Trainees Experiencing Difficulties.

All those GPStRs who are identified as having problems or indicators of potential future difficulty will be monitored either at Training Programme level or central School level depending on the level of concern. View the policies section to see the overall Health Education England Working Across Yorkshire and the Humber policy provides the formal framework that is followed. There is however specific guidance for the GP school.

The school policy follows a similar format to the generic Health Education Working Across Yorkshire and the Humber policy on the policies section, for managing performance concerns and falls within that policy, however it has been adapted to be more specific for the different challenges of the GP training programme. If a discrepancy arises, the overall Health Education England Working Across Yorkshire and the Humber policy is the one that should be followed.

Performance Team

The School Lead is Dr Karen Bradley.

The Locality Leads are:

Dr Elena Pamphilon - South Yorkshire (please contact via GPSouth.yh@hee.nhs.uk)
Dr Nick Whelan - East and West Yorkshire (please contact via GPEast.yh@hee.nhs.uk)
Dr Natalie Hodgson - East and West Yorkshire (please contact via GPWest.yh@hee.nhs.uk)

Courses

The GP school has written a short summary of the courses available for those who may benefit from them.

Other HEE Policies

Trainees may have a variety of difficulties including sickness.

There are a range of support systems available within HEE:

Workplace Wellbing/Take Time

Sickness/Parental Leave

Less Than Full Time

Coaching

Out of Programme

RDM-p, SKIPE, I-SID Resources

These are resources that help identify particular problems with a trainee in difficulty.

One of the tools that most trainers find helpful is the RDM-p model which stands for:

Relationship
Diagnostics
Management
And professionalism

The RDM-p screening tool can help you identify trainees in difficult and the nature of that difficulty:

This is also the structure that the new Clinical Supervisors Report is based on and can be linked back to the GP trainee competencies that we are all familiar with.

SKIPE - Skills, Knowledge, Internal, Past, External.

Internal would include personality traits, attitudes, health issues.

Past would include previous educational experiences, medical training, upbringing culture.

External includes current stressors, such as family issues, long commutes, work environment.

I-SID (Identify, Share, Involve, Document) is a way of bringing all this information together, please see PowerPoint here.

SuppoRTT

There is a Supported Return to Training (SuppoRTT) programme for trainees that have had an absence from clinical work of more than three months.

Trainees found to be performing below the level of an ST1 starter

If there are concerns raised that a new ST1 trainee is not performing at the required level, please use the attached flowchart and explanation on how to manage this situation.

Concerns may be raised within a GP practice or from hospital colleagues in a hospital post.

Please raise concerns with TPDs and the performance team.

Please click below for the following documents:

HEE Y&H Non Starter Level Competence Level Concerns Process

Non ST1 Starter Level Competence Concerns Guidance

Key Faculty for Non ST1 Starter Competence Concerns 2019

Useful Documents

GP Educators should also hopefully find following documents relating to the identification and management of under performance useful:

RCGP Indicators of Under Performance Framework

RCGP Competence Areas (word pictures)

Schools Dyslexia Screening Policy

Occupational Health Referral template letter and additional information