Doncaster GP Specialty Training Programme

Out Of Hours Guidance For GP Trainees

  • This is a contractual requirement and not optional

Minimum Requirement

  • You will be expected to do at least 1 session per WTE month in GP post
  • Each shift should be a minimum of 4 hours but is usually be longer: This is a minimum….
  • More sessions may be needed if your trainer or OOHs supervisor feel that the necessary experience has not been gained or that the minimum standard has not been reached
  • It is your responsibility to ensure that you complete the necessary number of sessions to complete the requirements for COGPED Out Of Hours Experience [Jan 2010]

Timing Of Sessions

  • Your first session should be an evening weekday shift
  • At least 60% of the sessions must be at the weekend
  • 40% sessions can be during the week (Monday to Friday)
  • If wanted all sessions can be at the weekend
  • A bank holiday Monday counts as a weekend
  • Spread out your sessions over at least 4 months
  • An 8 hour session will count as ‘two sessions’ only once every 6 months WTE GP Post
  • Each session will consist of at least 4 hours of clinical work and a maximum of ½ hour of debriefing time

Working Time Directive [WTD]

  • This is not negotiable
  • This is your responsibility to ensure it ‘happens’[by speaking with your employing practice]

Working Time Directive states:

  • Work is limited to 13 hours at a stretch
  • 11 hours’ rest is mandated for every 24-hour period
  • There should be a minimum 20-minute break when someone works for more than six hours
  • The WTD is something you and your employer cannot opt out of
  • If you are working a weekday OOHs session, you may need to adjust your daytime surgery working to ensure you are not working more than 13 hours at a stretch
  • If you are working a weekday OOHs session, you must not restart work until you have had a 11-hour rest period
  • This means that doing an evening shift on Monday, Tuesday, Wednesday, Thursday or Sunday that you can not work for 11 hours after the OOH session ends
  • This means if you work any of these sessions, you need to make arrangements with your practice to start later
  • This is a time shift of practice work and you will be expected to make up the ‘missed time’
  • In reality this should occur a maximum of three times per 6 months in general practice[you could of course opt not to do any of these shifts and therefore not fall into this ruling]

Place Out of Hours Work

  • Each session will be completed at one of two locations:

© Jonathan Bundy August 2017

Doncaster GP Specialty Training Programme

Out Of Hours Guidance For GP Trainees

Either

Unplanned Care Centre

Emergency Department

Doncaster Royal Infirmary

Armthorpe Road

Doncaster

DN2 5LT

Or

Triage Centre

Top Floor

Devonshire House

Cavendish Court

South Parade

Doncaster

DN1 2DJ

© Jonathan Bundy August 2017

Doncaster GP Specialty Training Programme

Out Of Hours Guidance For GP Trainees

[You will be emailed before the session at which location you will based by the OOHs administrators]

Supervision

  • You will have an ‘Out of Hours Supervisor’ to work with you during your session
  • This should be your current trainer if they do ‘Out Of Hours’
  • The RotaMaster System will give you access go the ‘available shifts’ with all OOHs Supervisors: please ensure you have a maximum of 2 during your time working at OOHs
  • If there are specific issues, please email Dr Bundy to help resolve [

Recording

  • At the end of your session you must ensure that your OOH supervisor completes the COGPED ‘Out Of Hours Worksheet’ [a signed hard copy is obligatory]
  • You should ensure that your ‘feedback form’ is completed
  • The session should also be added to your ePortfolio under ‘OOHs’: please scan the OOH Worksheet and reflect of the session
  • Your OOH supervisor, trainer and Review & ARCP Panels will confirm how many OOH sessions you have completed by looking on your ePortfolio
  • If you fail to complete the requirements to satisfy your ARCP Panel then you may automatically fail your progression between ST years

Problems

  • Dr Bundy is the ‘Out Of Hours’ lead for the Doncaster GP Specialty Training Programme
  • Any problems, concerns or questions should first be discussed with your trainer and if there are still queries then Dr Bundy should be able to help
  • If there are problems logging on or problems with the rota please email Nick:

Arranging your sessions:

  • You will be given your ‘Rotamaster’ password during your OOHs induction session
  • The RotaMaster System will give you access go the ‘available shifts’ with all OOHs Supervisors: please ensure you have a maximum of 2 during each OOHs post
  • If there is an urgent problem: please phone the iCHAT room on 01302 647609
  • Shifts can be booked as far as ‘RotaMaster’ is populated [usually 3 months in advance]
  • It is sensible to check ‘RotaMaster’ that the session is still booked going ahead 24 hours before the session is due to start [you don’t want to turn up and have to go home] [worth taking your supervisor’s mobile number to text/phone should there be problems]
  • Only one trainee per OOH Supervisor
  • The earlier you arrange the session: the more likely you will be to get your session
  • Any cancellations must be informed by email to Nick Ball by email least 5 working days before your shift
  • Please note if you fail to attend a pre-arranged shift, your educational supervisor and trainer will get an automatic letter informing of yournon-attendance along with an ‘Educator Note’ on your ePortfolio
  • Only 2 trainees can attend at any one time during normal OOHs working providing there are 2 OOH Supervisors working as there is limited working space
  • Only 1 trainee can attend at any one time during ‘Bank Holiday’ iCHAT working

© Jonathan Bundy August 2017