Guidance to Deaneries with Severn Faculty Notes

This draft document has been produced by the RCGP. We support the standards that it recommends and we expect that its recommendations will be ratified.

We already meed most of the standards. You can see how we are meeting each of these standards or where we have work in progress, how we plan to meet these standards by following the links at the bottom of each page. We have now also included a number of standards from "The Trainee Doctor: Foundation and Specialty, including GP Training."

Introduction

GP training standards (the standards) have been developed and approved by COGPED and the RCGP. In the view of COGPED and the RCGP, GP training programmes and educators meeting these standards can be assumed to have met, and in many cases exceeded, GMC standards.

The standards are compatible with and build upon the GMC generic training standards.

They use the definitions of ‘domain’, ‘standard’ and ‘requirement’ adopted by the PMETB in August 2008. The standards also make reference to, and are consistent with the Gold Guide (A Guide to Postgraduate Specialty Training in the UK)

The standards have been designed for the use of those involved in the quality control, management and assurance of GP specialty training programmes. This is primarily postgraduate deaneries and the GMC.

The standards are written to be flexible enough to accommodate changes to the structure of GP specialty training. They cover all years of the training programme and all the environments in which training takes place - NHS and non NHS, within and outside the UK - although not all the standards are relevant to, or attainable in, all parts of the programme.

The standards include standards and requirements for the three key categories of educator now responsible for supervising GP Specialty Registrars (GP StRs) – clinical supervisors, educational supervisors and training programme directors (COGPED and the RCGP are working with the GMC to agree a definition of a GP trainer in the context of the General and Specialist Medical Practice (Education, Training and Qualifications) Order).

The training and educator standards are interlinked and must be used together to quality manage and quality assure GP specialty training.

The majority of the requirements that underpin the standards are mandatory. There are a few areas where deaneries and training providers are expected to be working towards compliance with a requirement. COGPED and the RCGP will consult on additional developmental areas during 2008/9. At this stage timescales for the elevation of developmental areas to mandatory requirements will be included (This will apply only to developmental standards set by the RCGP and COGPED, not those set by the GMC).

A number of sets of standards relating to clinical care, practice management and governance are in use across the UK. The standards avoid, as far as possible, duplicating others by focusing only on areas directly related to GP specialty training.

Where there are local variations in training provision deaneries may develop their own standards and/or requirements. Deanery standards must be compatible with and build upon the COGPED/RCGP standards.

In line with the PMETB’s approach, COGPED and the RCGP have not developed standards relating to accommodation (for rest/sleep), travel, personal safety and catering services in GP StR training environments. Adequate provision in these areas is, however, important for the health and well-being of GP StRs and relevant to GP StRs’ ability train and learn effectively. COGPED and the RCGP will be recommending to the GMC that national standards are developed in these areas.

Defining what should be a mandatory requirement and where a Deanery/training provider should be working towards compliance is not a precise art. Additionally, the consequences of delivering or failing to deliver each standard are different, such that not all standards are equal. In the early years of visiting, it is important that those involved in the quality management and assurance of GP specialty training are sensitive to these differences.

At the end of each Domain section, see how we are currently meeting the standards specified by the RCGP. These documents are split by the GMC domains and show:

December 2008
Clare Whittle