Current routes to public health leadership roles and

Current routes to public health leadership roles and flexibilities within them Dr Irfan Ghani Director of Training Faculty of Public Health

Routes to Specialist Register • Registers • General Medical Council (GMC) • UK Public Health Register (UKPHR)

Routes to GMC Specialist Register • Certificates of Completion of Training (CCT) • Certificates of Eligibility for Specialist Registration (CESR) • CESR Combined Programme (CESR (CP))

CCT • Annual national recruitment to the PH Training Programme • Open to candidates from a range of professional backgrounds • Training against Faculty of PH (FPH) delivered on a deanery/LETB basis • Delivery of training is overseen by a Training Programme Director or Head of School • A St. R must undertake posts and programmes prospectively approved by the GMC in PH. • Duration of Training: • Minimum duration of training is 48 months service work • A period of academic training to be defined by the deanery on a one to one basis

CCT – Training Pathway

CCT – Core Competences • Use of PH intelligence to survey and assess a population’s health and wellbeing • Assessing the evidence of effectiveness of interventions, programmes and services intended to improve health or wellbeing • Policy and strategy development and implementation • Strategic leadership and collaborative working for health • Health promotion, determinants of health and health communication • Health protection • Health and care public health • Academic public health • Professional personal and ethical development • Integration and application of competences for consultant practice

CCT - Exams Part A Examination • Intended to test a candidate’s knowledge, understanding and basic application of the scientific bases of public health • Two papers taken over two days • Paper one - 10 compulsory short answer questions across the range of the knowledge syllabus. • Paper two - tests a candidate’s basic skills in critical appraisal, distillation of information from supplied material, data manipulation and preparation of a written brief in some form.

CCT - Exams Part B Examination • A show assessment of the candidate's ability to apply relevant knowledge, skills and attitudes to the practice of public health. It takes the format of an OSPHE (objective structured public health examination) with six scenarios or stations. • Assesses the ability of the candidate to apply relevant knowledge, skills and attitudes to the practice of public health. • Tests five core practical competencies in each of six independently

CCT - Exams Part B Examination Competencies • The ability to demonstrate presenting communication skills (verbal and non verbal) appropriately in typical public health settings: presenting to a person or audience. • The ability to demonstrate listening and comprehending communication skills (verbal and non verbal) appropriately in typical public health settings: listening and responding appropriately. • The ability to assimilate relevant information from a variety of sources and settings and using it appropriately from a public health perspective. • The ability to demonstrate appropriate reasoning, analytical and judgement skills, giving a balanced view within public health settings. • The ability to handle uncertainty, the unexpected, challenge and conflict appropriately.

CCT Local Training Programme awards outcome 6 FPH receives CCT forms / ARCP outcomes FPH sends recommendations to GMC/ UKPHR St. R is entered onto the Register

Certificates of Eligibility for Specialist Registration - CESR • Open to doctors only • For doctors who gained their skills through training or experience outside an approved UK training programme, there are two routes to be included in the GMC Specialist Register • Full application to the GMC for specialist registration through CESR • Through combined programme application – CESR (CP)

CESR • If a doctor hasn’t completed a UK approved training programme, they can show they have the full skills, knowledge, qualifications and experience required by the relevant curriculum by getting a CESR certificate • Submits a portfolio of documentation to GMC which is assessed by FPH against FPH Curriculum 2015 and Good Medical Practice Domains • • Domain 1: Knowledge, skills and performance Domain 2: Safety and quality Domain 3: Communication, partnership and teamwork Domain 4: Maintaining trust

CESR Candidate applies to the GMC quality checks evidence FPH assesses the portfolio against the Curriculum GMC makes the final decision

CESR (CP) • Modified version of CESR • The CESR (CP) application process expects that any experience or learning outcomes gained outside of specialty training and GMC approved training posts must be agreed and deemed appropriate by the training programme upon appointment to the appropriate year of training. • The intention to follow a CESR (CP) process must be declared upon enrolment with the FPH. • The decision of the training programme level of entry is confirmed at the time of enrolment or no later than the first ARCP. • The enrolment process is to ensure that FPH is able to oversee a registrar’s progress in training.

CESR (CP) • From the point of entry to a training programme, St. R following the CP route will: • Follow the public health curriculum; • Be required to pass the FPH examinations and approved assessments; • Have progress monitored via the ARCP process in the same way as registrars following a CCT route • Be assessed identically to CCT registrars, including final assessment indicating the successful completion of competencies outlined in the curriculum. • Submits a portfolio of documentation which is assessed by FPH

CESR (CP) FPH is notified at the enrolment of the intention to follow CESR (CP) route and entry level ST 3 or ST 4. This is done no later than the first ARCP. FPH assesses application (assessment of the documentary evidence), approves enrolment and confirms provisional CESR(CP) date The GMC approves the enrolment and application for CP route St. R completes the training programme St. R is entered onto the Register

Routes to UKPHR Specialist Register • Standard Route • Assessment for Defined Specialists • Dual Registration • Recognition of Specialist Status

Routes to UKPHR Specialist Register

Defined Specialist Route • For PH specialists who have chosen to specialise more highly in a narrower area of PH practice at some stage during their career. • Defined specialists are required to show evidence of knowledge across the full breadth of PH to the same standard as generalists. • In addition defined specialists will demonstrate current competencies in some particular areas of practice at a higher level than that required to be demonstrated by generalists, usually reflecting their highly specialised professional experience in service or academic environments.

Defined Specialist Route • Knowledge evidence (51) • Shows Core Areas • Surveillance and assessment of the populations’ health and well -being (3) • Assessing the evidence of effectiveness of health and Healthcare interventions, programmes and services (3) • Assessing the evidence of effectiveness of health and healthcare interventions, programmes and services (2) • Leadership and collaborative working for health (8) • Shows Non- Core Areas (18) • Ethical management of self (EMS) (5)

Recognition of Specialist Status (RSS) • For those already in senior positions who wish to apply for recognition of their status as a generalist specialist in public health. • An applicant must have held a post in public health at consultant level or above for three or more years and have worked for at least three years at a senior strategic level. • The Board requires that those who wish to apply for RSS to seek permission to proceed because this is an exceptional route.

Recognition of Specialist Status Application will seek permission from UKPHR to proceed with RSS Permission granted Applicant submits a portfolio of evidence UKPHR assesses the evidence Applicant is entered onto the Register

Successful Registrations 2015 2016 Medics Non-Medics 32 32 29 27 CESR 2 4 Defined Specialist 15 10 RSS 2 Standard Route/ CCT