nw supportt update - june 2020 - nwpgmd.nhs.uk
TRANSCRIPT
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NW SuppoRTT Update - June 2020Dr Alison Gale
Associate Dean for SuppoRTT, HEE NW
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Housekeeping and programme
• PLEASE TURN OFF MICS WHEN NOT SPEAKING
• Introduction and SuppoRTT Process Dr Alison Gale,
Associate Postgraduate Dean, SuppoRTT - HEE, North West
• The practicalities of returning to training St Helens and
Knowsley NHST, Lead Employer
• Trainee RTT Experience Dr Michelle Keane, ST6 Paediatrics
• LTFT – the basics Dr Shirley Remington, Deputy Postgraduate
Dean, Learner Support - HEE, North West
• Q&As
@NHS_HealthEdEng
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@NHS_HealthEdEng
SuppoRTT
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SuppoRTT Programme
• Enables doctors returning to clinical training following
a period of prolonged absence:
– To regain their confidence and clinical skills
– Quickly and safely
– Thereby enhancing trainee wellbeing and patient
safety
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SuppoRTT funding eligibility
• All doctors and dentists in training in England
• who have an NTN / FTN
• However, principles of the SuppoRTT process should
be made available to all doctors returning after a
prolonged period away from clinical practice
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SuppoRTT Programme
• Should be used by all trainees who have had an
absence of 3 months or more, for whatever reason:
– Parental leave
– OOP(R), OOP(C) and OOP(E)
– Sickness
– Bereavement
– Disciplinary action
• Those with shorter absences may also benefit
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Pre-absence• >3 months absence
• Meet ES to complete
• Bespoke plan
• Discussion:
- keeping up to date
- KIT days/courses/mentoring
- particular concerns
• Contact
• ?Return to LTFT training
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• Communication with ES
• Meet 6-8 weeks before return
• Discuss:• Learning needs
• Bespoke period of supervision
• Rotas
• Encourage KIT / SRTT days
• Course / bootcamp
Pre-return
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• Meet with ES
• Review plan
• Review whether targets met –
WPBAs, reflections
• Mutually agree:• Readiness to return to normal
work / training
• Further enhanced supervision
• ongoing support / mentoring
Post-return meeting
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@NHS_HealthEdEng
Remember
• Forward all forms to [email protected]
• School and Trust SuppoRTT Champions in post to
help and guide you
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KIT / SRTT days
• Up to 10 days
• Voluntary
• Need educational approval in advance
– Meetings/courses
– Induction
– Supervised clinical work
• Paid at basic rate minus maternity pay
• Payment received by completion of form in LEO
toolkit in same calendar month as work undertaken
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@NHS_HealthEdEng
Key concerns of all returners
• Confidence- self and support mechanisms
• Being watched and assessed
• Trainers attitudes
• Ability
• Fatigue
• Managing on call / shifts
• Managing home life
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Support available
Mentoring and coaching
KIT activities – generic specific
Personalised return plans and Human factors and simulation days- school and more general
E learning for health package on returning and LTFT
Educational support and funding for education while off when supporting return
Pastoral support including LEO
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@NHS_HealthEdEng
Thanks and Questions
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LTFT – The BasicsDr Shirley Remington
Deputy Dean for Learner Support, HEE NW
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• Background
• Recent changes to application process
• New application process
• FAQs
LTFT – The Basics
@NHS_HealthEdEng
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@NHS_HealthEdEng
Facts and figures
2019-6673 less than full time trainees
12.6% in HEE NW
Rise by 37.9% since 2012
1.7% of foundation doctors
Most common in OH 33% least common in surgery 5.4%
15% of female trainees 2% of male trainees but male numbers rising
Most common in age 30-39 group
70+% are for childcare
Introduced in 1969-
900 trainees in HEE NW
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@NHS_HealthEdEng
LTFTT – Types
Eligibility
• Type 1: carer or health including disability
• Type 2: develop special skills / interest
• Type 3: personal choice that meets their individual professional or lifestyle needs (pilot)
Funding types
• Jobs share
• reduced hours post
• supernumerary
Minimum 50% (GMC 2011)
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@NHS_HealthEdEng
LTFTT – Types
• New Gold Guide March 2020
• NHS employer guidance - Flexible Training Cchampions
• GMC statement in 2017 re additional work
• Flexible working law change 2014
• New contract effects
• Return to work support
• Emergency Medicine initiative April 2017 and renewed 2018, O&G and Paeds from November 2019 - further roll out anticipated
• Improving junior doctors’ lives
• Updated local policy
• Local locum guidance
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@NHS_HealthEdEng
New Opportunities
• TIS
• Local Flexible Training Leads
• New contract
• GMC statement 2017
• EM pilot and extension and roll out
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@NHS_HealthEdEng
Process and Tips
• Eligibility - done once
• Start early.
• Talk to School LTFT Lead and TPD
• Build links with local flexible training lead in Trust as soon as you know which Trust and speak to TSTL
• Notice to return to full time or change 3 months
• If returning after break, ensure Trust are aware
• Use SuppoRTT Opportunities
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@NHS_HealthEdEng
Key challenges – LTFT Trainee
• Fitting in
• Personal expectations
• Conflicts in WLB
• Finance
• Rigidity - negotiation skills
• Return to work programmes
• ARCPs
• NTS survey 2019 high
percentage say colleagues
unsupportive
• Isolation
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@NHS_HealthEdEng
Common Questions - Answers
• Study leave pro-rata with sessional commitment
• Annual leave pro-rata
• On call pro-rata (may do more to max total working week 40hrs)
• Post approval - only needed if training slots exceeded
• RHFT work 50-80% time
• Supernumerary up to 60%~(80 in last year training)
• Slot share 60%
• GMC rule - minimum 50% time
• Responsibilities training programme as full time
• ARCPs / revalidation as full time
• Locums
• Paid employment
• Bank holidays
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@NHS_HealthEdEng
How much notice to start? 3 months.
Why do I need to do a new form every time I rotate? So your school, LEO and
team aware/pay.
How do I go full-time again? 3 – 6 months notice, complete and submit a form,
and let your School know in advance
Out of hours and daytime percentage is different which counts towards CCT
Where do I get information? www.nwpgmd.nhs.uk/content/less-full-time-training
If in doubt, ask
FAQs
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@NHS_HealthEdEng
Support for trainers and trainees - LTFT
• Supervision of LTFT Trainees e-Learning module
http://portal.e-lfh.org.uk/Component/Details/473676
• HEE NW LTFT
• HEE NW locum guidance
• NHS employers flexible training leads guidance
• Gold Guide
• Academy of Medical Royal Colleges return to practice
• NHS Careers website
• BMA document 2014
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@NHS_HealthEdEng
Overall Satisfaction
75.
76.5
78.
79.5
81.
82.5
84.
85.5
2012 2013 2014 2015 2016 2017 2018
FT LTFT
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@NHS_HealthEdEng
Thanks and Questions
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Top tips for return to clinical practiceMichelle Keane ST6 Paediatrics
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My Experience
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With the right suppoRTT
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Challenges and benefits
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Challenges and benefits
Organisational demands Looking forward to more mental stimulation
Anxiety
Overwhelmed Adult company
Guilt Personal fulfilment
Decision-making
Lack of confidence Growth and personal development
Lonely
Tired Prioritisation
Rusty practical skills Team awareness
Feeling of mediocrity Empathy
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Its not the same for everybody
Health issuesFamily support
Partner’s job
Nursery times Sleepless nights
Nursery lurgy
Exams CVSpeciality demands/
expectations
Commute OOH/On-calls LTFT
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Some practical tips
KIT/ SuppoRTT days
Make contact with work
early to plan your return
Mandatory training- book early
Book some annual leave
Use your commute- podcasts/
audiobooks/ music
Sort childcare early
including a plan B and
don’t feel guilty for using it
Plan meals/ freeze/ slow-cook
Outsource: shopping/cleaning
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Arrange an enhanced supervision period
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Find balance
Find time for things that are good for you
Accept organized chaos
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Be kind to yourself
Lots of people can support you