Bradford VTS Practice Managers’ meeting

1. Bradford VTS Practice Managers’ meeting What’s new in November 08?

2. Session plan • Presentation - what’s 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 • Trainer’s educational skills useful for the practice • Improves trainer’s morale and makes burnout less likely • Keeps all doctors in touch with new developments • Financial benefit = trainee’s salary paid, trainer’s 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 (we’re 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 trainee’s educational needs • Annual leave for senior (grade 3) trainees: hospital contracts give them 6 weeks. VTS says GP trainee contracts are practice’s 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 doesn’t have to pay NI and employee doesn’t 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 don’t 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?