MINUTES. Rosie Baillie (RB), Duncan Henderson (DH), Arlene Hurst (AH), Ronald McVicar (RM), Justine Menzies (JM), Eileen Peebles (EP)
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1 NES Medical Quality Management Group Date: Thursday 29 November 2012 Time: 2 pm 4 pm Venue: Calman Room, 2CQ, Glasgow MINUTES Attendees: VC Links: Rowan Parks (RP) [chair], Angela Gregg (AG), David Reid (DR), Rosie Baillie (RB), Duncan Henderson (DH), Arlene Hurst (AH), Ronald McVicar (RM), Justine Menzies (JM), Eileen Peebles (EP) In attendance: Steven Irvine (SBI) [minutes] Apologies: Item Fiona Anderson, Gordon Birnie, Mark Bransby Zachary, Richard Buckley, Simon Edgar, Adam Hill, Clare McKenzie, Harry Peat, Brian Robson, Hazel Scott, Kim Walker Action 1 Welcome RP welcomed participants to the meeting and noted apologies as above. 2 Minutes of Previous Meeting 3 October 2012 The minutes were accepted as an accurate record of the discussion. Item 5.3: The GMC reports on small specialties are at a final draft stage. Action: RM to be advised when these reports are published. KW/AG Item 8: Action: AH will contact KW regarding the map of Trauma and Orthopaedics for the Foundation Board. 3 Consideration of Matters Under Any Other Business AH asked to raise TPD appraisal document. RP will raise recognition of trainers. 4 October 2012 Deanery Reports RP advised that the reports had been submitted to the GMC and that NES was waiting for feedback. The next DR was due to be submitted in spring of AH/KW
2 5 National 5.1 GMC Reviewing the shape of training: call for evidence RP advised that the Greenaway review had got underway during the summer and would be staging some events (in London, Manchester, Edinburgh and Belfast) to engage with stakeholders. There is an opportunity to provide evidence on the website: The report is due to be published next summer. RM advised that the review team would also be visiting Elgin; Dr Gray s Hospital and a local practice. 5.2 GMC Programme Approvals RP reported that Vascular Surgery would be a national programme hosted by SES Deanery with Douglas Orr as TPD. Action: RP will enquire about how the other new specialties are being taken forward. RP 5.3 NES Trainer Survey 2012 RP reported that the Trainer Survey report followed the same format as the GMC report from last year and thanked JM and SBI for drafting it. There were over 2000 responses, giving an increased response rate of 58%. JM stated there was a limit to the level of detail in the report but could dig deeper if requested. RM thought it would be useful to cut the data by specialty eg GP and by deanery. Action: JM and RM to discuss producing more detailed reports. JM/RM RM stated that for GPs the question is their department/employing organisation supportive of training was not meaningful as they are self employed. JM advised that a generic single survey had been produced due to resourcing but because of the issues raised and the importance of the correct wording there would be three separate survey groups in future: Consultants, GPs and Pharmacists. RP asked for comments on the draft report by 14 December and was aiming to send out a final version before Christmas. JM reported that the GMC was redeveloping the trainer survey and would pilot it during the autumn of JM advised that RAG reports based on the 2012 Scottish trainer survey would be produced and distributed shortly. 5.4 PAQ 2012 JM reported that the PAQ had been sent out to all trainees except GPSTs in Practice. So far there had been over 1000 responses (22% response rate). JM asked that members encourage their trainees to complete the survey.
3 Action: JM asked the to check if there are more up to date details for foundation trainees with academic addresses. 6 Regional 6.1 Visits Tracker The updated visits were noted. 6.2 Visit Reports EoS Glasgow Royal Infirmary, Plastic Surgery RB reported this was a revisit, the actions from the previous visit had been taken on board but not all had been implemented. A new team based system for allocating trainees to Clin Sups had been implemented. There are still some ongoing problems and this site will continue to be monitored. The importance of externality was noted, and in addition Simon Ward being part of the ARCP panel. There were challenges to delivering the National/Regional teaching programme, for example last minute changes to rotas and the difficulty in applying for study leave. RB stated that progress reports will be received from the unit in relation to the visit actions which included a 6 month audit of trainee activity. Depending on these reports and results a further revisit may be conducted EoS Ninewells, Acute Medicine RB stated there were problems with the rotation of junior staff in acute medicine EoS Ninewells, Geriatric Medicine EoS Royal Victoria Hospital, Geriatric Medicine RB reported these two visits were triggered by red flags in the NTS. There were problems with staffing levels and better locum cover was recommended. The situation will be monitored in the results of the PAQ. The visit had been organised quickly so there was not time to get externality NoS Dr Gray s Hospital AH reported that this was a triggered visit of the whole site. Issues were identified in O&G and the deanery is working with the unit to address these. O&G with Paediatrics will be reviewed in 6 months NoS Raigmore Hospital, Obstetrics & Gynaecology AH stated that this was a positive visit and there were only a few minor changes required. 6.3 GP Trainer/ Training Practice Quality Management RM informed the group that these meetings are usually held twice a year.
4 6.4 TPD/LEP/FPD Reports summary RP advised the TPD reports were used to help complete the DR. The SES reports had not been uploaded centrally due to HP being off sick. JM stated this was the first time these reports had been recorded centrally. The reported that the quality of these reports was higher than previously, this may be due to the revised shorter template. AH reminded the group that NoS had trialled a process of attaching the TPD appraisal form to the end of the report. Action: The to discuss the process for TPD appraisal at their meeting. Action: to track when TPD appraisals happen and when TPD reports are submitted. To be reviewed at MQMG once a year. JM asked that add in the date when the report is submitted if it is missing. RP suggested RAG rating the submission of the reports, green if submitted on time, amber if submitted late and red if report not submitted. The will chase up and upload the missing TPD/LEP and FPD reports. RP will raise the tracker with DMEs. 7 The provision and use of TQL money to NHS Boards RP thought it was important to show how the money given to the boards was used and that it may be useful to evaluate the outcomes. Action: DH to chase up the response from Borders on TQL funding. DH JM suggested sending a letter with feedback to the boards and to pick a few to ask for additional information. Action: Use of TQL funding to be put on the agenda for the next meeting. SBI 8 Any Other Business TPD appraisal had been covered earlier and would be raised at the QIM meeting. RP reported that HS is leading the working group on recognition of trainers. The timeline is to be submitted to the GMC by the end of December. Any feedback on this process is to be sent directly to HS. 9 Date of Next Meeting Wednesday 13 February pm 4 pm Room 8, Westport, Edinburgh
5 Summary of actions Action: RM to be advised when these reports are published. KW/AG Action: AH will contact KW regarding the map of Trauma and Orthopaedics for the Foundation Board. AH/KW Action: RP will enquire about how the other new specialties are being taken forward. Action: JM and RM to discuss producing more detailed reports. RP JM/RM Action: JM asked the to check if there are more up to date details for foundation trainees with academic addresses. Action: The to discuss the process for TPD appraisal at their meeting. Action: to track when TPD appraisals happen and when TPD reports are submitted. To be reviewed at MQMG once a year. Action: DH to chase up the response from Borders on TQL funding. Action: Use of TQL funding to be put on the agenda for the next meeting. DH SBI
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