FAQ 1 - What's what and who's who
The London Deanery was the organisation that was previously responsible for postgraduate medical and dental education and training in London. From April 2013, Local Education and Training Boards (LETB)s became accountable for education, training and workforce planning., taking over from NHS London A ‘Shared Services’ was created that had responsibility for the functions that were previously the responsibility of the Deanery’s Medical Workforce Department. Shared Services ceased to exist as an independent entity from the end of December 2013, and its functions now sit with the Operations Department which is part of the South London LETB, who also works on behalf of the other two LETBs in London.Was this helpful?11
Regional Advisors are representatives to the Royal College of Paediatrics and Child Health. They sit between College Council and the College Tutors.Who are the Regional Advisors in London? Regional Advisors are representatives to the Royal College of Paediatrics and Child Health. They sit between College Council and the College Tutors.Was this helpful?13
The RCPCH College Tutor is a paediatrician responsible for postgraduate medical education within their trust and is also the main liaison point between individual trusts, the RCPCH and the Lead Provider.Was this helpful?03
TPD stands for Training Programme Director. They are the representatives of the Head of School and local STC chair and serve either a geographical patch of hospitals or may serve for a particular issue (ie MRCPCH exams / Quality Assurance Role). They are involved with assisting the Trainee Committee and with ensuring local quality of training and are integral to the ARCP process.Was this helpful?027
The School of Paediatrics has traditionally been the term used to describe the organisation within the Deanery that oversees paediatric training. With the shift to the new model of training the school has had to adapt. However, it continues as a group of exercised and passionate paediatric educationalists with its Head of School who continues to oversee individual sign off for CCT (Certification of Completion of Training), two Fellows in Medical Education who arrange and evaluate training opportunities in London paediatrics, and hugely dynamic and innovative trainee committee.Was this helpful?00
All trainees have an Educational Supervisor who has responsibility for their educational development within their current post. Some paediatricians will act as both a ‘named’ educational supervisor as well as a clinical supervisor however any consultant can act as a clinical supervisor for any trainee through their day-to-day supervision of clinical skills. In some units the ‘attending’ or ‘hot week’ consultant will act as the clinical supervisor for all the trainees on duty (and should be available to undertake workplace-based assessments).Was this helpful?00
There was a concerted effort within London paediatrics to maintain the excellent links that existed pan London in level 3 training. It was therefore agreed to establish a fourth STC to oversee this. The Lead Provider is Imperial College Healthcare NHS Trust but the reach of the STC is truly pan London. The STC chair is Dr Camilla Kingdon.Was this helpful?00
If you have questions which cannot be answered locally or via available on-line resources then the paediatric workforce team in Operations are the point of contact for any questions about your training in London.
Things to ask about include:
- Going out of programme (OOP)
- Going on Maternity Leave
- CCT application
You can contact the team on firstname.lastname@example.org or by calling 020 7866 3206 or 020 7866 3216.Was this helpful?00
The Medical and Dental Education Commissioning (MDECS) Programme has been established to plan and deliver the separation of commissioning medical and dental education from its provision. In order to meet this objective an education commissioning system has established a community of Lead Providers who in turn are developing Local Education Providers to deliver high quality educational programmes and placements. Paediatrics was commissioned out in stage 3 of the MDECs programme in September 2013. Within Lead Providers sit the Specialty Training Committee (STC) for paediatrics and all other specialities. Within each Lead Provider there are a number of Local Educational Providers (LEPs). These are the Trusts you work for and train under on a day-to-day basis.Was this helpful?10
LETB stands for Local Education and Training Board. They are regional branches of Health Education England, the body that oversees education for all health care professionals in England. In London there are three: Health Education North West London (HENWL), Health Education North Central and East London (HENCEL) and Health Education South London (HESL). They commission and quality assure training from the Lead Providers (LP).Was this helpful?10
HESL - King’s Health Partners – Dr. Simon Broughton (STC 1-5)
HENWL - Imperial College Healthcare NHS Trust – Dr. Bob Klaber (STC 1-5)
HENCEL - UCL Partners – Dr Su Laurent (STC 1-5)Was this helpful?20
You will be contacted by email with deadline dates for the Training Year. A link will be provided to the full details which are available on synapse. You are required to submit the following (by post or through inclusion in your eportfolio):
1. Verified Copy of Enhanced Form R Part 1
You will be sent a copy of this by the Operations Team. You need to check, and amend any incorrect information by hand. It contains your personal details including address (work and personal), Medical School details, immigration status, photo, provisional CCT date and date of expected revalidation (only applicable if known).
2. Signed Copy of Enhanced Form R Part 2
Part 2 of your Enhanced Form R along with guidance on how to complete it, can be found via the following Synapse link
. The Enhanced Form R is required every year for revalidation and to ensure our records are up to date. The Enhanced Form R is also a signed confirmation of your continued registration on the training programme.
The enhanced Form R, along with guidance on how to complete it, can be found via the following Synapse link:
3. ARCP Pro-Forma
This can be found on Synapse and should be filled out with all details requested.
4. CCT Grid
You should fill this in with details of all your posts since joining run-through training. This will ensure that you are being assessed for the correct level and proportion of training and also allow for the best possible estimate of your CCT date.
5. Trainer’s Reports
You must submit an Annual Educational Supervisor Trainer’s Report and Clinical Supervisor Trainer’s Report for every clinical post that you have undertaken in this ARCP period. You must submit both of these forms for both of your placements unless you have remained in the same Trust with the same Supervisor undertaking the same speciality for the full 12 months.
6. At least the minimum number of Work Place Based Assessments (WPBAs)/Supervised Learning Events (SLEs)
The required number of WPBA (mini-CEX, CbD, DOPS, etc.) required at each stage of training is detailed in the Paediatric Training and Assessment Pathway available from the RCPCH website or on Synapse.
All WPBAs for the year must be completed by the deadline date to enable the panel to sign you off. WPBAa will be viewed by the panel on eportfolio and no hard copies are required. One ePaedMSF should be completed annually and will be viewed by the panel on eportfolioWas this helpful?01
Yes, trainees on OOP must still participate in the annual ARCP process. Trainees on OOPT will be assessed as per a clinical ARCP and should therefore submit everything outlined in the clinical ARCP checklist, along with a completed “OOP update form for ARCP”.
Trainees on OOPE should complete an “OOP update form for ARCP” with their current supervisor in order to demonstrate adequate progress during the time OOP. This form is available on Synapse or can be obtained by contacting email@example.com.
An Enhanced Form R, CCT grid and ARCP pro forma should also be provided. Trainees on OOPC should also complete the relevant portions of an “OOP Update form for ARCP”, sign it & submit along with an Enhanced Form R. This is to confirm your continued registration on the programme. Trainees on OOPR (research) should follow the Academic Trainees Checklist for ARCP. This checklist is available on Synapse.Was this helpful?00
Trainees who are not currently in the programme due to maternity leave/ long-term sick leave are not required to maintain their eportfolio or participate in the ARCP process. If this applies to you and you have been contacted regarding the ARCP process, please email firstname.lastname@example.org so that we can ensure our records are updated to reflect this. If you have returned to the programme following any of the above, you will normally participate in the ARCP process and be asked to complete assessments on a prorate basis i.e. if you will only spend 9 months in training between Sept 13 – Sept 14, you should complete 75% of the WPBA prior to the ARCP deadline. However, as the programme is competency based (rather than time based), you may choose to complete 100% of the assessments in this shorter time and ‘catch up’ any time spent out of training. If this is the case, please indicate to us that you have done this when you submit your ARCP paperwork. If you have only spent a very short amount of time in the programme (e.g. between March 13 – March 14), it may be appropriate to postpone your ARCP until the following year. If you think this might apply to you please email email@example.com to confirm your circumstances.Was this helpful?00
Academic Clinical Fellows (ACFs), Clinical Lecturers (CLs) and those on OOPR should follow the Academic Trainees Checklist available on Synapse.Was this helpful?01
Requirements for trainees approaching CCT are the same as for your usual ARCP. However, to ensure that your CCT is not delayed, it is very important that you submit all correct documentation on time. This includes completion of all mandatory DOPS. Your trainers report from your current post should specifically note that your supervisor feels you are able to progress to being a consultant. If you are fast tracking (i.e. applying for CCT after less than 36 months of Level 3 training), you should indicate this on your paperwork and ensure that you have submitted sufficient WPBA to demonstrate competence to the completion of Level 3 training. i.e. the full requirement for 36 months’ worth of Level 3 training. Trainees at the end of their training receive an ARCP Outcome 6 – Gained all required competences.Was this helpful?00
Unfortunately, it is not possible to offer extensions to the deadlines. This is due to the tight timescales involved in assessment timetabling. In order for the panel to get through the large number of paediatric trainees being assessed, and to be fair to each trainee, this process must begin promptly.Was this helpful?00
Since summer 2012, all ST7 trainees who are due to progress to ST8 before their next review have been asked to attend in person to meet with the ARCP panel. This is to allow a face to face dialogue with the senior trainers and Training Programme Directors. This provides an opportunity to discuss your training experiences and ensure that any remaining training issues can be identified and addressed and appropriate advice given to ensure a smooth progression to the final stages of training. Ideally your START assessment will have been completed by this review and will inform the process.Was this helpful?00
At your ST7 review the ARCP panel, which is usually comprised of a Training Programme Director and two College Tutors, will review the documentation that you have submitted in advance as well as the information available on eportfolio. You will then be given an ARCP outcome. This is also an opportunity to ask questions and get general careers advice. Your review is expected to last for no longer than 25 minutes and will be held at the Events Centre within the Operations Department’s building in Russell Square, unless otherwise notified.Was this helpful?00
Trainees who work flexibly must still complete an annual assessment and should still follow the standard checklist. The only difference is that you will complete a pro-rata amount of WPBA according to the % WTE that you have worked. The panel will always round upwards when calculating pro-rata requirements. As the programme is competency based rather than time based, you may choose to complete additional WPBA in order to potentially ‘fast-track’ your training. If you choose to do this, please make this clear when submitting your ARCP paperwork to ensure that your outcome reflects this.Was this helpful?00
WPBA are designed to be formative assessments that contribute to the evidence needed for progression through training. While the assessments carried out between the ARCP and the September rotation date do not provide evidence for readiness for progression through the next year of training, they can be used to demonstrate evidence of acquisition of new skills and may be useful in confirming competence in mandatory skills for the current level of training.Was this helpful?00
If, when the panel conduct your review, there is any paperwork missing or you have not submitted all of the required documents on eportfolio (WPBA, trainer’s reports, MSF), you will be issued an “ARCP Outcome 5 – Incomplete evidence presented – additional training time may be required”. Your outcome will detail what documents are outstanding and you will be given a further deadline by which to submit this, usually five working days. ARCP Outcome 5 is not a possible final outcome and after the deadline has passed, the panel will review your paperwork again. If you have submitted all documentation requested by the panel and no concerns have been raised, you will be issued a satisfactory outcome (ARCP Outcome 1). However, the ARCP Outcome 5 will remain on your record and will be visible to your supervisors and Training Programme Director. If, when the panel revisit your assessment, you have still not completed all the requirements, you will be invited for an in-person review and may be issued with an unsatisfactory outcome.Was this helpful?00
Information regarding the new RCPCH assessment requirements can be found at the following hyperlink:
http://www.rcpch.ac.uk/training-examinations-professional-development/assessment-and-examinations/assessment-tools/assessmeWas this helpful?00
Obtaining 2 parts of the MRCPCH exams is a core competency for the completion of ST2 training. Full MRCPCH is required to complete ST3 training. If you do not pass the required exams, you will be invited for an in-person review at the deanery and will normally be issued with an “ARCP Outcome 3 – Inadequate progress by the trainee – additional training time required”. This is usually issued for a period of 12 months to give you additional time to get your exams. The ARCP Outcome 3 will extend your training time and you will not progress to the next level of training. However, if you have met all of the other competencies, the panel will often permit you to move into your next scheduled post, even if this is at the next level. For example, if you have not achieved full MRCPCH at the end of ST3, you may be able to progress to an ST4 post and will then be an ‘ST3 trainee in an ST4 post’. As the programme is competency based rather than time based, trainees are often able to ‘catch up’ with themselves when they achieve the exam and avoid having their CCT date extended by completing Level 2 (ST4/5) training in 12 months.Was this helpful?00
As a doctor in specialty training you will revalidate in a similar way to other licensed doctors. Your ‘responsible officer’ (RO) will be the Postgraduate Dean based at your LETB. If you are a level 3 trainee, the Postgraduate Dean for the NW London LETB will be your RO. They will make a recommendation (based on your ARCP) that you are up to date, fit to practise and should be revalidated.
In Paediatrics, as your training lasts longer than five years you will need to be revalidated five years after you gained full registration with a licence to practise and also at the point of CCT.
There is detailed information on the GMC website at:
http:www.gmc-uk.org/doctors/revalidation/12383.aspWas this helpful?01
For all doctors in training programmes the Postgraduate Dean is their ‘Responsible Officer’ (RO) for Revalidation purposes. You can find further details on the GMC website (link above) and the name of your RO is available from your GMC Online account. The RO is responsible for making a recommendation to the GMC to affirm the decision for your revalidation. They will use information made available to them from the ARCP to inform the recommendation to the GMC.Was this helpful?00
No, when you move to level 3 training the paediatrics team within Operations will do this for you. You should only link yourself to another RO when you have completed your training (and worked a grace period should you take it up). Your designated body (DB) is the Local Education and Training Board in which your training is taking place. For ST1-5 this will be the LETB in either NW, NCEL or South London and for ST6-8 this will be NW London. The Postgraduate Dean is the RO for the LETB. For those taking time out of programme the DB is the LETB where their last placement was before going OOP.Was this helpful?00
If you leave the training programme prior to your revalidation being done, it will be your new employer’s responsibility to revalidate you. They will need information from the Operations Department. Put them in touch with the paediatrics team at firstname.lastname@example.org. Your designated body will become the organisation in which you spend most or all of your practice. You will have appraisals in line with the GMC Guidance which inform your on-going revalidation.Was this helpful?00
You should be supported through this process by your Trust and educational supervisors and clinical supervisors. You should also talk to your College Tutor and Clinical Lead within the paediatric department for further support. You are required to inform the Lead Provider and the Operations team via your submission paperwork for ARCPs (Enhanced Form R). It is important to declare all SIs in which you have been involved irrespective of whether they have been investigated and even if the investigations have been completed. It is good practice to complete a Reflective Note within your eportfolio about the incident regardless of your personal views about your degree of involvement. In some situations incidents do not quite reach the threshold to be declared as SIs. In these cases it is important to ensure you get support from senior colleagues around debriefing the incident, and it is good practice to complete a Reflective Note within your eportfolio.Was this helpful?00
Individual Trusts contact the Operations Department about any SIs in which trainees are involved, regardless of their degree of involvement and stage of investigation. This is also reported in the Trust Exit Report and it is important that this matches with the information available from the Enhanced Form R.Was this helpful?00
The School of Paediatrics has its own OOP Process for those wishing to go Out of Programme during their Paediatric run-through training.
There are a number of reasons to go out of programme.
1. Out of Programme Training (OOPT)
Time out of programme for approved clinical training in a post which generally contributes towards trainees’ CCT. It is essential that prospective approval is given by the GMC for training which contributes to the CCT. Trainees will be required to continue to undertake WBPAs and have evidence of appropriate Educational Supervision if they wish their training out of programme to be counted towards their CCT.
2. Out of Programme Experience (OOPE)
Time out of programme for clinical experience that is outside of the curriculum, in a post which will not count towards a trainee’s CCT. The School of Paediatrics encourages OOPE overseas through recognised schemes (eg VSO, Global Links) as the programmes are assured to be of good educational value. There are many other opportunities to take time out of programme on OOPE, but it is important that these placements are carefully planned well in advance, and have strong educational merit and supervision.
3. Out Of Programme Research (OOPR)
Time out of programme for research, of which some time may count towards CCT with prospective approval from GMC. It is recognised that funding for research projects can be difficult to find and may not fit in well with the required timing of the OOP Panel. All research projects requiring OOPR must be approved by the Regional Academic Training Adviser before submission and it is good practice to discuss well in advance of the application for funding and ensure that the relevant Training Programme Director is informed of the timing of the funding application.
4. Out of Programme Career Break (OOPC)
Time out of programme mainly for personal reasons e.g. illness, family caring. This will not count towards a trainee’s CCT
Commencement of time out of programme should coincide with a change in rotation (i.e. start of March/September). The deadline for applications to go Out of Programme generally falls about 6 months before the requested OOP start date. All applications have to be approved by the Training Programme Director and Educational Supervisor before being considered by the OOP Panel and the decision of the OOP Panel is final.
The key is to be specific and to get planning early!
Full details can be found at:
Any questions should be addressed to: email@example.comWas this helpful?10
Please contact the Operations Officer by emailing firstname.lastname@example.org and cc the relevant Training Programme Director. Please give as much notice as possible. Please also note that this relates to your terms and conditions of employment. Please get in touch with your Medical Staffing Department to discuss this.Was this helpful?00
No but please liaise closely with your TPD to ensure that the best programme is achieved.Was this helpful?20
The more notice the better because then there might be some choice of which post to return to. The minimum notice period is 3 months before the March/September start date.Was this helpful?00
Have a look at the enclosed link http://www.londondeanery.ac.uk/var/flexible-trainingWas this helpful?02
The ability to take study leave is granted at a local level, but ideally should allow attendance at relevant courses. Personal study leave for examination revision is not generally granted. Arrangements for a trainee to attend RCPCH Examinations should be arranged, and a shift covered by a locum if necessary. Funds for study leave are provided locally by individual trusts to trainees, and are generally around the sum of £800 per year, although this varies is likely to change in the years ahead.Was this helpful?04
Have a look at this link:
http://www.londondeanery.ac.uk/var/relocationWas this helpful?01
You will need to demonstrate that your personal circumstances have changed since the time you took up your NTN.
You need to contact the Operations Department at email@example.comWas this helpful?00
This is now a nationally co-ordinated process hosted by the Operations Department who are contactable at IDTinfo@nulllondondeanery.ac.uk
Detailed information is available on the RCPCH website via this link:
Or at http://www.londondeanery.ac.uk/var/idtWas this helpful?00
Please start by discussing this with your Educational Supervisor before talking to your sector Training Programme Director responsible for programme management. If in doubt then contact firstname.lastname@example.orgWas this helpful?10
Each LETB will contact you to select your preferences for ST4/5. Each Specialty Training Committee will have a Training Programme Director who is responsible for managing the rotational training programmes at each level. If in doubt about which TPD is responsible for your LETB than please contact email@example.comWas this helpful?11
Please discuss with your Training Programme Director after discussing with your Educational Supervisor. If in doubt then contact firstname.lastname@example.orgWas this helpful?00
You will be contacted in good time before ST6 begins, generally in January, with a list of all available rotations. You have the opportunity to inform the matching team of your interests for the remainder of your training and this will be taken into account. Generally as a General Paediatric Trainee you should expect some Sub-Specialty experience within a Teaching Hospital, and usually your last year will be in a District General Hospital. If you are intending to apply for the Gird you still need to complete the matching paperwork, indicating clearly that you are applying to the Grid. The panel will then make sure they place you in Grid-approved posts for ST6.Was this helpful?10
Full details of the National Training Grid Scheme are available at:
Applications are usually open in September with interview in December. Each Specialty Group has a dedicated committee (CSAC) who are contactable with regard to specific GRID queries.Was this helpful?00
Again please refer to the above link. Specialty Programmes are 24 months-36 months in duration dependent on specialty, so you need to check. Some rotations within ST6 may still be counted towards Grid training but need approval by the relevant CSAC prior to application.Was this helpful?10
You can amend your rotations at the next matching process.
Please discuss with your Training Programme Director after discussing with your Educational Supervisor. If in doubt then contact email@example.comWas this helpful?01
All trainees are entitled to a Grace post (a post for 6 months post-CCT). The Grace placements are made after all the other trainees are placed and any leftover post will be used for the Grace trainees. If you want a Grace post, please let the Operations team know on: firstname.lastname@example.org and you will be placed after the matching process is complete. There may be some choice but it is never clear what posts are available until matching is complete.Was this helpful?00
You can start completing your CCT paperwork from 6 months pre-CCT. The CCT paperwork is issued by the College and so please check www.rcpch.ac.uk. Your CCT form needs to be carefully completed following the strict College guidelines. Then it needs to be signed by your Regional Advisor and then sent to the operations team at email@example.com. Grid trainees also need to get their CSAC to sign the form. The Operations team will check the form and ask the Head of School to sign it, before it is sent to the College. The process takes approximately 3 months so do not delay starting. Once the College are happy with the form it is sent to the GMC who enter your name on the Specialist Register.Was this helpful?00
FAQ 2 - ARCPs and RITAs (annual reviews)
FAQ 3 - Revalidation
FAQ 4 - Serious Incidents (SIs/SUIs)
FAQ 5 - Time Out of Programme
FAQ 6 - Maternity Leave
FAQ 7 - Study leave
FAQ 8 - Relocation expense
FAQ 9 - Changes in placement