS 100 successful in Clinical Skills
  Assessment (external exam) so far
• Workplace based assessment
• Trainers need extra time for assessments - e g
  some practices allocate 1/2 day every 4 weeks, on
  top of normal tutorial time
• Panels who assess progress meet in the 5th month
  of the job so assessments have to be finished by
  end of month 4 (not 6)
• MSFs and PSQs - how are they going?

6
Trainee employment issues

• Bradord VTS study leave policy HDR 5 days of
  study leave approved in advance by the trainer
  more than this may be agreed if trainer considers
  it appropriate for trainees educational needs
• Annual leave for senior (grade 3) trainees
  hospital contracts give them 6 weeks. VTS says
  GP trainee contracts are practices business, but
  recommend negotiating clearly at start of job,
  and explaining reasons if your practice says 5
  weeks
• Car allowance
• for miles driven to and from visits, and
• to work on days when the trainee has to visit
  patients but only up to 10 miles each way
• Child care vouchers can be given to employees
  with childcare responsibilities, employer doesnt
  have to pay NI and employee doesnt have to pay
  tax

7
Other GP post info

• More 1-year posts (because trainees spending
  longer in GP, less time in hospital)
• Innovative posts combining GP and specialty
  experience - Deanery would like you to have 2
  trainees at once, each working 50 of the week
  (attracts 2 training grants)
• PT trainees - Deanery prefer them to be 50
• so the posts fit the Aug/Feb system
• so you can have 2 at once
• so they dont have to have extra panels

8
Bradford VTS expectations of practices

• We have formalised our expectations of trainers
  because of increased number of trainees
  increased complexity of training
• Expect practices to allow trainers at least 5
  days study leave for training-related
  educational events (as well as whatever other
  study leave they need)
• Expect most trainers to contribute to HDR on
  Tuesday afternoons - either a 6 month block every
  3 years or so, or 2(ish) sessions in a 6 month
  period. 182.50 per session

9
2 suggestions from the Trainers Time Out

• Put training issues as a recurrent item on
  practice business meeting agenda
• Trainer, PM and trainee meet every 2m to discuss
  employment issues

10
Increasing training capacity

• 50 increase required from 2007 to 2010! -
  because many FT GPs near retirement, and most new
  GPs likely to want to work PT and have career
  breaks
• So we need
• More training practices
• More trainers per practice
• More trainees per trainer
• Deanery also plan to recognise associate
  trainers -
• GPs without MRCGP
• Practice nurses and nurse practitioners
• Practice managers?