Welcome
Introduction
Clinical
Supervision & Support
Clinics
Out of Hours Roles (Colchester)
Procedural Experience
Quality Improvement
Teaching and Training
Administration/Pastoral Care
ePortfolio
Leave
Exception Reporting
Useful Contacts
On behalf of the ESNEFT trust, we extend a warm welcome to you all to Ipswich Hospital. It gives us great pleasure to have you join our esteemed institution—a district general hospital renowned for its exceptional training environment and comprehensive support for Doctors in Training. We are proud to highlight that the Training Programme Director (TPD) of the EOE, Dr. Brian Camilleri and the Co-Chair of the Specialist Training Committee for IMT Dr. Jasmine Patel, hail from this very hospital, which is a testament to the outstanding quality of training and expertise offered here.
With approximately 550 beds, our hospital wards are named after the charming villages of Suffolk and are conveniently arranged in alphabetical order along long corridors. Each rotation spans four months, allowing you to gain in-depth knowledge and invaluable experience in various areas of internal medicine. To complement your training, we organize regular workshops aligned with the JRCPTB curriculum, ensuring your professional growth and development. We recognize the significance of protected time for teaching and are committed to facilitating a conducive learning environment.
At Ipswich Hospital, we foster a culture that combines professionalism with a friendly demeanour. Respect and dignity are the cornerstones of our interactions, and we strive to maintain a harmonious atmosphere throughout. Our Faculty Tutors, Programme Directors, and Educational & Clinical Supervisors are readily available to offer guidance and assistance, supporting you every step of the way.
Beyond our exceptional training, the Ipswich mess holds a prominent reputation in the region for its spaciousness and a wide range of engaging activities throughout the year. We celebrate major festivals together and organize regular outings, fostering camaraderie and unity among our junior doctors. These opportunities allow you to unwind and connect with your fellow trainees, contributing to a healthy work-life balance.
At Ipswich Hospital, we take immense pride in providing a nurturing and supportive environment for our trainees. We are confident that you will find this experience both enriching and rewarding, as you embark on your internal medicine training.
Once again, welcome to Ipswich Hospital! We extend our best wishes for a successful and fulfilling journey ahead.
The East Suffolk North Essex NHS Foundation Trust was formed in July 2018 by the merger of Colchester Hospital University NHS Foundation Trust and The Ipswich Hospital NHS Trust. Colchester Hospital has 763 beds, spread across various core services and provides district general hospital care to 370,000 in Colchester and the surrounding area of North East Essex and South Suffolk (CQC Report 2017).
We offer you a warm welcome to Colchester hospital and wish you every success with your medical training!
Emergency Assessment Unity (EAU), Young Persons Unit (YPU) and the Acute Medical Same Day Emergency Care (AMSDEC) are all found in the main block along with Langham ward (nephrology/ gastroenterology), Nayland ward (general medicine), Acute Cardiac Unit and West Bergholt ward (oncology).
Gainsborough block has four elderly care wards Tiptree, Darcy, Peldon & Birch in addition to Layer Marney (respiratory), Easthorpe (general medicine & endocrine) and the Stroke Unit. In addition, there are two general medicine wards in Constable wing, Great Tey Ward and Copford Ward. ESNEFT has a number of community hospitals that facilitate rehabilitation of medically stable patients.
Both Hospitals provide an opportunity to experience high quality training in a supportive environment. The IMT rotation allows you to rotate through various medical specialities listed below: Diabetes and Endocrinology, Cardiology, Care of the Elderly, Stroke Medicine, Respiratory Medicine, Renal Medicine, Gastroenterology, Haematology and Oncology. Ipswich also offer Neurology & Rheumatology. The IMT will be on-call in an unselected take with supervision from Specialist Trainees (STs) and Consultants.
All IMTs need to familiarise themselves with: the IMT curriculum, the Information Booklet of the Department of Medicine, Trust Guidelines for Management of Various Clinical Conditions and, the Handover Process with the Department of Medicine. All IMTs are expected to adhere to the highest medical professional standards. They need to be up to date with the Trust Mandatory Training Policy and ALS. You are strongly advised to read the Rough guide to IMT revised May 2020.pdf (jrcptb.org.uk)
In order to gain access to ePortfolio and to be awarded a certificate of completion of IMT and CCT, you must enrol with JRCPTB for training. Instructions for this are found on www.jrcptb.org.uk We have been advised that your ePortfolio account will be frozen if this is not completed within 30 days.
We appreciate that it is challenging to balance training, service and personal requirements and commitments. The medical education team at Ipswich and Colchester hospital has an experienced and well-established support network for IM trainees. However, it has to be recognised that the IM trainees have to show motivation and personal initiative to take up and utilise the opportunities provided to them.
Each IMT will be allocated an Educational Supervisor who will supervise them all through their IM training. If you need advice regarding training programme or having any problems affecting your training, you should approach your educational supervisor first and your RCP tutor if you feel the need.
Educational Supervisors (ESs) need to discuss how frequently their IMTs need to meet up with them- at the beginning and at the end of each placement is a must (for convenience, you could merge end of placement meeting with beginning of next). These meetings are best held after the IMT meets with Clinical Supervisor (CS). ESs need to document their meeting as Educational Meeting; there is no separate section at present on IMT ePortfolio. An Educational Supervisor’s Report is to be filled in at the end of each year, well ahead of the Annual Review of Competence Progression (ARCP) (by the middle of April for IMT2s, by early June for IMT1s).
An interim Review is also organised with your College Tutor halfway through your year to check on your progress and offer any advice or support if needed.
ESs should encourage IMTs to engage in relevant local and national trainee surveys and discuss that there will be feedback requested from them each year (April-May) regarding their ES and the practice of Educational Supervision. ESs need to check ALS validity to cover IMT period.
IMTs need to identify a CS as soon as they start their placement and upload to their ePortfolio. There should be a documentation of their Induction Meeting with the CS and the curriculum competencies listed on the relevant Placement Feedback need to be discussed at this point. The CS needs to document an “end of placement” meeting too. All compliments, drug errors, complaints, SI (serious incidents) and NE (Never Events) etc, need to be reflected upon by the IMTs, documented within their ePortfolio and discussed with the CS and ES.
Sickness or other absence needs to be documented accurately in the end of placement and end of year reports. Sickness needs to be reported to your team and to management (See Pg 26).
IMTs are required to attend a minimum of 20 clinics per year but need to achieve a total of 80 clinics over 3 years to satisfy the Clinic requirement of the training. For a clinic to count, you need the following: be present for around 2 hours, see 2-3 patients, discuss with a senior clinician (registrar or consultant).
You will have access to all the medical specialties on the dictation system called BigHand and training will be provided.
With the recent COVID-19 pandemic, many clinics are being run as remote consultations (either telephone or video). The situation is very fluid at the moment but we expect a mixture of face-to-face and remote consultations going forward. Please note that remote consultations do count for acquisition of competencies as defined in Clinical CiP4 in your curriculum. Please make sure you speak to your clinical supervisor to ensure you can take part in these clinics.
When you are on CCU you will spend 3 months on CCU with the Critical Care Team where you will also be part of the CCU on-call rota. During your stay on CCU, you will be released once a week to be able to attend a medical clinic.
Because all rotations are 4 months in duration you will also have another 1 month where you will be linked to your Educational Supervisor and their firm. This month is called a Cluster Clinic Month where you will have the opportunity to attend several clinics. You are not expected to be in clinic all the time. Please speak to your ES about this. The Cluster Clinic month can be at the beginning or end of the CCU attachment and will need to be confirmed with your ES.
If you are unsure, please contact your ACT or Dr Blows (College Tutor)
One week every 12 weeks as per the rota schedule will be a dedicated clinic week. During this time, you are not expected on the ward but will have to discuss with your clinical supervisor as to which clinic you can attend in your local department. Beyond this, it is your responsibility to arrange clinics to attend. A list of available clinics can be obtained via CareFlow or in person at the outpatient departments at the reception. Emailing the registrars or consultants in advance is good practice. (Please note that CCU rotations do not have clinic week but opportunities to attend clinics do arise at short notice). If any further help is required then please ask your associate college tutors.
AMSDEC (Ambulatory Medical
Same Day elective Care) have an initiative whereby IMTs can join to clerk outpatients (ambulatory patients referred from the community) which count towards clinic numbers. This occurs
Tuesday afternoons and should be attended if on a clinic week as this is a good way to boost numbers. Contact the AMSDEC consultant of the day as shown in the daily allocations emailed by the rota coordinator.
A suggested clinic timetable:
Monday: Gastro with Ian Gooding (Main outpatients)
Tuesday: AMSDEC led by consultant of the week
Wednesday: Stroke clinic (Gainsborough).
Thursday: Gastro with Ian Gooding (Main outpatients)
Friday: Cardiology with Dr Scoote (Main outpatients)
Long Day (LD) 8:45-21:15
Night Shifts- 21:00- 8:45
Twilight Shifts(TW) 14:30-23:30
You will be responsible for carrying cardiac arrest bleeps when you are on your long day shifts and night shifts. These bleeps are 200, 201 and 461
200/201
On long days- You should attend handover at 08:45 in AMSDEC doctors office to receive you bleep and meet the rest of the cardiac arrest team. On normal working days after handover and CAT huddle you will go to your usual ward until 5pm.
After 5pm you are expected to join the clerking team until handover at 21:00. During the course of the day you will be expected to attend peri-arrest and cardiac arrest calls in all areas except for the emergency department on Monday to Friday as the ED team are expected to have a full team during working hours.
You will usually be clerking overnight in addition to attending peri-arrest and cardiac arrests in all clinical areas including ED.
You may be asked to hold 461 on some of your shifts depending on whether we have a full complement of registrars or not. This is a ward cover role and you will be expected to see unwell patients on the wards and provide senior support to the foundation doctors who are on ward cover. You may also be asked to give medical input to other specialities.
It can be very busy and it’s important to work as a team with the foundation doctors. As you will be mostly carrying this bleep overnight please handover any unwell patients to the ward teams Monday to Friday.
The patient list is on Watchpoint, please see patients marked in red first, otherwise you can clerk patients in the order they appear on the list. Usually patients are located in A+E or EAU, you may have to go to the stroke unit, endoscopy unit and cardiac cath lab to clerk a patient but this is rare. During the day ambulatory patients will be in AMSDEC. On long days you expected to start clerking after 5pm Monday to Friday, on the weekends you will be expected to start clerking after handover.
There is usually a post take consultant on every shift. Some consultants will find you to post-take your patients and some you have to pro-actively find them. We encourage you to ensure that your most unwell patients have their post-take review as soon as possible. If you unable to get a consultant to see your unwell patient you can escalate to the on-call registrar on 890.
For anyone requiring NIV or optiflow you can discuss with the respiratory registrar in Layer Marney ward during working hours. Out of hours you may be asked to initiate NIV or optiflow especially when you are holding 461. If the patient is for full escalation you have to discuss with ITU registrar on 203. If the patient is not for resuscitation after discussing with the medical registrar patient can be initiated on NIV, the next step will be to call Layer Marney sister in charge to arrange a bed for the patient in ARCU. Please ensure that patients have CXR and ABG done prior to discussing or initiating the patient on NIV. You will also need to fill in a NIV prescription chart which you can find on the intranet. The respiratory consultants will hold a session early on during the year so that you may be more familiar with NIV.
Various levels of independence for the required procedures are expected at every assessment stage IMT1 – IMT3. The current ARCP decision aid shows the level of independence required for each procedure.
Ensuring that you keep your ePortfolio up to date with your ARCP Training Requirements, will enable you to keep on track, and not leave everything to the last minute.
Decision Aid: https://tinyurl.com/IMT-ESNEFT
You need to be familiar with the use of safety processes and checklists when undertaking practical procedures. NatSSIPs and LocSSIPS may also be part of a Royal College curriculum or examination process.
The majority of these procedures should be undertaken using a safety checklist to guide preparations and the actual process. These are available on the ESNEFT LocSSIP
Important contacts:
NatSSIPs / LocSSIPs (sharepoint.com)
Procedure Lead Clinician if applicable
Ascitic tap/drain
Dr Louise Scovell
Lumbar Puncture
Dr Clare Galton
Nasogastric Tube Insertion N/A
Pleural Aspiration and Drains
Acute Medicine and Respiratory Medicine registrars
Where to get the experience
DOPS sign off
Central Venous Line
DC Cardio Version
Knee Aspiration
Dr Ande
Dr Venables
Dr Suzanne Lane
Procedural experience for IMTs
1) Elective and Stradbroke ward – liaise with gastroenterology Registrars (Bleep 122 and 110)
2) Brantham assessment and ward when on-call
3) Somersham ward/oncology dept
Gastroenterology Registrars or Consultants
Medical Registrars or Acute Medical Consultants, Oncology Registrars and Consultants
1) Elective Neurology and Woodbridge Ward and liaise with IMTs
Various levels of independence for the required procedures are expected at every assessment stage IMT1 – IMT3. The current ARCP decision aid which shows the level of independence required for each procedure.
2) Brantham Assessment, Brantham and Capel Wards- liaise Acute Medical Registrars.
Any medical clinical area
1) Please use the following sign up link from a Trust computer to book a space in the Friday AM Pleural Clinic with Dr Matthew Burton, Consultant Respiratory Physician: This clinic will give you experience of pleural aspirations mainly (https://forms.office.com/r/9VEGAhUfJs)
2) Clinical skills course –liaise with Ruth Purvis 2) Shotley Ward- liaise with Respiratory Registrars
3) Brantham Assessment, Brantham and Capel Wards- liaise Acute Medical Registrars
Neurology Consultants
Medical Registrars or Acute Medical Consultants
Medical Registrars or Consultants
Respiratory Registrars or Consultants
Medical Registrars or Acute Medical Consultants
1) Clinical skills course –liaise with Ruth Purvis Dr Praveen Ande
1) Elective Cardiology list- liaise with Cardiology Registrars
Liaise with the Rheumatology Registrars or Consultants.
Cardiology Registrars or Consultants
Rheumatology Registrar or Consultants
CPR
Procedural experience for IMTs
•Participation in CPR team when carrying bleeps 200 or 201
•Leadership of CPR team if carrying bleep 461 (alongside med reg 890)
Lumbar puncture
•More frequently occur in AMU or when clerking patients with relevant pathology would give greater chance of having an opportunity to be supervised for an LP. Sporadically LPs are required on the other medical wards.
NG tube insertion
Various levels of independence for the required procedures are expected at every assessment stage IMT1 – IMT3. The current ARCP decision aid which shows the level of independence required for each procedure.
•Occur more frequently on the Stroke Unit, Langham (gastroenterology), CCU, West Bergholt Ward (oncology) and CCU
Pleural procedures (aspiration / drain)
•Layer Marney Ward (Respiratory) have a large volume of patients that require pleural procedures. If your rotations do not include respiratory, then discuss this with your ES or respiratory registrars who can signpost appropriate patients
Abdominal procedures (paracentesis / tap)
•When seeing patients on the acute medical take with relevant pathology or on Langham ward (gastroenterology) rotation
Central venous cannulation
•CCU is the only rotation to get central lines signed off with independence level of supervised practice or more
D/C Cardioversion
•Cardiology consultants run cardioversion clinics, a good opportunity to join them is during clinic week. If your rotations do not include cardiology email one of the cardiology consultants (Dr Krasen or Dr Parisiadou) to arrange attendance in advance.
Temporary cardiac pacing using an external device, DC cardioversion and access to circulation for resuscitation are all demonstrated via valid ALS certificate.
‘Quality improvement’ is not the same as ‘improving quality’. All provider organisations will be making efforts to improve quality, and this can be done in many ways including;
• Planning (resourcing, restructuring, commissioning, training)
• assurance (periodic checks of quality through audit or inspection)
• control (continuous monitoring of quality with interventions when necessary).
Quality improvement is the use of a systematic method to involve those closest to the quality issue in discovering solutions to a complex problem.
It applies a consistent method and tools, engages people (both staff in clinical/corporate teams and patients/service users/families) more deeply in identifying and testing ideas, and uses measurement to see if changes have led to improvement. (CQC)
A framework from the Institute of Medicine defines six domains of health care quality (Institute of Medicine 2001).
•Safe: avoiding harm to patients.
•Effective: providing evidence-based care and refraining from providing services that are unlikely to be of benefit.
•Patient-centred: ensuring that care is responsive to individual patient preferences, needs and values.
•Timely: reducing waiting times for care and avoiding harmful delays.
•Efficient: avoiding waste.
•Equitable: ensuring that care is of the same quality regardless of personal characteristics such as gender, ethnicity, location or socioeconomic status.
The term ‘quality improvement’ refers to the systematic use of methods and tools to try to continuously improve quality of care and outcomes for patients. There are a range of different methods and tools, such as Lean, Six Sigma and the Institute for Healthcare Improvement’s Model for Improvement. There is no clear evidence that one approach is superior to others. Rather, it is the process of having a systematic approach to quality improvement and applying this consistently that is important (Ross and Naylor 2017).
While there are many different approaches to quality improvement, there are some key principles that are common to all. These include:
•Training staff in the nature of systems
•Using data to understand variation
•Giving all staff the opportunity to contribute and act on ideas for improvement
•Using many small-scale trials and tests as a way to learn and improve
•Ensuring a continuous focus on the needs and experiences of the people served by the system (Ham et al 2016)
The QI Faculty are available to support all staff with any Quality Improvement work. The QI Team offer;
•Expertise in QI Methodology
•Training in QI methodology
•Coaching staff to complete project work
•Facilitation of project specific meetings
The QI Faculty is made up of a designated QI Team, QI Medical Leads across both main acute sites and some service specific QI Leads.
To get in contact email: QIFaculty@esneft.nhs.uk
IMTs should be attending their dedicated teaching session on a Friday held 1pm-2pm. 70% attendance is compulsory. A significant amount of hard work and time goes into the preparation of these sessions- from the speaker, from the College Tutor and from the PGMC staff. IMTs need to send apologies to Ruth Purvis if they cannot attend for valid reasons - it is unprofessional not to.
IMTs are advised to book their Deanery funded Simulation Course right at the beginning of IM1 as this is available to the IM1s only. Information is found on deanery website https://heeoe.hee.nhs.uk/simulation. This is run as COMETS course, you will be emailed regarding bookings by Hannah Austin (Sim Centre Administrator) in the autumn.
The procedure skills course is a one day event that teaches the relevant IMT procedures in a skills lab. Procedures included are ascitic drain, NG tube placement, central venous cannulation, intercostal drain and lumbar puncture.
Four regional training days are organised by the East of England (EoE) deanery per year. These are currently held online (9am – 5pm). You will need to take study leave to attend these courses or a study day in lieu if you not able to attend live.
East of England Regional MRCP Part 1 and Part 2 Written Exams Revision sessions are held on weekday evenings and organised by the EoE trainee committee. E-mail invitations are sent per session.
Procedural Skills Course (Skills Day): Generally conducted two times in a year, this day concentrates on getting the trainee doctors trained by team of Consultants/Registrars on doing the procedural skills. During this Major Skills Day they are taught how to perform the skills and can send lab based Formative DOPS for their e-Portfolio. For more information, contact your local Associate College Tutor.
COMETs: Trainees are expected to lead on a scenario and work with the team of nurse and senior/junior doctor. One of the main purpose is to focus on non-technical skills that arise from the scenarios, mainly leadership, teamwork, communication, situational awareness, decision-making and awareness of factors such as stress and fatigue. Once complete a certificate will be provided.
Simulation Workshop for Procedural Skills: Here the focus is on individual skills e.g. DC cardio version, managing a Tachyarrhythmia and other clinical scenarios. This helps the trainees brush up their skills of managing a clinical scenario on a Sim-man and feedback is giving to individuals by Registrars and Consultants. Trainees can further send lab based formative DOPS for the e-Portfolio. (Generally done Out Of Hours). For more information, contact your local Associate College Tutor.
PACES teaching workshop: Focused on assisting doctors for the examination. Consultants are assigned for stations concerning PACES exams and Doctors in Training simulate PACES exam scenario with the Consultant to receive feedbacks and tips for the exam. For more information, contact your local Associate College Tutor.
As a previous PACES examiner Dr Rudra kindly currently runs a Wednesday afternoon PACES teaching session via Teams at 4pm.
This focuses on the communication stations (station 2 and station 4) running mock scenarios with opportunity for colleague feedback and discussion. Occasionally includes station 5 examples upon request.
It is helpful for IMTs to regularly review their ePortfolio and ARCP Decision Aid (available on ePortfolio) so as not to leave it until the end of the year, just before the ARCP.
IMTs need to endeavour to link 2 pieces of evidence (e.g. SLEs, DOPS, reflection, reading or courses) to Curriculum Competencies before they are selfratified and signed off by the ES.
The link to the IMT ARCP Decision Aid is the following IMT ARCP Decision Aid 2019 (2023 upd ate FINAL).pdf (thefederation.uk)
You need to participate in a QIP in IM year 1 and complete a project by IM year 2. A letter of Involvement can be provided as evidence by the QI team of your involvement in a QIP which is yet to complete and be certificated. This needs to be requested by email (QIFaculty@esneft.nhs.uk).
QIPs can be conducted in small groups and it is good practice to register these with JRCPTB as there is a HEEoE (Deanery) and Royal College London showcase event per year. The QIP needs to be recorded on the ePortfolio as QIPAT by the ES.
IMTs should record clinic/ambulatory care experience. The ARCP panel will need to see a dated list of clinic attendances (from clinic 1 to at least 40), on a dedicated spreadsheet (Excel template logbook, https://www.jrcptb.org.uk/documents/ imt-acute-take-calculator-and-log-cli nics-and-procedures ) in the personal library of the profile section of the ePortfolio. This needs to be clearly displayed and is easier for ARCP panels than using the reflective practice section, where other material is stored, making it difficult to count the number of clinics.
A QIP completion certification will only be issued for QIPs formally registered with the QI Team.
This needs to specifically reflect the learning objectives that you need to achieve during your post and should map to the IMT curriculum. Your learning objectives should be Specific, Measurable, Achievable, Realistic and against a Time Scale (SMART). To access the PDP, click on the APPRAISAL MENU and select Personal Development Plan.
Your basic details will be entered onto ePortfolio by East of England deanery. If you have any issues with log in or password details, please contact the support desk. You cannot change your user name but you are able to change your password. If you already have a user name and password you should use these.
Please ensure that the lead Medical Education Office has a correct email address for you. It is best to use an email address that you use regularly and that will not change when you move hospitals. You are advised not to use hotmail or gmail accounts as these providers have regular problems with both Hospital and Deanery servers.
ePortfolio is simple to use. It is navigated using the drop-down MENUS. The best way to learn to use it is by practise and it should not take you long to be fully competent.
If you find you are unable to write in any section (denoted by a red X) this is because you do not have access for this task. E.g. You will not be able to write your own end of placement appraisal and this must be completed through your supervisor’s log-in
Check your details are correct and enter demographic details that have not been entered. PROFILE MENU. If there are any incorrect details contact Ruth Purvis. Ruth.Purvis@esneft.nhs.uk If you discover that your educational supervisor is different to that recorded in the ePortfolio please inform your RCP tutor and Ruth. You should be able to upload your Supervisors to your ePortfolio. (see Contacts section). Please also upload a photo of yourself in your ePortfolio.
Sign your Declaration of Probity
PROFILE MENU. These need to be signed at the beginning of each IMT year when you first log onto ePortfolio. All doctors must have integrity and honesty and must take care of their own health and wellbeing so as not to put patients at risk. This is clearly set out in Good Medical Practice (GMP), which should be read before completing the self-declarations for health and probity
Your self-assessment of curriculum competencies and Personal Development Plan documents should be completed before you have your initial meeting with your supervisor.
Check that your relevant certificates are entered using PROFILE MENU. These must include ALS, and MRCP but list is not exhaustive. The trainee can enter these to be confirmed later by the educational supervisor through the supervisor log-in.
All parts of MRCP must be verified by your supervisor in the curriculum area of your portfolio. You are advised not fill up this section with certificates from online learning modules but keep it for professional qualifications and mandatory courses. You can enter certificates from online modules into your library and use reflective practice
This should be within the first 2 weeks of starting your placement. Your educational supervisor (ES) needs to record the details here by accessing the APPRAISAL MENU (add appraisal). This may be done through the trainee or supervisor login.
This is done by your ES & CS and via the supervisor login. This meeting serves to link everything together.
Your supervisor will appraise the evidence you present in your ePortfolio to support competencies achieved during the attachment.
Appointments to meet with your college tutor will be sent out January-February for each year of training. Progress of supervised learning events will be reviewed and a plan made to achieve any remaining curriculum objectives.
This is completed by your ES through the supervisor’s login before ePortfolio assessment. The report should cover the entire training period from beginning of training year up to ARCP date. It is in the APPRAISAL MENU
It is compulsory before an ARCP
Study leave is available for MRCP 1 and 2 written, PACES exam and any PACES Courses. Any other study leave would be at the MoDE’s discretion. IMTs are advised to discuss with their ESs any problems they have around PACES preparation. You are advised to book all study leave well in advance.
Study leave funding for one commercial PACES course is permitted up to a maximum value of £1000.
There is no funding for expenses for attending exams.
There is no longer a set allocation per year. This means that if the policy and processes are applied the Trainees may successfully obtain increased funding to cover training costs. Please be sure to read the processes below which will be strictly applied. We also recommend that you review HEEoE’s policy and guidelines Study Leave Homepage | East of England ( www.hee.nhs.uk)
2-3 Taster Days and career- related course/conference professional leave can be applied for if IMT has made satisfactory progress i.e. post PACES and good engagement with ePortfolio. This needs to be discussed with ES and Tutor.
Applications must be completed in full and submitted at least 6 weeks in advance of the leave – retrospective applications will not be funded. All applications must be signed off by the Educational Supervisor (not Clinical Supervisor) confirming the leave is relevant to curriculum competencies.
If the event is not listed as a formal curriculum requirement and involves reimbursement, it is then classified as an ‘Aspirational Activity’ and should be evident within the PDP (discussed and recorded at an Educational Supervisor meeting) https://heeoe.hee.nhs.uk/faculty-educators/study-leave-homepage
If yes to Aspirational Activity with reimbursement, a completed aspirational form signed off by the TPD must be submitted. It is the Trainee’s responsibility to arrange completion of the form accessed via HEEoE website.
Instructions for claiming will be forwarded following approval of application for which there is a strict deadline of 8 weeks. HEE will not reimburse expenses outside this period. Any claims received after 8 weeks therefore will not be processed. For courses and events, a copy of the certificate with receipts must be submitted with the claim form
Study Hub (sharepoint.com)
This needs to be documented accurately in the end-of-placement and end of year reports. The accuracy of the data is the responsibility for the trainee and a Good Medical Practice (GMC) guideline and matter of probity.
Sickness needs to be reported as follows:
i. All unexpected leave to be reported to your ward team (ward telephone / What’s app group) (Colchester)
ii. Inform the sickness/absence reporting helpline 03003031361
iii. On Call – Inform Lauren Hoare (Ipswich)
iv. Normal working day – inform your Ward Consultant (Ipswich)
The allowance is 27 days per year; to be taken as 9 days over each of the three, 4 monthly placements, over the year to ensure a fair spread out. This has to be applied for via the rotacoordinator
With the implementation of the 2016 Junior Doctors’ contract the Trust position is that we wish to encourage junior doctors to report exceptions to their work schedule in order that we can address areas of difficulty. If trainees are not reporting then we have no idea where these areas are, or whether or not they are working safely.
You have access to the Wellbeing Hub that is a great support to you if you find yourself struggling.
https://esneft.sharepoint.com/sites/ES N-Intranet-YourWellbeingHub
Dr Suzanne Lane is the Guardian for safe working hours at the Ipswich Hospital
Dr Harriet Roebuck is the Guardian for safe working hours at Colchester Hospital
The administrator for Exception Reporting is Jade Cooper
Email: wellbeing@esneft.nhs.uk
03300 3031361 (option 3)
Colchester also has “Talk to Sophie” service – a confidential service offered to doctors to talk through things that may be affecting you before you go home.
https://esneft.sharepoint.com/sites/ES N-Intranet-YourWellbeingHub/SitePag es/Psychological-Support-for-Staff.asp x
Dr Sam Blows, RCP College Tutor (Ipswich) Sam.Blows@esneft.nhs.uk
Dr Karunakaran Vithian, RCP College Tutor (Colchester) Karunakaran.Vithian@esneft.nhs.uk
Dr Brian Camilleri IMT TPD Brian.Camilleri@esneft.nhs.uk
Dr Lauren Hoare, EAU Lead and Rota Master (Ipswich) Lauren.Hoare@esneft.nhs.uk
Kirsty Horner – Rota Master (Colchester) Kirtsy.horner@esneft.nhs.uk
Dr Suzanne Lane, Guardian of Safe Working Hours (Ipswich) Suzanne.lane@esneft.nhs.uk
Dr Harriet Roebuck, Guardian of Safe Working Hours (Colchester) Harriet.roebuck@esneft.nhs.uk
Kevin Hartwell, Medical Education Manager (Ipswich) kevin.hartwell@esneft.nhs.uk
Linda Watson, Medical Education Manager (Colchester) Linda.Watson@esneft.nhs.uk
Ruth Purvis, IMT Medicine Faculty Administrator Ruth.Purvis@esneft.nhs.uk
Study Leave - Study Hub (sharepoint.com) – Both Sites