FOUNDATION PROGRAMME at Lancashire Teaching Hospitals

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Barnard Foster
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1 FOUNDATION PROGRAMME at Lancashire Teaching Hospitals Thank you for your interest in the Foundation Programme at Lancashire Teaching Hospitals NHS Trust. Why choose LTHTr for foundation training? The tracks There are currently 18 different foundation tracks at LTHTr accommodating 54 F1s and 54 F2s. Please take a look at these and you will see the variety of placements available for you. Each track has been specifically constructed to give you a breadth of experience and also the opportunity for more in-depth learning. There is a specific academic track available for 3 doctors each year. Research experience is offered in gynaecology, respiratory medicine and medical education. If you are interested in research but are not on this track, then we can put you in touch with the appropriate consultants who can help you. Opportunities also arise to complete formal Leadership and Management training, in association with Lancaster University, for a number of trainees- although this is subject to change. Supervision During each placement you have a clinical supervisor who will work with you to offer guidance, feedback, teaching and training in order for you not only to achieve the goals set within the foundation programme curriculum but also any further personal targets. An educational supervisor will also work with you over the 2 year programme. Their role is to appraise you and guide you through your professional development. Educational Supervisor F1 F2 Clinical Supervisor Clinical Supervisor Clinical Supervisor Clinical Supervisor Clinical Supervisor Clinical Supervisor Rotation 1 Rotation 2 Rotation 3 Rotation 1 Rotation 2 Rotation 3 The foundation team Although we have a large split-site set up at LTHTr and there are many trainees, the foundation team are accessible and friendly. The team comprises of a co-ordinator, an administrator, a director and 2 associate directors. Any problems you may experience, be them administrative or otherwise, will be dealt with promptly and effectively- we will always keep you in the loop. The co-ordinator and administrator for foundation are available to help you in person or over the phone every day of the week. The directors of the foundation programme will get to know you personally over the 2 year period not only during the thrice yearly one-to-one meetings you will have with them but also during your dedicated teaching time or at meetings that you can initiate yourself. The directors will want to know all about how your training is going and whether there are any issues that need addressing. They are able to give you feedback on reports from your clinical and educational supervisors and guide you on any issues raised. They will be able to give careers advice and pastoral care if needed. They are interested in your achievements not only within the profession but external to it as well.

Dr L Solomon, Director of Postgraduate Medical Education. Hello, I am Dr Laurie Solomon. I am a Consultant Nephrologist and Director of Postgraduate education.

This includes ensuring that your Consultants are familiar with your educational needs and their duties as Clinical and Educational Supervisors.

I can be contacted via the Department of Postgraduate Education in the Education Centre at Royal Preston Hospital. I hope you enjoy your time in Preston or Chorley.

2 Dr L Solomon, Director of Postgraduate Medical Education. Hello, I am Dr Laurie Solomon. I am a Consultant Nephrologist and Director of Postgraduate education. This means that I have a responsibility to ensure that your training meets the standards set by the GMC and is of high quality. This includes ensuring that your Consultants are familiar with your educational needs and their duties as Clinical and Educational Supervisors. I am available if you have any concerns and worries about your training or suggestions for improvement. I can be contacted via the Department of Postgraduate Education in the Education Centre at Royal Preston Hospital. I hope you enjoy your time in Preston or Chorley. The Hospitals offer excellent experience. Dr Andrew Haughton Foundation Programme Director I am a full time consultant at LTHTR, working in the Anaesthetic department, spending half my time in theatre and half in Intensive Care, on both sites. I also work as part of a friendly and approachable team who organise the quality- assured education programme for foundation year 1 and 2 doctors. As stated above, there is a formal programme of teaching based in the education centres - weekly for FY1s and fortnightly for FY2s. However, most learning occurs in clinical areas and we aim to promote an effective work-based learning environment. Our team works closely with the clinical and educational supervisors of our foundation doctors. In addition to regular meetings with their supervisors, we meet our trainees individually for personal interviews. We review portfolios, identify areas of educational/ professional excellence or concern, give careers advice and offer pastoral care. Dr Ajay Dhaygude Associate Foundation Programme Director I work as a full time Renal Physician and training lead for Renal Medicine and am also part of a very friendly Foundation Programme team at LTHTR. The Foundation team organises a structured educational programme, mapped to the curriculum for both FY1 and FY2 Doctors. We closely monitor the quality of

3 educational sessions based on the feedback. I also meet Foundation Doctors for 1:1 reviews typically 2-3 times per year. These meetings are rather informal but cover all aspects of training, including progress of FY Doctors, career advice, pastoral care and any other issues which may affect successful completion of the Foundation Programme. Feedback is also given to their Educational Supervisors. I also visit General Practitioners on a regular basis to assure the quality of training delivered in the primary care set up. We continually seek feedback from trainees on the Clinical placements, to try and achieve the excellence we aspire to. Dr Fiona Crosfill Associate Foundation Programme Director I am one of the foundation team s Associate programme directors. I have been a consultant obstetrician at the Royal Preston Hospital for 5 years and have worked in Preston for 20 years on and off. I have a longstanding interest in medical education and for the last few years have had a lead role with the medical students before moving on recently to foundation years. Lancashire Teaching Hospitals trust offers a wide range of programmes and provides a friendly and supportive environment in which to work. Also, the North West of England offers an excellent quality of life whether your interests are outdoor (like mine), or more cosmopolitan. The team at LTHTR already has a good reputation for training, education and support during the first two years of the medical career and most of our trainees leave us for their first choice of future career. I am looking forward to playing my part in making the foundation programme even more effective.

Nicky Henderson Foundation Programme Coordinator I am the Foundation Programme Coordinator. I ve worked in the department since July 2006 and deal with all things Foundation!

4 Nicky Henderson Foundation Programme Coordinator I am the Foundation Programme Coordinator. I ve worked in the department since July 2006 and deal with all things Foundation! This includes: Overseeing the Organisation of the Foundation Teaching Programme for FY1 and FY2 Doctors. Dealing with Foundation Programme track organisation. Participate in organising of Foundation events including Foundation Fair/Induction/Shadowing Diary Management of the Foundation Director and Associate team. Online learning portfolio (Horus) /Moodle administration As well as offering general team support and a whole lot more Should you require any further information or for an informal discussion about Foundation at this Trust, please see contact details below: Maggie.wilson@lthtr.nhs.uk Postgraduate Education Manager Nicky.Henderson@lthtr.nhs.uk Foundation Programme Coordinator Thomas.Coulton@lthtr.nhs.uk Foundation Team Administrator Dedicated teaching programme The teaching programme for F1s takes place for half a day every Thursday and for the F2s, all day alternate Tuesdays. A wide range of topics is covered in a variety of set-ups- lectures, discursive groups, IT sessions and practical skills sessions using top of the range simulation models. Teaching is compulsory for all those not on leave, on-call or working nights and it is bleep-free protected time. This is also the time for you to catch up with your friends and peers! Many departments also offer their own teaching at different times in the week to which F1s and /or F2s can attend on a rota basis. Contributing speakers are consultants from throughout the Trust and local health economy with a vast experience and knowledge of not only their field but sharing their expertise in a teaching environment. Many of our speakers have attended courses on Problem Based Learning and group work forms an important part of the teaching programme. Simulation The simulation unit offers a state of the art training facility available for use by undergraduate and postgraduate training as well as multi-disciplinary training for nursing and allied health professionals. The unit is at the cutting edge of simulation development in the UK. Computer controlled patient simulators are going mobile for the first time to train doctors and nurses and other healthcare professionals across the UK in life saving techniques. The state-of-the-art Simulation Centre at Royal Preston Hospital, part of Lancashire Teaching Hospitals NHS Foundation Trust, has bought a new 18,000 wireless human patient simulator, called METIMan. The simulator will form part of The Sims family of mannequins used to practice key clinical skills, which all breathe and talk and come equipped with realistically articulated bones and blood. The new kit is also totally wireless, featuring long lasting batteries, a separate control unit, compressor to accurately simulate breathing and Wi-Fi connectivity

Study leave Study leave is available in the F2 year and you are encouraged to take it all in order to support your training within the

Although not available in the F1 yeartime can still be taken to attend careers taster days and if you have permission from your supervisor,

Awards Every year trainees are nominated for the titles of Foundation Doctor of the Year and Best Portfolio.

5 Study leave Study leave is available in the F2 year and you are encouraged to take it all in order to support your training within the foundation curriculum. Although not available in the F1 yeartime can still be taken to attend careers taster days and if you have permission from your supervisor, time can be taken to attend in-house teacher-training for medical students in communication skills or PBL. Awards Every year trainees are nominated for the titles of Foundation Doctor of the Year and Best Portfolio. Competition for this is fierce and the rewards well worth while! Although only 4 trainees can win, we appreciate all the hard work that both F1s and F2s deliver to the Trust and to the foundation programme itself this is reflected in the references trainees receive and their success in attaining further jobs in the future.

6 Where are we? The Trust Lancashire Teaching Hospitals NHS Foundation Trust was established on 1 April 2005, as a public benefit corporation authorised under the Health and Social Care (Community Health and Standards) Act It is registered with the Care Quality Commission without conditions, and provides the following regulated activities: Assessment or medical treatment for persons detained under the Mental Health Act 1983 Diagnostic and screening procedures Maternity and midwifery services Surgical procedures Termination of pregnancies Treatment of disease, disorder or injury The Trust serves a local population of 390,000, and provides a number of specialised services to around 1.5 million of people across Lancashire and South Cumbria. Most of the clinical services are provided at the two hospital sites: Chorley and South Ribble Hospital and Royal Preston Hospital. There is also a Neuro-Rehabilitation Unit at the site of the former Sharoe Green Hospital in Preston, and the Broadoaks Child Development Centre in Leyland.

7 General hospital services are provided as follows: 24-hour emergency department facilities Intensive, high dependency and coronary care units General medicine, including elderly care General surgery and urology Child health Ear, nose and throat surgery Orthopaedics Maternity services Gynaecology Anaesthetics Oral and maxillo-facial surgery Ophthalmology Support services for diagnosis and treatment such as pathology, x-ray, physiotherapy, occupational therapy and specialist nurses Rehabilitation services People in Lancashire and South Cumbria also access the following specialist services: Neurosurgery and neurology Oncology (radiotherapy and chemotherapy) and complex cancer surgery Renal Burns and plastic surgery Specialist mobility rehabilitation services Trauma Centre As a teaching hospital, the Trust plays a key role in supporting clinical education and research. There is an established medical education programme, and our hospitals contribute to the delivery of the curriculum for medical students, foundation trainees, and post graduates. The Trust also provides work-based experience to support the training of nurses, allied healthcare professionals and healthcare workers. The Trust also has a very active research programme, and both the activity level and the allocated funding from the Department of Health have continued to rise. Achievement is evidenced not only by the large number of articles and research reports for publication being accepted in peer review journals, but also by the continued success in attracting external research funding. The Trust employs over 7,000 staff, and is one of the largest NHS providers in the region.

8 Vision and Mission The Trust s vision is encompassed in the statement dedicated to getting it right first time. To achieve this, the Trust aims to deliver the right care with the right staff in the right way. This approach, covering how staff behave towards each other, the patients and their families, and the partners we work with, is governed by the set of five organisational values: Caring and compassionate Recognising individuality Seeking to involve Building team spirit Taking personal responsibility There are also the eight corporate aims which provide a framework for assuring service delivery. They are: Patient Experience Quality health care will be delivered and developed in partnership with patients and their carers, respecting their diverse needs, preferences and choices. Safety Patient and staff safety will be enhanced by systems, processes and practices that prevent or reduce the risk of harm to patients and promote a culture that learns and shares lessons when things go wrong. Environment Health care will be provided in an environment that promotes patient and staff comfort, well being, privacy and safety. Workforce Care will be provided by a competent, capable, flexible, efficient and affordable workforce that is able to adapt to the changing context of healthcare and customer expectation. Partnership The profile of the Trust as a provider of choice will be promoted through the development of strategic networks, planning and health promoting partnerships that support and consolidate delivery of existing services and identify new opportunities. Governance Leadership and management accountability arrangements will provide a comprehensive overview and assurance of business systems ensuring compliance with Foundation Trust Terms of Authorisation. Finance Financial stability will be achieved through robust financial management and strategic planning programmes. Efficiency Patient outcomes will be optimised through the provision of accessible, efficient, effective services that are based upon reliable evidence.

9 Postgraduate Education Objectives Promoting patient safety through comprehensive competency assessments, induction and training for all Foundation and Specialty Trainee doctors. Implementing and maintaining Quality Assurance systems to monitor the quality of teaching programmes, placements and educational & clinical supervision. Sharing ideas of good practice and identifying activities to support continuous improvement as appropriate. Providing a holistic service for all junior doctors through ongoing support, careers guidance and pastoral care. Ensuring training is broad based and balanced through regular post review and feedback. Supporting and educating Clinical Trainers in providing effective support and supervision through structured educational supervision training.

Famous people and facts about Preston and Chorley Famous people from Preston: Kenny Baker- R2D2 in Starwars

Creator of Wallace and Gromit and Chicken Run Peter Purves- Blue Peter Presenter John Thomson- Comedic actor

Ken Morley- Coronation Street actor Kevin Simm- singer from Liberty X Starsailor Interesting Preston facts:

Her name was Lily Maxwell and her name was added to the electoral roll by accident.

10 Famous people and facts about Preston and Chorley Famous people from Preston: Kenny Baker- R2D2 in Starwars David Chambers- Drummer from the band Cornershop Tupele Gorden- Actress in Coronation Street Nick Park- Creator of Wallace and Gromit and Chicken Run Peter Purves- Blue Peter Presenter John Thomson- Comedic actor from the fastshow Famous people from Chorley: Joseph Gilgun- Actor from Emmerdale Paul McKenna- Footballer Ken Morley- Coronation Street actor Kevin Simm- singer from Liberty X Starsailor Interesting Preston facts: Preston was the first town in the UK lit by gas (1815) First woman to vote in England came from Preston. Her name was Lily Maxwell and her name was added to the electoral roll by accident. (1867) The first KFC in the UK was opened in Preston in 1965 The row of traditional red phone boxes on Market Street is the longest in the country. The parents of Butch Cassidy the legendary American outlaw came from Preston. Interesting Chorley Facts: The founder of the Tate Gallery- Sir Henry Tate was from Chorley Chorley cakes are the town s most famous export!

11 Education Centre The Trust has three state-of-the-art Education Centres at Chorley and South Ribble Hospital and Royal Preston Hospital. The flagship training venues feature large lecture halls and houses hi-tech monitors, lighting and sound technology for presentations. They also have modern, comfortable teaching and meeting rooms plus a comprehensive library with computer work stations. The education centres are also used by the Trust s medical students as well as doctors, nurses and support staff. Other healthcare professionals such as GPs, practice nurses and dentists also use the training facilities. Main Hospital (A&E)

Trough of Bowland One of Lancashire s best hidden secrets it is often bypassed for more popular areas such as the Lake District.

12 The Emergency Department at Lancashire Teaching Hospitals NHS Foundation Trust has been named one of best places for medical students to learn the skills needed to be a doctor. Trough of Bowland One of Lancashire s best hidden secrets it is often bypassed for more popular areas such as the Lake District. It is classed as an outstanding area of natural beauty and a favourite for walkers and cyclists. The trough itself is a valley and a high pass within the Forest of Bowland. The pass is 295 feet above sea level.

STATEMENT OF PURPOSE August Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008)

STATEMENT OF PURPOSE August Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008) 1. Trust Profile STATEMENT OF PURPOSE August 2015 Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008) 1.1 Worcestershire Acute Hospitals NHS Trust was formed on 1