ARCPs

ARCP stands for Annual Review of Competence Progression
 
The ARCP process has been updated and these pages require an update.  For the updated ARCP process please follow this link.
 
The ARCP is a formal process that reviews the evidence presented by the trainee and their educational supervisor relating to the trainee’s progress in the training programme. This review looks at the amount and quality of the evidence to determine whether a trainee should move on to their next training module, or whether additional training experience or time is required. A full explanation of its purpose can be found in the Gold Guide via this link. In addition, HEE have provided an introductory video which can be watched here:
 
 
The ARCP Panel usually consists of at least one Training Programme Director and a minimum of two other trainers, such as Educational Supervisors and/or College tutors. In addition, there are certain circumstances where the Head/Deputy Head of School or an Associate Postgraduate Dean will be present, along with a member of the programme support team too. A proportion of ARCP panels also have a lay representative present.
 
ARCP Outcomes are reached after a panel has reviewed the evidence supplied by the trainee and contained within their training portfolio/lifelong learning platform. Since most ARCPs are conducted without the trainee present, it is essential that the training portfolio is up to date and contains all the evidence required by the ARCP panel. You can ensure you have provided the evidence by using the ARCP checklists, which can be accessed by one of the boxes below. It is helpful to complete the checklist with your ES and upload the completed checklist to your portfolio/LLP.
 
at the end of the ARCP process, the panel will issue an outcome. For trainees within the training programme, the following ARCP outcomes may be issued:
 
Outcome 1: Progressing as expected. Trainee anticipated to move on to their next training module.
Outcome 2: Development of specific competencies required, but no additional training time needed. Trainee is anticipated to move on to their next training module, but may require some additional competencies or training exposure during this period. 
Outcome 3: Inadequate progress by trainee, additional training time required. This is for trainees who have specific training requirements that cannot be obtained without extra training time. This is usually for trainees who haven't yet passed the FICM exam and are not eligible to move into the next training phase without it. They may be given extra time ("on an extension") to obtain this missing component (e.g. the exam). The trainee's CCT date is likely to be extended.
Outcome 4: Trainee leaves the training programme without completion of training
Outcome 5: Incomplete evidence presented. ie. the panel cannot make a judgement on whether a trainee is progressing or not, because the required evidence is not available.
Outcome 6: Gained all required competencies and successfully completed the training programme 
 
Trainees who are likely to receive an outcome 2, 3 or 4 will be required to attend the ARCP. This is to ensure that the panel can clarify the reasons for the outcome and ensure the trainee has a clear, well-supported action plan. The outcome of an ARCP panel should not be a surprise. Generally speaking, if you are invited to a panel because an Outcome 2, 3 or 4 is expected you will have already been contacted by your ES/CT/TPD who will help you to prepare.
 
Trainees expecting an Outcome 6 (Final ARCP) will be invited to attend but are not obliged to do so.
 
More detailed sections on ARCP related information such as "how to prepare" and "reflective practice" is available by clicking on the boxes at the bottom of the page. Answers to specific ARCP questions are in the FAQ's below.

 

 

How often can I expect to have an ARCP?
Each trainee must have at least one ARCP per calendar year. This includes those who are training less than full time. 
Trainees will have an ARCP more frequently following an Outcome 2,3 or 4.
Sometimes, trainees will be invited for an interim review eg. preceding OOPE.
Trainees will be given at least 6 weeks’ notice prior to an ARCP to allow time to gather evidence, complete the Educational Supervisors report and submit all the documents onto their e-portfolio.
The final ARCP, when a trainee is approaching the end of their training scheme, MUST occur within 3 months of their completion date. 
What if I cannot go to the ARCP?
If you are REQUIRED to attend the ARCP but are unable to come (e.g. previously arranged annual leave) then you must inform the TPD and HEE admin as soon as possible to rearrange the ARCP. On call shifts or zero days are not a reason to miss a required ARCP attendance. As the dates are announced in advance the trainee is expected to swap shifts and rearrange their timetable to attend.
If you are on sick leave then you must inform the administrator and your TPD – your ARCP will be rearranged for when you are no longer unwell.
I am an OOP, LTFT, Academic or dual trainee. What about me?
LTFT Less than Fulltime Trainees will need an ARCP every calendar year even though they may not have completed an entire "year's worth" of training.
OOP. An annual ARCP is expected even for trainees on Locum Appointment for Training posts (LAT) or if they are on an OOP (Out Of Programme activity). The details of the ARCP process for these trainees are detailed in the Gold Guide. The Outcome for an OOP are sometimes numbered differently.
Dual Trainees will have an ARCP in both specialties (usually within the same panel). 
Trainees cannot progress in one CCT if they are on an adverse outcome in the other. For example, a trainee who is struggling with the Final FRCA will not be able to progress to Stage 2 of ICM training even though they have completed their Stage 1 ICM requirements.
Academic trainees will also require an annual ARCP. The ARCP panel will have representatives from both the Clinical and Academic programmes, and the trainee must progress in both their Academic and their Clinical programmes in order to proceed.
What can I do in the event of a concern about an outcome?

A trainee may request a review of an Outcome 2, or appeal an Outcome 3 or 4. There are time limits and requirements for embarking on these processes so it is recommended that trainees read the appropriate part of the Gold Guide early on if they are concerned. 

What are the reasons for which an Outcome 5 may be issued?
ARCP Outcome 5s may arise for two distinct reasons.
 
Firstly, a trainee may be issued an Outcome 5 because they have an outstanding module to complete before they progress to the next level of training and they are still undertaking that module at the time of the ARCP. This can be frustrating for the trainee who has everything else in order for their assessment. It may be possible to issue an Outcome 1 in this circumstance provided that the module supervisor (perhaps via the ES report) indicates that the trainee is progressing satisfactorily in the module and is expected to complete it in a timely manner. However, if this is not clear in the ESSR then the panel will have no choice but to issue an Outcome 5 pending completion of the module. In this circumstance, the Outcome 5 does not reflect poorly on the trainee who is otherwise well-prepared for the ARCP.
 
Much more commonly, a trainee receives an Outcome 5 because the they have not presented sufficient evidence to the panel for an assessment to be made. This situation should be entirely avoidable if the trainee maintains their portfolio and prepares in a timely manner, meeting their ES and using the ARCP checklist. An Outcome 5 in this circumstance reflects poorly on the trainee.
What should I do if my ES is on leave around the time of the ARCP?
Firstly, try to avoid this circumstance by making sure you know when your ARCP is likely to take place and planning a suitable review time with your ES well in advance. Remember, your ES may supervise several trainees and will not always know that your ARCP is coming up. 
 
All paperwork for the ARCP should be done at least two weeks beforehand so your ESSR should be submitted around three weeks ahead. Adhering to this schedule will minimise the chances of missing your ES at a crucial time. Should you find yourself in this circumstance then please seek advice from your college tutor or TPD ahead of the ARCP
How does the ARCP panel review my evidence?

The panel members will be given access to your ARCP record about one week prior to the assessment day. They can only review evidence that is linked to an ARCP record and cannot see historical evidence relating to previous levels of training. It is therefore essential that you link all your evidence appropriately, complete the ESSR in full and include the ARCP checklist annotated to show how your evidence can be viewed.

Who should I contact if I need help preparing for my ARCP?

You can contact admin support at HEYH, your TPD or your college tutor for help (see the contacts page) but please do so as soon as you are having difficulties. Most problems can be managed easily in advance but, if left until the ARCP day, may result in an adverse outcome.

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