Health Education England

Transcription

1 Health Education England working across Kent, Surrey and Sussex GP School Prospectus Programmes commencing August 2017 Version 1.0 Published 28/10/16

2 2 THE HEEKSS GP SCHOOL 4 What is a GP School? 4 GP Training in the UK 4 HEEKSS in Brief 5 How do I Apply to Undertake GP Training in HEEKSS? 5 What is our aim? 5 What things do we value? 6 Map of KSS 7 THE STRUCTURE OF THE SCHOOL 8 MEMBERS OF THE GP SCHOOL TEAM 10 DEPARTMENT OF POSTGRADUATE GP EDUCATION ADMINISTRATION TEAM PROVIDING SUPPORT FOR THE GP SCHOOL WHAT CAN YOU EXPECT FROM TRAINING IN HEEKSS? 16 Hospital Placements 16 GP Placements 17 Educational Support 18 Induction 18 Learning Sets 18 Study Leave 18 Academic Training Programme Opportunities (ACF) 19 Global Health Fellowships (GHF) 19 Experiential Learning for the Clinical Skills Assessment 19 Additional Learning Resources 19 Educational and Leadership Opportunities 20 Quality Management in the HEEKSS GP School 20 GPStR Involvement in the GP School 21 What if training does not go as smoothly as anticipated? 21 Information Sharing 21 Employment 21 Additional Financial Support 22 Deferment 22 Less Than Full-time Training (LTFT) 22 Sickness Absence 23 Transfers 23 Out of Programme Experience 23 THE GP CURRICULUM 24 The eportfolio 24 The MRCGP 25 Assessment Methods in WPBA 25 GLOSSARY CONTENTS

3 3 KENT 30 EASTERN AND COASTAL KENT (East Kent) 32 MEDWAY 34 WEST KENT Dartford 36 WEST KENT Maidstone and Tunbridge Wells 38 KENT LOCAL EDUCATION PROVIDERS 42 DARTFORD & GRAVESHAM NHS TRUST Darent Valley Hospital EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST Kent & Canterbury Hospital EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST William Harvey Hospital EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST Queen Elizabeth the Queen Mother Hospital MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST Maidstone Hospital and Tunbridge Wells Hospital KENT AND MEDWAY NHS AND SOCIAL CARE PARTNERSHIP TRUST (KMPT) MEDWAY NHS FOUNDATION TRUST Medway Maritime Hospital THE LIONS HOSPICE 52 PILGRIMS HOSPICE 53 TRAINING PRACTICES IN KENT 54 Training Practices in the East Kent Programme Area 54 Training Practices in the Medway Programme Area 55 Training Practices in the Dartford Programme Area 55 Training Practices in the Maidstone and Tunbridge Wells Programme Area SURREY 57 EAST SURREY Crawley and East Surrey (CRESH) 59 EAST SURREY Epsom 61 WEST SURREY Chertsey 63 WEST SURREY Frimley 65 WEST SURREY Guildford 67 SURREY LOCAL EDUCATION PROVIDERS 69 ASHFORD & ST PETER S HOSPITALS NHS TRUST St Peter s Hospital EPSOM & ST HELIER UNIVERSITY HOSPITALS NHS TRUST Epsom General Hospital FRIMLEY PARK HOSPITAL NHS FOUNDATION TRUST Frimley Park Hospital THE PHYLLIS TUCKWELL HOSPICE ROYAL SURREY COUNTRY HOSPITAL NHS FOUNDATION TRUST Royal Surrey Country Hospital ST CATHERINE S HOSPICE 76 SURREY AND BORDERS PARTNERSHIP NHS FOUNDATION TRUST SURREY AND SUSSEX HEALTHCARE NHS TRUST East Surrey Hospital TRAINING PRACTICES IN SURREY 80 Training Practices in the Chertsey Programme Area 80 Training Practices in the CRESH Programme Area 80 Training Practices in the Epsom Programme Area 81 Training Practices in the Frimley Programme Area 81 Training Practices in the Guildford Programme Area 82 SUSSEX 83 EAST SUSSEX Brighton and Mid-Sussex (Brighton) 85 EAST SUSSEX Eastbourne and Hastings 87 EAST SUSSEX Brighton and Mid-Sussex (Mid-Sussex) 90 WESTERN SUSSEX Chichester and Worthing 92 SUSSEX LOCAL EDUCATION PROVIDERS 96 BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST Royal Sussex County Hospital & Princess Royal University Hospital, Haywards Heath EAST SUSSEX HEALTHCARE NHS TRUST Eastbourne District General Hospital and Conquest Hospital ST BARNABAS HOSPICE 102 SUSSEX PARTNERSHIP NHS FOUNDATION TRUST (PSYCHIATRIC) WESTERN SUSSEX NHS TRUST St Richard s Hospital WESTERN SUSSEX NHS TRUST Worthing and Southlands Hospital ST WILFRID S HOSPICE 109 TRAINING PRACTICES IN SUSSEX 110 Training Practices in the Brighton and Mid-Sussex Programme Area 110 Training Practices in the East Sussex Programme Area 111 Training Practices in the Western Sussex Programme Area 112 GP TRAINING POSTS AVAILABLE AUGUST THE HEEKSS POST-CERTIFICATION GP SCHOOL 114 DEPARTMENT OF POSTGRADUATE GP EDUCATION ADMINISTRATION TEAM PROVIDING SUPPORT FOR THE POST- CERTIFICATION GP SCHOOL

4 4 HEALTH EDUCATION ENGLAND KENT, SURREY & SUSSEX GP SCHOOL Welcome to the HEEKSS GP School. This prospectus aims to provide you with information about the rich variety of training environments we provide for doctors who wish to train for a career in general practice. You will find information about all our Specialty Training Programmes and the locations, the educational processes and the support for doctors training for general practice as well as the overall structure of the School. I hope that you enjoy reading it and find it useful. WHY GENERAL PRACTICE WHAT IS A GP SCHOOL? GP TRAINING IN THE UK A number of reviews looking at models of health care going forward have highlighted the importance of an integrated approach between primary and secondary care, supported by more generalist training for doctors. Care will be based predominately in primary care where patients want to receive their care. This opens up an exciting range of opportunities for future GPs as primary care will be in the forefront of NHS development and through the process of credentialing proposed by the General Medical Council GPs will have the opportunity to develop additional skills post qualification. At the same time there is an increased recognition that care is most effectively delivered through teams. There are lots of exciting developments in primary care mirrored in HEEKSS where we are working to develop increased awareness of primary care in undergraduate nurse training, working with community pharmacists, the Ambulance Service and Universities to develop Physician Associates to work alongside GPs of the future. Across primary care there is work going on to further develop the infrastructure for education and training - we hope all practices in the future will be involved in training the next generations of NHS professionals and as a trainee in HEEKSS you could experience this joint learning and working through our Community Education provider network (CEPN). The HEEKSS GP School is a virtual organisation that draws together postgraduate doctors in training for general practice, their teachers and supervisors, and the appropriate administrative staff in a geographical area (formerly known as a Postgraduate Deanery) that works in collaboration with the Royal College of General Practitioners to deliver and support GP training programmes. The HEEKSS GP School is an integral part of Health Education England. Health Education England was formed as part of the NHS reorganization in 2013 and is responsible for the education, training and personal development of every member of staff working in the NHS. HEE is divided into thirteen regional Local Education and Training Boards. Kent, Surrey and Sussex is one of these Boards. Each medical specialty in HEEKSS is organised along the lines of a Specialty School and works closely with their Craft College, for general practice the Royal College of General Practitioners. The GP School is part of the HEEKSS Department of Postgraduate General Practice Education. At present, GP Specialty Training takes place over three integrated years which must include one year of appropriate hospital posts and one year of training in an approved GP Training Practice. All GP Registrars will have at least 16 months experience in a GP placement. General Practice and Primary Care continue to change and develop in the UK, and provide the vanguard of healthcare provision that blends clinical science with the richly rewarding environment of working with individuals and in their lives. The working context is constantly evolving, as are the skills and knowledge that individual GPs need. HEEKSS aims to anticipate immediate future trends by changing the educational content and context of its training to make it pertinent to all our new starters, and give them the best start in their GP careers. Through creative partnerships we shape and develop a workforce that impacts positively on health and wellbeing for all. HEEKSS has identified a series of priorities for the workforce in HEEKSS including: The development of primary care Delivering a compassionate service Care for those suffering from Mental Health problems especially Dementia Child services Accident and Emergency

5 5 HEEKSS aims to anticipate immediate future trends by changing the educational content and context of its training to make it pertinent to all our new starters, and give them the best start in their GP careers. HEEKSS IN BRIEF The Counties of Kent, Surrey and Sussex cover the major part of the urban and rural areas of South East England. HEEKSS thus has excellent transport links to London and Europe with the Eurostar and high speed rail link and the many cross channel routes. It has a rich mix of towns, three ancient cathedral cities and a long and varied coastline. In terms of lifestyle, rest and relaxation and transport links we think it is the perfect part of the world in which to train. We give further information, about the different training locations and their local flavour, elsewhere in this prospectus. HOW DO I APPLY TO UNDERTAKE GP TRAINING IN HEEKSS? All applications to GP training in the UK are co-ordinated by the National Office for GP Recruitment (NRO) and applications to HEEKSS should be made through its website. The NRO website has lots of helpful information about the application process, including the time lines, the person specification and guidance on what to expect at the different recruitment stages. The GP section of HEEKSS website at kssdeanery.ac.uk/general-practice also links you to the NRO. WHAT IS OUR AIM? Very simply to enable you to undertake your GP training and get your Certificate of Completion of Training (CCT) as smoothly and in as timely a way as possible. In addition, we want to ensure that your journey is stimulating and fun filled and when you do finish, that you have a good base to continue your lifelong personal professional development in the exciting and developing world of general practice preferably in HEEKSS!

6 6 WHAT THINGS DO WE VALUE? The School places the greatest importance on our trainees and their progress. We understand that learning a new set of information and skills, and demonstrating that knowledge and skills in assessments can provide a challenge, so we try to put as much support and help your way as possible. Induction to our training posts is an essential part of the process, so that you should not have to undertake the duties of a new post without clear guidance and information as to what you need to know. We like to ensure that this is happening on the ground, so the HEEKSS GP School carries out inspections of all our GP training areas regularly and asks our GP trainees to feedback on their experience of every placement via our online feedback process and exit interviews. This means that we can keep a close eye on things, move to remedy any issues as early as possible and continue to enhance our processes for the next incumbent. We also want to ensure that your hospital posts provide good and relevant experience for becoming a GP, and have created guidance that will allow you and your Supervisor to determine what important areas you need to learn in any hospital post for your training as a GP. Through joint learning processes with GP educators and hospital consultants, we seek to ensure that your consultants will be prepared and have an understanding of the assessments that they will be doing with you. We know that it is not possible to provide every GP trainee with their ideal spread of different clinical experience, if indeed such a thing exists. In order to tailor this to individual needs we have created a number of Integrated Training Posts (ITP) that are based in general practice but permit you to have 3 days a week in another clinical area that is relevant to GP training. These are very popular and provide good feedback, but even if you do not have one on your rotation, you will have at least 16 months in a general practice post which will allow plenty of opportunity for any specific clinical learning needs to be addressed appropriately for general practice. The School will provide you with a number of training days at no cost. These may be informational (e.g. information about the GP assessments), Clinical Skills Assessment training (learning skills for telephone consulting), particularly in the out of hours situation. These various events may be held locally or centrally. In addition, the School now has a comprehensive series of e-learning modules to support your learning about consulting with patients and the MRCGP and its assessments which can be completed in your own time. The HEEKSS GP School is committed to providing this enhanced level of support to GP trainees in order to give them the best possible chance of success in passing their MRCGP. The School also provides a support structure for you, with your Educational Supervisor, your Programme Directors, and your Patch Associate GP Dean all available to help with any problems you may have. The majority of problems for trainees are dealt with locally and easily but there is a robust support network available for any situations that may need further help. And you have a voice! There is an active committee of GP trainees in HEEKSS that draws representation from every training area, and provides direct and close communication with the GP Dean and Head of the GP School.

7 7 WHAT THINGS DO WE VALUE? (cont.) HEEKSS covers a population of around 4.5 million people and has 12 major Acute Hospital Trusts covering a number of general hospitals, 1 Local Area Team, 3 Mental Health & Specialist Trusts (that provide a wide number of inpatient and outpatient locations) and 4500 GPs. East Kent and Brighton and Sussex are University NHS Trusts and Frimley Park and Medway are Foundation NHS Trusts. The School has around 245 individual GP Specialty Training Programmes (actual numbers are subject to change each year) in 12 GP Training Programme locations, based around the main Acute Trusts. That means at maximum capacity the School will have around 850 trainees. All GP training programmes are organised to deliver the outcomes of the GP Curriculum (and approved by the GMC for this purpose). In HEEKSS we aim to provide trainees with as wide an exposure to the learning environments appropriate to the GP curriculum as possible. There are around 250 Practices approved for GP training with 450 GP Trainers. Because it is a big area, for convenience we divide each of the counties of Kent, Surrey and Sussex into east and west patches to help with our administrative processes, and the prospectus follows this structure in describing the School. The GP Specialty Training Programmes are supported by a local team of enthusiastic GP Programme Directors (these will include GPs who have been trained and selected for the purpose, and others from an academic background in medical education who have University posts as well). There are normally three Programme Directors per training programme (more where the programme covers a wider area and has a larger number of trainees) who will support you in every year of the training programme and co-ordinate the group of GP Trainers who will look after you when you are in your GP placements. Although each individual GP Training Programme delivers everything that is necessary for you to get your CCT, each one has an individual character and flavour. Further information about each GP training programme area that provides more local colour and flavour will be found later in this prospectus.

8 8 THE STRUCTURE OF THE SCHOOL In HEEKSS, GP training is carried out in 12 GP Training Programme areas, and each of these areas is linked to a Local GP Faculty Group (LFG). The Faculty consists of those trainees, GP Educators (GP Trainers and GP Specialty Programme Directors), Consultant Clinical Supervisors and administrative staff (such as the Medical Education Managers) who are all involved in the GP training in that locality. The Faculty allows the progress of all trainees to be monitored, which means that effective and speedy support can be directed to any trainee that might be in need of it, for whatever reason. The Local GP Faculties link to the other Specialty Faculties in each Hospital Trust through the Local Academic Board. This allows networking and good educational practice to be shared at the local level. Although the GP School is organised geographically, there are some instances where, for administrative purposes, responsibility for a GP Training Programme Area is with a Patch Associate GP Dean mainly responsible for another geographical area. For example the Crawley and East Surrey Hospitals (CRESH) GP Training Programme Area falls across the border of both East Surrey and West Sussex, and responsibility is shared between the East Surrey Patch Associate GP Dean and the West Sussex Patch Associate GP Dean, and Medway is geographically located in West Kent, but for administrative purposes responsibility lies with the Patch Associate GP Dean for East Kent. The main central administrative support for the GP School is based at the HEEKSS GP School offices at Russell Square in London.

9 9 HEAD OF PRIMARY AND COMMUNITY CARE EDUCATION Prof. Hilary Diack GUILDFORD GP TRAINING PROGRAMME FRIMLEY GP TRAINING PROGRAMME PATCH ASSOCIATE GP DEAN WEST SURREY Dr Tariq Hussain HEAD OF GP SCHOOL Dr Chris Warwick ASSOCIATE DEAN FOR CURRICULUM AND ASSESSMENT Dr Susan Bodgener ASSOCIATE DEAN FOR COMMUNICATION AND SIMULATION Dr Mohan Kanagasundaram CHERTSEY GP TRAINING PROGRAMME EPSOM GP TRAINING PROGRAMME CRAWLEY AND EAST SURREY (CRESH) GP TRAINING PROGRAMME PATCH ASSOCIATE GP DEAN EAST SURREY Dr Bob Ward PATCH ASSOCIATE GP DEAN EAST KENT Dr Kim Stillman MEDWAY GP TRAINING PROGRAMME EASTERN AND COASTAL KENT GP TRAINING PROGRAMME WESTERN SUSSEX GP TRAINING PROGRAMME PATCH ASSOCIATE GP DEAN WEST SUSSEX Dr Liz Norris EAST SUSSEX GP TRAINING PROGRAMME BRIGHTON AND MID- SUSSEX GP TRAINING PROGRAMME PATCH ASSOCIATE GP DEAN EAST SUSSEX Dr Mary-Rose Shears PATCH ASSOCIATE GP DEAN WEST KENT Dr Debbie Taylor DARTFORD GP TRAINING PROGRAMME MAIDSTONE AND TUNBRIDGE WELLS GP TRAINING PROGRAMME

10 MEMBERS OF THE TEAM IN THE GP SCHOOL 10 PROFESSOR HILARY DIACK Head of Primary and Community Care Education Professor Hilary Diack role has a strategic role in supporting recruitment and development of the primary care workforce which extends across the medical and allied healthcare professions. She is also the Deputy Postgraduate Dean supporting Professor Graeme Dewhurst in managing postgraduate education across all the medical specialties and working closely with other Specialty Heads of School She works closely with the Heads of Primary Care in developing initiatives to support GPs beyond the completion of training including expansion of professional roles and providing support and continued professional development opportunities. She is available to respond to queries from both GP educators and GPStRs where appropriate. hdiack@kss.hee.nhs.uk DR CHRISTOPHER WARWICK Head of GP School & Deputy Head of Primary and Community Care Education Dr Chris Warwick is responsible for supporting the Head of Primary & Community Care Education and the whole team in all aspects of GP training, leading on ARCPs, supporting trainees in difficulty, less than full time training, out of programme applications and recruitment. His role includes managing communications with the educational network, liaising with other specialty schools and his London counterparts, and leading the quality management of all aspects of education delivered in primary care. cwarwick@kss.hee.nhs.uk DR KIM STILLMAN Associate GP Dean East Kent Dr Kim Stillman is a GP in Canterbury. As an Associate Dean she is responsible for the training programmes in East Kent and Medway which includes an innovative placement in association with CCGs in the locality and a lead role in the creation of Community Educator Provider Networks (Training Hubs). In addition to this she supports the recruitment and training of GPs to become GP Trainers. Her academic interest is in the application of reflective practice in GP education. kstillman@kss.hee.nhs.uk DR LIZ NORRIS Associate GP Dean - West Sussex Dr Liz Norris has responsibility for Western Sussex, including the training schemes in Chichester, Worthing and the trainers in Mid-Sussex. lnorris@kss.hee.nhs.uk

11 11 DR BOB WARD Associate GP Dean East Surrey Dr Bob Ward has transferred his patch responsibility to East Surrey. This involves supporting the GP Trainers and trainees in their education and accreditation as well as reaccreditation of Trainers and the marking of PGCE submissions. In addition he supports the locality Practice Managers and GP administrators in the local acute Trusts and also supports wider HEEKSS functions such as ARCPs and Local Education Provider visits. He has taken on responsibility for the mentor scheme, contributes to the Educator pathway and is leading on training related to Trainees in need of support. Dr MARY-ROSE SHEARS Associate GP Dean - East Sussex Dr Mary-Rose Shears promotes GP training and education in primary care across East Sussex. She is responsible for the quality assurance of training practices and professional development of GP trainers in East Sussex. She supports the Trainees and Programme Directors in East Sussex and Mid Sussex. As the Broad Based Training Programme Director, she leads this innovative programme to develop trainees generalist skills. Additionally, she guides the induction and refresher scheme, which supports doctors returning to general practice after 2 years or more break. mshears@kss.hee.nhs.uk DR DEBBIE TAYLOR Associate GP Dean - West Kent and Dartford Dr Debbie Taylor s responsibilities include the quality assurance of all training Practices, the on-going development of GP Trainers and appraisal and support of GP Training Programme Directors (GPTPD) in West Kent and Dartford. She is also responsible for supporting the development of Foundation and GP run through programmes. Debbie is also involved in recruitment to GP Training. Debbie is involved with the HEEKSS PGCERT process as a Lecturer for Kent and Medway University, Debbie supports Dr Glyn Williams as a tutor for the HEEKSS GP modular teaching programme to train GPs to become Foundation Clinical Supervisors and GP Educational Supervisors (GP Trainers). Debbie is also involved in supporting the set up in North and West Kent of Community Educator Provider Networks CEPNs. Debbie is working alongside the GP Tutors, GP TPDs and Primary Care Workforce Tutors to facilitate this. DR SUSAN BODGENER Associate GP Dean for MRCGP Assessment Dr Susan Bodgener s responsibilities include supporting trainees prepare for their assessments within the MRCGP, information sharing and training for GP trainers about the MRCGP, and acting as a link with the RCGP to support the use and understanding of the eportfolio and any new assessment requirements. sbodgener@kss.hee.nhs.uk DR MOHAN KANAGASUNDARAM Associate GP Dean for Simulation and Communication Dr Kanagasundaram is involved in supporting HEEKSS for GP ST training around all aspects of communication skills development. With his additional experience as an RCGP examiner for the CSA he also supports Programme Directors in preparing trainees for their exams. He is responsible for the recruitment and training of our simulators. In addition, he supports HEEKSS with workshops for trainers and also works with the CPD School on appraiser development using simulators. mkanag@kss.hee.nhs.uk HEEKSS is supporting the NHS England pilot project to place clinical pharmacists into general practice. Debbie is working with Pharmacy Educators from the Centre for Pharmacy Postgraduate Education CPPE to facilitate training for the supervisors of these pharmacists. Debbie is also involved with training supervisors to support Physician Associates in GP placements as part of their two year diploma course run by a collaboration of Canterbury Christchurch University, University of Kent and HEEKSS, Debbie s work to support post certification doctors in West Kent and Dartford includes, supporting Induction and Refresher doctors. dtaylor@kss.hee.nhs.uk

12 12 DEPARTMENT OF POSTGRADUATE GP EDUCATION ADMINISTRATION TEAM PROVIDING SUPPORT FOR THE GP SCHOOL DAVID BUCKLE GP Training Officer David s role includes: Monitoring all trainees eportfolios and their progress of MRCGP training, chasing for completion of outstanding assessments, and notifying trainees when their ARCPs are due Responsible for setting up and maintaining the eportfolio records for all trainees. Responsible for the administration and organisation of Annual Review of Competence Progression panels for all trainees Responsible for the organisation and administration of induction and training days for trainees Handling queries from trainees, Educational Supervisors and Trust faculty staff in relation to the MRCGP process, eportfolio, ARCP and certification Key contact for the RCGP Certification Unit David is a key contact for GP trainees and can be ed on dbuckle@kss.hee.nhs.uk DANIEL DENNIS GP Training Placements Administrator Daniel s role includes: To provide a comprehensive administrative service to support the Head of GP Specialty School and the GP specialty training recruitment team Supporting the GP Training Manager and Officer with the administration process of Annual Review of competency progression (ARCP) Supporting the GP Training Recruitment Officer with the administration of FPGR1 (register payment) and SEGPR forms Assisting the GP Training Recruitment Manager and Officer with all the administrative processes for the selection and appointment of GPStRs Supporting the process for induction and training of GPStRs Administration of the Single Employer Acute Trust processes, including verification of data received from trusts relating to Single Employer finance returns Working closely with the Interim Head of GP School to manage three intakes per year of Paramedic Practitioner Student Placements in General Practice. Responsible for administration of project and liaison between SECAMB and GP training practices for placements Creating and developing on-line surveys using the HEEKSS BOS system, monitoring completion of the PP student on-line surveys, analysing and manipulating data to produce reports Working as a member of the GP Website Team uploading web content Daniel can be contacted at: ddennis@kss.hee.nhs.uk

13 13 SANDRA FORSTER Primary Care Business Manager Sandra s role includes: Providing leadership of the GP department administration team, ensuring the planning and implementation of the business plan, policy and strategic objectives including improving and developing systems Providing leadership to the management of recruitment of GP Specialty trainees, their ARCP and revalidation Financial management of the GP departmental budget Responsibility for GP data and information management Providing leadership on the administrative processes for the Post Certification GP School processes Providing high level support for business management to the Dental department Participates in the Senior Management Forum to support HEEKSS wide business and operational issues Whilst the other members of the team will help you with your day to day issues, you may contact Sandra if you are looking for further clarification on HEEKSS processes. Sandra can be contacted by at sforster@kss.hee.nhs.uk or telephone DONNA MCFARLANE GP Training Assessment Administrator Providing effective administrative service to support the Head of GP School and GP Specialty Training Management team including creation of spread sheets and databases First point of contact for liaising with trainees who may be distressed as a result of ARCP review Administration and coordination of training events Responsible for collation of Form R s and issuing NTN numbers Supporting Training Manager with administration processes relating for GP trainees, specifically ARCPS Answering eportfolio related enquiries Supporting Revalidation processes Co-ordinating trainee induction days, CSA workshops and mock CSA days Responsible for providing AKT and CSA results. Maintaining various databases Donna can be contacted by at dmcfarlane@kss.hee.nhs.uk VACANT PA to the GP Deans Office This role includes: Assisting the Head of Primary and Community Care Education, Head of GP School, Primary Care Business Manager and GP Office Manager Liaising and maintaining professional relationships with various stakeholders Co-ordinating and facilitating a range of meetings and events The production and distribution of the GP Newsletter Monitoring the departmental HR functions Managing the equality and diversity training system XXX s contact is primarily with external stakeholders and can be contacted at XXX TEDDY ABROKWA Interim GP Training & Recruitment Manager Teddy s role includes: Managing the recruitment process for trainees in HEEKSS via the online application system, long listing and Selection Assessment Centre Co-ordinating and managing the Annual Review of Competence Progression (ARCP) in liaison with the GP Training Officer Key contact for trainees, training practices and Programme Directors relating to recruitment and placement issues Organisation of the annual GPST3 Graduation Celebration You will already have had communication with Teddy through the recruitment process and will continue to do so throughout the recruitment cycle. She can also be contacted at tabrokwa@kss.hee.nhs.uk (Standing in for Elena Gonzalez) SONNE NOVAKOVIC Interim GP Schools Officer Sonne s role includes: Monitoring all GPStRs Eportfolio and their progress of MRCGP training Chasing for completion of outstanding assessments Responsible for setting up and maintaining the Eportfolio records for all GPStRs. Responsible for the administration and organisation of ARCP panels for all GPStRs Responsible for providing information regarding revalidation Management of Trainees in Difficulty Handling queries from GPStRs, Educational Supervisors and Trust faculty staff She can be contacted at snovakovic@kss.hee.nhs.uk

14 14 ALISTAIR BOGAARS Interim GP Educator Pathway Manager Alistair s role includes: Managing and organising the modular training (educational pathway) courses and progression for Clinical Supervisors and potential GP Trainers. This includes the co-ordination of the University submissions for the PG Certificate in Strategic Leadership & Multi-professional Education in Health. Managing the pathway through the Postgraduate Certificate, Diploma and MSc Programme. Working with Associate Deans and Life Long Learning advisor to plan the expansion of the training placements to support primary care training placements. Administration of FY2 trainee placements and the funding for Clinical Supervisors and their service level agreements. Alistair s contact is primarily with qualified GPs to support them on the Educator Pathway and with Clinical Supervisors with regards to FY2 placements. Alistair can be contacted on abogaars@kss.hee.nhs.uk VACANT Kent Patch Manager (Discontinued) This role includes: Providing PA Support to Associate GP Deans for Kent and organising of patch events and appraisals for Kent Programme Directors Responsible for the administration and organisation of accreditation and reaccreditation of Kent GP Trainers Organisation of the Kent Local Education Provider (LEP) visits and supporting GP Specialty Recruitment as required Organisation of the Annual GP Conference, annual Practice Managers Conference, GP Trainers Summer and Winter Workshops and Out of Hours Courses for both Clinical Supervisors and GP Registrars Supporting the administration for Doctors with Performance Concerns project SHARON NORTON GP Patch Management Administrator Sharon s role includes: Supporting the Patch Managers with the organisation of training practice accreditation visits and local education provider visits Assisting with organising workshops and conferences Assisting with the recruitment process and other HEEKSS events Co-ordinating trainee placement feedback Sharon s contact is primarily with GP Training Practices supporting the Patch Managers. Sharon can be ed on: snorton@kss.hee.nhs.uk (Note: this job role has changed)

15 15 SULTANA PARVEZ GP Training Recruitment Officer Sultana s role includes: Assisting the GP Training Recruitment Manager with all administrative processes for the selection and appointment of trainees Supporting the organisation of training events and Selection Assessment Centre Responsible for administration of maternity/sick leave and FPGR1/SEGPR forms Responsible for administration of Less Than Full Time training in GP post Handling general queries in relation to recruitment process and GP training Management of in house database, ensuring post details are correct Assist in verification of medical indemnity for HEEKSS trainees Management of Service Level Agreements Sultana s contact is primarily with applicants for GP Training. She can be contacted on sparvez@kss.hee.nhs.uk SHIRELEE REBEIRO GP Payments & Office Administrator Shirelee s role includes: Checking of and processing of claims for stage 2 and 3 of the recruitment process. All queries for GP ST3, answering any queries related to invoices/claims. CPD Funding for GP Trainers and Educational Supervisor payments Checking and coding invoices on SBS system Answering any queries related to invoices/claims from practices. Liaising with external payment providers regarding payments Raising of purchase orders, checking and submitting staff claims for payment Liaising with Practices regarding payments Shirelee s contact is primarily with GP trainees, Training Practice Managers and Trainers and other GP claimants. Shirelee can be contacted at srebeiro@kss.hee.nhs.uk SUE SMITH GP Office Manager and Sussex Patch Manager Sue s role includes: Supporting and deputising for the Primary Care Business Manager GP Patch Management Team Leader, including managing, training and development of staff Co-ordinating the Trainer Selection Committee responsible for the accreditation and re-accreditation of GP Trainers and overall responsibility for the organisation of Local Education Provider visits (LEP) PA Support to Associate GP Deans for the Sussex Patch including the organisation of patch events and organising appraisals for Sussex Programme Directors Supporting the provision of information for mandatory data collection, liaising with the GMC and other governing bodies Supporting GP Specialty Recruitment as required Sue s contact is primarily with qualified GPs who have elected to become GP Trainers so that they may go on to host FY2, ST1, ST2 or ST3 trainees at their practices. You may contact Sue at ssmith@kss.hee.nhs.uk (Note: this job role has changed) VACANT Surrey Patch Manager (Discontinued) This role includes: Providing support to the Associate GP Deans for the Surrey Patch and organising patch events and appraisals for Surrey Trainers and Programme Directors Responsibility for the administration and organisation of accreditation and reaccreditation of Surrey GP Trainers Organisation of the Surrey Local Education Provider (LEP) visits and supporting GP Specialty Recruitment as required Organisation of HEEKSS GP Programme Director Conferences, Programme Director Inductions and the National Programme Director Residential Workshop Managing the Appointments Committee processes (recruitment of GP Programme Directors), resignations and maternity leave Managing the GPStR Overlap process Providing administrative support to the HEEKSS BBT Programme Director to manage the HEEKSS Broad Based Training Pilot programme as part of the nationally organised programme. Part of the GP Website Team

16 16 WHAT CAN YOU EXPECT FROM TRAINING IN HEEKSS? The HEEKSS GP School will offer you an accredited and appropriate training programme with full educational support in order to achieve a Certificate of Completion of Training (CCT) from the GMC. Each of our GP Training Programme areas will provide a blend of hospital posts and GP placements which, although different, will provide an appropriate balance. The School places great emphasis on GPStRs being helped to recognise their individual learning needs, and for our team of skilled Educational Supervisors and Programme Directors to facilitate the delivery of those needs. This means that if there are any areas of clinical experience that would be useful for any individual trainees, that have not been part of their experience since qualification, the Educational Supervisors will work with them to create ways to provide that (e.g. by targeted exposure in general practice, by attendance at clinics or appropriate ward based activity). In addition, HEEKSS provides a number of Integrated Training Posts (ITPs). These posts which are based in general practice allow (normally) three days each week in a hospital based specialty or community clinic. These posts provide focused experience in that particular clinical area with the chance to relate that directly to GP and link the learning to the appropriate outcomes of the GP curriculum. HEEKSS has also developed an exciting initiative to provide an opportunity to experience the work of Clinical Commissioning Groups in order to be introduced to and start developing the skills of medical management and leadership, skills which have been identified as very important for GPs in the future. This is an innovative and unique educational development that the School is very pleased to support and has been evaluated very positively. HOSPITAL PLACEMENTS Each GP Training Programme uses a number of posts in different specialty areas that are approved for GP training, and each will give you appropriate learning experience for aspects of the GP curriculum. You are not expected to learn everything there is to know about a particular area of the GP curriculum from any individual post, as your learning is a developmental process that takes place over the three years of your training. For the duration of your programme, you will have an Educational Supervisor (GP Trainer) who will work with you to ensure that all the curriculum areas are covered and provide you with educational support throughout your training. You will have a nominated Clinical Supervisor, who will be a hospital consultant, to ensure that your experience and training is appropriate for you and the level you are at in each secondary care placement. You will undertake the Workplace Based Assessments (WPBA) as described later and record these in your eportfolio. You will also find that the Medical Education Manager (MEM) in the Medical Education Centre of the Trust you work in will be a very helpful resource and often is the first port of call for many queries from GPSTRs.

17 17 The HEEKSS GP School has prepared very helpful guidance for both trainees and their Clinical and Educational Supervisors that maps the experience and learning normally to be found in any hospital specialty post to the learning outcomes of the GP curriculum. This will allow you to understand what are the important areas to learn during the post and the most appropriate ways to have these assessed, which can be jointly organised with your Clinical Supervisor. This guidance is available on our website. HEEKSS is pleased to announce that the majority of trainees starting in ST1 will have one employer throughout their training which will be the Acute Hospital Trust in a process called Single Employer Acute Trust arrangement (SEAT). This has many advantages including continuous employment, the ability to develop a relationship with an employer that has wide experience of employment Issues and a support structure should you require it and access to services such as Occupational Health. During placements in other Trusts and general practice trainees work supported by an honorary contract. (The SEAT arrangement is not currently available to trainees starting on the Epsom GP Training Programme). GP PLACEMENTS You will have experience in GP placements for 4 months in your first or second year in the GP Training Programme (ST1 or ST2). Your main placement in GP will be in your third year (ST3) which will be for the whole year. This year will allow you to consolidate your learning and really get to grips with the skills and knowledge required for managing patients as a GP. In addition to the workplace based assessments you will be undertaking the external assessments of the MRCGP, the AKT (this is normally taken in the ST3 year, but can be taken earlier) and the CSA. You will have a close contact with your GP Trainer who will act as both your Educational and Clinical Supervisor (though in most Training Practices, there is wide variety of support from all members of the Primary Healthcare Team). It is important to be aware that all practising GPs are required to be on National Performers List for England and need to apply through the Local Area Team in which they work and GP trainees also need to be on this list too.

18 18 EDUCATIONAL SUPPORT The HEEKSS GP School provides a strong and robust framework of educational support for its trainees. You will have an Educational Supervisor for the whole of your time in the programme. This will be a GP Trainer, working and teaching in general practice, and in many cases will be the same person as your ST3 Trainer. Your training programme is delivered over the three years within the context of gradually increasing skills, knowledge and competency related to being a general practitioner as detailed in the RCGP GP curriculum. (Further information is given about this below). Although you will be responsible for your learning and development, the School will provide a number of supportive processes for you. You will provide evidence of your educational progress using the workplace based assessments and recording the outcomes of these, and other additional learning, on your electronic RCGP Portfolio, which can be accessed via the internet on any appropriate PC. Your Educational Supervisor will work with you to develop your Personal Development Plan as a trainee. Of course, this will relate to the learning outcomes of the GP Curriculum, and your achievement of your CCT, but each trainee is an individual learner with unique needs and learning preferences that we will seek to address during the training. HEEKSS is supporting its network of GP Educational Supervisors (Trainers) by rolling out an Academic Pathway for all new GP Trainers who will gain the Postgraduate Certificate in Medical Education and Strategic Leadership in association with Kent University. Currently over 180 of our GP Trainers have either obtained or are currently undertaking the PG Certificate and some of our educators are progressing through the Diploma. INDUCTION Induction is a very important part of working in any new job, or context. In HEEKSS there are a range of induction processes including corporate induction to your employing Trust, departmental induction for each placement. You will also receive an induction into the GP Specialty Training Programme by your local GP Programme Directors. We also recommend that ST1 trainees visit their Educational Supervisor (GP Trainer) between 6 and 8 weeks into ST1 for one day so that you can begin to build your relationship with your Trainer and have a personal induction to the e-portfolio and a planning meeting regarding your overall learning needs for the programme. LEARNING SETS Learning in a group of peers is a very valuable process, and in the HEEKSS GP School, we provide this in each training area. In the GP placements a group learning set meets weekly during the term time. In the hospital placements, there is normally a learning set for the GPStRs in ST1 and ST2 posts that meets at a frequency appropriate for the individuals and the locality. These sets aim to support GPStRs in linking their experience to the learning outcomes of the GP curriculum and developing their understanding of the context and framework of general practice. These sets are facilitated by the Programme Directors. STUDY LEAVE The KSS GP School aims to maximize the study potential of its GPStRs and to ensure that educational support is targeted appropriately at the learning outcomes of the GP curriculum. Whilst you are in a hospital post, you will be supported by both your Clinical Supervisor (normally one of your Consultants) and your Educational Supervisor (GP Trainer). In each hospital post you will be able to have a planned day to go and meet with your Educational Supervisor in their GP Practice. This will allow you to have close support and educational supervision, to check that your learning and assessments are on track, for you to link your experience of medicine in your specialty post with the patient experience in general practice, and thus to know what areas of your post are particularly useful for GP. The curriculum mapping guidance will also be very helpful for you in doing this. In addition the GP School provides a number of supported learning days targeted at the areas you will need in order to manage the curriculum learning outcomes and all the assessments. In this way the School provides all the educational support that you will need in order to become a GP. Your Programme Directors will work with you to determine your specific educational needs, how these can be met and the best way to do this. The School does provide some additional financial support both in the hospital and the GP placements that can be used for additional learning activities if appropriate to your agreed learning needs. You will need to discuss this with both your Educational Supervisor and your Programme Director. HEEKSS has produced guidelines to study leave for all trainees which can be found on the HEEKSS website.

19 19 ACADEMIC TRAINING PROGRAMME OPPORTUNITIES (ACF) The NIHR Academic Clinical Fellowships Programme is a national initiative offering entry-level (ST1) specialist training to those who have Foundation competences in medicine and can demonstrate that they have outstanding potential for development as a clinical academic. Programmes are for 4 years of which about 75% is clinical and 25% academic overall but the split usually varies with more emphasis on academic activities in the third and fourth years. Our posts are developed in association with Brighton and Sussex Medical School. The Purpose of the GP Academic Programme is: A route into an academic GP career starting in GP Specialty Training The development of academic skills early in a GP career To undertake training and research in the Postgraduate and Undergraduate Departments of HEKSS alongside the final part of GP specialty clinical training Preparation to begin a PhD if subsequently recruited to a GP Academic Fellowship programme More guidance including the person specification can be found on the National Recruitment Office website. GLOBAL HEALTH FELLOWSHIPS (GHF) Global Health Fellows follow a 4-year GP training rotation that includes a year out of programme (OOPE) in rural community hospitals in South Africa through our partner Africa Health Placements (AHP) ( The OOPE posts in South Africa will be undertaken at the end of ST2 and trainees will then return to complete their pre-arranged ST3. In addition, Global Health Fellows will have dedicated educational support throughout their training - prior to departure, during the year away, and upon return to the UK - and bursary funding may be available to exceptional candidates who wish to undertake a formal Diploma in Tropical Medicine. Applications for Global Health Fellowships will be made at the same time as application to GP training in KSS through the GP National Recruitment Office (GPNRO) and details of the process can be obtained here: ent/ghf KSS guidance can be found here: EXPERIENTIAL LEARNING FOR THE CLINICAL SKILLS ASSESSMENT The HEEKSS School provides support at all levels for GP trainees in their final year who will be undertaking the Clinical Skills Assessment (CSA) of the MRCGP. In addition, the School invites all ST3 trainees to participate in an interactive rehearsal for the CSA, which is normally held in the actual centre where the RCGP assessment takes place, which recreates a live assessment. This allows you to practice skills, experience the process, and get live feedback on your performance. ADDITIONAL LEARNING RESOURCES HEEKSS has developed a series of podcasts and e-learning resources with information on different styles of consultations that can be used in one to one or group tutorials with GP Speciality Training Registrars in all stages of their training (ST1, ST2 and ST3). In addition there are a series of e-learning resources to support GP Trainees throughout their training in their GP training in Work Place Based Assessments and Principals of Audit and HEEKSS GP trainees have free access to these.

20 20 EDUCATIONAL AND LEADERSHIP OPPORTUNITIES In 2013, the GP School introduced opportunities for up to 18 GP trainees to undertake an Enhanced ST3 year with the aim of offering an opportunity to increase the breadth of learning opportunities, and, in particular, how service design can improve patient care. Other possible opportunities include participation in educational activities linked to future development as an educator, leadership, and the sustainability agenda. It is hoped that this opportunity will be available to trainees in the future. The GP School works closely with the South East Coast Ambulance Trust (SECAMB) to offer paramedic practitioner students a placement in general practice the GP School encourages those ST3 trainees who are on track to successfully complete their GP training to participate in a leadership opportunity to support the paramedic practitioner student along with their Educational Supervisor. ST3 trainees have fed back the value of this opportunity which is one way to fulfil the leadership part of the GP curriculum. QUALITY MANAGEMENT IN THE HEEKSS GP SCHOOL The HEEKSS GP School prides itself on its processes to support the quality of GP training. An important contribution to the Quality Management process is The Trainee Voice. The School seeks feedback in a number of ways. These include the reports from the meetings of the Local Faculty Groups, the feedback from trainees about their training placements via the online survey, the feedback from the national GMC survey of all doctors in training, and the information gained from our yearly visits to GP Faculties and GP Training in placements provided by the Local Education Providers (Trusts and GP Training Practices). In addition we have a strongly developed process for training our GP Trainers and for their approval and continuing re-approval as Trainers which requires the Trainer to seek feedback and reflect on this feedback as part of this accreditation process. All our GP Trainers have an annual appraisal with a Peer Trainer and our Programme Directors have an annual appraisal with their Patch Associate GP Dean in order to develop and enhance their own continuing professional development. The School places the greatest importance on feedback received from trainees in ensuring we continue to deliver high quality education and training for general practice.

21 21 GPStR INVOLVEMENT IN THE GP SCHOOL GPStR involvement in the GP School is encouraged and supported. There is a GPStR Committee that is chaired by a GPStR and has GPStR representatives from every training programme in HEEKSS. The chair is a member of the GP School Board and the Specialty Training Committee (which is part of the new governance structure being introduced in 2015). The Committee meetings which take place quarterly provide an opportunity for GPStRs to raise and discuss issues of concern to them, and to hear about developments in GP education nationally and in HEEKSS. You will be able to share any issues with your local representative. This allows you to have a voice in feeding back and shaping GP training from your experience. The HEEKSS GP School also encourages every GPStR to feedback on their experience of each of their training posts in order to help the School continue to develop the quality of the education and training it is supporting. This feedback is essential and is used by the School in the process of quality managing GP education in each placement. In addition the School regards GPStR input to the visits to the GP Faculties at the Training Programme areas as very important, and every visiting team includes a GPStR. The GP School offers training to support trainees undertaking these roles. WHAT IF TRAINING DOES NOT GO AS SMOOTHLY AS ANTICIPATED? There are a number of reasons why some trainees may encounter difficulties during their GP training. These may relate to illhealth, changes in personal circumstances and life stresses, or just difficulty in achieving the expected progress or completing the assessments successfully. If you experience problems, HEEKSS provides a support network. Your Educational Supervisor will always be available to discuss any concerns, and whilst this is a particularly close relationship in the GP placements, you will also have contact with them during your hospital placements. Your GP Programme Director will also be a useful source of support and information and, should you need more help, then the Patch Associate GP Dean can provide very helpful input and liaison with the Head of School and Head of Primary and Community Care Education where necessary. The HEEKSS GP School ensures that all our trainees with any difficulties continue to be monitored to ensure that the appropriate support is being given to them and has developed a support structure for trainees to access trained Mentors if appropriate. Should any trainee need extra time in order to successfully complete their training, then information about this process can be used to inform the GP School to decide if this is appropriate. Although it is every trainee s duty to take responsibility for their education and to demonstrate their learning, the HEEKSS GP School will always ensure that all appropriate support is delivered to trainees who need it. INFORMATION SHARING The HEEKSS GP School has an extensive process for informing trainees about any relevant information. This can be done through your portfolio, and we have a process for briefing and informing your Programme Directors and Educational Supervisors through a regular and frequent electronic Bulletin which is sent to GP Training Practice Managers, Medical Education Managers and also to others involved with GP Training. EMPLOYMENT The HEEKSS GP School, with all Acute Hospital Trusts (with the exception currently of trainees in the Epsom GP Training programme area) has introduced an arrangement to have a single employer for GP Registrars since This means that the Acute Trust for the GP Training Programme area (except Epsom) will be the employer for the GP Registrar throughout the GP training programme whether they are in hospital, GP, psychiatry or other placement for that year. Details and benefits about this can be found at:

22 22 ADDITIONAL FINANCIAL SUPPORT You will be covered for medical indemnity whilst working in a hospital post under the Crown indemnity scheme. (CNST Clinical Negligence Scheme for Trusts). This means that you will pay only a nominal sum to your Defence Organisation. When undertaking the GP placements, you have the responsibility for organising your own medical Indemnity, although the KSS GP School will organise a pre-purchased medical indemnity for SEAT employed trainees and you will be invited to sign up for this package; this means that you will not need to fund this, as payment will be made direct by HEEKSS. You may be also eligible for relocation expenses as a result of needing to move to your new training post. As a GPStR your new employer will be the single employer Acute Trust. HEEKSS has reciprocal arrangements with the HE London Shared Services and their office will manage this on our behalf. DEFERMENT Doctors who are given an offer of training in the HEEKSS GP School may defer the start date of the offer, but only for the statutory reasons that are congruent with the guidance in the Guide to Postgraduate Training in the UK (The Gold Guide). These include maternity leave and certified ill-health. LESS THAN FULL-TIME TRAINING (LTFT) The KSS GP School welcomes and supports applications from doctors who wish to train less than full-time. Less than full time training can be from 50% of full-time. If you wish to train at less than full-time you should contact both the KSS GP Training Recruitment Manager and the KSS LTFT Department in order to have this organised. It is very important that, if you wish to start your training programme at less than full time, you have obtained approval for this beforehand. The GP School works closely with the Less Than Full Time Specialty Workforce team to support less than full-time training in the hospital posts which form part of a GP training programme and has full responsibility for approving this for training in the GP placements. HEEKSS provides information regarding eligibility and funding approval for the hospital posts which are normally undertaken either as job-shares (slot-shares) with a colleague also training LTFT, or in reduced sessions in a full-time post. It is important to note that in order to ensure that the skills and competencies of all GP trainees continue to be developed, the RCGP require that GPStRs on less than full-time training will need to undertake the same number of most of the workplace based assessments for the MRCGP over the duration of their training.

23 23 SICKNESS ABSENCE Although the need to take prolonged sickness leave is rare for our GPStRs, it is an unfortunate fact of life that illness can happen to anyone. In each of your posts your employer will be the main contact, and you will be expected to provide appropriate medical evidence for any period of sickness longer than the statutory period that is covered by a self-certificate. You will be paid whilst sick, up to the maximum period allowed under the regulations. In order to ensure that your learning is not disadvantaged, you will need to make up any time lost that is greater than two weeks in any one year. The employing Trust and the GP School will organise this in an appropriate placement if it is not possible to do this in the same post that you were in when you went off sick. The School will ensure that any GPStR who has health problems that might affect their training has full support, and will ensure that Occupational Health support is provided. We will also support Trusts and GP Practices in making appropriate adjustments to the training timetable of any GPStR who would benefit from this. TRANSFERS The national Inter Deanery Transfer (IDT) process has been put in place to support medical trainees who have had an unforeseen, significant change in circumstances since their appointment to training. The process is run centrally by Health Education South London and two windows operate per year. Trainees should be in their current training programme and in their current region for at least 12 months at the point of transfer and will be asked to confirm how and when their personal circumstances changed. It should be recognised that transfers are not an entitlement. IDTs will depend on compliance with the eligibility criteria and evidence requirements, and there being vacancies in the region (or regions) into which trainees are applying to move. Further information can be found at For information regarding transfers within HEEKSS further information including an application form can be found at OUT OF PROGRAMME EXPERIENCE Out of Programme Experience is not usual, and indeed not normally possible, for GPStRs, due to the short time scale of GP training. The HEEKSS GP School however, will favourably consider any appropriate requests that are congruent with national guidance. In HEEKSS we provide the complete training for general practice, so there will be no need to gain experience in order to successfully complete your training but, for instance, you may wish to gain experience working with healthcare in a developing country. This may also be possible, in exceptional circumstances, for a career break. You should discuss any request with your Programme Director before making this formally to the Head of School. There is an application form that is available from the GP Training Recruitment Manager. You do need to note that although if approved, HEEKSS will continue the training when you return, but this may not be available in the area where you were training previously. Out of Programme time will be treated as unpaid leave by the School. RECOGNITION OF ACHIEVEMENTS AND CELEBRATION AT CCT The GP School hosts a graduation celebration event for ST3 trainees who successfully gained their CCT annually in July. This event recognises the achievements of all GP trainees in completing their training by awarding them a Certificate jointly on behalf of the HEEKSS GP School and the RCGP Faculties. In addition, we are pleased to have a number of award categories to recognize individual achievements. The event also provides an opportunity to attend a number of career support workshops in advance of the celebratory session. It marks a wonderful opportunity to celebrate the move from GP training to independent practice, and welcomes all GP trainees who have completed their training over the previous year.

24 24 THE GP CURRICULUM The RCGP GP Curriculum is for doctors training for General Practice and their trainers and educational supervisors. It covers the period known as Specialty Training for General Practice: from the end of the Foundation Programme to the award of a Certificate of Completion of Training (CCT). It assumes GPStRs have already attained the core competencies of the Foundation Programme. The Curriculum covers a wide area and is intended to be regularly subject to revision as medical knowledge advances and the roles and responsibilities of GPs in the UK change. The curriculum has been defined as "an attempt to communicate the essential features and principles of an educational proposal in such a form that is open to scrutiny and capable of effective translation into practice" The curriculum covers: 1. The aims, objectives, content, experiences, outcomes and processes of your GP training 2. A description of the structure and expected methods of learning, teaching, feedback and supervision 3. The knowledge, skills, attitudes and behaviours which you will need to achieve The curriculum has recently been updated and the latest version of the curriculum can be found on the RCGP website and also through your eportfolio. THE eportfolio As soon as doctors are appointed to a GP Training Programme they should register with the RCGP in order to be assigned an eportfolio and to get the appropriate information from the RCGP. The eportfolio is the way in which GPs in training collect and collate their evidence of learning and performance for the MRCGP assessment. It offers an overview of the current position on the journey to CCT, as a complete record of their assessments. However it is not just a collection of assessments or a record of attainment. The eportfolio is above all a learning log, and each GPStR will have their own learning log in which they can record notes on significant clinical encounters, lectures attended, professional conversations and any reading they have done. Each item is personal to the GPStR until such time as they permit it to be shared. These learning entries should be tagged against the relevant curriculum heading. It is a requirement of training that by the end of the training programme the curriculum has been covered and this is one way to demonstrate this. Two entries are required per week, one of which needs to be a clinical encounter demonstrating reflective learning. Child safeguarding training levels 1 and 2 must be included annually in your log, with level 3 before completion of ST3. All Out of Hours sessions that you do while in General practice rotations must be documented and in ST3 you need to include an audit or a quality improvement project and demonstrate your understanding of medical leadership. Your Educational Supervisor may then link your log entry to the competences and add a comment. On starting their Specialty Training Programme for General Practice, GPStRs will receive a unique log-in to their personal eportfolio. Training will be provided on how to get started with this, but GPStRs are encouraged to look at this at the earliest opportunity and use the available on-line help.

25 25 THE MRCGP The MRCGP is an integrated assessment programme that includes three components: Applied Knowledge Test (AKT), Clinical Skills Assessment (CSA) Workplace-Based Assessment (WPBA) Each of these is independent and will test different skills but together they will cover the curriculum for specialty training for general practice. Evidence for the workplace-based assessment will be collected in the e-portfolio of each GPStR. The AKT can be taken at any time, although most trainees choose to take this at the end of their second year of training. The college recommends not sitting the CSA until you have had a minimum of 6 months in a General Practice post. The CSA can be taken in your ST3 year, with sittings monthly from October to May. The CSA and AKT can be taken for a maximum of four attempts each. WPBAs will span the full 3 year programme. RCGP CURRICULUM The RCGP Curriculum is represented in the diagram below. It is organized around six core domains: Primary care Management Person centred care Specific problem solving skills A comprehensive approach Community orientation A holistic approach These core competencies provide the varying perspectives of a GP s work through which any of the various clinical examples may be viewed. Other important aspects of the curriculum are contained in the contextual statements which look at the way you communicate with patient and the role of the GP in ensuring patient safety and responding appropriately when you have concerns or a patient raises a concern. Detailed guidance about the curriculum can be found at 1: BEING A GP THE CORE STATEMENT 2: THE CONTEXTUAL STATEMENTS 2.1 The GP Consultation in Practice 2.2 Patient Safety and Quality of Care 2.3 The GP & the Wider Professional Environment 2.4 Enhancing Professional Knowledge 3: THE CLINICAL EXAMPLES 3.01 Healthy People, Promoting Health & Preventing Disease 3.02 Genetics in Primary Care 3.03 Care of Acutely Ill People 3.04 Care of Children and Young People 3.05 Care of Older Adults 3.06 Women s Health 3.07 Men s Health 3.08 Sexual Health 3.09 End-of-Life Care 3.10 Care of People with Mental Health Problems

26 26 ASSESSMENT METHODS IN WPBA Case Based Discussion (CBD) This is a structured oral interview you will have with your Clinical Supervisor while in your hospital attachments and with your Educational Supervisor/GP Trainer during your General Practice attachment. It is designed to test your professional judgment across a range of competency areas. By professional judgment we mean how you have made holistic, balanced and justifiable decisions in consultations which were a little uncertain or complicated. In other words it is looking at whether you acted in a safe and sensible way in a difficult consultation. In the ST1 and ST2 years you will undertake a minimum of six Case Based Discussions per year. You will select two cases 1 week before the assessment and present them to your clinical supervisor. The assessor will choose one of the cases and will prepare questions to ask you which will cover the competency areas. A case based discussion should take 20 minutes and you will also receive 10 minutes feedback at the end, when your grades will be discussed. In the ST3 year, you will have to do a minimum of 12 Case Based Discussions. You will select 4 cases and present them to your assessor one week before your assessment. The assessor will choose 2 cases. The same format as above is used with each complete Case Based Discussion marking and feedback taking 30 minutes in total. Mini-CEX This is observation of a clinical episode of care. It will often be a registrar or your consultant performing this, but might also be a suitably trained nurse. In general practice it is replaced by COTs. Consultation Observation Tool (COT) Consultation Skills Training is a central part of GP Specialty training programme. It will enable you to increase the amount and quality of information you elicit from patients, so improving the accuracy of your diagnosis. You will learn to find out the concerns of the patients as well as their ideas about what might be wrong and their expectations of you and your help. This will allow you to employ specific skills to reach a shared patient-centred, relevant and workable treatment plan. Improving your consulting skills is about improving outcomes for patients. The Consultation Observation Tool is used with your trainer in your time in GP to give you feedback on your progress towards competence and then excellence in consulting in the year. It is best done using a video recording of a (consented) consultation with a patient. It will help you identify your learning needs. It is likely that early in training many of the areas will be graded as Needs Improvement. Arranging COTs early in training will help you identify which areas you need to work on. By the end of the training programme you should be Competent against all the particular competences which you are trying to demonstrate in a particular consultation. Consultations vary in complexity and content so you will normally not cover all competencies in any one consultation. By month 10 in your ST3 year you should have demonstrated competence in each area a couple of times. Our advice is to start videoing early after you have been consulting. Do videos regularly and learn how to observe and analyse consultations in detail; read through the Detailed Descriptors of Competencies on the college website; bear in mind the definitions of Competence and Excellence. You will need to do more videos than the 12 COTs in the year. This will also help you rehearse for the Clinical Skills Assessment. PLEASE NOTE YOU MUST GAIN PATIENT S CONSENT FOR VIDEO. The sample consent forms are on the RCGP website. The video should be deleted once it has been reviewed. If any are kept the consent form needs to also be kept for 3 years in a locked cupboard in the Practice or on a security protected computer/server. Clinical Examination and Procedural Skills (CEPS) CEPS is designed to provide feedback on procedural skills essential to the provision of good clinical care. Whilst the mandatory procedures which were previously required under the DOPS system are no longer specified, CEPS provides the opportunity for trainees to demonstrate their competence in the full range of examination skills and procedures which they undertake, and an form an additional competence for review under the COT process. GPStRs will be asked to undertake observed encounters during the three years with a different observer for each encounter. The doctor in training chooses the timing, procedure and observer. You may have undertaken similar procedures in your previous training but will be required to undertake these again within the context of GP Specialty training. CEPS can only be assessed by a senior clinician or consultant not by a fellow peer. An important component of CEPS is also your own self rating of your performance ahead of a formal CEPS assessment. As with every area of the eportfolio, trainee selfreflection on their progress and performance is expected, to cement learning.

27 27 Multi Source Feedback (MSF) When learning, it is always useful to get feedback from different sources. It helps us to reflect and continuously improve. It also feeds back to our ability to work in a team. MSF is done TWICE in ST1, one prior to each 6 month review. Five clinicians need to answer 2 questions. These ask for their assessment of your overall professional behaviour and for their assessment of your overall clinical performance. The RCGP has strict rules on how an MSF must be carried out. Via your eportfolio, you produce a ticket code and web address which you give to five clinicians. They must go into the website and complete the assessment within a 6 week period. The results can only be amalgamated if this 6 week deadline is followed. It is therefore probably advisable to ask more clinicians to complete the assessment just in case one of them isn t able to do so. The MSF is not required for the ST2 year, unless it is felt to be necessary, but is needed again in ST3; both at the 30-month and 34-month review. In the ST3 year, five clinicians complete both questions as before, but also five non-clinicians. The five non-clinicians are just asked to assess your overall professional behaviour. Again it is probably advisable, if possible, to ask more than 10 people on each occasion to complete the assessment for you. Patient Satisfaction Questionnaire (PSQ) This looks at patients views of how empathic you were during their consultation. The CARE questionnaire is used. It is completed in General Practice only. This therefore may only be done once in your ST3 year, but if you have a 4-month attachment to General Practice in either your ST1 or ST2 year, it will also need to be done then too. You only complete the PSQ once in your first two years, even if you have a 4 month attachment in General Practice in both your ST1 and ST2 training years. As 4 month GP placements pass by quickly especially if they are integrated with other posts then you need to start collecting questionnaires early in the rotation. The Patient Satisfaction Questionnaire is handed out to 40 consecutive patients in GP and the results added electronically to the RCGP website by the practice manager. The RCGP will produce a report that appears in your portfolio. You should discuss this with your GP Trainer along with the MSF. You will need to arrange this with the help of your practice manager and GP Trainer. Forms are available through the eportfolio. The PSQ in ST3 is carried out between months of your training. The above guidance represents the minimum required number of assessments but you may do more and in some cases your GP Trainer may require you to do more assessments.

28 28 GLOSSARY TERM AKT ARCP Associate GP Dean CCT CEGPR Clinical Supervisor CSA CCG Educational Supervisor GMC GPStR GPST ITP LFG MRCGP OOH PDP PMETB Programme Director RCGP ST1/ST2/ST3 WPBA EXPLANATION Applied Knowledge Test - part of the MRCGP. Annual review of competency progression. This formal review takes place each year for every GPStR and will generate one of a number of outcomes. A satisfactory outcome permits progress to the next year, and the final satisfactory outcome allows the CCT to be obtained. A senior member of the main GP Department Team. Patch Associate Deans are the next level of support for all the GP Training Programme Directors and GP Trainers in the patch, which is normally the east or west of each county. Certificate of completion of training. This will be issued to you by the GMC at the end of your training, provided you have successfully completed the assessments and been signed off in your final ARCP. Certificate of Eligibility for the GP Register. This is the alternative certificate given to GPStRs who have completed their training using evidence from posts that are not part of a full GP training programme. This will not apply to GPStRs who are doing a full three year training programme. This is normally a hospital consultant who will be responsible for ensuring the appropriateness of GP experience in any hospital specialty post for the GPStR (particularly with reference to patient safety and level of competence) and for facilitating the workplace-based assessments for the GPStRs. In GP placements the GP Trainer will combine the roles of Clinical Supervisor and Educational Supervisor. Clinical Skills Assessment - part of the MRCGP. Clinical commissioning groups (CCGs) are NHS organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in England. CCGs are clinically led groups that include all of the GP groups in their geographical area. The aim is to give GPs and other clinicians the power to influence commissioning decisions for their patients. Each GPStR has a nominated Educational Supervisor who will support their learning progress through their three year programme (including both hospital posts and GP posts) and monitor and sign off their learning in the eportfolio. This is often, but not always, the same GP Trainer throughout the three years. Additional Educational Supervisors may be provided by the GP School when there is an identified need for the GPStR. General Medical Council. This is the statutory competent authority that determines the way that all Postgraduate Medical Specialty training is carried out in the UK. The GMC awards GPStRs with a CCT (Certificate of Completion of Training), or a CEGPR (Certificate of Eligibility for the GP Register). General Practice Specialty Training Registrar. General Practice Specialty Training. Integrated Training Post. These posts are GP based posts that include sessions each week in a specialty department, community clinic, or Clinical Commissioning Group. Local Faculty Group. Membership of the Royal College of General Practice. Membership is gained by successfully completing a three year programme of assessments in the workplace (WPBA) and two final external assessments (AKT & CSA). Out of hours. In general practice, cover for patients between the hours of 6.30pm and 8.00 am is provided by Out of Hours organisations. GPStRs in their GP placements have sessions in these organisations, normally at the rate of one 6 hour shift every month. Personal Development Plan. Postgraduate Medical Training and Education Board. This was the organisation that previously carried out the Medical Education Regulatory functions now carried out by the GMC. The GP training programmes in each locality are supported by a team of Programme Directors. These are normally GP Trainers who have undergone further educational development for this role. Some schemes have individuals who are not doctors but have a university role and particular expertise in medical education. The Programme Directors support not only the group of GPStRs in that locality but also the group of GP Trainers linked to that locality. Royal College of General Practitioners. The College defines the MRCGP which all GPStRs need to have successfully completed in order to proceed to be registered on the specialist register of the GMC. Specialty Training years one, two or three. ST1 and ST2 incorporate hospital placement and some GP Placement. The ST3 year is spent entirely in GP. Workplace Based Assessments.

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30 30 KENT ABOUT KENT Kent is the Garden of England famous for its orchards and hop gardens, its history and its proximity to Europe. As well as extensive rural and countryside areas, Kent also has densely populated towns and cities, and a beautiful coastline. Administratively, Kent is split into two Patches by HEEKSS, East Kent and Medway and West Kent. There are two Associate GP Deans for Kent, Dr Kim Stillman for East Kent and Medway and Dr Debbie Taylor for West Kent. Apart from their work for HEEKSS, they are GPs. The Associate GP Deans are supported by the Kent Patch Manager, Julie Malvermi, who is currently based full-time at the HEEKSS Office in Russell Square. In East Kent, which functions as a single GP Training Programme area, the town of Ashford has the advantage of an International Rail link connecting it to London and continental Europe. Canterbury is a site of national historical interest with a beautiful cathedral. The coastal area is increasingly being developed and towns along the Thames Estuary are popular with those living in the capital and offer a range of shopping and dining experiences, whilst Dover provides ferry links to Europe. Margate is a traditional seaside town, and hosts a new art gallery to celebrate the work of JMW Turner who painted here. The Isle of Sheppey is a quaint seaside location. In Medway the training scheme encompasses the historic Medway towns and surrounding semi-rural countryside. The Medway towns form an up and coming area with good links to London. Charles Dickens is closely associated with area and there is a fine maritime history. Charles Dickens is closely associated with the area and there is a fine maritime history.

31 31 In the West Kent Patch, there are GP Training Programme areas centred around Dartford, Maidstone and Tunbridge Wells. Dartford and Gravesend lie where the Garden of England meets London only 20 miles away from the capital. There is great shopping in Bluewater and Lakeside (just over the Thames). Tunbridge Wells is an attractive spa town, and Maidstone is the county town and has a good range of entertainment and shopping.

32 32 EASTERN AND COASTAL KENT EAST KENT IS THE LARGEST TRAINING PROGRAMME WITHIN KENT SURREY AND SUSSEX. AS A RESULT, IT IS DIVERSE, INNOVATIVE AND PROVIDES A LARGE VARIETY OF EDUCATIONAL ESTABLISHMENTS AND OPPORTUNITIES. THE EAST KENT IS A BEAUTIFUL PART OF THE COUNTRY Miles of countryside run down to many beautiful coastal areas, with lively seaside towns such as Whitstable, Broadstairs, Deal and Folkestone. In the middle of our training patch is the historic and lively cathedral city of Canterbury with its bars, restaurants and live theatre and music scene. Located near to the continent with quick links via ferry and channel tunnel and a high speed link to London, East Kent is a convenient and fascinating place to undertake your GP training. ABOUT THE EAST KENT GP TRAINING PROGRAMME The East Kent Vocational Training Scheme is based around the three local hospitals - the Kent and Canterbury Hospital (K&CH) in Canterbury, Queen Elizabeth the Queen Mother hospital (QEQM) in Margate and the William Harvey hospital in Ashford.ST1 and 2 trainees will undertake their training in two or more of these hospitals. ST3 training takes place in General Practices based within the whole East Kent area. Teaching and training ST1&2 there is lunchtime teaching throughout the year at each hospital site. There is an open agenda which is directed by the learning needs of the GPStRs. We often cover hot topics, role play, case-based discussion and critical reading. Each site is led by a Programme Director (PD) ST3 teaching The year starts with an overnight residential induction, to motivate and inform trainees for the year ahead. ST3s then have 30 sessions per year of teaching on a Wednesday afternoon (or occasionally a full day). This is usually based at Canterbury. We try to ensure exam preparation is optimised in two ways, targeted CSA preparation with examiners and role-play and good curriculum coverage in teaching sessions. In East Kent however, we feel it is important to not only pass the exams and WPBA, but also to develop happy resilient GP's who are going to move well into their careers. We therefore ensure good diversity of teaching including career development, resilience, mindfulness and multidisciplinary teaching with other healthcare professionals. Innovation Within the East Kent training scheme we have developed some innovative teaching and communication practices to try to optimise the experience of GP trainees who join us. ITP's - We have developed integrated training programmes (ITPs) in palliative care and community paediatrics. Both of these rotations offer excellent opportunities to develop a greater understanding of the role of the GP within these areas of medicine. These posts also support the development of high levels of communication skills which underpin general practice.

33 33 CLIC We also have an innovative Clinical Leadership in Commissioning rotation which has been running since July 2009 and offers ST2s the opportunity to work within the local Clinical Commissioning Groups whilst in the ST2 GP placement developing an understanding of how GPs lead in commissioning. This rotation has been well evaluated and trainees who wish to undertake this rotation need to apply to Jane Arnott PD who oversees this rotation. Social Media Communication between GP trainees, the Programme Directors, Admin staff and clinical staff is vital for effective training. East Kent has therefore embraced social media to try to do this. We have: A Facebook page East Kent GP VTS A closed Facebook group EK GP Training Group Twitter feed So far these methods seem to have facilitated discussion and disseminated information effectively and are a welcome change from the mountain of s that we all seem to receive daily. We hope to welcome you to East Kent VTS for your training. We have an ever increasing number of trainees who stay on and become GP's within the area and find East Kent to be a sociable and fascinating place to settle and work as a GP. THE PROGRAMME DIRECTORS IN THE EAST KENT GP TRAINING PROGRAMME AREA Dr Jane Arnott Jane has a nursing, midwifery and health visiting background. She has worked in Higher Education for twelve years and has a Master s in Public Health she is also a Fellow of the Royal Society of Public Health and the Higher Education Academy. She is currently studying for a PhD at Canterbury Christ Church University. She was seconded into the Training Programme Director s Post in September 2008 from Canterbury Christ Church University. She has a responsibility for placement allocation and the development of Integrated Training Placements. Jane has a particular interest in leadership development and has led the Clinical Leadership in Commissioning Rotation since July 2009 for GPST2s. Jane works with the other Training Programme Directors in East Kent to support the education programme for all the GPStRs. Dr Caroline Crosfield Caroline commenced in post as East Kent Program Director on 1st August She has worked as a GP in Minster, in Thanet for 25 years and has been a GP trainer for 20 years. She was previously a Course Organiser on the Canterbury and Thanet GPVTS from 2001 to 2006, and is delighted to be involved as a Programme Director once more. Caroline has responsibility for coordinating the GP elements of the foundation programme in East Kent, as well as working with the other Programme Directors supporting the education of the GP trainees. Dr Greg Manson Greg is a GP Trainer, Programme Director, GP appraiser and full time GP in Canterbury. He is also a cognitive and behavioural psychotherapist. As such he is interested in GP wellbeing, burnout and resilience. His main areas of interest in medical education are in assessment and evaluation. He has assisted in GP registrar revision and preparation for the membership for several years now. Dr Simon Dunn Simon Dunn has been a GP in Herne Bay for 20 years, has been a GP Trainer since 2009 and a Programme Director since He has an interest in respiratory medicine and has been involved in various aspects of commissioning since the early days of the current changes in He believes General Practice is the best job in the world and that the National Health Service is a context of practice that is worth fighting for. He values the consultation as the heart of what is done in GP and is interested in how doctors relate to other professionals, both clinical and non-clinical, to provide the best care for patients. Dr Andy Charley Andy is a three quarter time partner & GP Trainer in Canterbury since His practice is a Vanguard/MCP first wave pilot thus offering new avenues for commissioning, training and research He is a GP with special interest in Ophthalmology, is RCGP Curriculum Guardian for eyes and is currently exploring collaborative working with local Optometrists. As the newest addition to the TPD team he has responsibility for the Ashford Trainers Group, weekly GPST teaching at the William Harvey Hospital & Out of Hours training.

34 34 MEDWAY ABOUT MEDWAY The five Medway towns of Strood, Rochester, Chatham, Gillingham and Rainham together possess an exceptional geography, a rich heritage, a dynamic creative population and a resurgent economy. The population of the Medway towns is approximately 250,000. Strood s name derives from an Old English word for marshy river bank. It lies on the north-west bank of the Medway and together with Finsbury and Rochester grew because of river activity and the bridge link between Strood and Rochester. Strood is now mainly a residential suburb of Rochester and a commuter town for London. On the east side of the Medway opposite Strood, Rochester is known for its cathedral and castle and has for centuries been of great strategic importance. Its fortification down the ages protected the crossing of the Medway and the route to London. Rochester was also famously Charles Dickens favourite town. Chatham has strong historical links to the Navy and the dockyards have become a fantastic museum. Rainham was a separate village until it was added to Gillingham in It sits on the northern slope of the North Downs and is bounded to the south by the M2. The arrival of the railway in 1858 and again in 1959 when it was electrified spurred its growth. The Medway towns are bordered by the rural areas of Hoo, Cliffe and the Isle of Grain to the west, and the area to the east known as Swale which includes Sittingbourne and the Isle of Sheppey. In total these surrounding areas have a population of over 100,000, and this can swell by a further 30,000 people holidaying during the summer months. GP Training in the Medway area is centred around the Medway Maritime Hospital in Gillingham. The Medway towns have excellent rail and road links and are located within 25 minute high speed rail commute to London. We are in the heart of the Thames Gateway development, with local grammar schools and affordable housing. ABOUT THE MEDWAY GP TRAINING PROGRAMME At the Medway GP vocational training scheme we deliver high quality enthusiastic training based around the largest single site hospital in Kent. We ensure GP focused training throughout your three years with us and work hard to maintain our consistent AKT and CSA pass rates. The Programme Directors are a group of friendly, dynamic educationalists with a wide variety of professional experience. We ensure that the GP programme is interesting, relevant and supportive to your training for your ST3 year and beyond. We engage in collaborative multidisciplinary working with our close links to the Universities at Medway (University of Kent, University of Greenwich, Canterbury Christ Church University). The ST3 teaching programme is based in the educational centre of the Canterbury Christ Church building in Medway. We also run a CSA based master-class where we invite and teach neighbouring VTS schemes. We have a two day, one night residential each year in Cumberland Lodge set in the idyllic grounds of Windsor Park. In the Medway VTS programme, we adopt a variety of learning approaches. These include web-based, DVDs, ward based clinical teaching, exposure to outpatients and theatres at the appropriate identified level, group learning, private study, courses, reflective practice, audit projects, regular teaching specific to year and specialty, but also multi-specialty as appropriate. Above all this is a trainee centred approach to learning with you at the centre of the learning cycle taking responsibility for identifying your own learning needs and sourcing the opportunities to meet those needs.

35 35 We also aim to provide a tailored programme of study and clinical experience that, as far as is possible, meets the individual needs of each trainee. We pride ourselves on the novel approaches we have taken to develop our ST1 and ST2 integrated posts, including dermatology, palliative care, psychiatry and particularly clinical commissioning combined with GP time. All posts are well thought out, mapped to the GP curriculum and relevant to the demands of ever changing General Practice. We have representation from STs at all levels of the teaching and in all departments, which allows us to improve and modify our programme. Following the publication of the recent Francis report, we at the Medway VTS have further engaged with our hospital colleagues to ensure a rigorous GP training programme that ensures patient safety and clinical effectiveness. Out of hours experience is an essential component of GP training and locally Medway On Call Care provide a wellorganised, well supported rota with clinical and educational supervision to ensure our trainees achieve their out of hours competencies. The Medway VTS programme is supported by a proactive, enthusiastic and experienced group of GP Trainers providing focused one to one supervision, support and guidance during the three years of training. The range of GP experience is extensive providing trainees with exposure to inner city type service provision, urban and rural general practice. Revalidation is strongly supported by the VTS, with one of our PDs also working as a GP appraiser. We therefore ensure our trainees are well able at the end of their training to undergo this robust process with confidence. We like to retain our GPs trainees locally and the majority of our ST3s have gone on to work in substantive posts at local practices. Some have even have embarked on the GP Trainer pathway to come back into the scheme as an educationalist. We feel we cultivate excellent general practice in the garden of England and we hope you will consider Medway VTS as your first choice for GP training. Please find out more by following us on or you can find out lots more from our website, The details of each of the practices used as training practices are provided, each practice website will provide information regarding the range of services offered and the specialist interests of the GP s working within the practice. Final Comment from a previous ST3: Medway has a well organised teaching programme which gave me direction, a better understanding of effective learning and managing my e-portfolio. The venue for the away seminar was fantastic and a great opportunity to bond with colleagues. Lots of useful tips for the CSA exam!!!!!!! THE PROGRAMME DIRECTORS IN THE MEDWAY GP TRAINING ROGRAMME AREA Dr Tim Colbert Peter Milburn, Educationalist Peter is the Director of the Institute of Medical Sciences at Canterbury Christ Church University. His research interests relate to person-centred collaborative practice and has written widely within the field of interprofessional education and medical imaging. As the former Director of Undergraduate Interprofessional Education Peter led the Universities first preregistration interprofessional programme bringing together nine separate professions within one common programme of study. Areas of expertise include interprofessional collaborative practice, leadership and management and methods for effective learning and teaching. Dr Satvinder Kaur Lall Sati is a GP Principal and Trainer at Walderslade Village Surgery. She qualified from the University of Dundee in 2002, having also undertaken an intercalated BSc in Health Services Management at Imperial College in She undertook her GPR year in Medway in 2006 and passed her MRCGP with distinction. She has since developed an interest in medical education and embarked on the GP Trainer pathway. She became a GP Trainer in 2010 and subsequently completed the PG Cert in Medical Education in In addition, she is a GP Appraiser. She has two young children and an amateur interest in baking and cake decorating.

36 36 WEST KENT ABOUT DARTFORD ABOUT THE DARTFORD GP TRAINING PROGRAMME Dartford is situated 20 miles to the east of London on the bank of the river Thames, on the border of Kent, London and Essex. Dartford is the perfect location to access both the bright lights of London and the wildlife of the countryside. The Borough of Dartford comprises the town of Dartford and eight surrounding parishes. Originally a Roman settlement, Dartford is an old market town with a rich industrial heritage. It now boasts one of the largest shopping centres in Europe and has direct links to the continent with the development of the International railway station at Ebbsfleet. Dartford is at the heart of one of the Government s key growth zones within the Thames Gateway and will see around 20,000 new homes and up to 50,000 new jobs created in the borough over the next 25 years a substantial addition to the existing 80,000 residents in the Borough. Dartford is proud of its heritage and has many notable buildings. To the south of the town lie a number of beautiful and ancient villages, each of which has its own links with English history. Since 2000 the Dartford scheme has been based at the state of the art Darent Valley Hospital overlooking the Thames. The scheme began in 1971 with 2 training posts per year, moved to 3 in the 1980s and now has 14. Jobs in medicine, elderly care, obs/gynae, paediatrics, A&E are part of our programme and psychiatry can be accessed (at nearby Littlebrook Hospital). We encourage brief attachments to other disciplines, often arranged in the ST3 year. The training practices are in a variety of town and country settings. GPStRs meet on Wednesday afternoons, for 30 weeks of the year, at the Phillip Farrant Medical Education Centre, Darent Valley Hospital. We try to cover most curriculum areas over the year in a learner led, interactive way using additional expert resources where appropriate. A number of locality training programmes offer Innovative Training Posts (ITPs) as part of the general practice training programme. These posts are based in general practice and funded through the primary care directorate. We have 4 ITP posts: Palliative care/gp (based at Lions Hospice, Northfleet), Orthopaedics/GP (based at DVH) and Clinical Commissioning Group/GP, and Cardiology/GP (based at DVH). Each post is for 4 months. All trainees have an opportunity to experience these posts. On average each week 2 days are spent in practice and 2 days in the hospital post. GPStRs and trainers go for a team meal at the start of the course. We try and arrange one or two trips out per year (galleries/museums/projects); the most recent trip was to the National Gallery. We usually finish with a BBQ or similar. Trainees organise their own activities from time to time. A 2 day residential course is organised for GPStRs at the start of their ST3 year. This takes place in the lovely environment of Bore Place near Sevenoaks. Can t we do this more often? is the usual request!

37 37 THE PROGRAMME DIRECTORS IN THE DARTFORD GP TRAINING ROGRAMME AREA Dr David Payne David has been a GP in Shorne since 1992, and a trainer since He enjoys the long-term continuity of family practice, and has an interest in audit. He started his role as Programme Director in the summer of Interests outside medicine include cycling and ornithology. Dr Purnima Sharma Dr Purnima Sharma is a full-time GP partner in the Riverside Heritage Town of Gravesend. She has been a trainer for nine years and Programme Director since She facilitates a lively and interactive VTS half-day release programme and specialises in Women s Health. She is the Foundation Training GP Tutor. Dr Parag Pandya Parag has been a GP in Swanscombe since 2006, and a Programme Director since He enjoys community cardiology, family planning and has an interest in health services management. He became a Fellow of the Royal College of GPs in He organises ENT, Ophthalmology and Dermatology Courses at RCGP. Interests outside medicine include playing Badminton, Cricket and hiking.

38 38 WEST KENT ABOUT MAIDSTONE AND ROYAL TUNBRIDGE WELLS ABOUT THE MAIDSTONE AND TUNBRIDGE WELLS GP TRAINING PROGRAMME Maidstone is the county town of Kent 32 miles SE of London which is easily accessible by road and rail (about min). Tunbridge Wells is a Spa Georgian town 38 miles SE of London also within easy reach by road or rail (about 50 minutes). Both towns have a theatre, cinema and vibrant arts and cultural scene and some excellent Pubs and places to eat and drink coffee. If you are a Foodie, there are plenty of Restaurants and Wine Bars. There are tennis clubs, cricket clubs and lively cycling clubs for those with sporting inclinations and sailing at Bewl Water. For retail therapy, Bluewater shopping and retail destination is just 45 minutes away. Gatwick Airport from Tunbridge Wells is 45 minutes by car and Maidstone about an hour. You can escape to the Continent by Euro Star from Ashford or Ebbsfleet in North Kent and take the Euro Tunnel experience from Folkestone. There are frequent Ferry crossings from Dover about an hour's drive away. The Maidstone & Tunbridge Wells schemes are based around Maidstone and Tunbridge Wells Hospitals, which form the MTW Trust. Over the 3 year scheme you will get to know your colleagues and build up a good support network to help you through your MRCGP and the 3 year rotation. The Programme Directors facilitate the GP Training Programme and work closely with HEKSS through our Patch Dean Dr Debbie Taylor. We are a multi-professional team with backgrounds in General Practice and other health professions. Our Administrators are vital to the smooth running of the Programme. They are based in the Tunbridge Wells and Maidstone Academic Centres. The majority of the hospital jobs are based in the Trust's hospitals or the Community Mental Health Trust. In addition to the major specialisms of Medicine, A&E, Paediatrics and O&G, training opportunities for ST1s and ST2s may also include Psychiatry and a specially designed post that includes experience in Dermatology, ENT and Ophthalmology. We are also lucky enough to have posts at two local hospices where some Trainees get invaluable experience in Palliative Care. Trainees typically have one placement in GP in their first two years in the VTS. Our mix of jobs is directly relevant to the GP curriculum and will help you build your confidence in handling the conditions you will encounter in your Registrar (ST3) year and beyond. For ST1 and ST2 Trainees, we offer regular Learning Set meetings approximately 9 times per year. The timetable and organisation for this varies depending on which site you are based at. The Learning Sets help you feel part of the GP Training Scheme as you move through your hospital rotations. We invite each training year to elect their own ST representative who will be encouraged to gather views and feedback from Trainees in their year group on all aspects of the Programme. The representatives attend the Local Faculty Groups as we value the contributions and feedback of Trainees. We endeavour to respond to evaluations and ensure that out Training remains flexible, current and enjoyable for all. The Half Day Release for ST3s occurs on Wednesdays, for 30 sessions per year. Each year group is unique and works closely together, having already got to know each other in hospital rotations. The programme is congruent with the RCGP Curriculum and is divided into three phases: Knowledge, Skills and Attitude, enabling the teaching programme to mirror the changing learning needs and assessments as the ST3 year progresses. We are very fortunate in having an Integrated Training Programme, introducing Trainees to Clinical Commissioning (Clinical Leadership in Commissioning)- this is led by Dr Tony Jones, a GP Commissioner and is very well evaluated. We are also able to call upon local RCGP examiners to lead sessions on consulting skills which are helpful in preparing for the CSA module of the MRCGP. The VTS helps Trainees prepare for the competitive job-market with sessions on CVs and interview skills.

39 39 The programme includes topics chosen by GPStRs and these are often presented by them too. We have consultants who present their chosen specialisms in a way relevant to Primary Care. Hot topics are discussed, which is a useful forum for discussion about challenging patients or problems, when peer support can be very beneficial. GPStRs form small groups in order to work together on topics for the CSA and AKT. We promote debate and discussion for group learning. There is often additional coaching to small groups or individuals approaching the externally marked MRCGP modules, especially the CSA. Some of the more challenging areas in GP Training arise from looking at ourselves as doctors, our interaction with patients in the consultation and our multiple roles as autonomous practitioner, team-member, prescriber, gate-keeper, ethicist, employer or employee. Often there aren t right or wrong answers, but we hope the VTS will challenge you and help develop the skills to find your own unique position. So whilst you may be stretched, we strive to maintain a relaxed, supportive and fun environment. We are able to offer extra Workshops according to the learning needs of individual Trainees, for example Linguistic Workshops. The teaching programme in Tunbridge Wells is complimented by our website which holds our calendar of events and links to useful information, documents and sites. There is an annual Residential for Trainees which is an opportunity to allow Trainees to learn together in a more relaxed and creative environment. At the end of the GP Training Programme you will all be invited to the whole HEEKSS Prize giving Graduation Ceremony which has proved to be a popular and lively event. Af9XwE&feature=youtu.be THE PROGRAMME DIRECTORS IN THE MAIDSTONE GP TRAINING AREA ARE: Dr Jonty West Jonty has been a Programme Director for Maidstone VTS since His main responsibilities are organising the educational programme on Wednesday afternoons for ST3s, as well as the monthly teaching programme for ST1 and 2s (on Wednesday mornings). He has been a partner at West Malling Group Practice since 2005, and a GP trainer since He is also an appraiser for NHS England South East and Senior Appraiser for West Kent. In his spare time he has taken up running, and after completing several half-marathons has now discovered that a marathon is really too far! Dr Richard Laurent Richard has been a course organiser/programme director for 18 years. He oversees the rotas and placements of the scheme and runs the Wednesday afternoon GP Training Programme of teaching, He has a particular interest in evidence based learning and ethics. He is a GP Appraiser and revalidation facilitator. He is senior partner at a local training practice. Watch for his cycle parked outside the Medical Education Centre on a Wednesday afternoon. Dr Cathy O Leary Cathy has been a GP Trainer since 2010 and a Training Program Director since She participates in the organization and running of the VTS Wednesday afternoon teaching, and also co-ordinates the foundation placements in general practice and the professional development of the GP Trainers in the area. Cathy has a Diploma in Medical Education and Strategic Leadership and working towards an MSc in the same. She is a partner at a local training practice, and is also a GP Appraiser/Revalidation facilitator. Cathy has an interest in Medical Education and also Dermatological Surgery.

40 40 THE PROGRAMME DIRECTORS IN THE TUNBRIDGE WELLS GP TRAINING AREA ARE: Dr Richard Estall Richard qualified from Oxford and Bart s in 1992, and subsequently did his GP training on the Royal Free VTS. He worked as a GP Principal in London for 11 years, before moving to Kent in June He is now a 3/4 time partner in Marden. He became a Programme Director in He also works as an Appraiser and is involved with the formation of the local GP Federations. His interests include sport of all types, but the current obsession is cycling, which is his excuse for the odd appearance at the Medical Education Centre wearing lycra! Dr Mark Hambly Mark trained at St George s Hospital in South West London. He is trained as a GP on the Epsom VTS and subsequently did an MSc in Medical Leadership and Management at Brighton Business School and West Sussex PCT. He moved to Tunbridge Wells in 2012 and is a partner at Rusthall Medical Centre. In 2015 he became a Programme Director. Mark has a slightly unusual professional background for a GP, having worked in both the Royal Navy, who sponsored his first degree in Engineering, and in Corporate Finance, prior to leaving the city to study Medicine. In his spare time, which is limited with three small children, he enjoys singing, almost all sports and reading.

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42 42 KENT LOCAL EDUCATION PROVIDERS THE LOCAL EDUCATION PROVIDERS IN KENT ARE: There are a number of Local Education Providers (e.g. Acute NHS Hospital Trusts, NHS Psychiatric Trusts) in Kent that provide placements for GPStRs in the HEEKSS GP School Placements in hospital posts are currently of 4 months duration. DARTFORD & GRAVESHAM NHS TRUST Darent Valley Hospital EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST Kent and Canterbury Hospital Canterbury Queen Elizabeth Queen Mother Hospital Margate William Harvey Hospital Ashford KENT AND MEDWAY NHS & SOCIAL CARE PARTNERSHIP TRUST (PSYCHIATRY) THE LIONS HOSPICE, GRAVESEND (HOSPICE) MEDWAY NHS FOUNDATION TRUST Medway Maritime Hospital PILGRIMS HOSPICE, CANTERBURY (HOSPICE) THE RANGE OF HOSPITAL POSTS INCLUDED IN THE PROGRAMMES: Accident and Emergency; Paediatrics; Obstetrics and Gynaecology; Palliative Care; Trauma and Orthopaedics; Ophthalmology; Rheumatology; Psychiatry; General Medicine; Endocrinology and Diabetes; Cardiology; Respiratory Medicine; Gastroenterology and Stroke Care More information about the Trusts and hospitals appears below with the GP Training programmes they provide placements for. MAIDSTONE & TUNBRIDGE WELLS NHS TRUST Maidstone Hospital Tunbridge Wells Hospital at Pembury

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44 44 DARTFORD & GRAVESHAM NHS TRUST Darent Valley Hospital GP Training Programme Area: Dartford OVERVIEW OF TRAINING AT THE TRUST Address Darent Valley Hospital Darenth Wood Road Dartford Kent DA2 8DA Switchboard Telephone Number Website Darent Valley is uniquely placed just outside the M25, i.e. in the country, yet within 20 minutes of central London (via St Pancras). Our catchment is wide and varied with both socially excluded patients mixing with those of greater affluence. This provides a very wide group of patients for trainees to learn from and this is dealt with in greater detail below. We are a new-looking but well established unit, built in 2000, and provide all those services expected in a district general-type environment, and some more specialist as well, e.g. recurrent miscarriage, complex minimal access surgery. Public transport access is very good with fast and reliable services for both staff and patients. Being located so close to the M25 allows trainees from further afield to commute daily rather than weekly, as they do for some other units. A further advantage that has been mentioned is our close proximity to Bluewater Shopping Centre. The on-site modern accommodation rooms are available to all staff at a competitive rate for short or long term bookings. The new Simulation and Skills Suite opened in February 2012 and includes the Simman 3G, state of the art mannequin, two obstetric pelvises, for natural deliveries, two neonatal resuscitation mannequins and four birthing simulators. The simulation experience is captured with live relays to viewing rooms and play back facility for debriefing. The library is based within the Philip Farrant Education Centre. Services include general literature enquiries and searches, information skills training and electronic resources. The Trust is fully committed to training and development all of its staff and has strong links with Guys, Kings and St Thomas Medical School, the Universities of Greenwich and Canterbury, and the South Thames Foundation School. KEY INDIVIDUALS Director of Medical Education Dr Ali Bokari Medical Education Manager Mrs Claire Nottage GP Faculty Medical Education Officer Mrs Tracy Jollie Training Programme Directors Dr Parag Pandya Dr David Payne Dr Purnima Sharma

45 45 EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST Kent & Canterbury Hospital GP Training Programme Area: East Kent OVERVIEW OF TRAINING AT THE TRUST Address Ethelbert Road Canterbury Kent CT1 3NG Switchboard Telephone Number Website East Kent Hospitals University NHS Foundation Trust is one of the largest hospital Trusts in the country, with more than 7,000 staff serving a local population exceeding of around 720,500 people and provides integrated patient care in East Kent with over 80 clinical specialties. Established on 1st April 1999, East Kent Hospitals University NHS Foundation Trust has three acute hospitals at Canterbury, Ashford and Margate, with smaller hospitals in Dover and Folkestone. The Trust has invested in an extensive development programme in its services and buildings. At Kent & Canterbury Hospital these include: a 1.5million investment in robotic surgery, a state-ofthe-art day surgery centre, dermatology centre, endoscopy suite, a new aseptic suite and robotic automation for pharmacy, a unique Children s Assessment Centre and extensive ward refurbishments. It is home to one of just 21 specialist haemophilia centres in the UK and is the local centre for inpatient urology, vascular and renal services. Neurology services are also centralised on this site. KEY INDIVIDUALS Director of Medical Education Dr Prathibha Bandipalyam A purpose-built endovascular theatre, believed to be the first of its kind in England, was opened at Kent & Canterbury Hospital. The state-of-the-art facility allows highly complex diagnostic procedures and operations, including endovascular stenting of aortic aneurysms (an alternative to open surgery). The critical care service was expanded from five beds to six intensive care beds and four high dependency beds, and is supporting the new vascular theatre. Canterbury is a beautiful historic city with a large student and tourist population. Kent & Canterbury has a tradition of being a popular and friendly hospital for trainees and we also have 3rd year and 5th year medical students from King s College London Medical School. Based on this, in August 2008, the Trust achieved University teaching status. In 2010 East Kent Hospitals University NHS Foundation Trust was awarded Trust of the Year 2010 by healthcare information organisation Dr Foster. Dr Foster measures healthcare across a range of different areas that are important to patients on behalf of the Government. At the end of last year it named EKHUT as the best performing Trust in the country. Clinical Tutor Dr Martin Mayall Medical Education Manager Mrs June Toms

46 46 EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST William Harvey Hospital GP Training Programme Area: East Kent OVERVIEW OF TRAINING AT THE TRUST Address Kennington Road Willesborough Ashford Kent TN24 0LZ Switchboard Telephone Number Website KEY INDIVIDUALS Director of Medical Education Dr Bandipalyam Prathibha Clinical Tutor Dr Sarah Birks Medical Education Manager Mr Rags Subramaniam Mrs June Toms The William Harvey Hospital in Ashford, Kent, is one of three acute hospitals forming the East Kent Hospitals University NHS Foundation Trust covering a total catchment area of approximately 720,500 people. The Trust provides a comprehensive range of acute and specialist services and works in partnership with Mid Kent Healthcare NHS Trust for provision of oncology services. The William Harvey Hospital is a district general hospital undergoing continual expansion as it is sited within a designated growth area. The hospital is located on the outskirts of Ashford close to the Ashford International Station and adjacent to the M20. It has 488 beds and covers General Medicine (including Coronary Care Unit), General Surgery, Trauma and Orthopaedics, Paediatrics including special care and a neonatal intensive care unit, Obstetrics and Gynaecology, ENT and Ophthalmology. There is an X-ray Department and the East Kent Pathology Department and Microbiology Department is based here. Recent developments include new robotic facilities both in the Pathology Department and Pharmacy. William Harvey Hospital has a dedicated stroke unit, which undertakes thrombolysis for acute stroke and is the Kent centre for PCI. The cardiac catheter laboratory also undertakes therapeutic interventions including angiograms and angioplasties, permanent pacemaker insertions and intraventricular defibrillator insertions. An extra laboratory is being built on the site. Cardio-thoracic surgeons visit the hospital every fortnight to hold joint meeting with cardiologists and discuss cases. This became the Kent Cardiac centre for primary angioplasty in There is a satellite Renal Dialysis centre and the hospital has the single Head & Neck unit which includes ENT and Ophthalmology services. There is a dedicated Day Surgery unit (Channel day surgery), as well as dedicated Endoscopy and Chemotherapy (Celia Blakey) units. The Intensive Care unit has four dedicated intensivists and is accredited for specialist intensive care training. The A&E Unit is open 24 hours a day and includes a 5 Bay Resuscitation area, separate Paediatric Waiting Room with 4 self-contained bays. There is a Minor Injury unit staffed by nurse practitioners and a Bereaved Relatives Lounge. In A&E there are trained Teams in ATLS, Trauma, ALS and Cardiac Arrest. These deal with all major trauma, acute medical, surgical and gynaecological emergencies. There is a helicopter site for HEMS and Police Helicopter. Most medical patients are admitted to either the Clinical Decision Unit (CDU) or directly to the Coronary Care Unit. Staff within the Medical Unit are responsible for all acute medical admissions, regardless of age, and care provided by the physicians includes the specialties of Cardiology, Respiratory Medicine, Gastroenterology, Diabetes & endocrinology, Rheumatology and Geriatric medicine as well as a Renal satellite unit. Integrated care pathways for management of chest pain, stroke and other medical emergencies are used on the wards and in the CDU. There is an active teaching programme based at the William Harvey Education Centre. Peer teaching sessions are encouraged and there is an active programme for recognition of teaching skills and contribution. There is an active social life with involvement of medical students, junior and senior doctors, including a Christmas party organised by the students for all staff.

47 47 EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST Queen Elizabeth the Queen Mother Hospital GP Training Programme Area: East Kent OVERVIEW OF TRAINING AT THE TRUST Address St Peter s Road Margate Kent CT9 4AN Switchboard Telephone Number Website East Kent Hospitals University NHS Foundation Trust, established in 1999, is one of the largest hospital Trusts in England, with five hospitals and several outpatient facilities across East Kent and Medway. For more information, please go to our website In 2010 East Kent Hospitals University NHS Foundation Trust was awarded Trust of the Year 2010 by healthcare information organisation Dr Foster. Dr Foster measures healthcare across a range of different areas that are important to patients on behalf of the Government. Based in the picturesque seaside town of Margate, the Queen Elizabeth the Queen Mother Hospital has recently benefited from a major development and refurbishment programme, with new facilities including a state-of-the-art cancer centre, an additional operating theatre, new children s ward, new special care baby unit and outpatients building. The maternity department has also been refurbished with extra facilities. KEY INDIVIDUALS Director of Medical Education Dr Prathibha Bandipalyam Clinical Tutor Miss Elizabeth Sharp Medical Education Manager Mr Rags Subramaniam Mrs June Toms The hospital is also home to a state-of-theart heart centre, containing a 3.6 million operating theatre for specialist diagnostic procedures and up-to-date facilities for the hospital s cardiology department. There is also a new dedicated Clinical Skills Lab within the Education Centre and the educational library has just been modernised, extended and refurbished to provide textbook learning resources as well as electronic and internet-based resources, which are available 24/7 with key fob access. There is also a new High Fidelity Simulation Suite established for enhancing the learning opportunities for doctors in training. Simulation training is actively encouraged within the Trust and Hospital for doctors as part of improving patient safety and trainee doctors competencies. Staff accommodation in the hospital is also one of the best in the region with a relatively new build facility comprising of single and married residences available via a booking system managed by the hospital. Margate itself is a popular, up and coming town with plenty of nightlife, a multi-million pound casino, cinemas, theatres and an enviable coastline, some of which is perfect for watersports such as surfing and jetskiing. The new multi-million pound Turner Contemporary Gallery is also a major cultural and artistic venue which is within a short distance from the Hospital in Margate. Shopping and recreational facilities attract people from across the area and transport links to London are quick, direct and frequent. Travelling to Ramsgate, Canterbury, Ashford and West Kent is also straightforward, allowing you the freedom to explore more of Kent at your leisure. It is easy to see why East Kent is becoming so popular - all the attractions without the London prices or stress.

48 48 MAIDSTONE & TUNBRIDGE WELLS NHS TRUST Maidstone Hospital and Tunbridge Wells Hospital, Pembury & GP Training Practices in the localities of Maidstone & Tunbridge Wells GP Training Programme Area: Maidstone & Tunbridge Wells OVERVIEW OF TRAINING AT THE TRUST Contact details can be found on the next page. KEY INDIVIDUALS Director of Medical Education Dr Garth Sommerville Clinical Tutors Dr Paul Reynolds (Tunbridge Wells Hospital) Dr Bet Mishra (Maidstone Hospital) Strategic Medical Education Manager Mrs Chris White Deputy Medical Education Manager Mrs Cherry Taylor Maidstone Academic Centre Manager Mrs Anita Mann Tunbridge Wells Centre Manager Ms Aimee Taylor Websites Maidstone & Tunbridge Wells NHS Trust is a large acute hospital Trust providing a full range of general hospital services to 500,000 people in West Kent and East Sussex. Its two main hospitals are Maidstone, situated in Kent s county town and the Tunbridge Wells Hospital at Pembury, some 18 miles away. The GP Training Scheme is supported by a team of Programme Directors and GP Training Scheme administrators who are available for help and guidance. The 400 bed Hospital at Maidstone provides elective care for complex Colorectal, Gynaecological Oncology, Urology and Upper GI surgery. It provides a tertiary referral for Kent and in-patient specialties include General Medicine, Paediatrics, Obstetrics & Gynaecology, Care of the Elderly, Clinical Haematology, Trauma &Orthopedics and Ophthalmology. The hospital is also the main base for Kent Cancer Centre. The 512 bed Tunbridge Wells Hospital is the only all single room NHS hospital in the country with individual en-suite rooms for all patients. The hospital acts as a level two trauma centre. All emergency surgery is performed on this site in a state of the art facility. It is one of the most technologically advanced hospitals ever built. As well as offering a wide range of acute services, the hospital will also act as the hub for women and children s services and emergency surgery in Maidstone and Tunbridge Wells. Kent is known as the garden of England for very good reason. Both sites have easy access to London (less than an hour away), Gatwick Airport, the Channel Tunnel and the South Coast. Both Maidstone and Tunbridge Wells are well known old historical towns with very good social venues, excellent and varied restaurants and local amenities. There are good road and bus links between Maidstone and Tunbridge Wells sites with free bus services also available. The Trust has a reputation for having a friendly atmosphere and a strong educational ethos. Significant amounts of money have been invested in education by the Trust and education has a high profile at Board and Chief Executive level. Both hospital sites benefit from friendly and modern Education Centres, which house the latest learning, Simulation and Clinical Skills facilities. Both Centres have excellent library facilities with 24 hour access. Outside of work there is a vibrant social life, including Pay Day themed outings and regular Mess nights, a Winter and Summer Ball, Christmas Revue and annual cricket match against the consultants.

49 49 Education Centres Education & Training Centre Academic Centre Level -2 Maidstone Hospital Tunbridge Wells Hospital at Pembury Hermitage Lane Tonbridge Road Maidstone Pembury Kent ME16 9QQ Kent TN2 4QJ Hospitals Tunbridge Wells Hospital at Pembury Maidstone Hospital Tonbridge Road Hermitage Lane Pembury Maidstone Tunbridge Wells Kent Kent ME16 9QQ TN2 4QJ

50 50 KENT AND MEDWAY NHS AND SOCIAL CARE PARTNERSHIP TRUST (KMPT) GP Training Programme Areas: Dartford, Medway, Maidstone, Pembury/Tunbridge Wells, Canterbury, Ashford and Thanet ABOUT THE TRUST KMPT Trust Headquarters The Kent and Medway NHS and Social Care Partnership Trust HQ Farm Villa Hermitage Lane Maidstone Kent, ME16 9PH Switchboard Telephone Number Website KEY INDIVIDUALS Directors of Medical Education: Dr M. Aamer Sarfraz Locality Tutors: TBC (MTW) Dr Tony Beirne (Dartford) Dr Mallika Sundaram (Medway) Dr Maria Agundez (East Kent) Medical Education Manager Angela Pendleton GP Administrators for Psychiatry Laura Griffiths Kelie Jest Kent and Medway NHS and Social Care Partnership Trust provide mental health and social care services for Kent in partnership with Kent County Council. In Medway, we work closely with the local unitary authority to provide joined-up health and social care services. As one of the larger mental health trusts in the country, we cover an area of 1,450 sq. miles and serve 1.7 million people across Kent and Medway. The Trust s income is 173m with 3,260 staff, and a further 230 staff seconded from Kent County Council, providing a range of mental health and other specialist services from approx. 50 sites. Our services are predominantly provided from key urban Centre s including Maidstone, Medway, Tunbridge Wells and Canterbury, but we provide a range of services in community locations, reflecting the urban and rural mix of the area. The Trust has also introduced telemedicine to enhance accessibility. Since April 2013, the former Primary Care Trusts have been replaced by eight Clinical Commissioning Groups (CCGs) which commission the majority of services that we provide. Last year we cared for nearly 50,000 people, involving more than half a million contacts. PSYCHIATRY Mental Health is about the way you think and feel and your ability to deal with stresses in day to day life. Good mental health can be described as a balanced sense of wellbeing. Psychiatric problems, can, without support and treatment, have a serious impact on the individual, their relatives/carers and the society. Psychiatric disorders can afflict anyone, and one in four people will experience a mental health problem at some point in their lives. According to NHS Choices, every year in the UK, more than 250,000 people are admitted to psychiatric hospitals. Mixed anxiety and depression is the most common mental disorder in Britain and women are more likely to have been treated for a psychiatric problem than men. You can find more details about psychiatric disorders on websites including those of the Royal College of Psychiatrists and the Mental Health Foundation. TRUST SERVICES KMPT provides a number of different psychiatric services to people of all ages living in Kent and Medway. Most of these are provided through: Inpatient units Outpatient units Community teams Community, inpatient and outpatient services are generally split into services for adults and services for older people over local areas. There are specialist Child and Adolescent Mental Health Service in west Kent. In addition to the community inpatient and outpatient services for different age groups, KMPT also provides a number of specialist services across the county including forensic and learning disability services. KMPT as a Local Education Provider offers a variety of GP training posts as part of the secondary care training programmes organised via the District General Hospitals, namely, Dartford & Gravesham NHS Trust, Medway NHS Foundation Trust, Maidstone & Tunbridge Wells NHS Trust and East Kent Hospitals University NHS Foundation Trust. Each acute trust has an allocated number of posts for Psychiatry and the relevant trust will liaise with us for up to date placement information. The psychiatry placements are spread across a large geographical area and are mostly community based. For further information on locations of these placements, please contact our Medical Education Manager.

51 51 MEDWAY NHS FOUNDATION TRUST Medway Maritime Hospital GP Training Programme Area: East Kent OVERVIEW OF TRAINING AT THE TRUST Address Windmill Road Gillingham Kent, ME7 5NY Switchboard Telephone Number Website KEY INDIVIDUALS Directors of Medical Education: Dr Tariq Hussain and Mr Jeremy Davisi Medway Maritime Hospital is located within the Medway Towns, South East England. Gillingham is one of five towns situated along the banks of the River Medway; they also include the historic town of Rochester and Chatham. Chatham Dockyard developments include luxury marina apartments and social amenities such as cinemas, eateries and bowling. With excellent national and international transport links, affordable housing and fantastic schools Medway can offer an exceedingly good work/life balance. Medway Maritime Hospital is the largest single site hospital in Kent. It employs over 4,225 staff and serves an increasing population, seeing over 400,000 patients each year. The Trust has a new substantive Chief Executive, Lesley Dwyer who has many years experience in healthcare and is leading the trust forward with the senior executive team. Within the postgraduate team are dedicated Directors of Medical Education who are extremely committed to the training and support of doctors whilst putting patient safety at the heart of the service. Trainees can expect a supportive, stimulating and nurturing learning environment in all specialties. Medway was one of the first Trusts in the country to achieve Practice Plus status for Improving Working Lives and has developed clear vision and values to ensure that it is the first choice for patients and staff. The Medway GP Faculty was recognised for its achievements working and supporting Trainees in Difficulty at a local level whenever necessary. The Medway Maritime Hospital site is home to the Macmillan Cancer Care unit, the West Kent vascular centre, a state-of-the-art obstetrics theatre suite, the neonatal intensive care unit, a foetal medicine centre, a dedicated stroke unit and the West Kent centre for urology. To find out more about Medway NHS Trust, please visit their website at Clinical Tutor: Dr Nasar Ben-Ramadan Medical Education Manager Mrs Carol Atkins GP Administrator Ms Christine Oliver

52 52 THE LIONS HOSPICE GP Training Programme Area: Medway ABOUT THE LIONS HOSPICE Address Coldharbour Road, Northfleet, Kent, DA11 7HQ Switchboard Telephone Number The Lions Hospice provides specialist palliative or hospice care for those people with life shortening illnesses. Whilst many of our patients have cancer, we also offer care to those with other illnesses such as motor neurone disease, end stage organ failure, pulmonary disease and many more. Care is offered as an in-patient or on a day care basis for symptom control, care at the end of life, complex psycho- social support and rehabilitation. In addition to clinical treatments, individuals are provided with a range of activities, services and complementary therapies to build confidence and improve quality of life. The Hospice also provides care, advice and support for families and friends of our patients during their illness and into bereavement. The Hospice has a twelve bed In-patient unit, which cares for over 300 patients a year. The team aims to improve the patient s situation and support people so they can return home if possible. Patients stay on average for two weeks. Because of the need for our services we cannot offer long term nursing care in the Hospice. The Hospice also offers day therapy for up to twenty patients on four days a week. The day therapy team are able to support patients undergoing blood transfusions, needing dressings or who wish to receive complementary therapies. The Hospice has a team of doctors experienced in palliative care led by our medical director. The Hospice also has a team of specialist qualified nurses, social workers, complementary therapists, chaplains, activity coordinator, bereavement counsellors and many more all with the aim of giving our patients and their families what they need when they need it. Patients are referred by general practitioners, hospital doctors, community nurses or Ellenor nurses.

53 53 PILGRIMS HOSPICE GP Training Programme Area: East Kent ABOUT PILGRIMS HOSPICE Address 56 London Road Canterbury Kent, CT2 8JA Switchboard Telephone Number The Pilgrims Hospice is an independent charity and the principal provider of specialist palliative care in east Kent. Pilgrims Hospice, Canterbury is our founding hospice and was opened in June 1982 by Her Majesty Queen Elizabeth, the Queen Mother. Our specialist teams offer physical, social and spiritual support to those facing lifethreatening illness. These services are extended to the families and carers of the patients in our care. The Multi- Professional Team is led by our Medical Consultants in Specialist Palliative Care and include the joint expertise of doctors, nurses, social workers, counsellors, physiotherapists, chaplains and complementary therapists. Refurbished in 2003, it has an in- patient unit of 16 beds and provision for approximately 20 day hospice patients per day open 2 days a week. The hospice, which is situated on London Road, off the Rheims Way, stands within its own beautiful grounds, set back from a large three storey building that houses administration, education facilities and a library.

54 54 Training Practices in the East Kent GP Training Programme Area Programme Surgery Address Line 1 Address Line 2 Town/County Post Code Please note: Some practices details appear in more than one programme as trainers may attend different trainer groups. East Kent Balmoral Surgery Canada Road Walmer Deal CT14 7EQ East Kent Canterbury Health Centre 26 Old Dover Road Canterbury Kent CT1 3JH East Kent Canterbury Medical Practice Patrixbourne Road Bridge Canterbury CT4 5BL East Kent Cedars Surgery 24 Marine Road Walmer Deal CT14 7DN East Kent Charing Surgery Hither Field Charing Ashford TN27 0AW East Kent Cossington House Surgery 51 Cossington Road Canterbury Kent CT1 3HX East Kent Dr John Ribchester & Partners Harbour Street Whitstable Kent CT5 1BZ East Kent Dr Logan & Partners Bank Street Faversham Kent ME13 8QR East Kent East Cliff Medical Practice Dumpton Park Drive Ramsgate Kent CT11 8AD East Kent Hamstreet Surgery Ruckinge Road Hamstreet Kent TN26 2NJ East Kent Ivy Court Surgery Recreation Ground Road Tenterden Kent TN30 6RB East Kent Kingsnorth Medical Practice Ashford Road Kingsnorth Ashford TN23 3ED East Kent Minster Surgery 75 HighStreet Minster Nr Ramsgate CT12 4AB East Kent New Dover Road Surgery 10 New Dover Road Canterbury Kent CT1 3AP East Kent New Hayesbank Surgery Bybrook Kennington Nr Ashford TN24 9JZ East Kent Newton Road Surgery Newton Place Newton Road Faversham ME13 8FH East Kent Northgate Medical Practice 1 Northgate Canterbury Kent CT1 1WL East Kent Sandgate Road Surgery 180 Sandgate Road Folkestone Kent CT20 2HN East Kent South Ashford Medics St Stephen Walk Ashford Kent TN23 5AQ East Kent St Anne's Group Practice 161 Station Road Herne Bay Kent CT6 5NF East Kent St James' Surgery Harold Street Dover Kent CT16 1SF East Kent Sturry Surgery 53 Island Road Sturry Canterbury CT2 0EF East Kent Sydenham House Medical Centre Mill Court Ashford Kent TN24 8DN East Kent The Grange Practice Dumpton Park Drive Ramsgate Kent CT11 8AD East Kent The New Surgery 128 Canterbury Road Folkestone Kent CT19 5SR East Kent The Park Surgery 116 Kings Road Herne Bay Kent CT6 5RE East Kent Union Row Surgery Union Row Margate Kent CT9 1PP East Kent University Medical Centre Giles Lane Canterbury Kent CT2 7PB East Kent Whitstable Medical Practice Estuary View Business Park Boorman Way Whitstable CT5 3SE East Kent Willesborough Health Ctr Bentley Road Willesborough Ashford TN24 0HZ East Kent Woodchurch Surgery Front Road Woodchurch Ashford TN26 3SF East Kent Wye Surgery Oxenturn Road Wye Kent TN25 5AY

55 55 Training Practices in the Medway GP Training Programme Area Programme Surgery Address Line 1 Address Line 2 Town/County Post Code Please note: Some practices details appear in more than one programme as trainers may attend different trainer groups. Medway City Way Medical Practice City Way Rochester Kent ME1 2AY Medway Downs Way Medical Practice Worcester Close Istead Rise Gravesend DA13 9LB Medway Grovehurst Surgery Grovehurst Road Kemsley Sittingbourne ME10 2ST Medway Gun Lane Medical Centre Gun Lane Strood Kent ME2 4UW Medway Highcliffe Medical Practice Hermitage Road Higham Rochester ME3 7DB Medway Memorial Medical Centre Bell Road Sittingbourne Kent ME10 4XX Medway Riverside Medical Practice Ferry Road Halling Rochester ME2 1NP Medway St Georges Medical Centre 55 St George's Avenue Sheerness Kent ME12 1QU Medway The Churchill Clinic 94 Churchill Avenue Chatham Kent ME5 0DL Medway The Parks Medical Practice Cliffe Wood Rochester Rochester ME3 8HX Medway Thorndike Surgery Longley Road Rochester Kent ME1 2TH Medway Walderslade Village Surgery 62a Robin Hood Lane Walderslade Chatham ME5 9LD Medway Woodlands Family Practice Woodlands Road Gillingham Kent ME7 2BU Training Practices in the Dartford GP Training Programme Area Programme Surgery Address Line 1 Address Line 2 Town/County Post Code Please note: Some practices details appear in more than one programme as trainers may attend different trainer groups. Dartford Dartford East Health Centre Pilgrims Way Dartford Kent DA1 1QY Dartford Dartford West Health Centre Tower Road Dartford Kent DA1 2HA Dartford Gravesend Medical Centre 1 New Swan Yard Gravesend Kent DA12 2EN Dartford Horsman's Place Surgery Instone Road Dartford Kent DA1 2JP Dartford Ingleton Surgery 84 Ingleton Road Welling Kent DA16 2JZ Dartford Jubilee Medical Centre 36 Station Road Longfield Kent DA3 7QD Dartford Lowfield Medical Centre Lowfield Street Dartford Kent DA1 1HP Dartford Meopham Medical Centre Wrotham Road Meopham Kent DA13 0AH Dartford Oakfield Health Centre, Practice 2 Off Windsor Road Gravesend Kent DA12 5BW Dartford Old Road West Surgery 30 Old Road West Gravesend Kent DA11 0LL Dartford Pelham Medical Practice 17 Pelham Road Gravesend Kent DA11 0HN Dartford Swanscombe Health Centre Southfleet Road Bean Kent DA10 0BF Dartford Temple Hill Surgery St Edmunds Church St Edmunds Road Dartford DA1 5ND Dartford The Oaks Partnership Nightingale Way Swanley Kent BR8 7UP Dartford The Orchard Practice Tower Road Dartford Kent DA1 2HA

56 56 Training Practices in the Maidstone & Tunbridge Wells GP Training Programme Area Programme Surgery Address Line 1 Address Line 2 Town/County Post Code Please note: Some practices details appear in more than one programme as trainers may attend different trainer groups. MTW Amherst Medical Centre 21 St Botolph's Road Sevenoaks Kent TN13 3AG MTW Bearsted Medical Practice Yeoman Lane Bearstead Maidstone ME14 4DS MTW Belmont Surgery St James Square Wadhurst East Sussex TN5 6BJ MTW Blackthorn Medical Centre St Andrew's Road Maidstone Kent ME16 9AN MTW Borough Green Medical Practice Quarry Hill Road Borough Green Kent TN15 8RQ MTW Bower Mount Medical Practice 1 Bower Mount Road Maidstone Kent ME16 8AX MTW Clanricarde Medical Centre Abbey Court 7-15 St John's Road Tunbridge Wells TN4 9TF MTW College Practice 50/52 College Road Maidstone Kent ME15 6SB MTW Groombridge and Hartfield Medical Group The Nook, Withyham Road Groombridge Tunbridge Wells TN3 9QP MTW Grosvenor Medical Centre 23 Upper Grosvenor Road Tunbridge Wells Kent TN1 2DX MTW Hildenborough Medical Group Westwood Tonbridge Road Hildenborough TN11 9HL MTW Kingswood Surgery Kingswood Road Tunbridge Wells Kent TN2 4UH MTW Len Valley Practice Groom Way Lenham Kent ME17 2QF MTW Marden Medical Centre Church Green Marden Tonbridge TN12 9HP MTW Northumberland Court 10a Northumberland Court Shepway Maidstone ME15 7LN MTW Rusthall Medical Centre Nellington Road Rusthall Tunbridge Wells TN4 8UW MTW Saxonbury House Surgery Croft Road Crowborough East Sussex TN6 1DL MTW Snodland Medical Practice Catts Alley Malling Road Snodland ME6 5SN MTW The Vine Medical Centre 13 Tonbridge Road Maidstone Kent ME16 8RL MTW Thornhills Medical Practice Martin Square Larkfield Aylesford ME20 6QJ MTW Tonbridge Medical Group 64 Pembury Road Tonbridge Kent TN9 2JG MTW Warders Medical Centre East Street Tonbridge Kent TN9 1LA MTW Waterfield House 186 Henwood Green Road Pembury Tunbridge Wells TN2 4LR MTW West Malling Group Practice 116 High Street West Malling Kent ME19 6NE MTW Westerham Practice Market Square Sevenoaks Kent TN16 1RB MTW Woodlands Health Centre Allington Road Paddock Wood Tonbridge TN12 6AX

57 57 SURREY ABOUT SURREY Surrey has a population of approximately 1.1 million people. Due to its proximity to London there are many commuter towns and villages in Surrey, the population density is high and the area is more affluent than many other parts of the UK. Surrey is the most densely populated county after Greater London, the metropolitan counties and Bristol. Much of the north east of the county is an urban area contiguous to Greater London. The Surrey Hills Area of Outstanding Natural Beauty is one of 36 nationally protected landscapes in England, having equal landscape status and protection to a National Park. The county of Surrey borders Greater London, Kent, East Sussex, West Sussex, and Hampshire. Surrey is also England s most wooded county. Its desirability as a place to live, work and visit is closely linked to its pleasant rural environment. The Surrey Hills Area of Outstanding Natural Beauty is one of 36 nationally protected landscapes in England, having equal landscape status and protection to a National Park. One of the first landscapes to be designated as such, in 1958, it has a diverse and rich landscape - the hills themselves embrace an amazing variety of countryside, from the rolling chalk downs of yew and box woodland and flower rich grasslands, to the acid heaths and woodland of the Greensand Hills that rise to form the highest point in South East England at Leith Hill. These offer some of South East England s most beautiful and accessible countryside, with an extensive footpath network, open commons, breath-taking views, attractive market towns and villages and much more. Administratively, Surrey is split into two Patches, East Surrey and West Surrey. There are two Associate GP Deans for Surrey; Dr Chris Warwick is the Associate GP Dean for East Surrey. Dr Bob Ward joined the HEEKSS team as Associate GP Dean for West Surrey in The Associate GP Deans combine their work as GPs in the area with that for HEEKSS. They, and the GP Programme Directors and GP Trainers are administratively supported by the Surrey Patch Manager who is currently based fulltime at the HEEKSS office in Russell Square. The West Surrey patch contains 3 GP Training Programme areas: Chertsey, Frimley and Guildford. In West Surrey, there are the towns of Camberley, Ashford (Middlesex), Woking, and rural areas of Surrey together with Aldershot and Farnborough on the Hampshire borders. The towns of Frimley and Camberley are located towards the west of the region and both towns have good rail and road connections to London and out to the West. Close by are the River Thames and the historic towns of Windsor and Eton, together with Windsor Great Park. The Magna Carta was signed at a spot nearby. Farnborough is famous for its annual airshow and Aldershot has a long association with the British Army. Guildford is often ranked as one of the safest and desirable towns in which to live in the UK. It has good shopping, and is surrounded by attractive countryside. The smaller towns all have good rail and road connections to London, and the area is close to Heathrow airport. The East Surrey patch contains 2 GP Programme Training areas: East Surrey/Crawley (known as CRESH) and Epsom. In East Surrey, there are the towns of Caterham, Redhill, Dorking and Reigate and rural areas of Surrey, as well as Epsom (famous for its racecourse and its Downs) and Leatherhead. Dorking is known for its range of antique shops and Reigate has a large number of restaurants. Crawley is a large town with excellent entertainment provision including a large cinema complex. The North Downs cross the patch and there is good walking country and many historic houses, gardens and

58 58 National Trust properties. The towns of Crawley and Horsham are both in the county of Sussex but because of their proximity, are administratively part of the HEEKSS East Surrey patch. The area is well served by rail links to London and the South Coast and has the convenience of having Gatwick Airport.

59 59 EAST SURREY CRAWLEY & EAST SURREY (CRESH) GP TRAINING IN EAST SURREY THE CRAWLEY AND EAST SURREY TRAINING PROGRAMME Gatwick airport is in the centre of this area, London is within easy reach and Brighton and the south coast only 30 minutes away by car or train. Crawley is an early example of the New Towns having been subject to significant expansion in the late 1950s and 1960s. Like Milton Keynes, Crawley is famous for its roundabouts. The current population is around 100,000 and the proximity of Gatwick airport means that there is almost full employment. There is a wide mix of social and ethnic groups. The people who originally moved to the new town are now forming an ageing population and the age distribution of the area as a whole mirrors that of the UK. Redhill and Reigate are the two towns to the north of the area covered by CRESH. They are older established towns just outside the M25. Although much of the population is prosperous, there are areas of significant social deprivation within the borough. The Crawley and East Surrey GP Specialty training programme is commonly known as CRESH. The CRESH training programme is one of the larger programmes in the KSS area. Historically there was a scheme based at Crawley Hospital and another scheme at East Surrey Hospital in Redhill. With the merger of the two Trusts in 2000 it became clear that the service reconfiguration meant that the GP training programmes should merge. The large number of doctors on the programme means that there is a whole day of educational activity during term time with the doctors who are in general practice placements (ST3) attending on a Wednesday morning. After lunch there are learning sets for ST1 and ST2 doctors in their hospital posts. The sessions are held in the East Surrey Hospital (Redhill) Medical education centre and all GPStRs in hospital posts are encouraged to attend. The teaching programme is based on the GP curriculum, but we encourage a creative approach to this. For example, previous sessions have included topics such as, Ethics and Resource Management, Child Protection Issues, Tinsillitis - Christmas and Seasonal Affective Disorder, Smoking and Respiratory Diseases, CSA skills practice, how to use Yoga and relaxation, Presentation skills and Teaching each other. All the rotations will include four month GP placements in the first or second years. Residential courses allow subjects to be explored in much greater depth than is possible on the day release scheme. The Programme Directors therefore aim to run at least one 48 hour residential per year, at varying venues. Subjects that have been included recently include Law and Peace, ethical dilemmas and consultation skills. We have hosted these events at hotels in Brighton, Bournemouth and Lingfield. The GPStRs arrange social evenings together, and group evenings (e.g. tenpin bowling) take place.

60 60 THE PROGRAMME DIRECTORS IN THE CRESH GP TRAINING PROGRAMME AREA ARE: Dr Heidi Fahy Heidi qualified as a GP in 1990 having completed her VTS training in Croydon. The medical school she attended was Middlesex Hospital which was demolished and sadly taken over by UCL in the 90s. She became a trainer in 1992, and has had a colourful journey including partnership initially, then a three year sabbatical in Miami perfecting her backhand, and more recently as a portfolio GP. She enjoys teaching and working with young enthusiastic doctors and has a special interest in communication skills, and CPD. Heidi spends her free time working as an appraiser, Tutor, CCG Board member for ESCCG, and time allowing, a bit of gardening. Dr Mike Waldron I have been a GP in Crawley for over twenty years. I am a Partner at Coachmans Practice in Broadfield Crawley which is a busy training practice. For twelve years I was a tutor for medical students from St George's Hospital. I then took my MRCGP rather late in my career in 2008! I then went on to complete my GP Trainer training in 2010, and took my PG Cert in I had the pleasure of joining the CRESH VTS training team in March I am currently the PD who places Registrars into their GP posts. Outside of General Practice and GP Training you will find me enjoying life with my two Rhodesian Ridgeback dogs, riding my motorcycle or cooking. I am married to Helen, who shares my love of the dogs but not the motorcycle. Dr Terry Conaty Terry has been a GP Programme Director since 2004 and has been involved in GP Training in East Surrey since the early 1990s as a GP Trainer. He practiced in Smallfield just to the east of the runway at Gatwick airport from 1987 until 2013 when he retired as a partner. He is now a salaried doctor at the practice. Terry also supports the GP School by taking a role as Academic Mentor for East and West Surrey. He is also an Appraiser. Graham Carr A Senior Lecturer at London South Bank University in the Faculty of Health and Social Care, Graham brings a unique perspective to the team at CRESH. As an educator and nurse he ensures that a multidisciplinary and lay perspective is brought into the learning and teaching environment. He promotes a vision of learning that is fun, stress free but transformative. For the last decade, he has been leading on educational projects, linked to practice based education and as part of this work he has been a GP Programme Director (PD). One of his most fun tasks as a PD is to remove the medical textbook from the mouths of STs so that they actually talk to patients in terms they understand?! Dr Pippa Woolner Alongside my work as Programme Director, I work as a part time salaried GP at Townhill Medical Practice in Caterham. I juggle this with being a mother of two young children. Work interests include medical education, general medicine and paediatrics. Hobbies include playing tennis and going out to restaurants!

61 61 EAST SURREY EPSOM ABOUT EPSOM ABOUT THE EPSOM GP TRAINING PROGRAMME Epsom is most well-known for its racecourse and the famous Epsom Derby but is also a thriving ex-spa town within striking distance of London. Epsom town centre is busy and bustling, with good shopping facilities and plenty of social and entertainment facilities including the Epsom Playhouse. The surrounding areas are rural, with many parks and wooded areas. The Surrey hills are close by for walkers and mountain bikers and with Gatwick and Heathrow ½ an hour away it is a very well placed area for travel. Epsom is a well-established and popular GP training scheme in a very livable part of the country, based around a friendly hospital that is part of the Epsom and St Helier University Hospitals NHS Trust. There are many innovative training Practices locally and Practices in the Epsom area were some of the first in the country to go forward with Practice-based Commissioning. The Epsom scheme attracts excellent quality candidates who benefit from the high quality educational opportunities we offer. In recent years we have had a very high pass rate for both AKT and CSA exams. The GPStRs meet on Wednesday mornings in term time in The Bradbury Medical Education Centre, Epsom General Hospital. The post rotations are designed to provide a balance of appropriate experience, and much support is gained by sharing experiences with the other scheme members. Epsom has developed active learning sets in each year of the training programme which are well attended and supplement the education already provided within the departments. The GP learning sets are designed with input from trainees at all stages and are mapped to the GP curriculum to ensure full and thorough coverage. We attempt to cover those areas best learnt in small groups and the curriculum includes numerous sessions in examination practice and technique with the MRCGP in mind. A mixture of clinical and managerial topics are covered in a supportive and nurturing environment, which is universally considered the highlight of the GP training programme in Epsom. Recent sessions have included: Consultation analysis; Minor Illness; Ophthalmology in Primary Care; Dermatology in Primary Care; CSA Practice; Evidence-based medicine and critical appraisal; Prescribing and Therapeutics; Ethical issues; GPStR Presentations; Medicine and the Media; Practice visits; Sexual Health; Dementia Care; and Practice Based Commissioning. Full details can be found at: Release_Course.asp Our programme includes a 4 month placement in General Practice during the ST1 or ST2 years, in addition to the full year of ST3 experience in general practice. Some of these placements will be in the doctor s eventual ST3 Practice, but others will not, giving a broader range of experience. This will give a superb opportunity to have a well-rounded training that aims to make you a capable and confident GP.

62 62 THE PROGRAMME DIRECTORS IN THE EPSOM GP TRAINING PROGRAMME AREA ARE: The Epsom GP training programme aims to run at least one residential course a year. In recent years we have stayed at Cumberland Lodge in Windsor Great Park, and have been as far afield as Brighton for a seaside residential. Topics covered have included advanced consultation skills, (particularly non face-to-face skills), Disability, Heartsink Patients, and CBT in GP Consultations. In the evening the more relaxed ambience has allowed some hidden talents among the group to be uncovered! We arrange a variety of opportunities outside of the VTS including a recent joint injection evening course. We have also arranged interview technique workshops with the Trainers group which have proved popular with trainees beginning to think about their future careers. The GP training group, though small (we have an intake of 12 members) has its own lively social scene of meals and nights out, organised by an enthusiastic band of current members, and the scheme works hard to involve members at all stages to join in, encouraging a feeling of belonging throughout the whole programme. Epsom prides itself on its young and motivated Programme Directors, who have recent and valuable experience in passing the MRCGP, and are undertaking further study in education as they progress. Dr Hana Patel Hana works as a sessional GP in Greenwich and Bexley, where she represents her local GP colleagues as a member of the LMC. Since April 2015, she has been working as a Programme Director for the Epsom GP Training Scheme. Hana has a passion for education and training, working as a GP Trainer and an Academic Support mentor for doctors working towards their Postgraduate Certificate in Medical Education and Strategic Leadership. She also works as an appraiser for NHS England. In her spare time, Hana is family oriented, enjoying travelling and listening to her husband's interesting cases from his work in criminal defence. Dr Terri Lovis Terri is a partner at the Wall House Surgery in Reigate where she is a GP trainer and family planning trainer. She has a special interest in sexual health. Terri did her VTS at Epsom and liked it so much that she returned as a Programme Director to help others who wanted to become GPs. Dr James Steinhardt Dr James Steinhardt is a Partner at a large local training practice in Leatherhead and has been a PD for over 7 years He is also a trainer and has attained his Post grad certificate of medical education. He is the lead for the trainers group and the half day release teaching programme and was also trainee on the Epsom scheme. He has experienced the CSA and AKT first hand having been in the first year of the compulsory MRCGP. He lives in Ashtead with his 7 year old son, 4 year old daughter and his wife, who is also a GP. His interests include education and general medicine having attained his MRCP earlier in his career. In his free time he likes to play the drums and go to the park with his children.

63 63 WEST SURREY CHERTSEY ABOUT CHERTSEY ABOUT THE CHERTSEY GP TRAINING PROGRAMME Chertsey is situated midway between Egham and Weybridge; and is one of the oldest towns in England, as such it boasts some of its finest pubs, restaurants and scenery. The town is part of the Borough of Runnymeade, named after the riverside meadow where King John sealed the Magna Carta in Amongst some of the attractions, is the Chertsey Museum which is located in a fine Regency house, giving visitors the chance to explore the history of the Borough of Runnymeade using hands-on interactive displays. The river is spanned by an elegant sevenarched bridge at Chertsey and there is lots of riverside activity here including pubs, boatbuilding yards and river traffic. In addition Chertsey Meads is a delightful 170 acre site of open grassland fronting the River Thames, with wildlife habits, walks and picnic areas. Nearby is the world famous Thorpe Park, offering a wide range of amusements for families, young people and groups. A short distance from Thorpe Park is John Battleday Waterski, this centre offers a number of activities including waterskiing, cable skiing and wake boarding and caters for all levels of ability. The Chertsey GP Training Programme has been developed to deliver a robust and enjoyable curriculum within the design of an innovative programme. The scheme is based in Ashford and St Peters hospitals, with GPStRs meeting at the Oliver Plunkett Medical Education Centre in St Peters Hospital. We are currently able to offer 18 rotations, with training in both Hospital and General Practice. You spend 16 months in General Practice. Our training is based across the Ashford and St Peters sites with Psychiatry rotating to the Abraham Cowley Unit. We are also able to offer Integrated Training Posts (ITP) which amalgamate both General Practice and specialty training in one rotation allowing for cross disciplinary learning. ITP posts are GP posts based in GP Practices with some time release to spend in Hospital in a constructed scheme. The Programme is based on the RCGP curriculum with an emphasis on the Skills and Attitudes that are key when developing the art form that is good general practice. We aim to deliver a well-rounded approach aided by a variety of teaching methods, which will include both knowledge based work as well as the practical skills needed to practice holistically. We are fully aware of the importance of addressing all aspects of the curriculum with particular reference to areas that will facilitate successful completion of the MRCGP. This will include mock exam practice with external simulated patients, as recommended by examiners for the CSA. Most importantly the ethos of the GP Training Programme is to be learner centred with planned input from learners, Programme Directors, Clinical and Educational Supervisors. We are motivated by an ongoing desire to achieve excellence and to help guide the continual evolution of our trainees into fully fledged General Practitioners. We have a diverse group of GP Educational Supervisors, specialists and Programme Directors, who are experienced and interested in training. We ensure standards are maintained by close links to hospital specialists responsible for GP specialty posts. This allows continual updates in the methods of practice within these attachments, ensuring delivery of an appropriate educational curriculum. We also enjoy the opportunity to take our trainees on a relaxing residential, which is a wonderful opportunity for participants in the scheme to get to know each other and develop stronger ties. These are held at Cumberland Lodge, a beautiful stately home set amongst stunning expansive grounds. Previous trainees on the scheme have enjoyed the tennis courts, famous Red Deer and exquisite dining. This underpins the overall vision of the scheme which is to deliver a training programme that is both supportive and nurturing while maintaining high standards of achievement.

64 64 THE PROGRAMME DIRECTORS IN THE CHERTSEY GP TRAINING PROGRAMME AREA ARE: Dr Neman Khan MBBS, MRCGP, DRCOG, DFFP Having qualified from St Georges Hospital Medical School in 1999, I took on a partnership in General Practice after my training post in Woking and have been working there almost 10 years now. I have been a trainer prior to taking on the Programme Director role in December As well as my involvement in medical education, I have maintained an interest in the wider roles within General Practice, and have a portfolio of experience involving Clinical governance via being a QOF and IMT DES assessor for Surrey PCT, while continuing to develop as an appraiser for General Practitioners. I was elected as the LMC representative for Woking, and continue in that capacity. I have been involved in Commissioning, up to and including helping to set up the current CCG board for North West Surrey and left that to focus on medical education. Contact with the local hospital trust continues via work as the GP liaison to several Local Faculty groups at St. Peter s Hospital. Prior experience of working within the prison healthcare system, as well as providing GP care to psychiatric patients in a medium secure facility has helped open my eyes to some less familiar areas within general practice. Proof that learning is linear and ongoing I have enrolled to complete the Postgraduate Certificate in Education along with some of the local trainers. I have written for Pulse magazine as a guest contributor, advising on locum use. I am a keen sports fan, now watching more than playing, as the injuries are cutting short the playing opportunities! Dr Saba Khan I was born and raised in London and, while sampling the delights of South London cuisine, completed my medical training at St Georges Hospital, University of London. I went straight into my chosen career path as a GP on the Oxford rotation based in Windsor. My junior training was at Wexham and Heatherwood hospitals, with a final year in Ascot. I have read an MSc in Primary Care Education which has helped to support my ongoing work to develop the Chertsey training scheme. As a portfolio GP, I am also an Honorary Consultant at SGUL as part of the General Practice academic team. My clinical work is at a local practice, and I thoroughly enjoy this alongside my academic career. I have a passion for painting and sculpture and have worked hard to maintain this throughout my medical career. I also love to travel and have had the opportunity to visit various parts of the Middle East, Europe and the Far East. I look forward to the future of the Chertsey Training Scheme and the wonderful opportunities that this will bring for all those involved in our team. Dr Khalid Wyne I qualified from St George's Hospital Medical School in I did my Vocational Training Scheme in East Surrey Hospital, Redhill. I have been working as a GP principal since 1998 and became a trainer in Over the last few years I have been an assessor for the CSA and been involved with helping ST3s with Consultation Skills. I was appointed as a Programme Director in Autumn 2014.

65 65 WEST SURREY FRIMLEY ABOUT FRIMLEY ABOUT THE FRIMLEY GP TRAINING PROGRAMME If you do not know the Surrey-Hampshire border area, you do not know what you have missed! The main attractions are the easy access to London, numerous shopping centres and outstanding heaths & woodland (most army owned and free-toroam ). For centuries Frimley was a farming village and an album of Victorian photographs in the Borough Museum shows haymaking and harvesting where the Albany Park Industrial Estate now stands. The site of the old village pound, where stray animals were impounded, may still be seen on the Grove opposite Frimley Park Hospital. Notable personalities associated with the Frimley area include Samuel Cody, the first man to fly an aeroplane in Britain and Daphne du Maurier, who wrote most of Jamaica Inn here whilst her husband (General Boy Browning) was stationed nearby. The development of the last fifty years has seen village and town boundaries become increasingly blurred. For instance, the boundary between Frimley and Frimley Green has gone, although the latter s original village green survives, together with a few half-timbered buildings. Lots of pockets of parkland remain; people enjoy sport and leisure activities at Frimley Lodge Park, where the historic Basingstoke Canal, once a commercial waterway, now offers opportunities for pleasant walks and boat trips. Mile upon mile of open heaths and pine forests surround the towns providing outstanding leisure opportunities. The Frimley GP Training Programme is centred around Frimley Park Foundation Hospital Trust (FPH). Currently we offer 14 places each year on the programme. In addition, we also host Military trainees both at FPH and also in local practices. The training practices are scattered through the towns & villages around Frimley Sandhurst, Yateley, Camberley, Lightwater, Farnborough, Aldershot, Fleet and Farnham. There is a map on the VTS website showing the location of our training practices. Most have good road and rail links to the M25 and west London and many of our GPRs commute from West London. Frimley Park Hospital is a typical District General Hospital with a broad spread of specialties and an active, well-supported post-graduate centre. It has an excellent reputation with junior doctors busy, but a very friendly place to work in. The hospital consistently earns the highest ratings for educational support. Our psychiatric posts are based at a variety of hospital and community locations in the surrounding area. Every rotation includes a 4-month GP post in either ST1 or ST2. Usually GP ST1/2 placements will be in your eventual ST3 training practice, but this is not always possible. Your GP trainer for the ST3 year will be your Educational Supervisor and mentor for the whole three year programme. ST1/2 Hospital posts: In ST1 these are core medical posts general medicine, care of the elderly and A&E; In ST2 these are mainly other specialties O&G, Paediatrics, Psychiatry, ENT and Orthopaedics. ST1/2 GP posts: Most of the ST1 and ST2 GP posts are ITPs (Innovative Training Posts) consisting of 3 days per week in GP and 2 days per week in a hospital specialty. Posts offered as part of an ITP include Ophthalmology, ENT, GUM, and Palliative Care.

66 66 THE PROGRAMME DIRECTORS IN THE FRIMLEY GP TRAINING PROGRAMME AREA ARE: The teaching programme is varied throughout the three years. In GP ST1/2 posts, the weekly teaching focuses on core GP conditions (for example asthma, hypertension, contraception, depression). We introduce the trainees early to consultation skills training and working with simulators with a Communication Skills study day for ST1/2. In ST1/2 hospital posts, departmental teaching programmes all reflect the knowledge required for GP training. In addition, one of the Programme Directors runs a monthly teaching session for all of the ST1/2s The ST3 teaching programme is a half-day release on Thursday afternoons. The varied programme is constantly reviewed and updated (recent time-tables can be found on the VTS website) to reflect the changing needs of GPSTs. We understand the challenge of the CSA and organise sessions specifically to help prepare for this examination. The programme includes one residential each term at Cumberland Lodge a stunning location in the heart of Windsor Great Park. Over the course of the programme we aim to help you to cover all of the key aspects of the GP Curriculum. Initially, the focus is on understanding context & content of the MRCGP examination and core medical knowledge. Later, the focus moves to the wider aspects of GP work and the various components of the MRCGP examination. VTS website Dr Andrew Cochrane Dr Cochrane is a full time GP, GP trainer and Programme Director. He works alongside Dr Marshall in running the Thursday afternoon educational programme. He is interested in communication skills and medical ethics. He completed his own GP training on the Frimley scheme in Dr Richard de Ferrars Dr de Ferrars has been a Trainer since His areas of responsibility include GP input into the Foundation Programme, working with the GP Trainer Group and the organisational aspect of the GP training programme. He also coordinates the teaching programme for the ST1 and ST2s GPStRs. Dr Christine Marshall Dr Marshall has been running the Thursday afternoon programme since Her main focus is the ST3 cohort each year. She has an MA in Medical Education from the University of Surrey (2005) and has also taught internationally for the RCGP. Her particular interests are teaching consultation skills, medical humanities and pastoral support for doctors at all stages of their careers. She has several other roles within HEEKSS with a particular emphasis on teaching the new teachers.

67 67 WEST SURREY GUILDFORD ABOUT GUILDFORD ABOUT THE GUILDFORD GP TRAINING PROGRAMME Guildford is a vibrant historic town, set in the rolling hills of the Surrey countryside. Its location and excellent transport links mean that Guildford has welcomed travellers for centuries. The River Wey, which runs through the centre of town, is owned by the National Trust, and was one of the first rivers to be made navigable. Guildford later became an important staging post for travellers between London and Portsmouth, being mid-way between the capital and the coastal port. Guildford is the county town, retaining its traditional cobbled high street and riverside walks, but offering all the richness and amenities of a city, with excellent shopping and entertainment. Guided walks of the town offer an insight into the fascinating history of the area, taking in the castle keep, the 15th-century Guildhall and a wealth of other historic buildings. The Surrey Hills Area of Outstanding Natural Beauty encompasses much of the surrounding countryside, which is dotted with picturesque villages and a wealth of gardens and houses to visit. Guildford s attractions range from the 240 acre garden at Wisley to the 20th-century cathedral just outside the town and many are linked by the North Downs Way national trail. There are a variety of GP Training Practices from large suburban practices in the middle of Guildford to small rural or semi-rural Practices, some of which are dispensing. Training Practices are located in and around the centre of Guildford and the surrounding villages including Grayshott, Send, Godalming, Haslemere, Cranleigh, Wonersh, Shere, Chiddingfold and Milford, with two practices closer to London at Bookham and Cobham. The GP Trainers are an enthusiastic and supportive group of doctors. They enjoy teaching, one to one and in the Trainer/GPST3 group, which is an integral part of the GPST3 s teaching timetable. The Guildford GP Training Programme offers a wide range of posts and experience, aligned with the GP curriculum. Each GPST rotation includes 6 four month posts which will incorporate at least one Integrated Training Post (ITP). An ITP post involves working two days in the GP Practice and two days in the Hospital specialty with one day release for teaching. Posts offered include: Paediatrics, ENT, Obs & Gynae, Rheumatology, Geriatrics, Oncology, A&E, Palliative Care, Psychiatry, ITP posts in Paediatrics, Obs & Gynae, Clinical Commissioning, Neurology and Geriatrics. When appointed you will be allocated to a GP Trainer at the beginning of your three year rotation. Your GP Trainer will act as your overall Educational Supervisor as well as your mentor and give you advice throughout your training. You will spend one day in your Educational Supervisor s General Practice during each of your hospital placements. It is expected that at the end of your hospital rotation you will then spend your ST3 year with the same Trainer. The GPST3 s meet on Thursday mornings from 08:30-12:00 for the core GPST3 teaching. A GP Trainer and GPST3 group meets for an hour in the afternoon, while the ITP group has their own day release teaching on a Thursday morning from 10:00 12:00, all taking place at Royal Surrey Hospital Education Centre. The remainder of Thursday afternoon for GPST3 s & GPST s in ITP posts is personal study, either independently or in groups.

68 68 THE PROGRAMME DIRECTORS IN THE GUILDFORD GP TRAINING PROGRAMME AREA ARE: We look to cover all aspects of the Curriculum and the initial sessions are aimed at understanding the context and requirements of the MRCGP exam. We place a significant focus on the complex skills required in the GP consultation, which is vital in preparation for the CSA exam, but also to become an effective GP in future practice. The timetable is planned in advance although this is always adapted to the needs of our current group. We run two residential sessions at Cumberland Lodge in Windsor Great Park and encourage the group to meet socially throughout the year. GP Clinical Updates take place at lunchtime for the GPST1, 2 & 3s and Trainers and provide regular GP-focused teaching throughout the whole three years. This teaching is peer-led in practice-based teams, a model that has received excellent feedback in the recent trainee survey of GP teaching. Topics covered include relevant clinical issues linked to the competences of the RCGP Curriculum and each Training Practice has the opportunity to lead an update in turn. For more information about the Guildford scheme please visit: Dr Martin Brunet Martin is a GP and Trainer at Binscombe Medical Centre in Godalming. He enjoys the constant challenge of trying to find effective ways to communicate well with patients, and loves to learn something new. He finds it stimulating to connect with a wide range of people through social media, and can be found on Dr Leslie Campbell Leslie is a GP partner, GP trainer and a previous GP appraiser. I have been program directing for 3 years now. I enjoy it and see it has a real honour to do. I am keen to do more on leadership and being fit for purpose at the end of training. Otherwise, I focus on my family and trying to keep fit. Dr Fiona Groom Fiona is a full time GP in a central Guildford practice with special interests in women s health and GP education. As a Training Programme Director, she leads the GPLFG and is committed to working with trainees and educators to improve the quality of GP education, helping them develop the clinical, professional and leadership skills to thrive in the ever evolving NHS. She has a keen interest in all types of sport, has 3 children and a dog who keep her very active, and is a member of 2 book clubs!

69 69 SURREY LOCAL EDUCATION PROVIDERS THE LOCAL EDUCATION PROVIDERS IN SURREY ARE: There are a number of Local Education Providers in the Surrey patch participating in the HEEKSS GP School GPST programme. Rotations in hospital are currently of a four-month duration. ASHFORD AND ST PETERS HOSPITALS NHS FOUNDATION TRUST St Peter s Hospital EPSOM & ST HELIER UNIVERSITY HOSPITALS NHS TRUST Epsom General Hospital FRIMLEY PARK HOSPITAL NHS FOUNDATION TRUST Frimley Park Hospital PHYLLIS TUCKWELL HOSPICE ROYAL SURREY COUNTY HOSPITAL NHS TRUST Royal Surrey County Hospital ST CATHERINE S HOSPICE SURREY AND BORDERS PARTNERSHIP NHS FOUNDATION TRUST SURREY AND SUSSEX HEALTHCARE NHS TRUST East Surrey Hospital

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71 71 ASHFORD & ST PETER S HOSPITALS NHS FOUNDATION TRUST St Peter s Hospital GP Training Programme Area: Chertsey OVERVIEW OF TRAINING AT THE TRUST Address St Peter s Hospital Guildford Road Chertsey Surrey, KT16 0PZ Switchboard Telephone Number Website KEY INDIVIDUALS Director of Medical Education Dr Peter Martin Medical Education Manager Mrs Angela Langwith-Green GP Programme Directors Dr Saba Khan Dr Neman Khan Dr Khalid Wyne Ashford & St Peter s Hospitals NHS Trust serves a population of 450,000 including a broad socio-economic and ethnic mix. The Trust provides a broad range of medical, surgical, diagnostic and emergency services as well as a full range of medical outpatient specialties. The acute services are provided at the St Peter s hospital site, which has modern Intensive Care and Coronary Care units and sees approximately 100,000 A&E attendances annually, with a full general medical take supported by acute medical beds. The Ashford hospital site provides the Trust s 24 Hour Walk-in Centre and Rapid Access Centre, along with Rehabilitation Wards. Ashford and St Peter s have a combined total bed allocation of approximately 540 beds. Specialist Services The Trust has a variety of specialist services; specialist NICU, specialist Orthopaedic services, Neurophysiology services, Cardiac Angiography, Cardiac MRI and Nuclear Cardiology. Within the angiography suite cardiology undertakes percutaneous coronary interventions (PCI), electrophysiology studies and ablations, biventricular device (pacemaker and ICD) implantations. The Trust links with a number of tertiary units including Atkinson Morley, Charing Cross, St Helier, St George s, Harefield and Royal Brompton. The Trust links with St Luke s (Guildford) and the Royal Marsden for cancer services. The GP Specialty Training at Ashford & St Peter s Hospitals NHS Trust offers one of the biggest GP Specialty training programmes in HEEKSS. It currently has 18 three year rotations, with 20 months in hospital posts and 16 months in General Practice. In addition to the St Peter s Hospital based posts, the trainee is also exposed to Psychiatry at the Abraham Cowley Unit which is based at St Peter s. Each trainee will also have the opportunity to do one Integrated Training Post, where time is shared between General Practice and the Hospital. Ashford & St Peters Hospitals NHS Trust is an excellent DGH with a broad spread of specialties and an active well supported postgraduate centre. All rotations give a balanced range of training for General Practice.

72 72 EPSOM & ST HELIER UNIVERSITY HOSPITALS NHS TRUST Epsom General Hospital GP Training Programme Area: Epsom OVERVIEW OF TRAINING AT THE TRUST Address Epsom General Hospital Dorking Road Epsom Surrey, KT18 7EG Switchboard Telephone Number Website KEY INDIVIDUALS Associate Medical Director (Education) Dr Shanti Paramothayan Director of Medical Education Mr Ashraf Raja Medical Education Manager Claire Le Houx GP & GP Specialty Training Scheme Administrator Jacqueline Wybrow-Smith Epsom is a well-established GP Specialty Training Scheme and is a popular choice for GPSTS due to its reputation and location in a pleasant part of the country, straddling attractive parts of semi-rural Surrey, whilst still allowing easy access to all the facilities of London. The Epsom scheme attracts high quality candidates who benefit from the quality educational opportunities we offer and this is reflected in a high percentage of candidates passing the MRCGP. All of your posts will be at Epsom hospital and the surrounding practices. Epsom and St Helier University Hospitals NHS Trust is a large 700+ bed acute Trust serving South West London and Surrey. Epsom Hospital Epsom Hospital provides an extensive range of inpatient, day and outpatient services, and has a busy accident and emergency (A&E) department. The vast majority of elective (pre-booked) operations at the trust take place at Epsom Hospital. We have an extensive range of diagnostic and supporting services at Epsom Hospital, including pathology, radiology (including CT, MRI and ultrasound) and vascular diagnostic services, and a busy modern purpose-built day care and day surgery unit. The Elective Orthopaedic Centre (the EOC) is based at the hospital, providing orthopaedic services to patients from St George's, Croydon Health Services and Kingston hospitals in addition to patients from Epsom and St Helier hospitals. Surrey and Borders Partnership NHS Foundation Trust provides acute inpatient psychiatric services from the hospital. We provide a range of medical services to approximately 420,000 people living across southwest London and northeast Surrey. In addition, we provide more specialist services, in particular renal and neonatal intensive care, to a wider area, covering parts of Sussex and Hampshire. We serve an area that is rich in diversity, with a mix of urban and rural areas, and differing levels of quality of life. We cover some of the most prosperous postcodes in the country, as well as some poorer areas. Together with our local commissioners in Surrey, Sutton and Merton, we work to make sure that we deliver the best possible care to the communities we serve. St Helier Hospital and Queen Mary's Hospital for Children St Helier Hospital is the largest hospital in our trust and shares the site with our dedicated children's hospital, Queen Mary's Hospital for Children. St Helier is home to a busy 24-hour A&E department, a maternity unit which includes our home-from-home birth centre, a highly regarded endoscopy unit (where patients' digestive and respiratory systems are examined using fibre optic cameras), and a comprehensive range of diagnostic facilities, including MRI and CT scanning, ultrasound and vascular diagnostic services. All emergency surgery in the trust is performed at St Helier. The award winning South West Thames Renal and Transplantation Centre is also on site and supports eight renal satellite units across the region.

73 73 FRIMLEY HEALTH NHS FOUNDATION TRUST Frimley Park Hospital GP Training Programme Area: Frimley OVERVIEW OF TRAINING AT THE HOSPITAL Address Portsmouth Road Frimley Surrey, GU16 7UJ Switchboard Telephone Number Website KEY INDIVIDUALS Director of Clinical Education Prof. Geeta Menon Medical Education Manager Mrs Tracey Franklin GP Programme Administrator Mrs Jayne Sparks GP Training Programme Administrator Mrs Claire Sergison Frimley Park Hospital is part of Frimley Health NHS Foundation Trust, which came into being on 1 October 2014 following the acquisition of Heatherwood and Wexham Park Hospitals NHS Foundation Trust by Frimley Park Hospital NHS Foundation Trust. It was the first successful acquisition of one NHS foundation trust by another. Frimley Health NHS Foundation Trust provides NHS hospital services for 900,000 people across Berkshire, Hampshire, Surrey and South Buckinghamshire. As well as delivering excellent district general hospital services to its population the trust has specialist heart attack, vascular, stroke, spinal, cystic fibrosis and plastic surgery services across a wide catchment. In addition to the main hospital sites at Frimley, Wexham near Slough and Heatherwood in Ascot, the trust runs outpatient and diagnostic services from Aldershot, Farnham, Fleet, Windsor, Maidenhead and Bracknell, bringing a range of services closer to these communities. Following the publication of an inspection report just before the acquisition date last year, Frimley Park Hospital became the first in the country to be rated as 'outstanding' under the care quality commission's new inspection regime. Frimley Park is a 750 bedded hospital serving a population of approximately 400,000. In 2014 it became the first hospital in the country to be rated outstanding by the Care Quality Commission. A 22 million Emergency Department with day surgery and helipad was completed in 2012 and the hospital also benefits from a regional heart attack centre and an on-going capital investment programme based on sound finances. The hospital sits just off junction 4 of the M3 near Camberley, Surrey, with easy access to London by car or train and is about an hour s drive from the south coast. It hosts the Defence Medical Group (South East), which means military doctors and medical work alongside NHS colleagues. Frimley Park has an excellent reputation as a dynamic, successful hospital with a high rate of doctors choosing to return to work here. There is an excellent purpose built education centre (the Postgraduate Medical Centre or PGEC) which serves as the hub for medical staff. The PGEC hosts a busy CPD programme for local GPs and GP trainees are encouraged to attend this teaching and network with GPs in the community. The PGEC work closely with CCGs to provide learning for multidisciplinary staff groups in general practice and trainees are encouraged to attend these events. The PGEC offers a full suite of teaching rooms including simulation and clinical teaching area. All of the seminar rooms are well furnished and equipped. The lecture theatre and seminar rooms all have live links to theatres, endoscopy and radiology as well as video conferencing facilities. The PGEC has its own restaurant which is popular with trust medical staff local GPs. WiFi access is available throughout the hospital including the PGEC and Health Services Library above it. The library provides a wide range of services and includes a PC suite, quiet study area and internet café style space.

74 74 THE PHYLLIS TUCKWELL HOSPICE GP Training Programme Area: Guildford ABOUT THE PHYLLIS TUCKWELL HOSPICE Address The Phyllis Tuckwell Hospice Waverley Lane Farnham Surrey, GU9 8BL Switchboard Telephone Number KEY INDIVIDUALS Medical Director Dr Cate Seton-Jones The Phyllis Tuckwell Hospice offers Specialist Palliative Care to those facing the end of their life and to those who love and care for them, serving a population of 600,000 across West Surrey and North East Hampshire. The Hospice has a team of Community Nurse Specialists who visit patients in their own homes, a Day Hospice facility, complementary therapies and in-patient hospice care. The Phyllis Tuckwell Hospice has 14 beds on Willow Ward, with 10 single rooms and a 4- bed bay for female patients. The ward has four times the average nurse-patient ratio found in a hospital, and this is reflected in the amount of time spent on nursing care for each individual patient. There are also four doctors who are responsible for the day-to-day medical care on the wards and in Day Care. Where possible, patients are given a choice of accommodation they would prefer. Priority is always given to ensure that the dignity and privacy of our patients is maintained at all times. Each room is equipped with a television and the Hospice has an extensive video/dvd library for the use of patients. There is a large sitting room for in-patients, their families and friends, and coffee and tea making facilities are available. There is also an inner courtyard area to be enjoyed and spacious gardens surround the Hospice. The Day Hospice is one of the busiest places in the Phyllis Tuckwell Hospice. The patients who visit the Day Hospice come for a variety of reasons - some come for the companionship and activities, others come for specialist medical or nursing care, others visit to allow their carers a respite one day a week. All of the patients are able to live at home but can take advantage of all of the Hospice s services, such as complementary therapies, physiotherapy, occupational therapy, the library or nursing care.

75 75 ROYAL SURREY COUNTY HOSPITAL NHS FOUNDATION TRUST Royal Surrey County Hospital GP Training Programme Area: Guildford OVERVIEW OF TRAINING AT THE TRUST Address Egerton Road Guildford Surrey, GU2 7XX Switchboard Telephone Number Ext 4926 Website Royal Surrey County Hospital is a district general hospital with a few differences. It has a tertiary referral cancer centre (St.Lukes) providing care for patients from a large catchment area. Many surgical firms also offer complex surgery to patients from a wide area. There is an efficient, well run A&E department with separate medical and surgical assessment units. Stroke services include an acute stroke unit and 24/7 thrombolysis. There are strong links with University of Surrey supporting academic excellence. Our 4 month posts rotate across a wide range of specialties including Paediatrics, Obs&Gynae, Oncology, Palliative Care, Psychiatry as well as integrated posts (with GP) such as Genito-Urinary Medicine and Neurology or Dermatology. The Education Centre is on site and houses a library with 24 hour access and a local simulation suite for clinical teaching and a communication skills room. KEY INDIVIDUALS Directors of Medical Education (Joint) Dr Jane Tilley (Consultant Anaesthetist) Miss Julie Kohls-Gatzoulis (Consultant Surgeon) Medical Education Manager Mrs Louise Duffield GP Programme Directors Dr Martin Brunet Dr Leslie Campbell Dr Fiona Groom GP Manager Miss Donna Stevens

76 76 ST CATHERINE S HOSPICE GP Training Programme Area: Crawley ABOUT THE ST CATHERINE S HOSPICE Address Malthouse Road Crawley West Sussex, RH10 6BH Switchboard Telephone Number KEY INDIVIDUALS Medical Director Dr Cate Seton-Jones St Catherine s Hospice is a charity dedicated to providing specialised end of life care and support to local people, their families, friends and carers. For 25 years we have been providing high quality hospice care, free of charge, to people living in Crawley, Horsham, Mid Sussex and South-East Surrey. Hospice care is based on the belief that each person is more than their illness, and that each of us has unique physical, emotional, social and spiritual needs. St Catherine s responds to the needs of each individual, helping people achieve the best possible quality of life. This highly personal, holistic approach to care takes time, skill and experience from a multi-professional team. We care for people in the hospice, in their homes and in nursing homes. We also provide training, advice and support to other health professionals. Through expert assessment and regular monitoring we aim to relieve pain, symptoms and side-effects of illness We enable people to receive care, treatments and therapies directly, wherever they live, through liaison with other healthcare professionals and by providing 24 hour telephone support We help people retain their independence, mobility and sense of control by providing practical help, equipment and advice We help restore self-confidence and well-being by giving patients the opportunity to meet socially, gain support from others in similar circumstances, and benefit from relaxation therapies We give patients and their loved ones opportunities to discuss their thoughts and feelings which can relieve fears and anxieties We help people plan for the future so that they can enjoy life as fully as possible Where possible we support patients carers by providing respite care, giving people a much needed break from their caring role We provide open and honest explanation to questions, enabling people to make informed choices and have greater control throughout the dying process We support people as their condition deteriorates, helping families, carers and friends to prepare for bereavement We provide ongoing support to families and carers in bereavement, from simple practical advice through to counselling services

77 77 SURREY AND BORDERS PARTNERSHIP NHS FOUNDATION TRUST GP Training Programme Areas: North West (Chertsey, Ashford, Frimley), East and Mid Surrey (Reigate, Redhill, Caterham on the Hill, Epsom, East Molesey, Dorking, Leatherhead), South West (Frimley and Guildford) ABOUT SURREY AND BORDERS PARTNERSHIP TRUST Address (Trust HQ) 18 Mole Business Park Leatherhead Surrey, KT22 7AD Switchboard Telephone Number KEY INDIVIDUALS Director of Medical Education Dr Martin Schmidt Surrey and Borders Partnership NHS Foundation Trust is the leading provider of health and social care services for people of all ages with mental health problems, drug and alcohol problems and learning disabilities in Surrey and North East Hampshire. We deliver high quality care across our 200 services, all of which are registered with the Care Quality Commission. Individual treatment and support which helps people work towards recovery is at the heart of everything we do. To help us achieve this we employ 2,300 staff across 77 sites, serving a population of 1.3 million. Our services are provided in community settings, hospitals and residential homes with an emphasis on providing local treatment and support close to people's homes wherever possible. We actively seek to engage people who use our services and our communities in improving the mental wellbeing of the local population. As a Foundation Trust we have over 5,000 public members. Our partnership agreement with Surrey County Council allows us to offer integrated health and social care to meet people's full range of needs. We work closely with other NHS and voluntary sector organisations that provide services and support people who use services and carers. The Trust was formed on 1 April 2005 following the merger of Surrey Hampshire Borders NHS Trust, Surrey Oaklands NHS Trust and North West Surrey Partnership NHS Trust. We achieved Foundation Trust status on 1 May Core Psychiatric Training Programme Director Dr Philip Hall Locality Tutors Dr Amanda Redvers - North West Surrey Dr Julian Henry - South West Surrey Dr Jeremy Mudunkotuwe - East & Mid Surrey Lead Medical Education Manager Ali Khan Locality Education Coordinators Letitia Cooper South West Surrey

78 78 OUR SERVICES We provide a comprehensive range of services including: Community and hospital Mental Health Services for adults and older adults with severe and/or complex illnesses Community Mental Health Services for Children and Adolescents Community and hospital Drug and Alcohol Services for adults in Surrey, Hampshire and Portsmouth area Community and residential Learning Disability Health Care Services in Surrey and Hampshire for people of all ages Assisted living and residential Learning Disability Social Care Services for people in Surrey, Hampshire and Croydon Community Eating Disorder Services for young people and adults in Surrey Prison Mental Health Services in Surrey Community Forensic Mental Health Services in Surrey Fetal Alcohol Spectrum Disorder clinic, national referral service Other specialist services in Surrey South West Surrey Ridgewood Centre Frimley Berkeley House, Godalming Farnham Road Hospital Guildford Abraham Cowley Unit Chertsey Frimley Park Hospital (Psychiatry) Royal Surrey County Hospital (SABP) Aldershot Centre for Health Berkeley House (Godalming) Greenlaws, Guildford HOPE Service, Guildford North West Surrey Abraham Cowley Unit Chertsey St Peters Hospital, Chertsey Lake House, Chertsey The Cedar Unit Ashford Bridgewell House, Woking Bourne House (Ottershaw) Hayworth House (Chertsey) St. Francis House (Chertsey) The Base, St. Peter s Hospital (SABP) Dept of Psychological Medicine, Frimley Park Hospital East and Mid Surrey Epsom General Hospital - Epsom Meadows Epsom Farmside Epsom Tylney House Leatherhead Wingfield Resource Centre, Redhill Kingsfield, Redhill Shaw s Corner Reigate Langley House Oxted Clarendon House Dorking

79 79 SURREY AND SUSSEX HEALTHCARE NHS TRUST East Surrey Hospital GP Training Programme Area: CRESH OVERVIEW OF TRAINING AT THE TRUST Address Canada Avenue Redhill Surrey, RH1 5RH Switchboard Telephone Number Website KEY INDIVIDUALS Director of Medical Education Dr Sarah Rafferty Medical Education Manager Mrs Tina Suttle-Smith Postgraduate Administrator (GP) Iain Buchanan GP Programme Directors Dr Terry Conaty Mr Graham Carr Dr Heidi Fahy Dr Pippa Woolner Dr Mike Waldron East Surrey Hospital is situated 2 miles south of Redhill Town Centre. The towns of Redhill and Reigate have excellent shopping, entertainment and sports facilities. There is a fast train service from Redhill to Central London (approximately 30 minutes) and 15 minutes to Gatwick Airport. There is easy access to the coast at Brighton and other parts of Surrey and the Southeast via the M23 at Gatwick or J8 of the M25 at Reigate. Local areas of interest include the North Downs for walking and biking, flying at Redhill Aerodrome, horse racing at nearby Lingfield Park all weather course plus theatres and cinemas in Redhill, Reigate and Crawley. The Trust provides training opportunities for all staff within the Trust. There is a Doctors Mess, regular lunchtime teaching in the Medical Education Centre and a Simulation room in the Postgraduate Education Centre. The Postgraduate Education Centre is available for both internal and external education meetings, seminars and conferences. The Centre holds regular lunchtime teaching and has excellent Medical and Dental Simulation training rooms. We host Royal College examinations at the Centre during the year and ATLS training. We have medical students on attachment from Brighton and Sussex Medical School, Imperial College and St George's Medical School and they have their own dedicated teaching room. The library at East Surrey Hospital provides both virtual and physical resources such as electronic and print books, electronic and print journals. The library subscribes to online exam revision tool OnExamination, which covers a wide range of exams. You will need an Open Athens username and password to access many of the electronic resources. Library staff will be able to help you with the self-registration process. There is a Knowledge Skills and Systems Librarian who provides training on electronic resources as part of the Foundation Teaching Programme. Ad hoc training sessions are available too. Membership to the Library is via completion of a membership form. The Library is accessible 24 hours a day following completion of an out of hours form (You will need to pay a refundable deposit before being given out of hours access). Staffed opening hours of the Library are 9-5pm (Mondays, Thursdays and Fridays) and pm (Tuesdays and Wednesdays). Local Public transport (buses) will take you to most of the surrounding areas (Dorking, Redhill, Caterham, Crawley, Horley etc). Redhill station is approximately 10/15 minutes bus journey from East Surrey Hospital.

80 80 Training Practices in the Chertsey GP Training Programme Area Programme Surgery Address Town Town / County Post Code Please note: Some practices details appear in more than one programme as trainers may attend different trainer groups. Chertsey Abbey Practice Stepgates Chertsey Surrey KT16 8HZ Chertsey Ashley Medical Practice 1A Crutchfield Lane Walton on Thames Surrey KT12 2QY Chertsey Bridge Practice Stepgates Chertsey Surrey KT16 8HZ Chertsey Crouch Oak Family Practice 45 Station Road Addlestone Surrey KT15 2BH Chertsey Goldsworth Park Health Centre Denton Way Woking Surrey GU21 3LQ Chertsey Grove Medical Centre Church Road Egham Surrey TW20 9QJ Chertsey Heathcot Medical Practice Heathside Road Woking Surrey GU22 7XL Chertsey Hersham Surgery Pleasant Place Hersham Surrey KT12 4HT Chertsey Hillview Medical Centre 3 Heathside Road Woking Surrey GU22 7QP Chertsey Madeira Medical Madeira Road West Byfleet Surrey KT14 6DH Chertsey Parishes Bridge Medical Practice Madeira Road West Byfleet Surrey KT14 6DH Chertsey Runnymede Medical Practice Bond Street Englefield Green Surrey TW20 0PF Chertsey Shepperton Medical Practice Laleham Road Shepperton Middx TW17 8EJ Chertsey Stanwell Road Surgery 95 Stanwell Road Ashford Middx TW15 3EA Chertsey Sunny Meed Surgery 15/17 Heathside Road Woking Surrey GU22 7EY Chertsey Wey Family Practice Madeira Road West Byfleet Surrey KT14 6DH Training Practices in the CRESH GP Training Programme Area Programme Surgery Address Town Town / County Post Code Please note: Some practices details appear in more than one programme as trainers may attend different trainer groups. CRESH Birchwood Medical Practice Kings Road Horley Surrey RH6 7DG CRESH Brockwood Medical Practice Tanners Meadow Brockham Surrey RH3 7NJ CRESH Caterham Valley Medical Centre Eothen House Eothen Close Caterham CR3 6JU CRESH Coachmans Medical Centre Lansbury Road Crawley West Sussex RH11 9JA CRESH Dorking Medical Practice 142A South Street Dorking Surrey RH4 2QR CRESH Elizabeth House Medical Practice 515 Limpsfield Road Warlingham Surrey Q112 CRESH Furnace Green Surgery 50 The Glade Furnace Green West Sussex RH10 6JN CRESH Greystone House 99 Station Road Redhill Surrey RH1 1EB CRESH Holmhurst Medical Centre 12 Thornton Side Redhill Surrey RH1 2NP CRESH Ifield Medical Practice Lady Margaret Drive Ifield, Crawley West Sussex RH11 0BF CRESH Langley Corner Surgery Ifield Green Ifield West Sussex RH11 0NF CRESH Leacroft Medical Practice Langley House Langley Drive West Sussex RH11 7BS CRESH Moat House Surgery The Moat House Worsted Green Surrey RH1 3PN CRESH Pound Hill Medical Group 1 Crawley Lane West Sussex RH10 7DX CRESH Saxonbrook Medical Centre Maidenbower Square West Sussex RH10 7QH CRESH Smallfield Surgery Wheelers Lane Smallfield Surrey RH6 9PT CRESH The Leith Hill Practice 168 The Street Capel Dorking RH5 5EN CRESH Townhill Medical Practice Guards Avenue Caterham Surrey CR3 5XL CRESH Wall House Surgery Yorke Road Reigate Surrey RH2 9HG CRESH Warlingham Green Medical Practice 1 Church Road Warlingham Surrey CR6 9NW CRESH Woodlands & Clerklands Partnership Tilgate Way Tilgate Crawley RH10 5BW

81 81 Training Practices in the Epsom GP Training Programme Area Programme Surgery Address Town Town / County Post Code Please note: Some practices details appear in more than one programme as trainers may attend different trainer groups. Epsom Ashlea Medical Practice Gilbert House 39 Woodfield Lane Ashtead KT21 2BQ Epsom Ashley Centre Surgery Ashley Square Epsom Surrey KT18 5DD Epsom Derby Medical Centre 8 The Derby Square Epsom Surrey KT19 8AG Epsom Eastwick Park Medical Practice Eastwick Park Avenue Bookham Surrey KT23 3ND Epsom Fairfield Medical Centre Lower Road Great Bookham Surrey KT23 4DH Epsom Fitznells Manor Surgery 2 Chessington Road Ewell Surrey KT17 1TF Epsom Glenlyn Medical Centre 115 Molesey Park Road East Molesey Surrey KT8 0JX Epsom Heathcote Medical Centre Heathcote Tadworth Surrey KT20 5TH Epsom Medwyn Surgery Medwyn Court Reigate Road Surrey RH4 1SD Epsom Nork Clinic 63 Nork Way Banstead Surrey SM7 1HL Epsom Oxshott Medical Centre Holtwood Road Oxshott Surrey KT22 0QL Epsom Tadworth Medical Centre 1 Troy Close Tadworth Farm Surrey KT20 5JE Epsom The Integrated Care Partnership Alexandra Road Epsom Surrey KT17 4BL Training Practices in the Frimley GP Training Programme Area Programme Surgery Address Town Town / County Post Code Please note: Some practices details appear in more than one programme as trainers may attend different trainer groups. Frimley Camberley Health Centre 159 Frimley Road Camberley West Sussex GU15 2QA Frimley Downing Street Surgery 4 Downing Street Farnham Surrey GU9 7PA Frimley Fleet Medical Centre Church Road Fleet Hampshire GU51 4PE Frimley Green Medical Centre (changed to) Frimley 1 Beech Road Camberley Surrey GU16 6QQ Bartlett Group Practice Frimley Giffard Drive Surgery 68 Giffard Drive Cove Surrey GU14 8QB Frimley Holly Tree Surgery 42 Boundstone Road Wreccalesham Farnham GU10 4TG Frimley Lightwater Surgery All Saints House All Saints Road Surrey GU18 5SQ Frimley Mayfield Medical Centre Croyde Close Farnborough Hants GU14 8UE Frimley Milestone Surgery 208 Farnborough Road Farnborough Hampshire GU14 7JN Frimley Monteagle Surgery Monteagle Park Tesimond Drive Surrey GU46 6FE Frimley Oakley Health Group 51 Frogmore Road Blackwater Surrey GU17 0DB Frimley Owlsmoor Practice 1 Cambridge Road Owlsmoor Sandhurst GU47 0UB Frimley Park Road Surgery 143 Park Road Camberley Surrey GU15 2NN Frimley Princes Gardens Surgery 2a High Street Aldershot Surrey GU11 1BJ Frimley Sandhurst Group Practice 72 Yorktown Road Berkshire GU47 9BT Frimley Southlea Group Practice 276 Lower Farnham Road Aldershot Hants GU11 3RB Frimley The Bourne Medical Practice Lodge Hill Road Lower Bourne Surrey GU10 3RB Frimley Upper Gordon Road Surgery 37 Upper Gordon Road Camberley Surrey GU15 5HJ

82 82 Training Practices in the Guildford GP Training Programme Area Programme Surgery Address Town Town / County Post Code Please note: Some practices details appear in more than one programme as trainers may attend different trainer groups. Guildford Binscombe Medical Centre 106 Binscombe Godalming Surrey GU7 3PR Guildford Chiddingfold Surgery Ridgley Road Chiddingfold Surrey GU8 4QP Guildford Cobham Health Centre 168 Porstmouth Road Cobham Surrey KT11 1HT Guildford Cranleigh Medical Practice 18 High Street Cranleigh Surrey GU6 8AE Guildford Crossroads Surgery Church Road Milford Surrey GU8 5JD Guildford Dapdune House Surgery Wharf Road Guildford Surrey GU1 4RP Guildford Fairlands Medical Centre Fairlands Avenue Worplesdon Surrey GU3 3NA Guildford Grayshott Surgery Boundary Road Hindhead Surrey GU26 6TY Guildford Guildowns Group Practice 2 Stoughton Road Guildford Surrey GU1 1LL Guildford Haslemere Health Centre Church Lane Haslemere Hampshire GU27 2BQ Guildford Merrow Park Surgery Kingfisher Drive Guildford Surrey GU4 7EP Guildford Shere Surgery Gomshall Lane Shere Surrey GU5 9DR Guildford St Luke's Surgery Warren Road Guildford Surrey GU1 3JH Guildford The Mill Medical Practice Catteshall Mill Catteshall Road Godalming GU7 1JW Guildford Witley Surgery Wheeler Lane Witley Nr Godalming GU8 5QR Guildford Wonersh Surgery The Street Wonersh Guildford GU5 0PE

83 83 SUSSEX ABOUT SUSSEX Sussex is centrally located on the coast of southern England, and has large areas of green and pleasant countryside, vibrant and varied cities and towns plus miles of south facing sunny seaside. The city of Brighton offers a mix of history and culture, sophisticated shopping, buzzy restaurants and glittering nightlife with the laid-back charms of the seaside. 14 miles of coastline, including the award-winning beaches of Bognor Regis and Littlehampton, make Sussex by the sea a popular spot for families. The town of Worthing also has lots to offer with its theatres, restaurants and shopping. A few miles inland is photogenic Arundel with its castle and antique shops, and the beautiful South Downs. The Roman city of Chichester has an imposing cathedral, a major art gallery and the renowned Chichester Festival Theatre, plus the wildliferich inlets and bays of Chichester Harbour and the beaches of West Wittering and East Head. To the east is 1066 Country, with the site of the Battle of Hastings, and on the coast, the old Cinque Port of Rye, bohemian Hastings, nearby Bexhill and pretty countryside inland. Along the coast is Eastbourne, a seaside resort with award-winning beaches and a grand promenade leading to the iconic white chalk cliffs of Beachy Head and the Seven Sisters. This area offers lovely scenic walks along the coast and through picturesque villages, with great views over the Channel. Mid-Sussex contains charming villages, windmills and the spectacular Balcombe viaduct. There is also Ashdown Forest, where you can visit pooh sticks bridge. If you spend your time throwing sticks upstream of the bridge, you ll be enacting the famous game associated with Winniethe-Pooh! Sussex is easily accessible from the rest of the country and overseas, with good rail links via London and direct services from Scotland, the North West, Midlands and South Wales. Sussex also has two airports and a ferry port - Gatwick Airport in the north of the county, Shoreham Airport to the west and Newhaven ferry port in the east. From the M25 London orbital, several roads head south into Sussex and the coast, including the A21 to Hastings and Battle, the M23/A23 to Brighton and the A286 to Chichester. Administratively, Sussex is split into two Patches, East Sussex and West Sussex each with a Patch Associate GP Dean, Dr Mary- Rose Shears for East Sussex and Dr Glyn Williams for West Sussex and supported by the Sussex Patch Manager, Sue Smith, who is based full-time at the HEEKSS Office at Crawley Hospital.

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85 85 BRIGHTON & MID-SUSSEX BRIGHTON ABOUT BRIGHTON ABOUT THE BRIGHTON GP TRAINING PROGRAMME Brighton is often called London-on-Sea. It is one the busiest most diverse cities in the South East, and has beaches, a busy city centre, the chic and unique lifestyle shops of The Lanes, a selection of galleries and theatres, a vibrant and thriving cultural scene and of course the famous attractions of the Pier and Pavilion. Brighton is wellconnected to London and the rest of the South East, with a good public transport network operating in Brighton and along the South Coast. In Brighton we operate a shared training programme working closely with Mid- Sussex, so that during your training you will be working at different sites throughout both Brighton and Mid Sussex hospitals and GP Practices. At the start of your training you are allocated to a GP Trainer who will remain as your Educational Supervisor for the duration of your training. You will have an opportunity to meet with them regularly throughout the year to discuss your educational needs, development and plans. In your ST1 year you will spend 4 months working in a General Practice placement (usually in a Mid Sussex practice) culminating with a final 12 month placement with your ES in the ST3 year. The majority of your hospital attachments will be based at the Brighton and Sussex University Hospitals (BSUH) NHS Trust, which incorporate The Royal Sussex County, Brighton General and Sussex Eye Hospitals in Brighton and Princess Royal Hospital in Haywards Heath. The psychiatry placements are with the Sussex Partnership Trust which has several units throughout the area. We have a rolling GP Educational Programme on Thursday mornings which provides an opportunity for trainees to meet each other and the Programme Directors. This is an informal forum where we address difficulties trainees may be facing as well as focusing on some of the more challenging aspects of General Practice. The formal part of the morning focuses on GP relevant education and involves a mix of small group work, trainee-led sessions and consultant lectures. We also have sessions focusing on preparation for the MRCGP membership exams and life after training. The formal component of the education programme is based at the Audrey Emerton Medical Education Centre which is the administrative base for the Specialty Training Programme and the main training facility on the Royal Sussex County Hospital campus. It is one of the many new developments within the Trust and provides state of the art facilities for training as well as a restaurant with sea views on the top floor. Some group workshops and locality learning sets take place in training practices locally and for our overnight residential teaching program we hire country hotels in the area. In the Thursday teaching sessions we cover a mix of formal topics based on the GP curriculum as well as broader topics such as communication skills, ethics and GP related management.

86 86 THE EAST SUSSEX PATCH CONTAINS 3 GP TRAINING PROGRAMME AREAS: BRIGHTON, EAST SUSSEX AND MID-SUSSEX AND INCLUDES THE TOWNS OF BRIGHTON, HASTINGS, EASTBOURNE, BEXHILL AND INCLUSE RURAL AREAS OF EAST AND MID SUSSEX THE PROGRAMME DIRECTORS IN THE BRIGHTON GP TRAINING PROGRAMME AREA In addition to this we arrange several full day GP training workshops which are run by local GP Trainers. This is a formal education programme which provides an opportunity to meet the local trainers in your area. Three times per year you will meet in your locality in small group learning sets with GP Trainers and focus on locally agreed educational topics. Twice a year, in conjunction with our colleagues in Mid- Sussex we try to arrange a 2 day overnight Residential event often in a country hotel when we focus on group work to tackle broader and more challenging topics in relaxing surroundings. This is a unique opportunity to get to know your fellow trainees, relax, have some fun and learn without external pressures. In addition to all of this we will organise occasional one-off sessions for trainees in hospital posts. These can be a mix of social and formal education events which again give you an opportunity to meet up with one another. Finally it is worth mentioning that most GPStRs form small study groups especially in the run up to exams. These groups often continue after qualification and are a useful support network for newly qualified GPs. As well as our standard GP posts we also offer a few Innovative Training Posts (ITP) when you are based in General Practice, but spend 1 day per week in hospital working within certain specialties. Currently we offer these posts in Genito-Urinary Medicine, Paediatrics, Dermatology (hospital and community), CCG and Palliative Care. Due to the popularity of Brighton as a VTS scheme some GP placements in ST1 and occasionally in ST3 may take place in practices in Mid-Sussex. Throughout the year we also try and plan social events for everyone such as evening meals or barbeques. Our GPStRs also organise social events and have formed a group on Facebook (Brighton and Mid- Sussex VTS). Both during your placements in general practice and in the hospital posts, the culturally diverse population of Brighton will provide a unique exposure to a wide range of clinical settings and patient groups from all social classes. In addition to the core specialties we offer attachments in HIV Medicine, Substance Misuse and Learning Difficulties. We believe this wide exposure will help equip you in the process of becoming a competent, well rounded and motivated GP who is comfortable working in any GP environment. We currently have three Programme Directors in Brighton who are involved with the recruitment of GPStRs and allocation of posts on the rotation. They also organise, oversee and run the GP Training Programme for all three years. Dr s David Supple, Caroline Smith and Win Phag-udom adopt an open door policy and are happy to help with any queries or concerns that you may have. Dr Caroline Smith Caroline commenced as a Programme Director for Brighton in She is a parttime GP partner and GP appraiser. Dr Win Phag-Udom Win commenced as a Programme Director in January Dr David Supple David Supple is a GP near Preston Park in Brighton. He commenced as a Programme Director in July 2010.

87 87 EAST SUSSEX EASTBOURNE & HASTINGS (FUNCTION TOGETHER AS THE EAST SUSSEX GP TRAINING PROGRAMME) ABOUT EAST SUSSEX ABOUT THE EAST SUSSEX GP TRAINING PROGRAMME If you re seeking an outdoor lifestyle, culture and history as well as convenient access to London, East Sussex has it all including significantly more hours of sunshine than elsewhere on the mainland of Britain! Stretching along the exciting and extraordinary south coast from Seaford, the county takes in Eastbourne, Bexhill, Hastings (one of the Cinque Ports) and the ancient town of Rye. Inland you ll find historic Battle, the market towns of Uckfield and many picturesque villages. The seaside resort of Eastbourne is a grand Victorian beauty, set in South Downs countryside and surrounded by 1066 heritage. The resort has Blue Flag beaches, national beauty spot Beachy Head, and summer night concerts on the seafront bandstand. Eastbourne hosts the International Open tennis championship, held at the Devonshire Park. Attracting top tennis players from around the world, it is regarded as the pre-wimbledon main event. Eastbourne seafront is the venue for the popular Airbourne air show attracting visitors nationwide. Eastbourne has 5 miles of promenade, five theatres, a pier and a thriving night life. On the other site, Hastings has a history as a thriving fishing village, and the wooden netdrying huts along the beachfront are worldfamous. It is also the heart of 1066 country with Hastings and Pevensey being excellent examples of Norman castles, and Battle Abbey marking the site of the Battle of Hastings. Hastings also has a rich history as a smuggling port, and has several museums, and Hastings still has its working funicular railways from its time as a Victorian resort, one at East Hill and the other, West Hill, which is the oldest working railway of its type in England. Our main aims remain the provision of a package of educational and personal support to enable our scheme members to develop into competent and confident GPs. Our GPST programme offers a three-year programme consisting of six posts in hospital and one year in general practice. Commencing in August, each term is four months long. We also offer four integrated training posts (ITPs) GP position with 3-4 sessions in a complementary community specialty (e./g. CCG,Palliative Medicine or Memory assessment clinic). Our more than 20 enthusiastic trainers meet regularly with our GP trainees to discuss their progress and personal development plans and the programme is run by our excellent administration staff. Hospital Posts All our hospital posts involve four months based in either or both Eastbourne District General and Conquest hospitals. Here you will gain comprehensive experience in the following specialties: Accident and Emergency General Medicine (including the elderly) Orthopaedics Paediatrics Obstetrics and Gynaecology Psychiatry (both general and elderly) GP Training Practice We offer trainees a good geographic spread and range of training practices in the main towns, coastal and rural locations throughout East Sussex. Integrated Training Posts Integrated Training Posts (ITPs) are GP positions with four sessions per week in a hospital, enabling you to gain additional experience in other specialties which will complement your individual learning and training programme like Palliative medicine, Clinical commissioning and community psychiatry, based at the local GP led memory assessment clinic. (Some, however, will spend the time purely in general practice.) Day release (Teaching Programme) Each term GP trainees take part in five full days of teaching, split between Eastbourne and Conquest hospitals and headed up by Programme Directors. As part of the programme, trainees arrange for outside speakers, specialist nurses, GPs and consultants (both from within and outside the hospitals) to address trainees and take part in discussions on specialist subjects. This programme greatly adds to our trainees knowledge base and also helps in their organisational and leadership skill development.

88 88 EAST SUSSEX CONTINUED Out of hours (OOH) experience All GP trainees need to perform OOH clinical work and training. GP ST1 and ST2 (if they are doing a GP post) must undertake six hours/month i.e. 24 hours in total. ST3s must undertake 72 hours OOH during their final year of training. Since 1996, IC24 has provided OOH services across East Sussex, enabling trainees to acquire experience in a supervised capacity. Residential Courses Once a year we run a two-day residential course. In recent years, a favourite location has been in Berkshire at Cumberland Lodge in the middle of stunning Windsor Great Park. Over the two days you will gain experience and confidence in non-clinical and sensitive aspects of being a good GP, such as communications skills (including delivering bad news), time management, ethics, professionalism and handling dilemmas. Workshops and role-play are a key part of the sessions, at the end of which registrars have usually forged close bonds and friendships that will sustain them throughout their GP careers. Not surprisingly, the RCGP assessments are discussed frequently. We have held specific CSA practice sessions to prepare the scheme members for the CSA, with visiting examiners, Programme directors and trainers. We consider peer support an important part of the scheme and many friendships are made in these continuing group learning sets. Finally, our social events occur at least three times a year and include meals out, bowling and walking on the Downs. GP training in East Sussex has a very good reputation locally. All our GPStRs who want to stay locally find jobs both as partners and salaried doctors. Our scheme prepares doctors well for life after GP training. Please visit our website on:

89 89 THE PROGRAMME DIRECTORS IN THE EAST SUSSEX GP TRAINING PROGRAMME AREA Dr Raya Al-Jawaheri Raya finished the Eastbourne GP Scheme in 2005 and is a partner at the Grove Road Surgery. She works as the clinical director for the local walk in centre in Eastbourne She was appointed Programme Director in November She is a GP registrar trainer. Dr Andrew Stewart Andrew has been a GP Trainer since August He comes from a Practice with a strong heritage in training the Lighthouse Medical Practice has had three partners over the years who have been Programme Directors and seven partners who have been GP Trainers and three who have been FY2 Clinical Supervisors. He became a Programme Director in 2005 and has helped develop the new East Sussex VTS. Andrew believes strongly in supporting the GPStRs to develop their own learning rather than didactic teaching: he believes the Programme Directors in East Sussex have a broad educational experience to cater for most learning styles. Andrew sees the benefits of a strong VTS to the local health community: not least his own practice who benefit from former trainees working with in as salaried doctors and partners! Dr Karen Skinner Karen has been a Programme Director since She is a part time GP in the area and is actively involved in the Out of Hours scheme. She also has MRCOphth and has a keen interest to set up community clinic in the future. She strongly believes in the group environment being a great asset to becoming a GP and encourages this in the GP training programme. She is now a GP appraiser and so is actively involved in the ongoing education of qualified GPs. She has obtained her PGCert and recently been appointed by the Royal College of General Practitioners to be a CSA examiner, a role she hopes will become very useful in her local VTS to help prepare for these exams. Dr Mark Jones I started as Programme Director in February I moved to Arlington Road Medical Practice Dec 2009 directly from my training scheme in Norwich. It is a busy surgery, with a 12,000 patient list, which remains a vibrant place to work with excellent staff. My personal hobbies revolve around badminton, music and family life. Dr Nicola Beck Nicola started as Programme Director in 2015.

90 90 BRIGHTON & MID-SUSSEX MID-SUSSEX ABOUT MID-SUSSEX ABOUT THE MID-SUSSEX GP TRAINING PROGRAMME The Mid-Sussex GP Specialty Training Scheme is based at the Princess Royal Hospital in ` Haywards Heath and the scheme is closely linked with the Brighton Programme. Application is to Brighton & Mid-Sussex and you can be allocated to either scheme with currently Mid-Sussex having more trainers. Mid-Sussex is midway between London and Brighton and over 60% of the district is designated an area of outstanding natural beauty which includes the South Downs. The Mid-Sussex GP training scheme includes practices in the market towns of Burgess Hill, East Grinstead, Haywards Heath and Horsham with a good selection of shops, restaurants and facilities; as well as the local villages of Cuckfield, Forest Row and Newick. The area is served well by strong rail links. Mid-Sussex combines the attractions of a rural setting with natural beauty and local interests such as the South Downs Way, Glyndebourne and the Bluebell railway, with busy towns and easy access to either the coast or London. The Scheme is based at the Euan Keat Education Centre in the Princess Royal Hospital in Haywards Heath, which is a friendly district general hospital within Brighton & Sussex University Hospitals Trust. We have a good variety of hospital posts in our rotations which include; O&G, Paediatrics, Medicine, Care of the Elderly, Psychiatry (including substance misuse, learning disabilities and child/adolescent), ENT, GUM (and HIV medicine), Trauma and Orthopaedics and Accident & Emergency. Currently Integrated training posts are being offered in Paediatrics, GUM, Palliative Care (Hospice), CCG and both hospital and community Dermatology. Both Mid-Sussex and Brighton schemes share hospital posts within the local hospitals of the Royal Sussex County, Brighton General, Royal Alexandra Paediatric Hospital and the Princess Royal Hospital, Haywards Heath. Psychiatry posts are within Sussex Partnership with centres in Brighton, Crawley and Haywards Heath. We currently have 28 trainers. Some new, some more experienced, but all enthusiastic about both training and general practice. At the start of ST1 you will be allocated an Educational Supervisor who will oversee your training for the three years and with whom you will spend your ST3 year. The first two years will be spent doing six, four month posts, one of which will be in a GP practice which can be within either the Brighton or Mid-Sussex areas. The training scheme meets for 30 sessions per year, divided into three terms, usually on Thursday mornings. The medical centre is friendly with pleasant and helpful staff and good facilities - rooms and a simulation suite. We have a rota for coffee and cake and end with a cooked lunch together. Parking is available on the hospital site (for a fee) or free if you fancy a walk.

91 91 We have two residentials a year which are joint with the Brighton scheme. All trainees attend the training scheme while in general practice and for a minimum of 2 sessions per term whilst in hospital posts. There are Trainer/Trainee evenings 3-4 times a year which are part educational and part social. There is also a local buddy scheme and registrar organised social events to encourage the friendly, supportive scheme ethos further. Most trainees form small study groups in the run up to exams which often continue after qualification and are a useful support network for newly qualified GPs. There is also a Facebook group Brighton and Mid Sussex VTS. The training scheme follows the GP curriculum and stated needs of the trainees and we have our share of our local excellent consultants give talks. However we also feel that the scheme is an opportunity to focus on aspects of the curriculum specific to general practice with regards to communication and communication skills, professionalism and the wonderful privilege of being a GP. Group sessions are frequent and opportunity is given for discussion and advice. There is always an opportunity to chat, catch up with friends or make new ones, with programme directors and faculty staff available for advice. Feedback from the scheme is very positive and we have a high success rate with our trainees passing nmrcgp. Trainees really value the Thursday sessions and wish it was allowed to run every week of the year and after qualifying many of our trainees stay in the area. We aim to provide an excellent GP training program, based in a beautiful area with the diversity and merit of both rural and urban areas. This is supported and facilitated by enthusiastic GP educators and our trainees. THE PROGRAMME DIRECTORS IN THE MID-SUSSEX GP TRAINING PROGRAMME AREA Dr Mandy Claiden Mandy is an experienced GP Trainer who is passionate about General Practice and training but best known for wearing flip flops all year round! Dr Lara Belle Lara is a GP Trainer who has a special interest in Dermatology. She (fairly) recently graduated from the Mid Sussex VTS and loved it too much to leave! Lara is a partner in The Brow Medical Centre in Burgess Hill and is also involved in CCG work. She has 3 children and loves doing crafts if ever time permits! Dr Sadhana Brydie I am a portfolio GP based in Horsham and have a keen interest in GP training and lifelong learning. I have recently been appointed Programme Director for GP in Mid Sussex. I am also a GP Appraiser (NHSE) and work for Horsham and Mid Sussex CCG one day a week. I believe in working collaboratively with partner agencies and also have a particular interest in developing multidisciplinary and inter professional learning.

92 92 WESTERN SUSSEX WEST SUSSEX PATCH CONTAINS TWO GP TRAINING PROGRAMME AREAS: CHICHESTER AND WORTHING. THE PATCH EXTENDS ALONG THE COAST TO INCLUDE TOWNS SUCH AS BOGNOR REGIS AND LITTLEHAMPTON AND INLAND TO TOWNS INCLUDING BILLINGSHURST, HENFIELD AND PULBOROUGH. THIS IS A JOINT SCHEME RUN ON TWO SITES. WE RECOGNISE THAT THIS SCHEME COVERS A LARGE GEOGRAPHICAL AREA. AS SUCH, WHEN YOU APPLY FOR THE SCHEME YOU CAN STATE A PREFERENCE FOR WHICH SITE YOU WOULD LIKE TO BE BASED AT. YOU WILL BE BASED PREDOMINANTLY ON ONE SITE. TRAINEES MAY BE OFFERED A HOSPITAL OR GP POST ON EITHER SITE DEPENDING ON AVAILABILITY OF POSTS AT THE TIME. REMOVE UNDERLINED SENTENCE. TRAINEES MAY BE OFFERED A HOSPITAL OR GP POST AT THE ALTERNATIVE SITE FROM WHERE THEY ARE BASED, HOWEVER THIS IS NORMALLY ONLY IN EXCEPTIONAL CIRCUMSTANCES. A COMPREHENSIVE GPST3 HALF DAY RELEASE COURSE IS HELD ON THURSDAYS DURING TERM TIME. THE PROGRAMME COVERS MANY AREAS OF GENERAL PRACTICE AND INCLUDES CSA WORKSHOPS WITH SIMULATION AND EXAMINERS, TEACHING SESSIONS ON CLINICAL TOPICS AND THOSE IMPORTANT AREAS SUCH AS LIFE AFTER VTS DELIVERED BY OUR RECENTLY QUALIFIED TRAINEES. THE PROGRAMME IS LEARNER-LED AND PROVIDES AMPLE OPPORTUNITIES FOR MUTUAL AND PEER SUPPORT. THERE IS A STRONG EMPHASIS ON DEVELOPING COMMUNICATION SKILLS AND ST3 TRAINEES ARE ENCOURAGED TO DESIGN AND DELIVER SESSIONS FOR THE ST1/2S, PREPARING THEM FOR LIFELONG LEARNING. ABOUT CHICHESTER Chichester is a fantastic place to live. It s one of the largest inland harbours in the country and is an area of outstanding natural beauty. There are ample opportunities for sailing, windsurfing, kiting and other water sports on the amazing beaches. It is a beautiful Cathedral City set on the edge of the South Downs National Park which is superb for walking and mountain biking. There are numerous big events including Goodwood Festival of Speed, the Revival, and Glorious Goodwood etc. Chichester has its own yearly festival, a fabulous gallery and an excellent theatre. Chichester also has great shops (high street to boutiques), bars and restaurants so there are plenty of things to do on your days off! There are direct trains to London and Brighton - but why would you want to commute live in Chichester! THERE IS ALSO AN ST1/2 TEACHING PROGRAMME FOR TRAINEES ON BOTH SITES WHICH IS ATTENDED BY TRAINEES ON PLACEMENT IN GP PRACTICE AND ALSO WHEN IN HOSPITAL POSTS.. WE ENCOURAGE TRAINEES IN HOSPITAL POSTS TO ATTEND AS MANY SESSIONS AS POSSIBLE.

93 93 ABOUT THE CHICHESTER GP TRAINING PROGRAMME THE PROGRAMME DIRECTORS IN THE CHICHESTER GP TRAINING PROGRAMME AREA The three year Chichester training scheme is very well regarded, with positive outcomes for trainees in terms of exam success. The Programme Directors are enthusiastic, and supportive. Our aim is to support and prepare you not only for your assessments and training scheme, but also for life as a GP. Each GPST rotation consists of six 4- month posts as an ST1/2 including one job in General Practice, and hospital posts across a range of specialties. We are very proud of our close working relationships with our hospital colleagues and work in partnership to ensure that your training programme is well planned and you receive the right level of support. Your ST3 year will be spent in one of our Practices, either in rural parts of the South Downs or in one of the coastal towns around Chichester. ST1/2 trainees go out to their Educational Supervisor s Practice for one day every four months; as well as for their formal review. This also allows discussion about the various learning opportunities we can offer and the course itself and helps to strengthen the trainee/trainer relationship. In Chichester we organise three locality groups for GPStRs and GP Trainers that meet for one afternoon every two months at a GP Training Practice. These groups are well evaluated and those in hospital posts enjoy catching up with other trainees and their Trainers. Chichester Medical Education Centre (CMEC) provides excellent educational support facilities, including Wifi access, a Clinical Skills Suite and a comprehensive library with extended opening hours. We organise two ST3 trainee residential workshops each year, a Christmas Party and a Summer Barbecue. The hospital also has a thriving Doctors mess that organises a range of popular social events and beach days. From a former trainee: "I just wanted to tell you how remarkable the VTS was at Chichester. I am still referring to the consultation modules I practiced. I think it was an excellent scheme and there was a brilliant support structure. It is one of the best schemes without a shadow of doubt. Dr Jo Nash, Dr Jo Galbraith and Dr Jo Parsonage Who are all local GPs who trained locally (and couldn t leave!) We love the sea and the Downs and in our free time are likely to be found on a boat, kitesurfing or cycling to a pub. We all work in Training Practices and have a strong interest in GP Education.

94 94 WESTERN SUSSEX ABOUT WORTHING ABOUT THE WORTHING GP TRAINING PROGRAMME Just along the coast from Brighton, Worthing provides a fantastic GPStR experience with a new, tailored programme focusing on both theoretical and practical General Practice in an enthusiastic, lively atmosphere. Worthing is a large seaside town, which has grown from its origins as a Stone-age settlement, later becoming a fishing village and then a popular holiday destination in the Regency period, in which many of the town s fine buildings were built. However, a note of advice; whilst we certainly welcome applications from trainees across the country, in our experience, commuting from as far afield as London does place a considerable strain on trainees despite direct train links. Please bear Worthing s location in mind when applying! The Worthing GP training programme is a learner-centred course, responding to GPStRs needs and preparing doctors not just to pass the required assessments but also to become lifelong independent learners and, importantly, to enjoy their chosen profession. The GP Programme Directors provide a positive, friendly, supportive environment where the GPStRs can gain a valuable perspective on being a GP. Of course there is the opportunity to share best practice but the sessions also provide an enjoyable environment to offload their difficulties! Worthing has a well-respected training programme delivered by motivated experienced GP Trainers and enthusiastic Programme Directors. Most of our trainees choose to stay in the South Coast area and those trained here are highly regarded by their peers and the hospital consultants. There are three terms of weekly Programme Director and GPStR meetings at the Worthing Health Education Centre, which provide a lively and engaging forum for the exchange of ideas and experiences. The sessions are led and facilitated by the Programme Directors with outside speakers providing expertise on topics ranging from Orthopaedics to Motivational Interviewing. ST1/2s have separate teaching sessions from the ST3s to allow for a more learner specific approach. It is a real challenge, but an exciting and stimulating process, to build up the knowledge base required for general practice. We take a broad ranging approach, integrating medical knowledge and consultation techniques within a holistic paradigm to give you the best grounding for your training. We appreciate that each group is different and thus the education is learner-focused and tailored to group needs around a consistent backbone including Hot Topics, Consultation Theory, CSA training and, importantly, pastoral care. The latter is something we take very seriously here, as the jump from hospital medicine to GP is a real change of gear and even the most flexible GPStR can struggle initially. ST1/2 Trainees will have 6 half-day locality meetings per year with their Educational Supervisor. The GP Programme Directors work very closely with the Medical Educational Managers who will also provide you with extensive information and support.

95 95 THE PROGRAMME DIRECTORS IN THE WORTHING GP TRAINING PROGRAMME AREA The trainees will have a four month post in general practice in ST1 or ST2, then a continuous 12 months in the ST3. Hospital posts offered in the training programme are all recognised RCGP training posts. A typical training programme encompasses posts such as paediatrics, A&E and psychiatry. The vast majority of programmes would involve two, if not three, of these posts. Please be aware that departments such as A & E, Paediatrics and Medicine operate a system of fixed leave. We liaise with Clinical and Educational Supervisors and our GPStRs on a regular basis to ensure needs are met and all GPStRs are getting the support that is required. The GPStRs gain not only a broad understanding of General Practice but the basic tools to move on from the training year into the real world. Time is specifically spent on discussing How to Become a Locum ; Negotiating a GP Contract and Life after GP Training amongst other topics relevant to the post training GP world, so that GPStRs are not left feeling adrift on completing the ST3 year. In short a great place to train! Dr Anand Patel Anand is no longer a relatively new GP. However, having undertaken MRCGP five years ago, he has a good understanding of what it is to be a GPStR. Interests include music, cocktails and education. Dr Isla Cox Dr Cox qualified with the MRCGP in She is a partner in Shoreham and has worked as a Programme Director in Brighton prior to taking on the role in Worthing. Her interests include cycling, climbing, hiking and comedy. Dr Bilal Ali Bilal qualified with the MRCGP in 2008, and has worked since as a GP Partner and a GP Trainer in Crawley. He has been a Programme Director in Worthing since June He spends his spare time singing in a choir, and lying on the beach!

96 96 SUSSEX LOCAL EDUCATION PROVIDERS THE LOCAL EDUCATION PROVIDERS IN SUSSEX ARE: There are a number of Local Education Providers (e.g. Acute NHS Hospital Trusts, NHS Psychiatric Trusts) in Sussex that provide placements for trainees in the HEEKSS GP School. Placements in hospital posts are currently of 4 months duration. BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST (BSUH) Royal Sussex County Hospital Princess Royal University Hospital EAST SUSSEX HEALTHCARE NHS TRUST Eastbourne District General Hospital Conquest Hospital ST BARNABAS HOUSE HOSPICE ST WILFRID S HOSPICE SUSSEX PARTNERSHIP NHS FOUNDATION TRUST (PSYCHIATRIC) Please refer to Trust page WESTERN SUSSEX NHS TRUST Bognor War Memorial Hospital St Richard s Hospital Worthing Hospital The range of hospital posts included in the programmes: Accident and Emergency, Paediatrics, Obstetrics and Gynaecology, Palliative Care, Trauma and Orthopaedics, Ophthalmology, Rheumatology, Psychiatry and General Medicine There are also rotations in more specialised medical rotations including Endocrinology/Diabetes, Cardiology, Respiratory Medicine, Gastroenterology and Stroke Care.

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98 98 BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST Royal Sussex County Hospital & Princess Royal University Hospital, Haywards Heath GP Training Programme Area: Brighton and Mid-Sussex OVERVIEW OF TRAINING AT THE TRUST Address RSCH Eastern Road Brighton East Sussex, BN2 5BE PRH Lewes Road Haywards Heath West Sussex, RH16 4EX Switchboard Telephone Number RSCH: PRH: Website The Trust has two main hospital sites named the Princess Royal Hospital (PRH) which includes Hurstwood Park Neurological Centre in Haywards Heath, and the Royal Sussex County Hospital (RSCH) which includes the Royal Alexandra Children s Hospital in Brighton. You will have posts at both of these hospitals during your rotations. Both hospitals are in easy reach of London with frequent trains to London Bridge and Victoria stations. We are fortunate in that both Haywards Heath and Brighton enjoy close proximity to the beautiful countryside of the South Downs and a free bus service runs hourly between each hospital site. The Trust has two schemes, one based in the PRH, Haywards Heath and one based at the RSCH, Brighton. Depending on which scheme you are allocated to, you will attend teaching at either Haywards Heath or Brighton. Teaching takes place over ten weeks per 4 month term and is mandatory for trainees in GP practice and available to all trainees within hospital posts depending on study leave approval to attend. The three year GP Training Scheme has two four month hospital posts and one four month GP post in the first year. The second year is three, four month hospital post and the final year is spent entirely in GP practice. You will be allocated an Educational Supervisor at the start of your training who will be your mentor throughout your three years and they will be your trainer in your final year. You will also be allocated a Clinical Supervisor for each of your hospital posts. The Trust works in partnership with the Brighton and Sussex Medical School which is one of four new medical schools created as part of the government s strategy to increase the number of qualified doctors from the UK working in the NHS. Brighton & Sussex Medical School has become one of the most popular choices for medical students in the UK. Therefore you can expect to work within a stimulating environment. The Director of Medical Education is the academic lead for postgraduate training within the Trust. Postgraduate Departments are based on both hospital sites with dedicated administrative staff to support you.

99 99 OVERVIEW CONTINUED The Euan Keat Education Centre, based at the Princess Royal Hospital and The Sussex Medical Education Centre based within the Audrey Emerton Building, Brighton provide professional expertise and support for medical and dental trainees working within the Trust and the wider community. The Centres ensure competence and performance of trainees is assessed effectively and Tutors are available for careers information, advice and counselling. The Audrey Emerton Building, is located opposite the main entrance to the Royal Sussex County Hospital and is a combined education facility for the Trust and Brighton & Sussex Medical School. It provides state of the art facilities with 16 teaching rooms, 2 lecture theatres and a clinical skills lab. It also enjoys a restaurant facility on the top floor with stunning views across to the sea. The Education Centre at the Princess Royal Hospital is located on the second floor opposite the Library. The centre has two lecture theatres, one which seats 150 (and is divisible into two separate seminar rooms each fully equipped with state of the art audio visual facilities) and an 80 seat lecture theatre. Each Lecture theatre has a live link to the operating theatres. In addition there are two further seminar rooms, and a newly completed Simulation Suite. Library and e-learning Resources Helping doctors study and innovate. Keep learning and improving. Your Library and Knowledge Service ensures you have the knowledge you need to do your job. We provide access to the most upto-date evidence-based information to help you: Make the best decisions for your patients Improve your medical career prospects Write and publish journal papers Lead journal clubs and case reports Teach medical students and your peers Contribute to innovative research Approach exams with confidence: If you re studying for Royal College exams, boost your success rate with our exam preparation books and online tools, which cover all the major qualifications. Contact us with your name, role, exam and exam date and we ll set you up. Stay ahead of the game: Save yourself time and ensure you are up-to-date on the latest developments in health care by signing up to KnowledgeShare, our current awareness service which is tailored to your interests and ed to you at intervals of your choosing. It also links you with colleagues in other trusts to enable sharing of research and best practice. Contact Elaine.watson@bsuh.nhs.uk for details. Trusted information when you need it: Point-of-care information tools such as UpToDate help you make quick decisions based on the latest evidence. We also provide textbooks and journals in all specialties, along with collections of case reports, clinical images and videos. You can access many of our resources online. All you need is an NHS OpenAthens account for Brighton & Sussex University Hospitals NHS Trust. Register at: Already have an account from an earlier rotation? Log on at and change your organisation to Brighton & Sussex University Hospitals NHS Trust to ensure you don t miss any of the resources purchased especially for new doctors. If we don t have what you need in stock we ll get it for you from another library. You can also send suggestions and recommendations to us to buy specific textbooks and other resources for your training here: M Ask us for the evidence to inform your research, audit or service improvement: If you want to find the very best evidence but have limited time, we ll search for you.

100 100 OVERVIEW CONTINUED 2 Ask us for the evidence to inform your research, audit or service improvement: If you want to find the very best evidence but have limited time, we ll search for you. We will talk to you about what you need, look for the evidence and provide you with a carefully selected summary of what we have found. You can request a search using our online request form at Find and appraise evidence more easily: Whether you need a refresher on MEDLINE, tips on preparing for your journal club or guidance on critical appraisal, our team can help. Find the right session for you on our website s teaching section: A room of your own: Well almost! If your rota takes you back and forwards between the hospital sites, you have the perfect hotdesk. Our PCs, photocopying, printing and scanning facilities are available 24-hours-a-day and offer a convenient and quiet place to work and study. Software to manage references or analyse statistics is available from selected PCs. 24/7 access to information: Make the most of your on-call time and nights. The libraries at RSCH and PRH are available for you to use at any time of the day or night and you can borrow books using the self-service kiosks. Visit or get in touch: The Library The Audrey Emerton Building Royal Sussex County Hospital Eastern Road, Brighton East Sussex BN2 5BE Tel: The Library Princess Royal Hospital Lewes Road, Haywards Heath West Sussex RH16 4EX Tel: x5463 The Library, Sussex Education Centre Mill View Hospital Nevill Avenue, Hove East Sussex BN3 7HZ Tel: library.services@bsuh.nhs.uk Follow us on KEY INDIVIDUALS Director of Medical Education Varadarajan Kalidasan Clinical Tutor Jeremy Tibble (RSCH) and Andrew Elkins (PRH) Medical Education Manager Nora Tester Medical HR Manager Clare Stankiewicz GP Administrators Martine Ratcliffe Linda Palmer

101 101 EAST SUSSEX HEALTHCARE NHS TRUST Eastbourne District General Hospital and Conquest Hospital GP Training Programme Area: Eastbourne and Hastings OVERVIEW OF TRAINING AT THE TRUST Address Eastbourne District General Hospital Kings Drive Eastbourne East Sussex, BN21 2UD Conquest Hospital The Ridge St Leonards-on-Sea East Sussex, TN37 7RD Switchboard Telephone Number Eastbourne: (01323) Conquest: Website East Sussex Healthcare NHS Trust was established on 1st April 2011 following the merger of East Sussex Hospitals NHS Trusts and East Sussex Community Health Services. The Trust aims to provide high quality hospital, clinical and community services for the people of East Sussex. The East Sussex region is a combination of urban and rural development with areas of outstanding natural beauty and of considerable historic interest. There are also excellent recreational and sporting facilities in the area and good rail links to London and Brighton and to the continent via the Channel Tunnel and Eurostar and to international airports. The Trust is keen to develop its staff and postgraduate and undergraduate medical and nursing training that takes place at Eastbourne District General and Conquest Hospitals. There are libraries and IT suites on both hospital sites including education centres, clinical skills rooms and simulation suites. The simulation training suites have been extensively refurbished on both sites in The Library provides access to traditional services and resources (textbooks, journals, search skills training, document delivery etc.) as well as internet-based resources (ejournals, e-books on-line exam support). Both libraries have dedicated pcs and internet access 24/7. The hospitals are considered to be friendly and supportive places to work. The towns of Eastbourne and Hastings offer an array of activities and venues including nightclubs, concerts, sailing, cycling and other activities. Both hospitals have an on-site nursery and a social club/bar. Eastbourne DGH has a gym and an (outdoor, but heated) swimming pool on-site, for which a small fee is charged. There is also a Doctors Mess on each site, again with both having been extensively refurbished in KEY INDIVIDUALS Director of Medical Education Mr Salim Shubber Medical Education Manager Mike Dickens Postgraduate Administrators Tina Scott EASTBOURNE Clinical Tutor Dr Mark Whitehead Programme Directors Dr Andrew Stewart Dr Raya Al-Jawaheri Dr Mark Jones CONQUEST HOSPITAL Clinical Tutor Dr Mark Whitehead Programme Directors Dr Nicola Beck Dr Karen Skinner

102 102 ST BARNABAS HOUSE HOSPICE GP Training Programme Area: Worthing ABOUT THE ST BARNABAS HOUSE HOSPICE Address St Barnabas House Titnore Lane Worthing West Sussex, BN12 6NZ Telephone Number St Barnabas House is a local independent charitable hospice, first opened in 1973 by a local GP Dr Francis Gusterson. Our service includes: An 18 bed inpatient ward Day Hospice Community Team Family Services Team Education Department The hospice team consists of nurses, doctors, social workers, counsellors, chaplain, physiotherapists, complementary therapists, artist-in-residence and volunteers. Staff will discuss the patients care with them, giving them the opportunity to express their wishes and address their concerns. Those working at the hospice understand that this is a difficult time for the patient and their family and that there are some things that are difficult to talk about. The aim is to be as sensitive and supportive in conversations as possible, respecting individual beliefs, lifestyle and culture. Patients may be referred to the service for: Management of physical symptoms Emotional support, which may include counselling Day Hospice Admission to the ward for symptom management, respite care, or care in the last days of life

103 103 SUSSEX PARTNERSHIP NHS FOUNDATION TRUST (PSYCHIATRIC) GP Training Programme Area: Brighton, Chichester, Bognor Regis, Crawley, Horsham, Eastbourne and Hastings, Mid-Sussex and Worthing ABOUT THE TRUST Address (Trust HQ) Sussex Partnership Swandean Arundel Road Worthing West Sussex, BN13 3EP Switchboard Telephone Number Website ship.nhs.uk/welcome/ Sussex Partnership NHS Foundation Trust provides specialist mental health, substance misuse and learning disability services. We are an integral part of the health and social care network for the people of Sussex. There is no health without mental health. The Trust was established as Sussex Partnership NHS Trust in April We became an NHS Foundation Trust with teaching status in August Being a Foundation Trust brings us closer to our local communities. Our teaching trust status recognises our work in research and development: we aim to be a leading teaching mental health trust. Our vision is to ensure that the people who use our services, their carers and staff have the best possible experience of receiving help or working within our services. At Sussex Partnership our vision is to ensure that the people who use our services, their carers and staff have the best possible experience of receiving help or working within our services. Our commitment is to everyone who uses our services: To welcome you To hear you To be hopeful for you To work with you To be helpful. Our values are: To challenge stigma and discrimination whilst promoting equality and positive attitudes Work in new ways and develop new services Put the human rights of the people who use our services at the centre of everything we do Work in partnership with others, Be a creative force and lead by example KEY INDIVIDUALS Director of Medical Education Dr Panos Argiriu Medical Education Manager Sam Vaughan Sam.Vaughan@sussexpartnership.nhs.uk Clinical Tutor Dr Chris Aldridge Brighton & Hove College Tutors Dr Al Amaladoss Chichester Dr Arun Kishore Worthing Dr Glen Berelowitz Crawley & Mid Sussex Dr Radha Bhat Eastbourne & Hastings

104 104 GP TRAINING SITES BRIGHTON AND HOVE Adult Mental Health & Older Peoples Mental Health Services Assessment Treatment Centre Brighton General Hospital Elm Grove, Brighton BN2 3EW Tel: Adult Mental Health & Older Peoples Mental Health Services Acute Inpatient Service Mill View Hospital Nevill Avenue, Hove BN3 7HZ Tel: Adult Mental Health Services Assessment Treatment Centre West Access Team Hove Pollyclinic Nevill Avenue Hove BN3 7HZ Tel: Learning Disability Hove Community Learning Disability 86 Denmark Villa s Hove BN3 3TY Tel: Substance Misuse Assessment Treatment Centre 26 Ditchling Road Brighton BN1 4SE Tel: CHICHESTER/ BOGNOR Adult Mental Health & Learning Disabilities Assessment Treatment Centre Chichester Community Mental Health Team Chapel Street Chichester West Sussex PO19 1BX Tel: Older Peoples Mental Health Service (OPMHS) Acute Inpatient Services Harold Kidd Unit Bloomfield Drive Chichester PO19 6FX Tel: Adult Mental Health & Older Peoples Mental Health Services Assessment Treatment Centre (satellite) Bedale Centre 1 Glencathara Road Bognor Regis PO21 2SF Tel: CRAWLEY / HORSHAM Adult Mental Health & Older Peoples Mental Health Services Acute Inpatient Services Langley Green Hospital Martyrs Avenue Crawley RH13 7EJ Tel: Adult Mental Health & Older Peoples Mental Health Services Assessment Treatment Centre New Park House North Street Horsham RH12 1RJ Tel: WAMHS Assessment Treatment Centre 218 Ifield Road Ifiled West Sussex RH11 0EP Tel:

105 105 SUSSEX PARTNERSHIP NHS FOUNDATION TRUST (PSYCHIATRIC) MID SUSSEX (HAYWARD S HEATH) Older Peoples Mental Health Services Assessment Treatment Centre Summerfold CMHT 152 Leylands Road, Burgess Hill RH15 8JE Tel: Child & Adolescent Mental Health Unit (CAMHS) Acute Inpatient Service Chalkhill Lewis Road Haywards Heath RH16 4EX Tel: Adult Mental Health Services Assessment Treatment Centre Springvale Moat Road, East Grinstead RH19 3OH Tel: Adult Mental Health Services Assessment Treatment Centre Linwood Butlers Green Road, Haywards Heath RH16 4BE Tel: EASTBOURNE / HASTINGS Adult Mental Health Services Assessment Treatment Centre St Mary s House 52 St Leonards Road Eastbourne East Sussex BN21 3UU Tel: Adult Mental Health & Older Peoples Mental Health Services Acute Inpatient Service Department of Psychiatry Eastbourne DGH Kings Drive Eastbourne BN21 2UD Tel: Adult Mental Health & Older Peoples Mental Health Services Assessment Treatment Centre Hastings Community Health Team Cavendish House Breeds Place Hastings East Sussex TN34 3AA Tel: Adult Mental Health Services Acute Inpatient Service Woodlands 729 The Ridge Conquest Hospital St Leonards-On-Sea TN37 7RD Tel: WORTHING Adult Mental Health Services Assessment Treatment Centre Chanctonbury Swandean Arundel Road Worthing West Sussex BN13 3EP Tel: Adult Mental Health Services Acute Inpatient Service Meadowfield Swandean Arundel Road Worthing West Sussex BN13 3EP Tel:

106 106 WESTERN SUSSEX HOSPITALS NHS FOUNDATION TRUST St Richard s Hospital & Worthing Hospital GP Training Programme Area: Western Sussex OVERVIEW OF TRAINING AT THE TRUST Address St Richard s Hospital Spitalfield Lane Chichester West Sussex, PO19 2SE Worthing Hospital Lyndhurst Road Worthing West Sussex, BN11 2DH Switchboard Telephone Number St Richard s: Worthing: Websites St Richard s: Worthing: Trust Website Western Sussex Hospitals NHS Foundation Trust was created in 2009 through the merger of St Richard s Hospital, Chichester and Worthing and Southlands Hospitals. The Trust serves a population of 450,000, providing high quality care for our patients. Every year the Trust s 6,500 staff care for 120,000 inpatients, 480,000 outpatients and carry out 75,000 operations. Around 132,000 patients visit our Emergency Department and we deliver 5,500 babies. Our size and breadth of services enables us to offer you a range of teaching and learning opportunities to enable you to meet your career goals. We work across 4 clinical divisions, led by a Consultant Chief of Service, Director of Nursing and an Operational Director: Surgery Medicine Women and Child Health Core Services WE LISTEN WE CARE WSHT cares passionately about providing the best quality care for our local population; this is what drives us as an organisation. We want to improve our services, achieve the best experience and outcomes for our patients and respond positively to their feedback. We have: been recognised as one of the Top 10 Hospitals by our patients been rated in the top 25% of Trusts whose employees would recommend us to their family and friends as a place to be treated received a Highly Commended award from Dr Foster

107 107 OVERVIEW CONTINUED EDUCATIONAL FACILITIES We have a wide range of facilities to support and enhance your training and continue to invest each year to ensure we maintain a first class teaching environment. We have two excellent education centres: Chichester Medical Education Centre: 9 seminar/tutorial rooms 2 lecture theatres Conference room seating 250 delegates Central exhibition space 18 station IT training room Doctors Orders Catering facility Large library including IT stations and study space Comprehensive AV facilities, including state of the art videoconferencing equipment Worthing Health Education Centre: 4 seminar/tutorial rooms 2 lecture theatres Food for Thought Catering facility Large library including IT stations and study space Comprehensive AV facilities, including state of the art videoconferencing equipment CLINICAL SKILLS AND SIMULATION Our Simulation Suites have been designed and equipped to provide a simulated clinical learning environment in order to deliver high quality education and training for health care professionals. The Simulation Centres are purpose built facilities and form an important part of the Postgraduate Medical Education Centres. The centres enable the delivery of a wide range of clinical skills. We are also able to provide sessions that look at teamwork, leadership and communication skills in a variety of formats. High fidelity simulation scenarios can be run which enables candidates to develop these important skills. Simulation sessions cover cognitive or thinking skills such as clinical reasoning and decision making, non-technical skills such as team working and communication and technical skills such as clinical examination and invasive procedures. Clinical skills learning at the Clinical Simulation Suite includes: Ward simulations Simulation sessions Communication training sessions Procedural training Simulation resources available to enhance learning and practice include: Simulated ward area Simulated patients and actors Debriefing room Recording Facilities Part task trainers COURSES AND TEACHING PROGRAMMES In addition to regular teaching programmes, tutorials and seminars we also provide a wide range of educational courses, including: MRCP PACES ALS/ILS/ATLS MOET BSS GP AND DENTAL CPD COURSES

108 108 OVERVIEW CONTINUED 2 GP SPECIALTY TRAINING PROGRAMME GP Trainees are recruited to a joint scheme but you will be based predominantly on one site. A comprehensive GPST3 half day release course is held on Thursdays during term time. The programme covers all areas of general practice, including CSA workshops with simulated patients and examiners. In addition to regular clinical teaching, we also cover important areas such as Life after VTS, delivered in conjunction with our recently qualified trainees. The programme is learner-led and provides ample opportunity for mutual and peer support. There is a strong emphasis on developing sound communication skills and trainees are encouraged to design and deliver sessions for ST1 & 2 trainees, preparing them for the world of lifelong learning. We run a joint GPST1/2 teaching programme for trainees on both sites. This allows us to foster bonds between the two trainee groups and gives us access to a wide range of specialist in-house and external speakers. All trainees are invited to attend these sessions, using study leave when working in hospital posts. SUMMARY Western Sussex Hospitals NHS Foundation Trust is dedicated to supporting your learning and development and can offer you: A broad range of hands-on experience Regular educational supervision and assessments A comprehensive teaching programme Great educational facilities and resources The support of a dedicated medical staffing and postgraduate education team KEY INDIVIDUALS Director of Medical Education Mr David Beattie Clinical Tutor Dr Christopher Smith Strategic Medical Education Manager Mrs Bebba Smithers Medical Education Manager Mrs Sam Vaughan GP Programme Directors Chichester Dr Jo Galbraith Dr Jo Nash Dr Jo Parsonage GP Programme Directors Worthing Dr Anand Patel Dr Bilal Ali Dr Isla Cox

109 109 ST WILFRID S HOSPICE GP Training Programme Area: Chichester ABOUT THE ST WILFRID S HOSPICE Address Grosvenor Road Chichester West Sussex, PO19 8FP Telephone Number St Wilfrid s Hospice has been in Chichester since 1987 and over the years has grown in size developing the services provided. We are now a 14 bed (with en-suites) inpatient unit with day care facilities, an education unit, a hospice at home service, and nurse specialist based in the community. We rely on the generosity and support of volunteers and donors alike with only 15% of our income coming from the NHS. The other 85% of our income is generated from fundraising and retail. St Wilfrid s has 8 shops and a donations centre in a number of towns in the local area. There are over 400 volunteers who help out by generously giving their time both in the hospice and in our shops. Our excellent members of staff behind the scenes support the wide range of services we deliver and our Board of Trustees ensure we are governed to high standards. KEY INDIVIDUALS Medical Director Dr Brendan Amesbury

110 110 Training Practices in the Brighton & Mid-Sussex GP Training Programme Area Programme Surgery Address Town Town / County Post Code Please note: Some practices details appear in more than one programme as trainers may attend different trainer groups. Brighton/Mid Sussex Ashdown Forest Health Centre Lewes Road Forest Row East Sussex RH18 5AQ Brighton/Mid Sussex Beacon Surgery Judges Close High Street East Grinstead RH19 3AA Brighton/Mid Sussex Beaconsfield Medical Practice 175 Preston Road Brighton East Sussex BN1 6AG Brighton/Mid Sussex Brighton Health & Wellbeing Centre Western Road Hove East Sussex BN3 1AE Brighton/Mid Sussex Brow Medical Centre The Brow Burgess Hill West Sussex RH15 9BS Brighton/Mid Sussex Buxted Medical Centre Framfield Road Buxted East Sussex TN22 5FD Brighton/Mid Sussex Chapel Street Surgery Newhaven East Sussex BN9 9PW Brighton/Mid Sussex Charter Medical Centre 88 Davigdor Road Hove East Sussex BN3 1RF Brighton/Mid Sussex Cuckfield Medical Centre Glebe Road Cuckfield West Sussex RH17 5BQ Brighton/Mid Sussex Hassocks Health Centre Windmill Avenue Hassocks West Sussex BN6 8LY Brighton/Mid Sussex Holbrook Surgery Bartholomew Way Horsham West Sussex RH12 5JL Brighton/Mid Sussex Hove Medical Centre West Way Hove East Sussex BN3 8LD Brighton/Mid Sussex Judges Close Surgery Judges Close High Street East Grinstead RH19 3AA Brighton/Mid Sussex Meadows Surgery Temple Grove Gatehouse Lane Burgess Hill RH15 9XN Brighton/Mid Sussex Meridian Surgery Meridian Way Peacehaven East Sussex BN10 8NF Brighton/Mid Sussex Mid Downs Medical Practice Marbles Road Newick Lewes BN8 4LR Brighton/Mid Sussex Mid Sussex Health Care Trinity Road Hurstpierpoint West Sussex BN6 9UQ Brighton/Mid Sussex Mile Oak Medical Centre Chalky Road Portslade Brighton BN41 2WF Brighton/Mid Sussex Newtons Practice The Health Centre Heath Road Haywards Heath RH16 3BB Brighton/Mid Sussex Northlands Wood Surgery 7 Walnut Park Haywards Heath West Sussex RH16 3TG Brighton/Mid Sussex Orchard Surgery Lower Tanbridge Way Horsham West Sussex RH12 1PJ Brighton/Mid Sussex Ouse Valley Practice London Road Handcross West Sussex RH17 6HB Brighton/Mid Sussex Portslade Health Centre Church Road Portslade East Sussex BN41 1LX Brighton/Mid Sussex River Lodge Surgery Malling Street Lewes East Sussex BN7 2RD Brighton/Mid Sussex Rowe Avenue Surgery 17 Rowe Avenue Peacehaven East Sussex BN10 7PE Brighton/Mid Sussex Sackville Medical Centre 20 Sackville Road Hove East Sussex BN3 3FF Brighton/Mid Sussex Ship Street Surgery Field Cottage Ship Street East Grinstead RH19 4EE Brighton/Mid Sussex St Andrew's Surgery The Old Central School Southover Road Lewes BN7 1US Brighton/Mid Sussex Stanford Medical Centre 175 Preston Road Brighton East Sussex BN1 6AG Brighton/Mid Sussex The Village Surgery Station Road Southwater Horsham RH13 9HQ Brighton/Mid Sussex Wish Park Surgery Portland Road Hove East Sussex BN3 5JA

111 111 Training Practices in the East Sussex GP Training Programme Area Programme Surgery Address Town Town / County Post Code Please note: Some practices details appear in more than one programme as trainers may attend different trainer groups. East Sussex Arlington Road Surgery 1 Arlington Road Eastbourne East Sussex BN21 1DH East Sussex Bird-In-Eye Surgery Framfield Road Uckfield TN22 5AW East Sussex Bolton House 10 Bolton Road Eastbourne East Sussex BN21 3JY East Sussex Bridgeside Surgery 1 Western road Hailsham East Sussex BN27 3DG East Sussex Carisbrooke Surgery Marlborough House Warrior Square St Leonards on Sea TN37 1EU East Sussex Churchwood Medical Practice Tilebarn Road St Leonards On Sea East Sussex TN38 9QU East Sussex Collington Surgery 23 Terminus Road Bexhill on Sea East Sussex TN39 3LR East Sussex Enys Road Surgery 5-7 Enys Road Eastbourne East Sussex BN21 2DQ East Sussex Grove Road Surgery Grove Road Eastbourne East Sussex BN21 4TX East Sussex Heathfield Surgery High Street Heathfield East Sussex TN21 8JD East Sussex Little Common - Old Town Surgery 82 Cooden Sea Road Little Common Bexhill on Sea TN39 4SP East Sussex Northiam Surgery Main Street Northiam Rye, East Sussex TN31 6ND East Sussex Old School Surgery Church Street Seaford East Sussex BN25 1HH East Sussex Park Practice Broadwater Way Eastbourne East Sussex BN22 9PQ East Sussex Pebsham Surgery 119 Seabourne Road Bexhill on Sea East Sussex TN40 2SD East Sussex Rye Medical Centre Kiln Drive Rye Foreign Rye, East Sussex TN31 7SQ East Sussex Seaford Medical Practice Dane Road Seaford East Sussex BN25 1DH East Sussex Seaside Medical Centre 18 Sheen Road Eastbourne East Sussex BN22 8DR East Sussex Sidley Medical Practice 44 Turkey Road Bexhill on Sea East Sussex TN39 5HE East Sussex Sovereign Practice 7 Wartling Road Eastbourne East Sussex BN22 7PG East Sussex Stone Cross Surgery Mimram Road Stone Cross East Sussex BN1 4QP East Sussex The Lighthouse Practice 6 College Road Eastbourne East Sussex BN21 4HY East Sussex The Lighthouse Practice 6 College Road Eastbourne East Sussex BN21 4HY

112 112 Training Practices in the Western Sussex GP Training Programme Area Programme Surgery Address Town Town / County Post Code Please note: Some practices details appear in more than one programme as trainers may attend different trainer groups. Western Sussex Arun Medical Group East Street Littlehampton West Sussex BN17 6AW Western Sussex Ball Tree Surgery Western Road North Sompting West Sussex BN15 9UX Western Sussex Bersted Green Surgery 32 Durlston Drive North Bersted Bognor Regis PO22 9TD Western Sussex Billingshurst Surgery Roman Way Billingshurst West Sussex RH14 9QZ Western Sussex Cathedral Medical Group The Medical Centre Cawley Road Chichester PO19 1XT Western Sussex Flansham Park Health Centre 109 Flansham Park Felpham Bognor Regis PO22 6DH Western Sussex Grove House Surgery 80 Pryors Lane Bognor Regis West Sussex PO21 4JB Western Sussex Harbour View Healthcare Shoreham Health Centre Pond Road Shoreham by Sea BN43 5US Western Sussex Henfield Medical Centre Deer Park Henfield West Sussex BN5 9JQ Western Sussex Kingfisher Surgery 19 Culver Road Lancing West Sussex BN15 9AX Western Sussex Langley House Surgery Langley House 27 West Street Chichester PO19 1RW Western Sussex Lime Tree Surgery Lime Tree Avenue Findon Valley Worthing BN14 0DL Western Sussex Loxwood Surgery Farm Close Loxwood West Sussex RH14 0SU Western Sussex Maywood Healthcare Centre 225 Hawthorn Road Bognor Regis West Sussex PO21 2UW Western Sussex Northbourne Medical Centre 193A Upper Shoreham Road Shoreham by Sea West Sussex BN43 6BT Western Sussex Park Surgery St Flora's Road Littlehampton West Sussex BN17 6BF Western Sussex Parklands Surgery 4 Parklands Road Chichester West Sussex PO19 3DT Western Sussex Petworth Surgery Grove Street Petworth West Sussex GU28 0LP Western Sussex Pulborough Medical Group Spiro Place Pulborough West Sussex RH20 1FG Western Sussex Riverbank Medical Centre Dodsley Lane Midhurst West Sussex GU29 9AW Western Sussex Seal Medical Group High Street Selsey West Sussex PO20 0QG Western Sussex Southbourne Surgery 337 Main Road Southbourne Emsworth, Hants PO10 8JH Western Sussex St Lawrence Surgery 79 St Lawrence Avenue Worthing West Sussex BN14 7JL Western Sussex Strand Medical Group 2-6 The Strand Goring-by-Sea Worthing BN12 6DN Western Sussex The Manor Practice 20 Southwick Street Southwick West Sussex BN42 4TA Western Sussex West Meads Surgery 6 The Precinct Bognor Regis West Sussex PO21 5SB Western Sussex Westcourt Medical Centre 12 The Street Rustington Littlehampton BN16 3NX Western Sussex Willow Green Surgery Station Road East Preston Littlehampton BN16 3AH Western Sussex Witterings Health Centre Cakeham Road East Wittering Chichester PO20 8BH

113 113 GP TRAINING POSTS AVAILABLE AUGUST 2016 The following table gives the indicative number of individual 3 year GP Specialty training programmes, starting at ST1, available from August 2016, broken down by GP Training Programme area. IMPORTANT - These are indicative numbers and are subject to change. Training Programme Post Numbers for Global Health August 2017 Fellowships Total Brighton & Mid-Sussex Chertsey Dartford East Kent East Surrey (CRESH) East Sussex (Eastbourne & Hastings) Epsom Frimley Guildford Maidstone & Tunbridge Wells Medway Western Sussex (Chichester & Worthing) Total The HEEKSS GP School Dean Team would like to thank the members of the school, both Educators and GPStRs who supplied some of the photographs used to illustrate this prospectus.

114 114 HEEKSS POST-CERTIFICATION GP SCHOOL GP Training is very well supported by the GP Specialty School within HEEKSS but learning and professional development do not cease with the celebration of the arrival of one s Certificate of Completion of Training. HEEKSS has always promoted good quality CPD (Continuing Professional Development) for GPs in Kent, Surrey and Sussex, and the arrival of Revalidation and Clinical Commissioning has made us even more aware of the need to support all GPs with lifelong learning and help them meet the requirements of the NHS annual appraisal system. The Post-Certification GP School works in collaboration with NHS England South (South-East) to ensure GPs are prepared for Revalidation and receive the support they need for high quality professional development. We aim to help GPs manage the transition from well-supported trainee to independent practitioner and self-directed learner! The Post-Certification School is increasingly expanding its role to support other workers within primary care. GPs are primary care team members and their development should be fully integrated with the developmental needs of the whole team, individually and collectively. General Practice Tutors therefore increasingly coordinate learning opportunities for nurses, managers and other healthcare support workers, often ensuring these learning programmes respond to developments within local Commissioning Groups. Community Education Provider Networks have been introduced through a collaborative arrangement between HEEKSS, CCGs and local Universities to increase nurse training within general practice and these CEPNs will develop opportunities for both student nurses and postgraduate nurses to learn and develop their skills within the primary care environment. Primary Care Workforce Tutors will coordinate these placements within each CEPN. THE POST-CERTIFICATION GP SCHOOL PROVIDES THE FOLLOWING SERVICES WITHIN ITS SUPPORT PROGRAMME FOR APPRAISAL, REVALIDATION AND COMMISSIONING (SPARC) Appraisal Support Programme: Working in partnership with the Area Teams, the School delivers Appraiser Development Centre Leadership Days which provide training and updating for new and existing appraisers and Area Team personnel, ensuring they work to the quality standards required for Appraisal and Revalidation. Support for appraisers: In addition to the Appraiser Development Centres the School trains Senior Appraisers to support their colleagues. General Practice Tutors also facilitate protected learning time for GPs and practice staff, working with local Clinical Commissioning Groups, and will ensure GPs in their area are fully informed about the Revalidation process. They act as a focus for educational activity and support in their localities, including support for local commissioning initiatives. The School also recognises the developmental needs of GPs and others engaging with Clinical Commissioning and has produced a number of learning and support systems to help GPs understand commissioning and contribute to the work of their Clinical Commissioning Groups (CCGs). OTHER SUPPORT SERVICES AVAILABLE THROUGH THE SCHOOL The School also collaborates with Area Team on the development of local support and performance improvement training for GPs identified through appraisal or other performance review mechanisms as needing local remediation or rehabilitation. This includes HEEKSS support for the National Induction and Refresher Training Scheme, which enables GPs to return to work after a career break and also helps GPs from overseas become familiar with NHS standards and working practices. The School is also responsible for the organisation and development of the HEEKSS Mentoring Scheme and Career Support Programme which offers additional support for GPs through a one to one, confidential relationship with a respected GP peer. This service is available to all GPs in HEEKSS and can help with career planning and personal development as well as supporting GPs with individual or practice-based concerns and is particularly helpful for new GP s starting out in practice after completing their training. The School supports the GP Retainer Programme, a scheme whereby GPs can work part-time in a practice, perhaps whilst raising a young family or when committed to other responsibilities, in an approved practice with good educational support, and so avoiding a break in that doctor s career. The Post-Certification GP School also responds to the needs of GPs who may have been identified as causing concerns and can coordinate local remediation work for such individuals.

115 115 CONTINUING PROFESSIONAL DEVELOPMENT SUPPORTING SESSIONAL DOCTORS APPRAISALS CPD is a continuing learning process that supports GPs to stay up to date and maintain and improve their standards across all areas of their practice and at all times of their career development. CPD encourages and supports specific changes in the quality and delivery of a doctor s practice from professional, patient and service requirement perspectives. CPD includes any educational or professional activity directed towards developing the knowledge, skills, attitudes and personal effectiveness necessary to improve practice. Professional expertise demands a continuing awareness of new concepts, values and technologies. It is important for doctors to update themselves not only on the evidence base, but also on opinion and consensus. Equally they must be aware of local needs. The ultimate aim of CPD is to support doctors to improve the care they provide to patients through their own personal development. The HEEKSS CPD strategy will adhere to the ten principles of good practice in CPD evolved by the Academy of Medical Royal Colleges (AMRC) and RCGP CPD Strategy. Helping to ensure Sessional Doctors (SDs) are not forgotten we have a network of 26 SD groups supported and funded by HEEKSS. These groups are locally run by sessional doctors for sessional doctors and are selfdirected groups. We are always keen to help new groups start up. These groups are supported locally by the General Practice Tutors. We also run 2 workshops a year to help the group leads and group members develop their skills and knowledge further. The HEEKSS Sessional Doctor webpage also has useful CPD information. SUPPORTING NEW GPS AND NEW PRACTICE NURSES There are two Primary Care Transition Support Groups in each county which bring together GPs and Practice Nurses who have recently completed their training. The groups provide mutual support and CPD for members for their first two years in role. GP trainees undergo annual appraisal and in their last year their educational supervisor ensures they experience the NHS appraisal process that they will experience every year thereafter. For new GPs the NHS appraisal process is the first educational initiative following the completion of their e- portfolios. HEEKSS supports the Area Teams in the development of the appraisal process. Working with NHSES South-East, the Post-Certification GP School tries to ensure that every GP in Kent, Surrey and Sussex has a productive and appropriate annual NHS appraisal that looks at the needs of patients, the needs of the individual GP, the needs of the practice, and the needs of their locality. It also supports individual GPs and Practices in enhancing care through developing and achieving their learning plans. Development as a GP in the year immediately after certification is likely to be focused on needs driven by patient care, personal enthusiasm and service imperatives, the five P paradigm: Personal wants or needs driving learning Patient need driving learning Practice need driving learning Population need (the local CCG population s needs) Political need (the need for quality and innovation within the NHS)

116 116 GENERAL PRACTICE TUTORS Following completion of training you lose the services of your educational supervisor and your local programme directors; you become an independent self-directing learner. This is quite a jump for most doctors but your local General Practice Tutor can help this transition by providing advice and by sign-posting learning resources for you. General Practice Tutors are important members of the Post-Certification GP School workforce and facilitate the Continuing Professional Development (CPD) of all GPs working in their area. They work to facilitate appropriate learning activity that answers the needs of the local GPs as identified by the appraisal process and by the collation of clinical governance data. They are developing relationships with local Clinical Commissioning Groups, helping them identify the professional learning needs generated by new services arising in their localities and responding to those needs appropriately. In many areas these needs are being answered by events supported by CCG s through Protected Learning Time arrangements, either as local educational meetings or as multi-professional learning events in individual practices. General Practice Tutors also have a vital role in preparing GPs for Revalidation. They usually act as leaders of their local Appraiser Learning Sets and also help raise awareness of the requirements for revalidation amongst the local GP workforce. They act as local resource directories for individual GPs looking for primary care knowledge and skills training and work closely with the staff in local Postgraduate Medical Education Centres. ABOUT US You can find a lot more information about the Post-Certification School and its activities through the HEEKSS website by looking at the CPD section It provides more information on Revalidation and Appraisal and has a number of useful downloads and web-links. The work of the Post-Certification School is often collaborative and we maintain strong links with our Area Teams, Local Medical Committees, Postgraduate Education Centres and Royal College Faculties. Helping us achieve our lifelong learning objectives are 22 GP Tutors, 3 County Associate Deans and 43 Mentors together with almost 200 GP Appraisers and 26 Sessional Doctor Groups spread across the HEEKSS area. Their work on behalf of the School is coordinated by a central team: Dr Hilary Diack Head of Primary and Community Care Education Dr Mohan Kanagasundaram Associate GP Dean and Lead on Simulation Sandra Forster Primary Care Business Manager Steve Scudder Lifelong Learning Advisor Dawn O'Grady CPD Manager Clare Donnelly CPD Administrator

117 117 DEPARTMENT OF POSTGRADUATE GP EDUCATION ADMINISTRATION TEAM PROVIDING SUPPORT FOR THE POST CERTIFICATION GP SCHOOL The Post-Certification GP School has three Associate Deans for Commissioning. Tony Jones, Hamish Whittaker and Lisa Argent have taken on this role for Kent, Surrey and Sussex respectively. All three are very experienced General Practice Tutors working within those counties and have a great understanding of the need to promote commissioning awareness within continuing professional development (CPD) for GPs and amongst trainees and supervisors. The Associate Deans support other General Practice Tutors in their counties as they network with clinical commissioning groups (CCGs) ensuring educational provision and CPD for GPs reflects the commissioning priorities in their localities. They also help General Practice Tutors provide leadership for GP Appraisers in their areas, again ensuring that appraisal discussions and outcomes reflect local commissioning priorities as well as meeting the national revalidation requirements. The Associate Deans also help Educational and Clinical Supervisors as they encourage doctors in training to recognise learning opportunities relevant to commissioning and understand how this new learning may be assessed. DAWN O'GRADY CPD Manager Dawn works closely with the Head of Primary and Community Care Education, Primary Care Business Manager and HEEKSS Leadership Collaborative on the Primary Care Workforce Planning & Development strategy. Supports the Head of Post-Certification GP School and Lifelong Learning Advisor, primary contact is with GP s in Kent, Surrey and Sussex, responsible for planning, organising and managing CPD training events: Appraiser Development Centres (Leadership Days & Learning Sets) Budgets: monitoring CPD Events & Primary Care Development Collaborative Commissioning Conferences General Practice Tutors Mentoring Scheme RCGP Revalidation Support Sessional GP s Service Level Agreements with Area Teams & CCGs Simulations & Simulators Dawn can be ed at: dogrady@kss.hee.nhs.uk These are innovative posts and reflect HEEKSS commitment to lifelong learning and the recognition that doctors need educational support throughout their working life: professional development does not finish with the certificate of completion of training!

118 118 SANDRA FORSTER Primary Care Business Manager Sandra s role includes: Providing leadership of the GP department ensuring the planning and implementation of the business plan, policy and strategic objectives including improving and developing systems Providing leadership to the management of recruitment of GP Specialty trainees and their ARCP and revalidation Financial management of the GP departmental budget Responsibility for GP data and information management Providing leadership on the administrative processes for the Post Certification GP School processes Participates in the Senior Management Forum to support HEEKSS wide business and operational issues Whilst the other members of the team will help you with your day to day issues, you may contact Sandra if you are looking for further clarification on HEEKSS processes. Sandra can be contacted by at sforster@kss.hee.nhs.uk or telephone MR STEPHEN SCUDDER Lifelong Learning Adviser Responsible for the continued implementation of the Primary Care strategy, supporting the Patch and specialist project Associate Deans. Steve works with both the HEEKSS Pre CCT School and Post CCT (CPD) Schools supporting and promoting the concept of lifelong learning and development of opportunity for learning for all staff within primary care. For the Pre CCT School side, Steve is responsible for management and coordination of the Primary Care Educators pathway for GPs wanting to become Medical Educators, Foundation Supervisors and GP Trainers. He carries out initial practice accreditation visits and revisits to all nontraining practices as part of the HEEKSS quality assure process for both new practices and new educators. For the Post CCT School Steve works closely with the Head of the School dealing with all aspects of CPD support for post qualified GPs. This includes Appraisal & Revalidation training and awareness of Commissioning programmes, the HEEKSS mentoring programme and the Induction & Refresher (I&R) programme. With specific responsibility for supporting the 28 Sessional Doctor groups across HEEKSS, the 6 new Primary Care Transition Support Groups (PCTSG), and the 24 General Practice Tutors who are aligned to the CCGs and the newly appointed Primary Care Workforce Tutors (PCWTs) across the three counties of Kent, Surrey and Sussex. sscudder@kss.hee.nhs.uk DR NATHAN NATHAN Associate Dean HEEKSS GP School Nathan s role includes: Organising training programmes for General Practitioners referred to the Deanery for development of performance where concerns have been identified Responsible for facilitating practitioners to meet their action plans recommended by GMC/NCAS or PCT following assessment of their performance Supporting PCT s in managing concerns relating to Practitioner performance by working with PAG Groups CLARE DONNELLY CPD Administrator Working with the CPD Manager to support the Head of Post-Certification GP School and Lifelong Learning Advisor, primary contact is with Simulators, Programme Directors and Post- Certification GP's in Kent, Surrey and Sussex, responsible for the administration of CPD events i.e.: - Appraiser Development Centres Leadership Days and Learning Sets Clinical Skills Assessment (CSA) Workshops Mentoring Scheme allocations/invoice processing/annual declaration monitoring/pdp monitoring Simulations bookings/allocations/invoice processing Induction and refresher scheme applications For any queries, please cpd@kss.hee.nhs.uk