Trainee Representative Induction Pack

Table of Contents

About HE KSS

Introduction from Deputy Dean Secondary Care

STEAG Trainee Representative and Deputy

Deanery High Level Structure

Secondary Care Structure

School Structure

Head of Schools and Training Programme Directors as at May 2013

Medical Education Managers at trust

Generation E

Expense Claims

STC Meetings and role

Trainee Feedback Form

Prospectus, recruitment events

ARCP & Revalidation

LEP Visit, Diary and training

List of School Trainee Reps for 2012-13 academic year

LTFT Trainee Representatives

List of Separating Specialties 2011

List of LDN Lead Commissioned Specialties Aug 2011

Acronym List

Appendix A

About HE KSS

HE KSS is responsible for Postgraduate Medical and Dental Training in Kent, Surrey and Sussex within the boundaries of Health Education Kent Sussex Surrey. This covers a large geographical area and is defined to the North by the M25 motorway with Trusts residing inside the M25 falling under Health EducationSouth London .

KSS covers 12 Acute Trusts and 3 Mental Health Trusts.

Trainee doctors, from here on referred to as trainees, can follow various routes to achieve consultant or GP status. Listed here is the route that the majority of trainees will follow, culminating in receiving a CCT certificate at final completion of their training. Details of other routes to achieve this can be found in “The Gold Guide”, a copy of which can be found in your induction packs.

The majority of UK graduates will have completed 4/5 years at Medical School.

  • The Medical School located within KSS is based at Brighton – Brighton Medical School (BSMS), Brighton Sussex University Hospital (BSUH)

Trainees then complete 2 years in Foundation Schools which gives them exposure and insight to a variety of specialties.

  • The South Thames Foundation School is part of HE KSS and works in collaboration with and on behalf of the London Deanery to support approximately 950 trainees across KSS and including London hospitals south of the Thames.

Trainees then choose how they wish to specialise, which they enter via a competitive recruitment process. This may be as a trainee GP or as a trainee hospital doctor. GP’s currently complete 3 years training, which includes a combination of GP training within GP practices, coupled with hospital based training spread across a variety of specialties.

Trainee GP’s are managed via the GP Department within HE KSS.

Specialty trainees are managed bythe SpecialtyWorkforce Department within HE KSS.

Trainee hospital based doctors generally fall into 8 core specialties; Anesthesia, Acute Care Common Stem (ACCS), Paediatrics, Psychiatry, Obstetrics & Gynaecology, Ophthalmology, Surgery and Medicine.

The duration of training and configuration of training length varies between specialties. The training is generally split into core training and higher training, although anaesthesia has intermediate as well. Some specialties are classed as ‘coupled’ whereby a trainee recruited into ST1 will progress through to CCT at ST5 to 8, subject to satisfactory progress. Other specialties are classed as ‘uncoupled’ whereby a trainee completes 1 to 3 years of core training and then needs to compete for a place in the higher years of training. Higher training is currently managed in the main via the London Deanery on our behalf, although some specialties will be moving to being managed by KSS in the near future.

KSS are now managing a large number of higher specialty programmes with the vast majority of these having access to places within London teaching hospitals to deliver elements of the curriculum required for the programme.

Introduction from Deputy Dean Secondary Care

We are in a time of reform once again in the National Health Service, with radical changes being enacted from April 1st 2013.

The changes to the Health Service have also coincided with the final report of the Francis Investigations into mid-Staffordshire.

The messages that are coming through loud and clear from these developments is that the trainee voice is pivotal in the delivery of excellent education which leads directly to excellent patient experience and outcomes.

It is no surprise therefore that we continue to develop the position of the trainee voice in the delivery of our programmes in Kent, Surrey & Sussex, and aspire to make it as efficient and effective as possible.

Patients and colleagues would expect little else.

STEAG Trainee Representative and Deputy

Tania De- Sliva

Syed

Please see appendix A regarding the role of the STEAG Trainee Representatives.

Deanery High Level Structure

Professor David BlackDean Director and Responsible Officer

Dr Kevin KelleherDeputy Postgraduate Dean for Secondary Care

Professor Abdol TavabieDean of Postgraduate GP Education and Deputy Dean Director

Dr Hilary DiackDeputy GP Dean and Head of KSS GP School

Dr Graeme DewhurstAssociate Dean and Head of KSS School of Medicine

Dr Subir MukherjeeAssociate Dean and Chair, Acute Care Common Stem (ACCS) Committee (Lead for LTFT and SAS doctors)

Dr Jan NawrockiAssociate Dean – Academia

Mr Humphrey ScottAssociate Dean and Head of KSS School of Surgery

Dr Peter |MartinHead of School of Paediatrics

Ms Geeta MenonHead of School of Ophthalmology

Dr Pippa Skippage/Dr Phil ThompsonInterim Heads of School of Clinical Radiology

Dr Geoff BryantHead of School Emergency Medicine

Dr Alastair ForrestHead of School of Psychiatry

Ms Sarah FlintHead of School Obstetrics & Gynaecology

Dr David YatesAssociate Dean for Quality Management

Angela FletcherHead of Specialty Workforce

Martyn ClarkSpecialty Schools Manager

Secondary Care Structure

School Structure

All of the schools have a Head of School, Medical Workforce Officer, Medical Workforce Project Assistant and a Medical Workforce Administrator. These may have more than one specialty school that they manage. Each of the schools has an individual email and there is one main number for each of the schools as follows:

ACCS020 7089

Anaesthetics020 7089

Emergency Medicine020 7089

Intensive Care Medicine020 7089

Medicine – Core020 7089

Medicine – Higher020 7089

Obstetrics & Gynaecology020 7089 7505O&

Ophthalmology020 7089

Paediatrics020 7089

Psychiatry020 7089

Radiology020 7089

Surgery – Core020 7089

Surgery – Higher020 7089

Head of Schools and Training Programme Directors as at May 2013

ACCS
Specialty / HoS / TPD / Name / Trust
ACCS / Committee
Chair / Dr Subir Mukherjee / EKUHT
ACCS / TPD / Dr Manisha Shah / Medway Foundation Trust
ACCS / TPD / Dr Mandy Grocutt / Western Sussex NHS Trust
Anaesthetics
Specialty / HoS / TPD / Name / Trust
Anaesthetics / HoS / Dr Chris Carey / BSUH NHS Trust
Anaesthetics / Core TPD / Dr Kirti Mukherjee / Medway NHS Foundation Trust
Anaesthetics / Core TPD / Dr Nataraj Viswejar / Royal Surrey County Hospital
Anaesthetics / Core TPD / Dr Philip McDonald / Western Sussex NHS Trust
Anaesthetics / Higher TPD / Dr Justin Dickens / Western Sussex NHS Trust
Anaesthetics / Higher TPD / Dr Chetan Patel / QVH
Clinical Radiology
Specialty / HoS / TPD / Name / Trust
Clinical Radiology / HoS / Dr Camilla Sonksen / BSUH NHS Trust
Clinical Radiology / HoS (Interim) / Dr Philippa Skippage / Frimley Park Hospitals NHS Trust
Clinical Radiology / HoS (Interim) / Dr Phil Thompson / BSUH NHS Trust
Clinical Radiology / TPD / Dr Philippa Skippage / Frimley Park Hospital NHS Trust
Clinical Radiology / TPD / Dr Phil Thompson / BSUH NHS Trust
Emergency Medicine
Specialty / HoS / TPD / Name / Trust
Emergency Medicine / HoS / Dr Geoff Bryant / BSUH NHS Trust
Emergency Medicine / TPD / Dr Angela Feazey / Maidstone & Tunbridge Wells
ICM
Specialty / HoS / TPD / Name / Trust
ICM / TPD / Dr Peter Anderson / BSUH NHS Trust
Medicine
Specialty / HoS / TPD / Name / Trust
Medicine / HoS / Dr Graeme Dewhurst / Western Sussex NHS Trust
Core Medicine / TPD / Dr Hiro Khoshnaw / Royal Surrey County Hospital
Core Medicine / TPD / Dr Burhan Khan / Dartford & Gravesham NHS Trust
Core Medicine / TPD / Dr Michael Wood / Ashford & St Peters Foundation Trust
Acute Medicine / TPD / Dr Roger Duckitt / Western Sussex NHS Trust
Acute Medicine / TPD / Dr Jenny Messenger / BSUH NHS Trust
Cardiology / TPD / Dr Nikhil Patel / East Sussex Hospitals NHS Trust
Cardiology / TPD / Dr Derek Harrington / Maidstone & Tunbridge Wells
Dermatology / TPD / Dr Susannah Baron / EKUHT
Endocrinology and Diabetes / TPD / Dr Ian Scobie / Kings College London
Gastroenterology / TPD / Dr Bijay Baburajan / Maidstone & Tunbridge Wells
Genito-urinary Medicine / TPD / Dr Debra Williams / BSUH NHS Trust
General Internal
Medicine / TPD / Dr Ursula Davies / East Surrey Hospital
General Internal
Medicine / TPD / Jenny Messenger / BSUH NHS Trust
Geriatric Medicine / TPD / Dr Adam Harper / BSUH NHS Trust
Geriatric Medicine / TPD / Dr Jonathon Hawkins / EKUHT
Geriatric Medicine / TPD / Dr Paul Reynolds / Maidstone & Tunbridge Wells
Geriatric Medicine / TPD / Dr Juliet Wright / BSUH NHS Trust
Infectious Diseases / TPD / Dan Agranoff / BSUH NHS Trust
Neurology / TPD - Interim / Dr Damien Wren / Frimley Park NHS Trust
Renal Medicine / TPD / Dr Adam MacDiarmaid-
Gordon / BSUH NHS Trust
Respiratory Medicine / TPD / Prof Anthony Frew / BSUH NHS Trust
Rheumatology / TPD / Dr Karen Walker-Bone / Brighton & Sussex Medical School
O&G
Specialty / HoS / TPD / Name / Trust
O&G / HoS / Ms Sarah Flint / Maidstone & Tunbridge Wells
O&G / TPD / Ms Melanie Tipples / Western Sussex NHS Trust
O&G / TPD / Mr Rob Bradley / BSUH NHS Trust
Ophthalmology
Specialty / HoS / TPD / Name / Trust
Ophthalmology / HoS / Ms Geeta Menon / BSUH NHS Trust
Ophthalmology / TPD / Mr Adam Bates / Maidstone & Tunbridge Wells
Paediatrics
Specialty / HoS / TPD / Name / Trust
Paediatrics / HoS / Dr Peter Martin / Ashford & Peter’s Hospitals NHS Trust
Core Paediatrics / TPD / Dr Sarah Birks / EKUHT
Core Paediatrics / TPD / Dr Ivor Lewis / Surrey and Sussex
Higher Paediatrics / TPD / Dr Bov Jani / Medway NHS Foundation Trust
Core Paediatrics / TPD / Dr Robert Bomont / BSUH NHS Trust
Psychiatry
Specialty / HoS / TPD / Name / Trust
Psychiatry / HoS / Dr Alastair Forrest / N/A
Psychiatry / Core TPD / Dr Philip Hall / Surrey & Borders Partnership
Trust
Psychiatry / Core TPD / Dr Yousreya Amin-Selim / Kent & Medway NHS & Social Care Partnership Trust
Psychiatry / Higher TPD / Dr Clare Dunkley / Kent & Medway NHS & Social Care Partnership Trust
Surgery
Specialty / HoS / TPD / Name / Trust
Surgery / HoS / Mr Humphrey Scott / Ashford & Peter’s Hospitals NHS Trust
Core Surgery / TPD / Ms Elizabeth Sharp / EKUHT
Core Surgery / TPD / Miss Anouk Van Der
Avoirt / Royal Alexandra Children’s Hospital
General Surgery / TPD / Mr David Gerrard / Frimley Park Hospital NHS Foundation Trust
General Surgery / TPD / Mr Ayman Hamade / EKUHT
OMFS / TPD / Jeremy Collyer
ENT / TPD / Mr Jeremy Davis / Medway NHS Foundation Trust
T&O / TPD / Mr Matt Solan / Royal Surrey County Hospital
T&O / TPD / Mr Phil Housden / EKHT
T&O / TPD / Mr Stephen Bendall / BSUH NHS Trust
Urology / TPD / Mr William Dunsmuir / Ashford & Peter’s Hospitals NHS Trust
Urology / TPD / Mr Tim Larner / BSUH NHS Trust

Medical Education Managers at trust

Name / Trust / Site / Email / Telephone Number
Angela Langwith-Green / Ashford & St Peters / St Peters Hospital / / 01932 872000
Nora Tester / Brighton and Sussex University Trust / Princes Royal / / 01444 441881
Janet Thompson / Brighton and Sussex University Trust / Royal Sussex County / / 01273 696955
Claire Nottage / Dartford & Gravesham / Darent Valley / / 01322 428100
June Toms / East Kent / Kent and Canterbury / / 01227 766877
Rags Subramaniam / East Kent / QEQM / / 01843 225544
Maggie Patching / East Sussex Healthcare / Eastbourne District / / 01323 417400
East Sussex Healthcare / Conquest / / 01424 755255
Luisa Tomasetti (Deputy) / East Sussex Healthcare / Eastbourne District / / 01323 417400
Lynn Moran / Frimley Park / Frimley Park / / 01276 604604
Carol Atkins / Kent & Medway NHS / St Martins Hospital / / 01227 812017
Chris White / Maidstone & Tunbridge Wells / Tunbridge Wells / / 01892 635797
Lynne Russell / Medway Maritime / Medway Maritime Hospital / / 01634 830000
Eve Savage / Queen Victoria Hospital / The Queen Victoria Hospital / / 01342 414000
Louise Duffield / Royal Surrey / Royal Surrey County / / 01483 571222
Vacant / Surrey & Borders / Trust HQ Leatherhead / 01883 383838
Elisabeth Coulson - Interim / Surrey & Borders / Epsom General Hospital / / 01372 202020
Ruth McCall / Surrey & Sussex Healthcare / East Surrey Hospital / / 01737 768511
Richenda Tite / Sussex Community NHS Trust / Brighton General Hospital / / 01273 696011
NickWinter / Sussex Partnership / Graylingwell Hospital / / 01903 843000
Bebba Smithers / Western Sussex / St Richards Hospital / / 01243 788122
Samantha Vaughan / Western Sussex / Worthing Hospital / / 01903 205111

Generation E

The Generation E initiative started in 2012 as a pilot and has already run some cross deanery, cross-specialty events. Some of our retired consultants have given guest lectures and supported Trainee Doctors in one-to-one feedback capacity. From 2013 our aim is to increase our pool of Volunteers both in number and also extend to other professionals, raise awareness amongst Trainee Doctors and organise more events. Further information can be found on the website here:

Expense Claims

KSS Specialty Workforce often invites Trainee Representatives to attend events and details of how to claim expenses are found here which is regularly updated.

STC Meetings and role

Each Specialty School in KSS Deanery is supported by a Specialty Training Committee whose role it is to:establish and organise the training programme in the Kent, Surrey and Sussex region support recruitment and selection to the programmearrange for ARCP / RITA requirements to be metdeal with all trainee issues in the programme, including failing trainee/trainee in difficulty and remedial actionreport to KSS Deanery via the Postgraduate Deandeliver the priorities and objectives of KSS Deanery training aimsbe responsible for curriculum delivery, quality management and addressing the needs of traineesguide and liaise with DMEs and clinical tutors in the delivery of programmesconform to GMC /College and national specialty guidancewhere appropriate, liaise with feeder STCs for the specialty(ies).

Further information can be found here:

Trainee representation is a key element in the development and monitoring of the Specialty Training Programmes, and representative’s play a valuable role in providing feedback and helping shape new initiatives. The role of theTrainee Rep within the school is to act as a middle person between trainees and the school and to attend the school meetings as a representative of their peers to feedbackboth positive and negative experiences of their peer group within their respective training programmes and hospitals. The followingtrainee representative feedback form was designed with the help of the trainee representatives

Trainee Feedback Form

Issue / Positive comments / Negative comments
1 / Patient Safety
2 / Training Feedback
3 / Programme Feedback
4 / Support Issues (incl. Senior cover)
5 / Regional Training Days
6 / College Exams
7 / Study Leave
8 / Education and Courses
9 / Recruitment
10 / ARCPs (and Interim Reviews)
11 / ePortfolio/Portfolio
12 / Website Feedback
13 / Rota
14 / Career progression guidance
15 / Placements-Allocation Timing & Geography
16 / Practical Procedure Exposure/Clinic Attendance
17 / Revalidation
18 / Communication
19 / LTFT
20 / Induction
21 / Other Issues

Prospectus, recruitment events

All prospectus information and when recruitment events are happening can be found on the website;

ARCP & Revalidation

The detailed arrangements for Annual Reviews of Competence Progression (ARCP) are contained in the Deanery manual on ARCPs. A summary guidance is provided below. It should be read in conjunction with Section 7 of the Gold Guide.

The ARCP provides a formal process which uses the evidence gathered by the trainee, relating to his/her progress in the training programme. It should normally be undertaken on at least an annual basis for all trainees undertaking specialty training and will enable the trainee, the Postgraduate Dean and employers document that the competencies required are being gained at an appropriate rate through appropriate experience. Further information regarding ARCP including the ARCP Guidelines 2012 can be found here:

Revalidation is the GMC’s new way of regulating doctors to give extra confidence to patients that their doctors are up to date and fit to practise. The GMC is rolling out revalidation across the UK from the end of 2012. Further information regarding revalidation can be found here:

LEP Visit, Diary and training

The GMC has defined a framework for quality assurance of training. KSS will need to ensure within this framework that there is a clear set of standards for trainers and training environments and that evidence of educational delivery is shared.

The function of KSS visits to a Local Education Provider (LEP) is to ensure that Trusts with trainees have mechanisms in place to allow training to be adequately delivered across all specialties.

Further information regarding dates and training can be found on the website at:

As a trainee representative, you may be asked to participate on a LEP visit for your specialty. The role of the trainee representative is to actively ensure that the trainee voice is heard during the visit and in the follow up report. You will be allowed to question trainees, trainers and senior managers on various issues to ensure that trainees are working in an environment that is conducive to acquiring the skills and knowledge as set out in the respective specialty curriculum. Training is given to all those who participate on the visits.

List of School Trainee Reps for 2012-13 academic year

Tom Rider / CMT
Sara Williams-Squire / CMT
Fiona Tasker / CMT
DeppaRaju / CMT
Hamid Abboudi / Core Surgery
Natasha Morrisey / Core Surgery
Rishi Das / Core Surgery
Konstantinos Argiris / ENT
Sandeep Bahia / General Surgery
Suzie Mehmet / OMFS
Will Kieffer / T & O
Andrew Chetwood / Urology
Abhijoy Chakladar / Anaesthetics - Higher
Alex Curtis / Anaesthetics - Intermidate
David Helm / Anaesthetics - Higher
Dawn Harpham / Anaesthetics - Core
Thomas Wojcikiewicz / Anaesthetics - Core
Graeme Harrington / Anaesthetics - Intermidate
Justin Hews / Anaesthetics - Core
HariArunachalam / Anaesthetics - Core
Alex Jones / Paediatrics
Liam Mahoney / Paediatrics
Sophie Lam / Paediatrics
Eleanor Glenday / Paediatrics
Lousie Budd / Paediatrics
Donna Winderbank-Scott / Paediatrics
Sarah Kent / Paediatrics
Valerie Juniat / Ophthalmology
Maria Dimitry / Ophthalmology
Fiona Cowan / O & G
Iranthi Meththananda / O & G
Nalia Khan / O & G
Sarah Crab / O & G
Suzanna Hutt / O & G
Alister Seaton / ACCS
ArsinahIskander / ACCS
Jonathan Perry / ACCS
Salwa Malik / ACCS
Nick Bagley / Emergency Medicine
William Davies / Psychiatry
Michelle Huthinson / Psychiatry
Margaret Ogbeidie-Ihama / Psychiatry
James Fallon / Psychiatry
Ochuko (Mike) Apio / Psychiatry
ShritiBurgul / Psychiatry
Sharon Cuthbert / Psychiatry
FatmaAksak-Pentikaeinen / Psychiatry
Sana Rehan / Psychiatry
Natasha Gupta / Psychiatry
Andreas Shekkeris / Clinical Radiology
Helen Anderson / Clinical Radiology
Charlie Sayer / Clinical Radiology
Suzanna Faulkes / Clinical Radiology
OshadaKanishkaJinadasa / Clinical Radiology
SimonneTryb / Clinical Radiology
Nick Bhatia / Acute Medicine
Nick Smallwood / Acute Medicine
Tracey Keteepee-Arachi / Cardiology
Lucia Macken / Gastro
Charlotte Woodhouse / Gastro
Jo Preston / Geriatrics
Matthew Thompson / Geriatrics
Joanna Peters / MMV/ID
Shiva Ugni / Renal
Joseph Arthur / Renal
DeraEruchie / Respiratory
vacant / Rheumatology
James Crane / Endocrinology & Diabetes

LTFT Trainee Representatives