CESR Project 2018 East Kent Hospitals University NHS

CESR Project 2018 East Kent Hospitals University NHS Foundation Trust Adrian Simoes – SAS Tutor Lara Pimblett – Operations Support Manager

What is the CESR pilot project • It is a pilot scheme to support the training and development of 12 SAS doctors to progress their development and career via the GMC Certificate of Eligibility for Specialist Registration (CESR) route. • The Trust recognised that SAS doctors were the least engaged group. As an action to address these poor results, the Trust engaged with the BMA to develop a strategy to improve their engagement. This initiative was discussed as part of a range of measures the Trust would be considering in line with the workforce strategy for this group of doctors.

The rationale • To aid with recruitment into ‘hard to fill’ specialties • To aid with retention of specialtydoctors • To keep in line with the Trust Strategy of Patients, People, Partnerships and Provision • To acknowledge that SAS Doctors FEEL that they are undervalued, lack career progression opportunities and as a result experience low morale.

Strategic fit • The commencement of the project has a strategic fit – • National – A charter for staff and associate specialist and specialty doctors • Regional – Workforce Development Strategy • Local – The Trusts People Strategy

Choosing the Doctors • Eligibility criteria & selection - example: college exam success, evidence in portfolio, support from college tutor/consultants, CV, CPD…. . • Application form was developed to be completed by the doctor and endorsed by two consultants

Educational Governance Framework • All Doctors to have a named Educational Supervisor • SAS Faculty to help monitor progression; mirroring the trainee pathway • Local ARCP review • Faculty members will include: Educational Supervisors, College Tutors, SAS Tutor, DME, SAS Administrator with possible external independent expertise from the Colleges and the participating SAS Doctors • Reports submitted to the Local Academic Board in line with the annual calendar, Divisions, HEKSS

Funding for the project • Bid was put to HEEKSS for start-up costs; • £ 33, 000 was successfully received and the following elements identified to aid the lift off of the project: 1. 1 st Year – Educational Supervisor (Consultant) PA – 0. 25 per week per SAS Doctor x 12 = £ 30, 000 2. Associated project costs – one off cost to project plan, including liaising with College Tutors and producing necessary documentation and a governance framework £ 3, 000 3. 2 nd – 4 th Years – It is expected that the Trust will absorb the annual recurrent costs as part of their workforce budget.

Challenges • • • Funding to pay the Educational Supervisors General inertia amongst the SAS Doctors Recognition of the SAS Staff Charter Engagement of Consultants LFG engagement

Moving the Project Forward • The official start of the Project was June 1 st • Providing a regular contact system using Whats. App and face to face meetings • Redeveloping the LFG to include CESR Doctors feedback and ARCP • Engaging the Divisional Medical Directors to continue the funding following Year 1 • Ensuring the SAS Doctors Charter becomes embedded