North Western Deanery Commissioning medical education using quality

North Western Deanery Commissioning medical education: using quality metrics Professor Jacky Hayden

The drivers towards quality North Western Deanery • White paper and consultation documents • Temple Report – Time for Training • Collins Report – Foundation for Excellence • Review of MPET funding – to reward excellence in training

Other prevailing winds • Financial pressures • Report from Cf. WI • Revalidation and responsible officer • Merger of PMETB and GMC • Standards for trainers North Western Deanery

A new kid on the block Trauma Centres North Western Deanery

Trauma Centres North Western Deanery

And the most important. . . . North Western Deanery No decision about me without me

North Western Deanery

The common themes • • North Western Deanery Training for intended outcomes Safe Supervision The culture of the educational provider Revalidation, appraisal and standards for trainers • Support during career transitions – Medical student to foundation – Core trainee to middle grade – Trainee to consultant

Quality Metrics North Western Deanery • NHSLA standards on clinical supervision of medical trainees • GMC Standards • Education Commissioning for Quality • JACTAG working group • MEE/MPB commissioned task and finish group

Quality metrics North Western Deanery A small number of measures which would allow comparison of Local Education Providers and which would drive up the quality of medical education

Principles of quality metrics North Western Deanery • They are relevant to the improvement of the quality of training, patient safety and outcomes • They are practical to implement and do not over burden the providers • They are based on evidence of what works best in professional education and training • They are aligned with the regulatory standards already in place, and thus do not impose a set of new standards to be met • They rely on data sets that are already being collected for other reasons, wherever possible, and not require new data collection.

Using quality metrics for commissioning North Western Deanery • Ownership and engagement • Equity • Consistency of measurement • Single point v trends

Educational governance North Western Deanery • ‘Board’ level engagement • Effective reporting mechanisms to ensure delivery of GMC standards • Programme of educational audit demonstrating continuous improvement • Allocation of resources

Learning culture • • Safe, high quality patient care Team ethos Leadership and clinical engagement Effective supervision – graded and supportive • Effective role models North Western Deanery

Safe Supervision • Induction • Availability of senior cover • Understanding of competence v performance • Handover • Safe consent • Safe prescribing • Time scheduled to discuss issues • Technology enhanced learning North Western Deanery

North Western Deanery Training for intended outcomes • Consistency in process to ensure fairness • Generalist v specialist within specialty • Collection and collation of data to demonstrate agreed outcomes achieved • Longitudinal data • Interim outcomes eg ARCP

Revalidation, appraisal and standards for trainers North Western Deanery Investment in professional development as a clinician V Investment in professional development as a trainer

But. . . North Western Deanery If we take away trainees Service delivery is compromised Or The training programme is compromised

An important plank in the work North Western Deanery • If every placement in each programme were mapped to the curriculum we would: – Identify what needs to be covered through the formal programme including simulation – Have clear outcomes to measure the trainees’ progress – Give trainees’ the power to make sure they are able to access appropriate learning

North Western Deanery "A long habit of not thinking a thing wrong gives it a superficial appearance of being right. " Thomas Paine (1737– 1809)

Supporting COGPED Excellence In Medical Education 9 th National Multi-specialty Conference for Heads of Schools, Programme Directors, Directors of Medical Education 25 & 26 th January 2011