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Postgraduate Deanery for Kent, Surrey and Sussex

University of London

KSS Deanery Handbook for Recruitment to General Practice Training Programmes

KSS GP Deanery Version: December 2009

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CONTENTS

1. Introduction........................................................................................................................................ Contents....................................................................................................................................................... 2 1 Introduction............................................................................................................................................... 5 2 The 2010 Recruitment Process Timeline For KSS GP recruitment.................................................................6 Round 2 (only if vacancies remain after round 1).......................................................................................... 6 3 Units of application.................................................................................................................................... 6 4 The Overall Recruitment Process................................................................................................................ 8 4.1 Advertisement.................................................................................................................................... 9 4.1.1 KSS GP Training ProgrammeS..................................................................................................................9 4.1.2 When applying.......................................................................................................................................10 4.1.3 2009 person specification.....................................................................................................................10 5 Making An Application......................................................................................................................... 11 6 STAGE 1 - Determination of eligibility................................................................................................... 12 7 Evidence of foundation competency..................................................................................................... 13 Demonstrating Achievement of Foundation Competency............................................................................13 8 STAGE 2 - Assessment 1 (MMT)............................................................................................................ 15 9 STAGE 3 - ASSESSMENT 2 (SAC)............................................................................................................. 17 References......................................................................................................................................................19 Dress Code......................................................................................................................................................19 TRAVEL EXPENSES..........................................................................................................................................19 10 Preferencing....................................................................................................................................... 20 11 STAGE 4 - ALLOCATION AND OFFER..................................................................................................... 21 12 Appointment To Programme.............................................................................................................. 23 THE KSS Five Stage Application, Offer and Appointments Process................................................................23 The Pre-employment Checking Process.........................................................................................................23 | KSS GP Recruitment Handbook

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13 Our Trusts and Programmes................................................................................................................... 25 Our Trusts.............................................................................................................................................. 25 14 Our GP Programmes........................................................................................................................... 26 15 Further Information............................................................................................................................... 27 Who Can I Contact?................................................................................................................................ 27 At KSS Deanery...............................................................................................................................................27 At Our Hospitals.............................................................................................................................................27 16 MMC And The Applicants’ Guide......................................................................................................... 28 17 Useful Websites and Sources Of Information......................................................................................29 18 Roles and Responsibilities of the KSS Deanery and Its Stakeholders During periods recruitment GP Programmes............................................................................................................................................... 32 Key Stakeholders.................................................................................................................................... 32 The Dean Director..........................................................................................................................................32 and GP recruitment team..............................................................................................................................32 GP Programme directors................................................................................................................................33 Medical Staffing Managers.............................................................................................................................33 Medical Education Managers.........................................................................................................................33 Konetic ...........................................................................................................................................................33 GP Trainers, Hospital clinicians......................................................................................................................33 19 Your Notes............................................................................................................................................. 34 20 Acknowledgement................................................................................................................................. 35

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Figure 1 – The KSS Deanery (South East Coast SHA) Map

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1

INTRODUCTION

This handbook summarises the KSS Deanery GP recruitment process in 2010 and has been developed for applicants and key stakeholders as a guide to the preparation required for making an application, attending the selection process and preparing for appointment to a KSS GP training programme. Recruitment and selection to GP training in the UK is a national process carried out by individual Deaneries and is co-ordinated and supported by the National GP Recruitment Office. KSS Deanery promotes equality and diversity and works within an equality of opportunity framework. The Stage 2 and Stage 3 recruitment venues in KSS (Epsom Downs Racecourse and Holiday Inn Hotel, Gatwick) have been selected based on the ease of access and ability to accommodate disabled candidates and wheelchair access, and also to allow provision for religious observation and prayer for individuals who require this. KSS Deanery will also accommodate any candidate who requires additional time due to a confirmed disability. Candidates must advise the KSS Deanery in advance to enable the Deanery to ensure that these provisions are in place and to be able to give individuals further advice (Contact Elena Gonzalez egonzalez@gpkss.ac.uk) Further guidance is available from the KSS GP Deanery website www.kssdeanery.org/general-practice/recruitment

And the National GP Recruitment Office website www.gprecruitment.org.uk/

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THE 2010 RECRUITMENT PROCESS TIMELINE FOR KSS GP RECRUITMENT

Applications submitted from Applications submitted by Foundation Competence evidence if required submitted by Stage 2 Initial assessment (1) Stage 3 KSS Selection Assessment Centre (2) Offers out by Offers accepted by Clearing

7 December 2009 (via www.gprecruitment.org.uk) 20 December 2009 11 January 2010 (by 12 noon) 6 February 2010 (venues nationwide) 1 March 2010 to 5 March 2010 Week commencing 22 March 2010 Within 48 hours (excluding bank holidays and weekends) of offer. All offers to be accepted or rejected by 26 March 2010 From 6 April 2010

ROUND 2 (ONLY IF VACANCIES REMAIN AFTER ROUND 1)

Advertised Applications submitted from Applications submitted by Foundation Competence evidence if required submitted by Stage 2 Initial assessment (1) Stage 3 KSS Selection Assessment Centre (2) Offers out by Offers accepted by

6 April 2010 12 April 2010 (via www.gprecruitment.org.uk) 19 April 2010 27 April 2010 18 May 2010 (venues nationwide) 3 & 4 June 2010 14 June 2010 All offers to be accepted or rejected by 16 June 2010

Please note: All dates, locations and arrangements are subject to national change in case of a Flu emergency.

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UNITS OF APPLICATION

See the MMC website and Appendix 1 of ‘The Applicants’ Guide’ for details of other units of application across the country. Applicants may apply to any number of specialties, but can make only one application for GP. GP applicants will be asked to rank 4 Deanery choices for GP training in priority. KSS GP training programme areas The Kent, Surrey and Sussex Deanery has some of the most attractive parts of Britain. It stretches from Canterbury and Dover in the east to Chichester in the west | KSS GP Recruitment Handbook

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and includes the vibrant city of Brighton. The area benefits from proximity to London and good rail and air links. There is also a long and varied coast line. The Deanery covers around 4.2 million people and has 14 major acute hospitals trusts, 8 Primary Care Trusts, 14 NHS Acute Trusts, 4 Mental Health & Specialist Trusts and 3000 GPs. There is 1 School of General Practice which supports 280 training programmes clustered around the Acute NHS Trusts Click on the link below to access information about the different GP Programme areas and links to their web sites www.kssdeanery.org/general-practice/recruitment/programme-areas

To view or download a copy of our KSS GP Specialty School Prospectus for August 2010 - www.kssdeanery.org/general-practice/recruitment

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THE OVERALL RECRUITMENT PROCESS

Register on Konetic if you want to apply to KSS Deanery GP Programme and complete the application form

1 MAKING APPLICATION

You will be asked to list Your 4 preferred Deaneries When you make your application

1

2

Your application form is reviewed by the GP Deanery recruitment office staff.

www.gprecruitment.org.uk contains links to all Deaneries for information on their programmes

LONGLISTING

Have you been Long-listed?

You will be emailed through Konetic to confirm you have not been long-listed or to be asked for further information

NO

YES

3 STAGE 2

You will be allocated to a venue for stage 2 of the assessment process

Stage 2 assessment

Are you ranked high enough at the Stage 2 assessment to be offered a place at stage 3 of the assessment process?

4 STAGE 3

Your application will be closed. Feedback from the stage 2 assessment will be included in your email

NO

You will be allocated to a Deaneries Stage 3 selection assessment centre and will receive details by email You will receive an Email Confirming if you have been deemed Appointable at this stage by 26 March 2010

Attend the selection assessment centre on the date and time allocated

YES

5 OFFERS & ACCEPTANCES

6 APPOINTMENT

NO

You will receive an email confirmation to say you have been deemed not appointable and may request feedback from the Deanery

YES

You may receive an offer of a GP programme in KSS if you are a high ranking candidate and if there are a sufficient number of posts

You may receive an email from KSS to confirm you are on the reserve list and will be contacted if any posts are available

If you are offered a post which you accept you will be contacted by your new NHS Trust / Training Practice and must not accept any other offer

If there are no posts available in KSS you will enter national clearing and you will be notified

Figure 2 - Recruitment Process Flowchart

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4.1

ADVERTISEMENT

4.1.1 KSS GP TRAINING PROGRAMMES

KSS Deanery's 2010 recruitment exercise will be advertised in the BMJ and on the National GP Recruitment office websites, on Monday, 7 December 2009, for all ST1 GP training programmes nationally. For August 2010, only full 3 year GP training programmes will be available. ST1 – Entry to the 1st year of the 3 year training programme. Doctors completing the Foundation Programme enter at this level (this is also referred to as run-through training). The make up of these programmes can vary but all have to meet standards and content laid down by the PMETB. All the programmes will include at least 16 months in a GP based post. Even if you have some experience in another speciality, a three year GP training programme (ST1, ST2 & ST3) will offer a broad mix of experience targeted to the learning outcomes of the GP curriculum, which is essential for general practice. Although the GP School will strive to give all GP trainees the most balanced experience possible, programmes of necessity vary within and between localities, but all will be appropriate and approved for GP training. Less than Full Time Training (LTFT) Less than full time training is encouraged for GP trainees who are eligible for this. In order to train less than full time, you will need to obtain approval and funding from KSS Deanery, and if you wish to commence your training programme at LTFT you will need to obtain this prior to appointment. The available funding may be limited and approval for funding does not guarantee you a post. Please contact the Less than Full Time Training Officer at lessthanfulltimetraining@kssdeanery.ac.uk for more information. You should state your intention to work Less than Full Time on your application form; this will not be seen by any assessors. Please note that training less than full time in the GP placements (in a GP Training Practice) is generally much easier to arrange but will depend on the availability of a suitable Training Practice placement, Your educational plan and timetable must be approved by the Deanery prior to commencing, and guidance is given as to how this can be organised is found here: www.kssdeanery.org/general-practice/trainees/less-full-time It is important to remember that for GP trainees training at LTFT, the RCGP requires the same number and frequency of workplace based assessments for the MRCGP (by and large).

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4.1.2 WHEN APPLYING

Make sure you understand what the deadline is for completing your application and familiarize yourself with the person specification for a GP trainee at ST1 as this will help you complete the application form in a focused manner. Do bear in mind that different specialties may use different application forms. Once you have completed the whole form check it again before submitting it well before the deadline. You should send only copies of any documents you are requested to provide initially, though you will be asked to bring the originals later in the process The ‘Applicants’ Guide www.gprecruitment.org.uk/downloads/downloads.htm also contains useful information about the selection preparation. .

4.1.3 2009 PERSON SPECIFICATION

The national person specification for GP Training is available at: www.gprecruitment.org.uk/downloads/gp_st1ps.htm

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MAKING AN APPLICATION

We also strongly recommend that you download and read the “Applicants Guide 2010” which sets out the rules and “ How to Submit an on-line application 2010” the helpful guide which will take you step-by-step through the application form from www.gprecruitment.org.uk

To complete your online application please go to gprecruit.konetic.net/cac/home.aspx

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STAGE 1 - DETERMINATION OF ELIGIBILITY

Once your application has been submitted, it will be manually reviewed and provided you meet essential eligibility criteria your application will be accepted. It is important to note that you will be required to produce evidence of having achieved the competencies of the UK Foundation Training Programme before you can proceed further at this stage. Full details of the how you must provide evidence of achieving the competencies of the UK Foundation Programme are described below and will also be found at www.gprecruitment.org.uk/recruitment/entry_requirements.htm All applications will be assessed within their first choice Deanery, and the eligibility of applicants confirmed. All KSS GP Deanery staff members have received Equal Opportunity Training. The outcome of the Stage1 process will be emailed to the applicants. All applicants who are eligible at this stage will be allocated a place at Stage 2 (first part of the assessment, the machine marked test (MMT), and will be able to book a place at an appropriate centre. Applicants should not contact the Deanery to ask for the results or process of any application as this information will not be given over the telephone.

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EVIDENCE OF FOUNDATION COMPETENCY

The person specification for Specialty Training for General Practice includes "Evidence of achievement of Foundation competences between 1st August 2007 and 3rd August 2010 in line with GMC standards/Good Medical Practice including: • •

Good clinical care Maintaining good medical practice

Good relationships and communication with patients

Good working relationships with colleagues

Good teaching and training

Professional behaviour and probity

Delivery of good acute clinical care

All must be demonstrated without exception using the prescribed evidence as outlined on the GP national recruitment web site." Possession of Foundation Competence is essential for applicants to all specialty training programmes. It is crucial that this is evidence of current competence rather than historical evidence, as any competency must be sustained to be useful, and to act as a firm foundation for GP Specialty training and competencies must be achieved, maintained and demonstrated. The acceptable methods for demonstrating Foundation Competency are clearly described in the guidance. It is important to note that evidence other than that described, for example, other qualifications in other specialty areas, will not be acceptable. All of the competences must be confirmed as demonstrated for your application to be eligible to proceed. It is your responsibility to satisfactorily demonstrate that this criterion has been fulfilled DEMONSTRATING ACHIEVEMENT OF FOUNDATION COMPETENCY

There are three ways you can demonstrate your achievement of foundation competency. The application form will ask you a series of questions to help you determine the most appropriate form of evidence. Your answers to these questions will also allow us to assess your eligibility to apply for a GP specialty training programme and you will be expected to provide standardised documentation to verify your answers. This guidance is provided to help you begin to prepare your 2010 GP application.

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If you are currently undertaking a recognised foundation programme in the UK, we will ask you to confirm the name of your Foundation School. You do not need to do anything else. Any offer of a programme will be conditional upon you successfully completing this programme and being awarded an FACD 5.2 before August 2010. If you are undertaking an F2 post that is NOT part of a recognised foundation programme attached to a UK foundation school (if you are not sure then you must check with the Foundation Programme Director in the Trust where you are working), then you must answer NO to this question on the application form and you will be required to submit alternative evidence as detailed below

If you have completed a UK foundation programme within the last 3 years (since 1st August 2007), we will ask you to confirm that you have been awarded an FACD 5.2. You will be able to attach a scanned copy of your FACD 5.2 to your application. If you do not do this, you will be required to submit a copy to your first choice deanery once your application has been submitted. You will be expected to provide the original certificate when you attend Selection Centre.

If you have not undertaken a UK foundation programme within the last 3 years, you will be able to submit alternative evidence by asking a consultant who has supervised you for at least 3 months since 1st August 2007 to attest to your achievement of foundation competency. There are two "Alternative Certificates" available for download; one for specialties WITH acute medical responsibilities and one for specialties WITHOUT acute medical responsibilities. A list of specialties with acute medical responsibilities is available from our download section. You may submit more than one Alternative Certificate from different posts in order to show evidence of achievement of all competencies but both Certificates must relate to posts undertaken for at least 3 months since August 2007. You will be able to attach a scanned copy of the certificate to your application form. If you cannot do this, you will be required to submit the certificate to your first choice deanery for assessment once you have submitted your application.

We expect ALL doctors applying to a specialty training programme to have had a least 24 months experience in educationally approved posts, either in the UK or overseas since gaining their primary medical qualification before commencing a specialty training programme.

If you are unable to provide any of the above because, for example, you have not worked since 1st August 2007 then you are advised to secure a second year UK foundation programme post before applying for a GP specialty training programme. Alternatively, you could secure a post that will enable you to demonstrate foundation competency to a consultant who could then provide you with an "Alternative Certificate", e.g. A locum or Trust post or FTSTA post

We understand that Refugee doctors may have less access to standardised documentation and in rare cases may not be able to obtain an "Alternative Certificate". If you are unable to provide any of the above because of your Refugee status, you should contact your first choice postgraduate deanery for advice before submitting your GP application form. Refugee doctors will be required to provide an Alternative Certificate wherever possible.

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Download Alternative Certificate A - (for posts with acute medical responsibilities) Download Alternative Certificate B - (for posts without acute medical responsibilities) Download List of Specialties with Acute Medical Responsibilities here Note: Applications for August 2010 must use the 2010 Alternative Certificates. Previous documentation from 2009 will not be accepted.

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STAGE 2 - ASSESSMENT 1 (MMT)

Once your application is accepted you will be asked to attend an initial assessment which forms the short-listing process. This assessment is conducted under examination conditions and you will be asked to agree to a set of rules before you can proceed. This first assessment is conducted on one day in appropriate locations situated at locations in each Deanery across the UK and you will be normally be allocated to attend at the closest available centre to where you are currently living. Important Note: Candidates who will attend the centre organised by the KSS Deanery will be sent an email around 3 rd February which will contain important details and candidates should look out for this information. In addition, there will be further information on the Recruitment section of the KSS GP website. The national assessment day is Saturday 6th February 2010. The assessment consists of two papers to be completed under invigilated conditions. The papers are designed to assess the essential competencies in the National Person Specification and are based around clinical scenarios. The papers may be in either order. Clinical Problem Solving This paper lasts 95 minutes. The questions present clinical scenarios and require you to exercise judgement and problem solving skills to determine appropriate diagnosis and management of patients. This is not a test of your knowledge, but rather your ability to apply it appropriately. The topics will be taken from areas with which a Foundation Programme Year 2 doctor could be expected to be familiar. There are no questions requiring a specific knowledge of general practice. Questions may be presented in a variety of formats and you will have to choose your answer from the given responses according to your clinical judgement. The examples available for download illustrate some of the question formats that may be used and the type of topics to be covered. Other question formats may be used when appropriate. You will be asked to mark your answers on a separate sheet by filling in lozenges. Professional Dilemmas The paper focuses on your approach to practicing medicine. The paper lasts 115 minutes. You are presented with scenarios you might meet when practising as a doctor. Each scenario encapsulates a professional dilemma and you are asked | KSS GP Recruitment Handbook

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about dealing with it. The paper is designed to assess your understanding of appropriate behaviour for a doctor in difficult situations and allow you to demonstrate the application of competencies such as professional integrity, coping with pressure, and empathy and sensitivity. It does not require specific knowledge of general practice but does assume general familiarity with typical primary and secondary care procedures. Your responses should represent appropriate behaviour for a second year Foundation doctor. Scoring is based on how close your responses are to the most appropriate response for the item. The most appropriate response is determined by a panel of expert GPs. We only include questions that have been tested and where there is a consensus among our expert panel regarding the most appropriate response to the situation. Applicants can score highly in these questions by providing an answer that is close to, but not identical to that from the expert group. The closer your answer is to our experts responses the more points you will gain for the question. You can download example Clinical Problem Solving and Professional Dilemma’s questions from our Download section – there are some practice questions included too!

Preparation hints: • •

Papers are NOT negatively marked so make sure you answer all the questions. Read instructions and questions carefully. You may invalidate your answer by responding inappropriately e.g. marking more options than were asked for.

There may be times when you would like more information to answer questions. Just give your best answer given the information provided.

Read the example questions carefully. If you feel you would benefit from revisiting some areas of knowledge or practice in order to be better able to show your capability then you should do this before the assessment.

We will provide a glossary where questions use terms or abbreviations which are not in universal use or may be misunderstood by some candidates.

The Scoring and Psychometric properties of the paper used in February 2008 are available in our Download section.

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STAGE 3 - ASSESSMENT 2 (SAC)

Having successfully achieved the standard required at the first assessment you will be invited to a Selection Assessment Centre, (SAC) which will be at your first choice Deanery or second choice Deanery, depending on your performance in the first part of the assessment. Applicants who fail to meet the required standard at the first assessment will not be able to proceed further in the process and will be informed of this. Successful candidates will be invited to attend at only one Deanery Selection Assessment Centre, and you must attend on the date and time allocated for you to attend. Your application, if you are successful at this stage, will be initially considered for a training programme only in the Deanery where you attend the Selection Assessment Centre. Deaneries will request references from all applicants who are invited to attend this second assessment and you will be required to bring those references with you. You can download a Structured Reference Form from the National GP Recruitment Web Site http://www.gprecruitment.org.uk/downloads/gp_srf.htm

You will also be asked to provide:• •

Photographic proof of identity such as a passport or driving licence. Documentation relating to your right to work in the UK.

Original GMC certificate and your original medical qualification certificate as well as photocopies of these for us to keep. (If you do not currently hold a driving licence, you will be asked to confirm that you have suitable arrangements for attending emergencies and providing domiciliary care).

Originals of the evidence you submitted to demonstrate achievement of foundation competency for verification.

Once you have registered and had your documentation collected and/or checked, you will have your photograph taken. This is simply to ensure that the assessors can identify you during the selection process and ensure that all the information correlates correctly to each candidate You will be asked to indicate your preferred geographical areas or programmes within the Deanery from those available and this will be explained when you attend. Each UK SAC will involve candidates completing 3 exercises which are observed and assessed by trained assessors. The exercises will consist of a patient simulation exercise, a group exercise and a written exercise. There are no interviews and assessors do not have access to your application form, your CV or any other biographical information. Assessors will look for the demonstration of evidence in the competency areas as described in the person specification and each candidate has a number of opportunities to demonstrate these. None of the GP assessors take part in or endorse any preparation courses or books. | KSS GP Recruitment Handbook

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All the information you need to prepare for and participate in the GP Selection Centre is available here and on the NRO website •

Patient Simulation Exercise This will involve a simulator and a situation which you should be able to deal with as a doctor with at least 18 months postgraduate experience. It will not involve a physical examination and clinical expertise is not specifically assessed. Please refer back to the National Person Specification to consider how this exercise may relate to the competencies required. Written Exercise You will have to complete an exercise in which there are no absolutely correct answers. Again we expect you to demonstrate your abilities against the competency areas identified in the Person Specification and this should be your reference. Group Exercise You will be randomly allocated to a group to carry out an exercise which will involve a group discussion; this will obviously involve interaction with colleagues and candidates going through the same selection process for a GP Specialty Training programme. The group dynamics will not be assessed. The Person Specification will again be the reference for assessment in this exercise.

You can download an example scenario for each of these exercises from the National GP Recruitment Web Site. We assess some of the competencies in each exercise. Any of the observed exercises may be videoed for quality control purposes and in addition to the assessors; other observers may be in attendance. This will not affect your assessment in any way, and you will be informed about this. All exercises will have specific and individual written instructions, with advice to spend time reading and being familiar with the requirements of the exercise. The group and written exercises also include time at the end of each exercise to reflect on your performance. There will be a briefing session at the start of your SAC session and an opportunity for questions at the end of it; this is NOT a feedback session. Feedback on your performance will be given later and will be after the offers have been made. Preparation hints • •

Be yourself and act naturally. Listen and read carefully all instructions given on the day about the exercises.

Be honest.

Trust the process which has always had excellent candidate evaluation; specifically the evaluation says the process is fair, even from those who are not successful first time.

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•

Practice the example scenarios with your colleagues by all means but we do not recommend that you book commercial courses or purchase advice and guidance books specifically aimed at doctors undertaking the GP SAC.

REFERENCES

Applicants should note that references are required at the Selection Assessment Centre and should ensure that referees have completed and submitted them to the Deanery on the day you attend the Selection Assessment Centre.

DRESS CODE

Candidates may wear, within reason, what they wish. However, candidates may wish to bear in mind that they are being assessed to be trained as GPs and may wish to reflect this intention in their appearance.

TRAVEL EXPENSES Reasonable travel expenses only will be reimbursed provided that the claim form is completed with all receipts. The most cost effective means possible should be used, and the deanery reserves the right to only reimburse you the cost of the cheapest fare. Candidates that attend the KSS selection centre MUST see the KSS deanery guidelines for reimbursement of claims, which can be downloaded from the deanery web site and should consult the deanery before making any special arrangements www.kssdeanery.org/general-practice/recruitment/2010-stages-gp-recruitment

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PREFERENCING

When making your application you will be required to preference the Units of Application and Panel members will not have access to this information. If successful at the Selection Assessment Centre, offers of preferred programmes will be made to applicants in order of highest score and ranking. You will be asked to rank your preferences at the selection assessment centre; the training programmes are listed below •

East Kent

Medway

Dartford

Maidstone

Tunbridge Wells

Hastings

Eastbourne

Brighton and Mid Sussex

Worthing

Chichester

East Surrey and Crawley

Epsom

Frimley

Guildford

Chertsey and Ashford

For further details of the above training programmes please click on the link below to access information about the different GP Programme areas and links to their web sites www.kssdeanery.org/general-practice/recruitment/programme-areas Or to download a copy of our KSS GP Specialty School Prospectus for August 2010 visit www.kssdeanery.org/general-practice/recruitment

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STAGE 4 - ALLOCATION AND OFFER

Figure 3 - Offers and Acceptances Process

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Programmes will be allocated to successful candidates depending upon performance at the SAC, the training programme required and availability of a suitable vacancy. The NRO will attempt to ensure that any remaining vacancies are offered to suitable candidates from other Deaneries where appropriate according to their performance ranking at the SAC and their original Deanery preferences. Candidates are reminded that if they accept an offer of a training programme, they must not subsequently decline without giving adequate notice. Candidates who accept a GP training post are expected to take up the post. KSS Deanery may refer training applicants to the GMC Fitness to Practise Panel if they withdraw their acceptance of a training post less than 4 weeks before their post start date in August 2010. Paragraph 49 of Good Medical practice is particularly relevant: ‘Patient care may be compromised if there is not sufficient medical cover. Therefore, you must take up any post, including a locum post, you have formally accepted, and you must work your contractual notice period, unless your employer has reasonable time to make other arrangements’.

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APPOINTMENT TO PROGRAMME

THE KSS FIVE STAGE APPLICATION, OFFER AND APPOINTMENTS PROCESS

The offer and appointment process in KSS Deanery will follow a five stage process as outlined below: Stage 1. Stage 2. Stage 3. Stage 4. Stage 5.

Advertising the Deanery’s Terms of Business – Deanery responsibility / prior to application; Offer and acceptance of the GP training programme and introduction to the employer – Deanery responsibility1 / post selection; Making a conditional offer and pre-employment checks – Trust / GP Training Practice responsibility / 6-8 weeks prior to rotation start date; Contract provision – Trust / GP Training Practice responsibility / within 8 weeks of appointment; Informing the trainee of future placements within the programme rotation – Deanery responsibility – 6-8 weeks prior to subsequent rotation.

THE PRE-EMPLOYMENT CHECKING PROCESS

Once an offer has been accepted, the Deanery will inform the appointing Trust / GP Training Practice of the interview and application outcome. Before appointment and contract issue can occur, each appointing Trust / practice will be required to undertake a series of pre-employment and Criminal Records Bureau (CRB) checks which will require trainees to provide evidence in relation to, amongst others:      

Verification of identity checks Right to work checks Registration and qualification checks Employment history and reference checks Occupational health checks Criminal record checks

It is recommended that if you are unsure about information relating to preemployment checks, applicants should refer to the NHS Employers website for further information. (www.nhsemployers.org/primary/Employment-checks.cfm) In addition, applicants will be required to provide evidence of: 

GMC registration;

1

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 

Qualifications and academic achievements; Validated certificates for Hepatitis B, C or, amongst others, BCG; and References and employment history.

Applicants should also note that the checking processes are mandatory and the requirement for provision of documentation may differ from one employing hospital Trust to another. Applicants offered a KSS training programme are strongly advised to prepare for this checking process well in advance of the rotation start date.

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13 OUR TRUSTS AND PROGRAMMES

This section is intended to give applicants greater insight into the hospitals within KSS and to inform them about which one would suit them best in terms of training opportunities, facilities, geography and more. OUR TRUSTS

Further information about our Trusts and their associated hospitals can be obtained from the website links below Trust Ashford and St Peter's Hospitals NHS Trust Brighton and Sussex University Hospitals NHS Trust Dartford and Gravesham NHS Trust East Kent Hospitals NHS Trust East Sussex Hospitals NHS Trust Frimley Park NHS Foundation Trust Maidstone and Tunbridge Wells NHS Trust Medway NHS Trust Royal Surrey County Hospital NHS Trust Royal West Sussex NHS Trust Surrey and Sussex Healthcare NHS Trust Worthing and Southlands Hospitals NHS Trust Kent and Medway NHS and Social Care Partnership Trust Surrey & Borders Partnership Sussex Partnership

Type Acute Acute Acute Acute Acute Acute Acute Acute Acute Acute Acute Acute Mental Health Mental Health Mental Health

Table 1 - KSS Trust websites

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OUR GP PROGRAMMES

The KSS GP School offers around 285 individual GP training programmes (this is an indicative amount as the final number may change) and this includes one academic clinical fellowship. The Academic Clinical Fellowship

This post will be organised in conjunction with the University of Brighton Medical School, and is a 4 year post comprising 75% GP training and 25% academic work. Applicants to GP training interested in applying for this post will be able to state their interest on the application form. Those applicants will need to attend an academic interview following the GP Stage 2 assessment, and one applicant who is successful at this interview and at the GP Selection Centre will be offered the post. Information can be found on our website: www.kssdeanery.org/general-practice/recruitment Additional information can be found in the KSS GP Specialty School Prospectus for August 2010 www.kssdeanery.org/sites/www.kssdeanery.org/files/KSS GP School Prospectus

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15 FURTHER INFORMATION

WHO CAN I CONTACT? AT KSS DEANERY

You will be able to raise questions about GP training programmes by using the email addresses below. The Deanery will aim to respond to all queries within 48 hours and within 24 hours during the ‘application windows’. Specialty General Practice

Email Address recruitmentmanager@gpkss.ac.uk

Table 2 – Who to Contact at KSS

AT OUR HOSPITALS

Should you have any queries about the appointment process at the hospital at which you have accepted an offer you will be able to contact the Medical Staffing Department at that site by using the appropriate email address below. Hospital

Medical Staffing Contact Email Address

Ashford and St Peter's Hospitals NHS Trust Brighton and Sussex University Hospitals NHS Trust Dartford and Gravesham NHS Trust East Kent Hospitals NHS Trust East Sussex Hospitals NHS Trust Frimley Park NHS Foundation Trust Maidstone and Tunbridge Wells NHS Trust Medway NHS Trust Royal Surrey County Hospital NHS Trust Royal West Sussex NHS Trust Surrey and Sussex Healthcare NHS Trust Worthing and Southlands Hospitals NHS Trust Kent and Medway NHS and Social Care Partnership Trust Surrey & Borders Partnership Sussex Partnership Ashford and St Peter's Hospitals NHS Trust

elaine.beaumont@asph.nhs.uk Recruitment Team david.murphy@dvh.nhs.uk kim.fishlock@ekht.nhs.uk janet.botting@esht.nhs.uk kirsten.voss@fph-tr.nhs.uk margaret.mcloughlin@nhs.net sue.ahmad@medway.nhs.uk susan.darby@royal.surrey.nhs.uk melanie.clay@rws-tr.nhs.uk jean.seymour@sash.nhs.uk jan.mclean@wash.nhs.uk

Table 3 – Medical Staffing Contacts at our Trusts

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16

MMC AND THE APPLICANTS’ GUIDE • •

MMC website - www.mmc.nhs.uk Applicants’ Guide to Application and Selection to Specialty Training In England - www.mmc.nhs.uk/PDF/Applicant%20guide.pdf

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17

USEFUL WEBSITES AND SOURCES OF INFORMATION

REGULATORY AUTHORITIES

General Medical Council (GMC) www.gmc-uk.org

Postgraduate Medical Education and Training Board (PMETB) www.pmetb.org.uk

MEDICAL TRAINING AND EDUCATION ACROSS THE UK

NHS Education Scotland www.nes.scot.nhs.uk

Northern Ireland Medical and Dental Training Agency www.nimdta.gov.uk

Modernising Medical Careers in Wales, Cardiff University www.mmcwales.org/foundation-programmes

Modernising Medical Careers, England www.mmc.nhs.uk

ROYAL COLLEGES The Royal College of Anaesthetists The Royal Collage of General Practitioners The Royal College of Obstetricians and Gynaecologists The Royal College of Ophthalmologists The Royal College of Paediatrics and Child Health The Royal College of Pathologists The Royal College of Physicians of Edinburgh The Royal College of Physicians of London The Royal College of Physicians and Surgeons of Glasgow The Royal College of Psychiatrists The Royal College of Radiologists The Royal College of Surgeons of Edinburgh The Royal College of Surgeons in Ireland The Royal College of Surgeons of England The Royal Society of Medicine

Academy of Medical Royal Colleges www.aomrc.org.uk/

Faculty of Public Health www.fph.org.uk

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DEANERIES East Midlands Deanery East of England Deanery East Scotland Deanery Kent Surrey and Sussex Deanery London Deanery Mersey Deanery North Scotland Deanery North Western Deanery Northern Deanery Northern Ireland Medical & Dental Training Agency (NMDTA) Oxford Deanery Peninsula Deanery Severn Deanery South East Scotland Deanery South Yorkshire & South Humber (SYSH) Wales Deanery Wessex Deanery West Midlands Deanery West Scotland Deanery Yorkshire Deanery

OTHER LINKS

SKILLS FOR HEALTH www.skillsforhealth.org.uk NHS CAREERS www.nhscareers.nhs.uk E-LEARNING FOR HEALTHCARE www.e-lfh.org.uk MEDICAL SCHOOLS COUNCIL www.medschools.ac.uk NATIONAL ASSOCIATION OF CLINICAL TUTORS (NACT) www.nact.org.uk COPMED (CONFERENCE OF POSTGRADUATE MEDICAL EDUCATION DEANS OF THE UK) www.copmed.org.uk COGPED (COMMITTEE OF GENERAL PRACTICE EDUCATION DIRECTORS) www.cogped.org.uk

MEDICAL RESEARCH COUNCIL www.mrc.ac.uk | KSS GP Recruitment Handbook

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ROSE (WEBSITE FOR REFUGEE DOCTORS) www.rose.nhs.uk NHS JOBS ENGLAND www.jobs.nhs.uk NHS JOBS SCOTLAND www.jobs.scot.nhs.uk/version2/default.aspx NHS JOBS WALES www.wales.nhs.uk/jobs/ DEPARTMENT OF HEALTH www.dh.gov.uk/Home/fs/en BRITISH MEDICAL ASSOCIATION (BMA) www.bma.org.uk

DEANERY GUIDANCE

KSS Guides to Secondary Care Specialty Recruitment can be found on the KSS Deanery web site www.kssdeanery.org/

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18 ROLES AND RESPONSIBILITIES OF THE KSS DEANERY AND ITS STAKEHOLDERS DURING PERIODS RECRUITMENT GP PROGRAMMES

This paper outlines the roles and responsibilities of key KSS Deanery teams, individuals and stakeholders during periods of recruitment. KEY STAKEHOLDERS 1. 2. 3. 4. 5. 6. 7. 8.

The Dean Director Head of School and The GP Recruitment Team GP Training Programme Directors GP Trainers, Hospital clinicians Medical Staffing Managers Medical Education Managers Konetic Medical Royal Colleges

THE DEAN DIRECTOR

The Dean Director & GP Dean has overall responsibility for the management and delivery of an effective recruitment round in and across the KSS Deanery. From time to time their intervention may, amongst other reasons, be required to inform key stakeholders about new or changing local or national strategic policies associated with the recruitment of trainee doctors to educationally approved training programmes in KSS. Candidates who accept a GP training post are expected to take up the post. KSS Deanery may refer training applicants to the GMC Fitness to Practise Panel if they withdraw their acceptance of a training post less than 4 weeks before their post start date in August 2010. Paragraph 49 of Good Medical practice is particularly relevant: ‘Patient care may be compromised if there is not sufficient medical cover. Therefore, you must take up any post, including a locum post, you have formally accepted, and you must work your contractual notice period, unless your employer has reasonable time to make other arrangements’. AND GP RECRUITMENT TEAM

The Head of School (HoS), supported by the GP Recruitment Team is responsible for the planning, coordination, implementation and evaluation of any recruitment round in KSS. Specific responsibilities may include: a) Planning the delivery of the recruitment process and providing appropriate training to assessors. b) Working with the GP National Office to implement the national process | KSS GP Recruitment Handbook

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GP PROGRAMME DIRECTORS

Providing up to date information on GP specialty training placement vacancies Matching appointed candidates to the training programme locally MEDICAL STAFFING MANAGERS

Medical Staffing Managers (MSM) are responsible for ensuring that the Trust provides the Deanery and trainees with information about the employing hospital and Trust as outlined by the Employment Agencies Standards Inspectorate (EASI) and the Department for Business Enterprise and Regulatory Reform (BERR). This information will be presented to the Deanery as part of a data collection exercise which is managed by the Medical Workforce Teams and will be displayed, where possible, on Deanery and Trust websites. MSM will also undertake pre-employment checks prior to appointment, ensuring that evidence of, amongst other documentation, Foundation competency sign off is confirmed prior to appointment. MSMs are also required to confirm the number of empty educationally approved posts prior to the recruitment phase. From time to time, MSM will assist the Deanery with recruitment activities such as document checking on interview days.

MEDICAL EDUCATION MANAGERS

Like the MSM, the Medical Education Manager (MEM) may be required to assist with the provision of information as outlined by EASI and BERR and document checking at the Selection Assessment Centre. Both MSM and MEM are seen as key communicators of Deanery information to applicants and trainees within their hospitals and Trusts.

KONETIC

Konetic are responsible for developing the GP online application software used by the national GP Recruitment process. GP TRAINERS, HOSPITAL CLINICIANS

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GP Trainers and Hospital Consultants will be the Educational and Clinical Supervisors for successful candidates who enter the GP training programmes. In addition, GP Trainers, Hospital Consultants and appropriate Lay individuals are trained as assessors for the Selection Assessment Centre and take part in the assessment of candidates there.

19 YOUR NOTES

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20 ACKNOWLEDGEMENT

The GP Recruitment Team have compiled this handbook with reference to the GP National Recruitment Web Site

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KSS General Practice trainee handbook