The Kent, Surrey and Sussex GP School Prospectus 2013

Living the Life‌

THE KENT, SURREY AND SUSSEX GP SCHOOL PROSPECTUS Programmes commencing August 2013

Dartford Chertsey medway

Epsom

frimley

WEST KENT

EAST SURREY

Guildford

maidstone

East Surrey

WEST SURREY

EAST KENT

Tunbridge Wells Ashford

Haywards Heath

WEST SUSSEX Chichester

margate Canterbury

Worthing

EAST SUSSEX, BRIGHTON & HOvE Hastings brighton

Eastbourne

Published September 2012

02 CONTENTS

THE KSS GP SCHOOL

04

GP training in the UK

04

What is a GP School?

04

KSS in brief

05

How do I apply to undertake GP training In KSS?

05

What is our aim?

05

What things do we value?

06

Some facts and figures

07

THE STRUCTURE OF THE SCHOOL

08

MEMBERS OF THE DEANERY TEAM IN THE GP SCHOOL

10

DEPARTMENT OF POSTGRADUATE GP EDUCATION ADMINISTRATION TEAM providing support for the gp school

12

WHAT CAN YOU EXPECT FROM TRAINING IN KSS?

16

Hospital placements

16

GP placements

17

Educational support

18

Induction

18

E-Learning Resources

18

Learning sets

18

Study leave

19

Experiential learning for the Clinical Skills Assessment

19

Quality management in the KSS GP School

19

GPStR involvement in the GP School

20

What if training does not go as smoothly as anticipated?

20

Information sharing

21

Salary

21

Additional financial support

21

Deferment

22

Less than full-time training (LTFT)

22

Sickness Absence

23

Transfers

23

Out of programme experience

23

THE GP CURRICULUM

24

The ePortfolio

24

The MRCGP

24

Assessment methods in WPBA

25

GLOSSARY

28

KENT

30

EASTern and coastal KENT

32

MEDWAY

34

West Kent, Dartford

38

West Kent, Maidstone

40

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

03 West Kent, Tunbridge Wells

42

Training Practices in SURREY

82

KENT LOCAL EDUCATION PROVIDERS

44

Training Practices in the Chertsey GP Training Programme Area

82

DARTFORD & GRAVESHAM NHS TRUST Darent Valley Hospital

46

Training Practices in the Crawley and East Surrey (CRESH) GP Training Programme Area

83

EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST Kent & Canterbury Hospital

47

Training Practices in the Epsom GP Training Programme Area

83

EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST William Harvey Hospital

Training Practices in the Frimley GP Training Programme Area

84

48

Training Practices in the Guildford GP Training Programme Area

85

EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST Queen Elizabeth the Queen Mother Hospital

50

SUSSEX

86

Kent and Medway NHS and Social Care Partnership Trust (KMPT)

51

EAST SUSSEX, Brighton

88

East sussex, Eastbourne Site

90

The Lions Hospice

52

MAIDSTONE & TUNBRIDGE WELLS NHS TRUST Maidstone Hospital

East sussex, Hastings Site

92

53

mid sussex, Mid-Sussex

94

MAIDSTONE & TUNBRIDGE WELLS NHS TRUST Tunbridge Wells Hospital, Pembury

54

WEST sussex, Chichester

96

Medway NHS Foundation Trust Medway Maritime Hospital

WEST sussex, Worthing

98

55

Sussex local education providers

100

Pilgrims Hospice

56

Training Practices in Kent

57

102

Training Practices in the East Kent GP Training Programme Area

57

Brighton and Sussex University Hospitals NHS Trust Royal Sussex County Hospital & Princess Royal University Hospital, Haywards Heath

Training Practices in the Medway GP Training Programme Area

58

East Sussex Healthcare NHS Trust Eastbourne District General Hospital and Conquest Hospital

104

Training Practices in the Dartford GP Training Programme Area

58

St Barnabas Hospice

105

Training Practices in the Maidstone GP Training Programme Area

59

Sussex Partnership NHS Foundation Trust (Psychiatric)

106

Training Practices in the Tunbridge Wells GP Training Programme Area

59 60

WestERN Sussex NHS Trust St Richard’s Hospital

108

SURREY EAST SURREY, Crawley and East Surrey (CRESH)

62

WestERN Sussex NHS Trust Worthing and Southlands Hospitals

110

East Surrey, Epsom

64

St Wilfrid’s Hospice

111

WEST SURREY, Chertsey

66

Training Practices in Sussex

112

WEST SURREY, Frimley

68

WEST SURREY, Guildford

70

Training Practices in the Brighton & Mid-Sussex GP Training Programme Area (Brighton)

112

SURREY LOCAL EDUCATION PROVIDERS

72

Training Practices in the Eastbourne GP Training Programme Area

112

Ashford & St Peter’s Hospitals NHS Trust St Peter’s Hospital

74

Training Practices in the Hastings GP Training Programme Area

113

Epsom & St Helier University Hospitals NHS Trust Epsom General Hospital

Training Practices in the Chichester GP Training Programme Area

113

75

Training Practices in the Brighton & Mid-Sussex GP Training Programme Area (Mid-Sussex)

114

FRIMLEY PARK HOSPITAL NHS FOUNDATION TRUST Frimley Park Hospital

76

Training Practices in the Worthing GP Training Programme Area

114

the Phyllis Tuckwell Hospice

77

GP Training Posts available august 2013

115

Royal Surrey County Hospital NHS foundation Trust Royal Surrey County Hospital

78

THE KSS POST-CERTIFICATION GP SCHOOL

116

St Catherine’s Hospice

79

Surrey and Borders Partnership NHS FOUNDATION Trust

118

80

DEPARTMENT OF POSTGRADUATE GP EDUCATION ADMINISTRATION TEAM PROVIDING SUPPORT FOR THE POST CERTIFICATION GP SCHOOL

Surrey and Sussex Healthcare NHS trust East Surrey Hospital

81

04

THE KSS GP SCHOOL Welcome to the KSS GP School. This prospectus, aims to provide you with information about the rich variety of training environments we provide for doctors who wish to train for a career in general practice. You will find information about all our Specialty Training Programmes and the locations, the educational processes and the support for doctors training for general practice as well as the overall structure of the School. I hope that you enjoy reading it and find it useful.

GP training in the UK At present, GP Specialty Training takes place over three integrated years which must include one year of appropriate hospital posts and one year of training in an approved GP Training Practice. Most GP Registrars will get at least 16 months in a GP placement.

General Practice and Primary Care continue to change and develop in the UK, and provide the vanguard of healthcare provision that blends clinical science with the richly rewarding environment of working with individuals and in their lives.

The working context is constantly evolving, as are the skills and knowledge that individual GPs need. KSS aims to anticipate immediate future trends by changing the educational content and context of its training to make it pertinent to all our new starters, and give them the best start in their GP careers.

“WHAT IS A GP SCHOOL?” The KSS GP School is a virtual organisation that draws together postgraduate doctors in training for general practice, their teachers and supervisors, and the appropriate administrative staff in a geographical area (normally that of a Postgraduate Deanery) that works in collaboration with the Royal College of General Practitioners to deliver and support GP training programmes.

The KSS GP School is an integral part of the KSS Postgraduate Deanery, itself part of Brighton & Sussex University NHS Hospitals Trust. It is managed by the KSS Deanery in collaboration with the Royal College of General Practitioners. It is part of the KSS Department of Postgraduate General Practice Education.

“

KSS aims to anticipate immediate future trends by changing the educational content and context of its training to make it pertinent to all our new starters, and give them the best start in their GP careers.

“

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

05

“Kss in brief” The Counties of Kent, Surrey and Sussex cover the major part of the urban and rural areas of South East England. KSS thus has excellent transport links to London and Europe with the Eurostar and high speed rail link and the many cross channel routes.

It has a rich mix of towns, three ancient cathedral cities and a long and varied coastline. In terms of lifestyle, rest and relaxation and transport links we think it is the perfect part of the world in which to train. We give further information, about the different training locations and their local flavour, elsewhere in this prospectus.

HOW DO I APPLY TO UNDERTAKE GP TRAINING IN KSS? All applications to GP training in the UK are co-ordinated by the National Office for GP Recruitment (NRO) www.gprecruitment.org.uk and applications to KSS should be made through its website.

“What is our aim?”

Very simply – to enable you to undertake your GP training and get your CCT as smoothly and in as timely a way as possible.

In addition, we want to ensure that your journey is stimulating and fun filled and when you do finish, that you have a good base to continue your lifelong personal professional development in the exciting and developing world of general practice – preferably in KSS enabling you to take advantage of the further CPD activities provided by the Deanery and Post-CCT School throughout your career as a GP.

06

What things do we value?

The School places the greatest importance on our GPStRs and their progress. We understand that learning a large new set of information and skills, and demonstrating that knowledge and skills in assessments, can provide a challenge, so we try to put as much support and help your way as possible.

Induction to our training posts is an essential part of the process, so that you should not have to undertake the duties of a new post without clear guidance and information as to what you need to know. We like to ensure that this is happening on the ground, so the KSS GP School carries out inspections of all our GP training areas regularly and asks our GP trainees to feedback on their experience of every placement via our online feedback process and exit interviews.

This means that we can keep a close eye on things and move to remedy any issues as early as possible and continue to enhance our processes for the next incumbent. We want to ensure that your hospital posts provide good and relevant experience for becoming a GP, and have created guidance that will allow you and your Supervisor to determine what important areas that you need to learn in any hospital post for your training as a GP. Through joint learning processes with GP educators and hospital

consultants, we seek to ensure that your consultants will be prepared and have an understanding of the assessments that they will be doing with you.

We know that it is not possible to provide every GP trainee with their ‘ideal’ spread of different clinical and specialty experience, if indeed such a thing exists. In order to tailor this to individual needs we have created a number of Integrated Training Posts (ITP) that are based in general practice but permit you to have 3 days a week in another clinical area that is relevant to GP training. These are very popular and provide good feedback, but even if you do not have one on your rotation, you will have at least 16 months in a general practice post which will allow plenty of opportunity for any specific clinical learning needs to be addressed appropriately for general practice.

The School will provide you with a number of training days at no cost. These may be informational (e.g. induction to each of the GP years, and information about the assessments), training (Clinical Skills Assessment training and experience in preparation for the CSA), learning about and trying out skills for telephone consulting, particularly in the out of hours situation, and may be held locally as well as centrally. In addition, the School now has a comprehensive series of e-learning modules to support your learning about the MRCGP and its assessments which can be completed in your time and when it is convenient.

The KSS Deanery is committed to providing this enhanced level of support to GP trainees in order to give them the best possible chance of success in passing their MRCGP. The School also provides a support structure for you, with your Educational Supervisor, your Programme Directors, and your Patch Associate GP Dean all available to help with any problems you may have. The majority of problems for GPStRs are dealt with locally and easily but there is a robust support network available for any situations that may need further help.

And you have a voice! There is an active committee of GP trainees in KSS that draws representation from every training area, and provides direct and close communication with the GP Dean and Head of the GP School.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

07

Dartford Chertsey medway

Epsom

frimley

EAST SURREY

Guildford

Canterbury maidstone

East Surrey

WEST SURREY

margate

WEST KENT

EAST KENT

Tunbridge Wells Ashford

Haywards Heath

WEST SUSSEX Chichester

EAST SUSSEX, BRIGHTON & HOvE Hastings

Worthing

brighton

Eastbourne

Some facts and figures The Deanery covers a population of around 4.5 million people and has 12 major Acute Hospital Trusts covering a number of general hospitals, 8 Primary Care Trusts (which are presently undergoing transition), 4 Mental Health & Specialist Trusts (that provide a wide number of inpatient and outpatient locations) and 4500 GPs. East Kent and Brighton and Sussex are University NHS Trusts and Frimley Park and Medway are Foundation NHS Trusts. The School has around 250 individual GP Specialty Training Programmes (actual numbers are subject to change each year) in 14 GP Training Programme locations, based around the main Acute Trusts. That means at maximum capacity the School will have around 800 GPStRs. At present, GP Specialty Training programmes in KSS are of three years’ duration and provide a wide variety of combinations of posts, all with16 months in general practice placements. All GP training programmes are organised to deliver the outcomes of the GP Curriculum (and approved by the

GMC for this purpose). In KSS we aim to provide GPStRs with as wide an exposure to the learning environments appropriate to the GP curriculum as possible. There are around 250 Practices approved for GP training with 450 GP Trainers.

Because it is a big area, for convenience we divide each of the counties of Kent, Surrey and Sussex into east and west patches to help with our administrative processes, and the prospectus follows this structure in describing the School.

The GP Specialty Training Programmes are supported by a local team of enthusiastic GP Programme Directors (these will nearly all be GPs who have been trained and selected for the purpose, however some come from an academic background in medical education and have University posts as well).

There are normally three Programme Directors per training programme (more where the programme covers a wider area and has a larger number of GPStRs) who will support you in every year of the

training programme and co-ordinate the group of GP Trainers who will look after you when you are in your GP placements.

Although each individual GP Training Programme delivers everything that is necessary for you to get your CCT, each one has an individual character and flavour.

At each training locality (usually based on the Acute NHS Trust and its main hospital(s)) you will be part of the local Faculty of the GP School. The Faculty consists of all the GPStRs, the GP Programme Directors, the GP Trainers and the Patch Associate GP Dean. The Faculty meetings will also include Hospital Consultants who are acting as Clinical Supervisors for GPStRs, and this provides an excellent supportive structure to manage the progress of all GPStRs. Fuller information about each GP training programme area that provides more local colour and flavour will be found later in this prospectus.

08

THE STRUCTURE OF THE SCHOOL In KSS, GP training is carried out in 14 GP Training Programme areas, and each of these areas is linked to a Local GP Faculty Group (LFG). The Faculty consists of those GPStRs, GP Educators (GP Trainers and GP Specialty Programme Directors), Consultant Clinical Supervisors and administrative staff (such as the Medical Education Managers) who are all involved in the GP training in that locality.

The Faculty allows the progress of all GPStRs to be monitored, which means that effective and speedy support can be directed to any GPStR that might be in need of it, for whatever reason.

The Local GP Faculties link to the other Specialty Faculties in each Hospital Trust through the Local Academic Board. This allows networking and good educational practice to be shared at the local level.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

Although the GP School is organised geographically, there are some instances where for administrative purposes responsibility for a GP Training Programme Area is with a Patch Associate GP Dean mainly responsible for another geographical area, for example the Crawley and East Surrey Hospitals (CRESH) GP Training Programme Area falls across the border of both East Surrey and West Sussex, and responsibility is shared between the East Surrey Patch Associate GP Dean and the West Sussex Patch Associate GP Dean, and Medway is geographically located in West Kent, but for administrative purposes responsibility lies with the Patch Associate GP Dean for East Kent.

The main central administrative support for the GP School is based at the main Deanery offices at Bermondsey Street, near London Bridge Station.

09 Dean Postgraduate GP Education Professor Abdol Tavabie

Head Of gp school

Guildford GP Training Programme

frimley gp Training Programme

Ian McLean Hilary Diack (Designate)

Patch Associate GP Dean west surrey Hilary Diack

Associate GP Dean Mary Davis

chertsey gp Training Programme

Tunbridge Wells GP Training Programme Epsom gp Training Programme Patch Associate GP Dean East surrey Crawley and east surrey (CRESH) GP Training Programme

Chris Warwick

Patch Associate GP Dean west KEnt Debbie Taylor

Maidstone GP Training Programme

dartford GP Training Programme

Chichester GP Training Programme Patch Associate GP Dean west Sussex Glyn Williams

Worthing GP Training Programme

Patch Associate GP Dean east KEnt & Medway Kim Stillman

MID Sussex GP Training Programme

brighton GP Training Programme Patch Associate GP Dean east sussex Mary-Rose Shears

EAST SUSSEX GP TRAINING PROGRAMME

Associate Dean for curriculum and assessment Susan Bodgener

east Kent GP Training Programme

medway GP Training Programme

10

MEMBERS OF THE DEANERY TEAM

PROFESSOR ABDOL TAVABIE

DR IAN MCLEAN

Dean of Postgraduate GP Education

Deputy GP Dean and Head of GP School

Professor Tavabie manages the whole of the Department of Postgraduate General Practice, with responsibility for both the GP School and Post Certification GP School providing educational support for GPs. He is also Deputy to the Dean Director and has a number of national roles.

Dr Ian Mclean’s role is to ensure the effective running of the GP School and to support the team of Associate Deans, the GP Programme Directors, and the GP Trainers. He works closely with the rest of the KSS Deanery, the other Specialty School Heads and the GP Dean. He is also part of the group of Head of GP Schools in the UK. He is responsible for recruitment to the GP School, and the effective administrative support to GPStRs. He is available to respond to queries from both GP educators and GPStRs where appropriate.

Email: atavabie@gpkss.ac.uk

Dr. McLean will be leaving this role in March 2013, and will be replaced as Head of the School by Dr. Hilary Diack, who is presently the Patch Associate GP Dean for West Surrey.

Email: imclean@gpkss.ac.uk

Dr MARY-ROSE SHEARS

DR KIM STILLMAN

Associate GP Dean - East Sussex

Associate GP Dean – East Kent

Dr Mary-Rose Shears is responsible for the training schemes and opportunities throughout East Sussex. Previously she was a programme director on the Eastbourne GP training scheme.

She is also a GP trainer in her practice in Seaford.

Dr Kim Stillman is responsible for the training programmes in East Kent which includes an innovative placement in association with Eastern and Coastal PCT. In addition to this she supports the recruitment and training of GPs to become GP Trainers.

Email: mshears@gpkss.ac.uk

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

Email: kstillman@gpkss.ac.uk

11

IN THE GP SCHOOL

DR SUSAN BODGENER

DR MARY DAVIS

DR HILARY DIACK

Associate GP Dean for MRCGP Assessment

Associate GP Dean

Associate GP Dean – West Surrey

Dr Davis is responsible for the development of the Simulated Patient Surgery Project to provide support across KSS for GPStR training and experience, particularly of the CSA. She also runs focused CSA training for GPStRs who are found to need that extra support.

Dr Hilary Diack’s responsibilities for the School in addition to those for her patch include Programme Director development, and she is also the co-ordinator and lead tutor for the KSS GP modular teaching programme to train GPs to become clinical and educational supervisors, and GP Trainers. Dr Diack is also Programme Director for Retainer Doctors and Induction and Refresher Doctors Dr Diack will be leaving this role in March 2013 and will replace Dr Ian McLean as Head of GP School.

Dr Susan Bodgener’s responsibilities include GPStR induction and training for the MRCGP assessments, information sharing and training for GP Trainers about the MRCGP, and acting as a link with the RCGP to support the use and understanding of the ePortfolio. Susan also is responsible for the organization of the ARCP.

Email: mdavis@gpkss.ac.uk

Email: sbodgener@gpkss.ac.uk

Email: hdiack@gpkss.ac.uk

DR DEBBIE TAYLOR

DR. CHRIStopher WARWICK

DR GLYN WILLIAMS

Associate GP Dean - West Kent & Medway

Associate GP Dean East Surrey

Associate GP Dean - West Sussex

Dr Chris Warwick is responsible for the quality assurance of GP training in East Surrey (including Epsom) and Crawley, supporting trainees, trainers and programme directors in their roles.

He is also involved in supporting recruitment to GP training, including the development of the assessment process and the professionalisation of the GP educator network. Chris is also involved in recruitment to GP Training and the Paramedic Practitioner Training Programme.

Dr Glyn Williams has responsibility for West Sussex. He teaches on the GP Academic Pathway and supports the process to map the GP curriculum to the learning outcomes of hospital posts.

Dr Debbie Taylor’s responsibilities include the quality assurance of all training Practices, the ongoing development of GP Trainers and appraisal and support of Programme Directors in West Kent & Medway. She is also responsible for supporting the development of Foundation and GP run through programmes.

Email: dtaylor@gpkss.ac.uk

Email: cwarwick@gpkss.ac.uk

Email: gwilliams@gpkss.ac.uk

12 DEPARTMENT OF POSTGRADUATE PROVIDING SUPPORT FOR THE GP MELANIE BRATHWAITE

David Buckle

GP Training Recruitment Administrator

GP Training Officer

Mel’s role includes:

David’s role includes:

• Assisting the GP Training Recruitment Manager and Officer with all the administrative processes for the selection and appointment of GPStRs

• M onitoring all GPStRs’ eportfolios and their progress of MRCGP training, chasing for completion of outstanding assessments, and notifying GPStRs when their ARCPs are due

• Supporting the GP Training Recruitment Officer with the administration of FPGR1 (registrar payment) and SEGPR forms

• R esponsible for setting up and maintaining the eportfolio records for all GPStRs.

• Responsible for collating returned Forms Rs and issuing trainees with National Training Numbers (NTNs) • Supporting the GP Training Manager and Officer with the administration process for Annual Review of Competency Progression (ARCP) • Supporting the process for the induction and training of GPSTRs.

• R esponsible for the administration and organisation of Annual Review of Competence Progression panels for all GPStRs • R esponsible for the organisation and administration of induction and training days for GPStRs • H andling queries from GPStRs, Educational Supervisors and Trust faculty staff in relation to the MRCGP process, eportfolio, ARCP and certification

Mel can be contacted at mbrathwaite@gpkss.ac.uk

• Key contact for the RCGP Certification Unit

Sandra Forster

• P articipates in the Senior Management Forum to support Deanery wide business and operational issues

Primary Care Business Manager Sandra’s role includes: • P roviding leadership of the GP department ensuring the planning and implementation of the business plan, policy and strategic objectives including improving and developing systems • P roviding leadership to the management of recruitment of GP Specialty trainees and their ARCP • F inancial management of the GP departmental budget • R esponsibility for GP data and information management • P roviding leadership on the administrative processes for the Post Certification GP School processes • P roviding support for business management to the Dental Trainee department as required

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

David is a key contact for GP trainees and can be emailed on dbuckle@gpkss.ac.uk

Whilst the other members of the team will help you with your day to day issues, you may contact Sandra if you are looking for further clarification on deanery processes. Sandra can be contacted by email at sforster@gpkss.ac.uk or telephone 0207 415 3484

13 GP EDUCATION ADMINISTRATION TEAM SCHOOL Laurainne Copnall

Julie Coulson

Ekuba Edjah

Surrey Patch Manager

Kent Patch Manager

GP Educator Pathway Manager

Laurainne’s role includes:

Julie’s role includes:

Ekuba’s role includes:

• P roviding support to the Associate GP Deans for the Surrey Patch and organising patch events and appraisals for Surrey Programme Directors

• P roviding PA Support to Associate GP Deans for Kent and organising of patch events and appraisals for Kent Programme Directors

• R esponsibility for the administration and organisation of accreditation and reaccreditation of Surrey GP Trainers

• R esponsible for the administration and organisation of accreditation and reaccreditation of Kent GP Trainers

• M anaging and organising the modular training (educational pathway) courses for Clinical Supervisors and Community Teachers and potential GP Trainers, including the PG Cert qualification.

• O rganisation of the Surrey Local Education Provider (LEP) visits and supporting GP Specialty Recruitment as required

• O rganisation of the Kent Local Education Provider (LEP) visits and supporting GP Specialty Recruitment as required

• O rganisation of KSS GP Programme Director Conferences, Programme Director Inductions and the UKAPD Programme Director Residential Workshop

• O rganisation of the GP Deanery AGM, annual Practice Managers Conference, GP Trainers Summer and Winter Workshops and Out of Hours Courses for both Clinical Supervisors and GP Registrars

• M anaging the Appointments Committee processes (recruitment of GP Programme Directors) • M anaging the GP Retainer Scheme, Induction and Refresher Scheme and the GPStR Overlap process • M anagement of the annual UNU Tri-badge award process Laurainne’s contact is primarily with qualified GPs who have elected to become GP Trainers so that they may go on to host FY2, ST1, ST2 or ST3 trainees at their practices. Laurainne can be emailed at lcopnall@gpkss.ac.uk

• S upporting the administration for the Underperforming Doctors project Julie’s contact is primarily with qualified GPs who have elected to become GP Trainers so that they may go on to host FY2, ST1, ST2 or ST3 trainees at their practices. Julie can be emailed at jcoulson@gpkss.ac.uk

• W orking with Associate Deans and Life Long Learning advisor to plan the expansion of the training placements • M anaging FY2 budget and funding applications for Clinical Supervisors and service level agreements.

Ekuba’s contact is primarily with qualified GPs to support them on the Educator Pathway and with Clinical Supervisors and Community Educational Supervisors with regards to FY2 placements. Ekuba can be contacted on eedjah@gpkss.ac.uk

14

Elena Gonzalez

Aaron Madzime

GP Training Recruitment Manager

GP Projects Officer

Elena’s role includes:

Aaron’s role includes:

• M anaging the recruitment process for GPStRs in KSS via the online application system, longlisting and selection assessment centre

• Managing the administration of the Paramedic Practitioner scheme

• M anaging the trainees’ placement documentation and maintaining up to date database and information systems • K ey contact for GPStRs, training practices and programme directors relating to recruitment and placement issues

• Managing the administration of GP Trainee revalidation • Website administration for the GP Team • Other project administration as required Aaron can be emailed at amadzime@gpkss.ac.uk

• M anaging the inter Programme and inter Deanery transfer process • Administration of LTFTs at ST3 level You will already have had communication with Elena through the recruitment process and will continue to do so throughout the recruitment cycle. She can also be contacted regarding intra and inter deanery transfers, at egonzalez@gpkss.ac.uk

Shirelee Rebeiro

Sue Smith

GP Payments & Office Administrator

GP Office Manager and Sussex Patch Manager

Shirelee’s role includes: • Payment Administrator duties include the checking of and processing of claims for stage 2 and 3 of the recruitment process, any courses attended by GP Registrars, Doctor Retainer Scheme, and CPD Funding for GP Trainers and Educational Supervisor payments.

• Checking and coding invoices on the system to make sure we have been charged correctly, answering any queries related to invoices/claims.

• Raising of purchase orders and checking and sending staff claims • Liaising with BSUH regarding late payments Shirelee can be contacted at srebeiro@gpkss.ac.uk

Sue’s role includes: Supporting and deputising for the Primary Care Business Manager • G P Patch Management Team Leader, including managing, training and development of staff •

o-ordinating the Trainer Selection C Committee responsible for the accreditation and re-accreditation of GP Trainers and overall responsibility for the organisation of Local Education Provider visits (LEP)

• P A Support to Associate GP Deans for the Sussex Patch including the organisation of patch events and organising appraisals for Sussex Programme Directors • S upporting GP Specialty Recruitment as required Sue’s contact is primarily with qualified GPs who have elected to become GP Trainers so that they may go on to host FY2, ST1, ST2 or ST3 trainees at their practices. You may contact Sue at ssmith@gpkss.ac.uk

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

15

Sharon Norton

Sultana Parvez

Kitty Randunne

GP Patch Management Administrator

GP Training Recruitment Officer

PA to the GP Deans Office

Sharon’s role includes:

Sultana’s role includes:

Kitty’s role includes:

• S upporting the Patch Managers with the organisation of training practice accreditation visits and local education provider visits

• A ssisting the GP Training Recruitment Manager with all administrative processes for the selection and appointment of GPStRs

• Assisting the GP Dean, Primary Care Business Manager and GP Office Manager

• A ssisting with organising workshops and conferences

• S upporting the organisation of training events and Selection Assessment Centre

• Co-ordinating and facilitating a range of meetings and events

• A ssisting with the recruitment process and other Deanery events

• R esponsible for administration of maternity/sick leave and FPGR1/SEGPR forms

• The production and distribution of the GP Newsletter

• Co-ordinating trainee placement feedback Sharon’s contact is primarily with GP Training Practices supporting the Patch Managers.

Sharon can be emailed on snorton@gpkss.ac.uk

Nina Tafa GP Training Manager Nina’s role includes: • W orking closely with the Associate Dean for Assessment and managing the administration of monitoring the assessment processes for GP trainees throughout the training programmes, providing up to date guidance and information • M anaging the ePortfolios for trainees, populating the placement data and linking the Trainees ePortfolio to the Educational Supervisors • O rganising induction and training days for GP trainees • C o-ordinating and managing the Annual Review of Competence Progression (ARCP) Nina will support you during your GP training programme, including the induction and training days. Nina can be contacted via email ntafa@gpkss.ac.uk

• H andling general queries in relation to recruitment process and GP training Sultana’s contact is primarily with applicants for GP Training. She can be contacted on sparvez@gpkss.ac.uk

• Liaising and maintaining professional relationships with various stakeholders

• Monitoring the departmental HR functions • Managing the equality and diversity training system Kitty’s contact is primarily with external stakeholders. Kitty can be emailed at krandunne@gpkss.ac.uk

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WHAT CAN YOU EXPECT FROM TRAINING IN KSS? The KSS GP School will offer you an accredited and appropriate training programme with full educational support in order to achieve a Certificate of Completion of Training (CCT) from the GMC.

Each of our GP Training Programme areas will provide a blend of hospital posts and GP placements which, although different, will provide an appropriate balance. The School places great emphasis on GPStRs being helped to recognise their individual learning needs, and for our team of skilled Educational Supervisors and Programme Directors to facilitate the delivery of those needs. This means that if there are any areas of clinical experience that would be useful for any individual GPStRs, that have not been part of their experience since qualification, the Educational Supervisors will work with them to create ways to provide that (e.g. by targeted exposure in general practice, by attendance at clinics or appropriate ward based activity). In addition, KSS provides a number of Integrated Training Posts (ITPs). These posts which are based in general practice allow (normally) three days each week in a hospital based specialty or community clinic. These posts provide focused experience in that particular clinical area with the chance to relate that directly to GP and link the learning to the appropriate outcomes of the GP curriculum.

KSS has also taken a very exciting initiative to provide a development of the ITP in which the GPStR will be working with a developing GP Clinical Commissioning Group (CCG) in order to be introduced to and start to develop the skills of medical management and leadership, skills which have been identified as very important for GPs in the future, as well as an understanding of the principles and processes that underlie the delivery of healthcare in the community. This is an innovative and unique educational development that the School is very pleased to support and has been evaluated very positively.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

HOSPITAL PLACEMENTS Each GP Training Programme uses a number of posts in different specialty areas that are approved for GP training, and each will give you appropriate learning experience for aspects of the GP curriculum. You are not expected to learn everything there is to know about a particular area of the GP curriculum from any individual post, as your learning is a developmental process that takes place over the three years of your training. Your Educational Supervisor in your hospital posts, and GP Trainer in your GP placement will work with you to ensure that all the curriculum areas are covered and provide you with educational support throughout the whole of your training. You will have a nominated Clinical Supervisor, who will be a hospital consultant, to ensure that your experience and training is appropriate for you and the level you are at. You will undertake the Workplace Based Assessments (WPBA) as described later and record these in your ePortfolio. You will also find that the Medical Education Manager (MEM) in the Medical Education Centre will also be a very helpful resource and often is the first port of call for many queries from GPStRs. All GP Training Programmes, like other training specialties, have a Local Faculty Group. For at least the first and possibly the second and third years of your training it is the intention that you will be employed by the Acute Hospital Trust for whatever post you are in.

The KSS GP School has prepared very helpful guidance for both GPStRs and their Clinical and Educational Supervisors that maps the experience and learning normally to be found in any hospital specialty post to the learning outcomes of the GP curriculum.

This will allow you to understand what are the important areas to learn during the post and the most appropriate ways to have these assessed, which can be jointly organised with your Clinical Supervisor. This guidance is available on our website.

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GP PLACEMENTS You will have experience in GP placements for 4 months in your first or second years in the GP Training Programme (ST1 or ST2). Your main placement in GP will be in your third year (ST3) which will be for the whole year.

This year will allow you to consolidate your learning and really get to grips with the skills and knowledge required for managing patients as a GP. In addition to the workplace based assessments you will be undertaking the external assessments of the MRCGP, the AKT (this is normally taken in the ST3 year, but can be taken earlier) and the CSA. You will have a close contact with your GP Trainer who will act as both your Educational and Clinical Supervisor (though in most Training Practices, there is wide variety of support from all members of the Primary Healthcare Team). It is important to be aware that all practising GPs are required to be on the Medical Performers List of the Primary Care Trust (PCT) in which they work and you will also need to be on this.

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EDUCATIONAL SUPPORT

INDUCTION

The KSS GP School provides a strong and robust framework of educational support for its GPStRs. You will have an Educational Supervisor for the whole of your time in the programme. This will be a GP Trainer, working and teaching in general practice, and in many cases will be the same person as your ST3 Trainer.

Your training programme is delivered over the three years within the context of gradually increasing skills, knowledge and competency related to being a general practitioner as detailed in the RCGP GP curriculum. (Further information is given about this below). Although you will be responsible for your learning and development, the School will provide a number of supportive processes for you. You will provide evidence of your educational progress using the workplace based assessments and recording the outcomes of these, and other additional learning, on your electronic RCGP Portfolio, which can be accessed via the internet on any appropriate PC.

Induction is a very important part of working in any new job, or context.

Your Educational Supervisor will work with you to develop your Personal Development Plan as a GPStR. Of course, this will relate to the learning outcomes of the GP Curriculum, and your achievement of your CCT, but each GPStR is an individual learner with unique needs and learning preferences that we will seek to address during the training.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

In KSS this not only will take place in your individual training posts, but for your second and third year in the GP training programme the KSS GP School provides essential information meetings for all GPStRs to understand about the GP curriculum and the necessary assessments that are part of this, and how to use the ePortfolio. The School is also developing this for all starters in their ST1 year in order to allow all trainees to commence their training with the understanding and guidance in place.

E-LEARNING RESOURCES KSS Deanery has developed a number of e-learning modules to support GPStRs in their training. The modules currently include an Introduction to GP Training, several modules related to the MRCGP and workplace based assessments and an audit training module. KSS GPStRs will have free access to all these modules.

LEARNING SETS Learning in a group of peers is a very valuable process, and in the KSS GP School, we provide this in each training area. In the GP placements a group learning set meets weekly during the term time. In the hospital placements, there is normally a learning set for the GPStRs in ST1 and ST2 posts that meets at a frequency appropriate for the individuals and the locality. These sets aim to support GPStRs in linking their experience to the learning outcomes of the GP curriculum and developing their understanding of the context and framework of general practice. These sets are facilitated by the Programme Directors.

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STUDY LEAVE The KSS GP School aims to maximize the study potential of its GPStRs and to ensure that educational support is targeted appropriately at the learning outcomes of the GP curriculum. Whilst you are in a hospital post, you will be supported by both your Clinical Supervisor (normally one of your Consultants) and your Educational Supervisor (GP Trainer).

In each hospital post you will be able to have a planned day to go and meet with your Educational Supervisor in their GP Practice. This will allow you to have close support and educational supervision, to check that your learning and assessments are on track, for you to link your experience of medicine in your specialty post with the patient experience in general practice, and thus to know what areas of your post are particularly useful for GP. The curriculum mapping guidance will also be very helpful for you in doing this.

In addition the GP School provides a number of supported learning days targeted at the areas you will need in order to manage the curriculum learning outcomes and all the assessments. In this way the School provides all the educational support that you will need in order to become a GP. Your Programme Directors will work with you to determine your specific educational needs, how these can be met and the best way to do this. The School does provide some additional financial support both in the hospital and the GP placements that can be used for additional learning activities if appropriate to your agreed learning needs. You will need to discuss this with both your Educational Supervisor and your Programme Director. The KSS Deanery has produced guidelines to study leave for all trainees which can be found on the Deanery website.

Experiential learning for the Clinical Skills Assessment The KSS School provides support at all levels for GP trainees in their final year who will be undertaking the Clinical Skills Assessment (CSA) of the MRCGP. In addition, the School invites all ST3 trainees to participate in an interactive ‘rehearsal’ for the CSA, done in the actual centre where the assessment takes place, which recreates a live assessment. This allows you to practice skills, experience the process, and get live feedback on your performance.

Quality management in the KSS GP School The KSS GP School prides itself on its processes to support the quality of GP training. The School receives feedback in a number of ways. These include the reports from the meetings of the Local Faculty Groups, the feedback from GPStRs about their training placements via the online survey, the feedback from the national GMC survey of all doctors in training, and the information gained from our yearly visits to GP Faculties and GP Training in placements provided by the Local Education Providers (Trusts and GP Training Practices). In addition we have a strongly developed process for training our GP Trainers, and for their approval and continuing re-approval as Trainers. All our Programme Directors have an annual appraisal with their Patch Associate GP Dean in order to develop and enhance their own continuing professional development. The School places the greatest importance on feedback received from GPStRs in ensuring we continue to deliver high quality education and training for general practice.

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GPStR INVOLVEMENT IN THE GP SCHOOL GPStR involvement in the GP School is encouraged and supported. There is a GPStR Committee that is chaired by a GPStR and has GPStR representatives from every training programme in KSS. The chair is a member of the GP School Board.

The Committee meetings which take place quarterly provide an opportunity for GPStRs to raise and discuss issues of concern to them, and to hear about developments in GP education nationally and in KSS. You will be able to share any issues with your local representative. This allows you to have a voice in feeding back and shaping GP training from your experience.

The KSS GP School also encourages every GPStR to feedback on their experience of each of their training posts in order to help the School continue to develop the quality of the education and training it is supporting. This feedback is essential and is used by the School in the process of quality managing GP education in each placement.

In addition the School regards GPStR input to the visits to the GP Faculties at the Training Programme areas as very important, and every visiting team includes a GPStR.

WHAT IF TRAINING DOES NOT GO AS SMOOTHLY AS ANTICIPATED? There are a number of reasons why some GPStRs may encounter difficulties during their GP training. These may relate to ill-health, changes in personal circumstances and life stresses, or just difficulty in achieving the expected progress or completing the assessments successfully. If you experience problems, KSS provides a support network. Your Educational Supervisor will always be available to discuss any concerns, and whilst this is a particularly close relationship in the GP placements, you will also have contact with them during your hospital placements. Your GP Programme Director will also be a useful source of support and information and, should you need more help, then the Patch Associate GP Dean can provide very helpful input and liaison with the Head of School and GP Dean where necessary. The KSS School ensures that all our GPStRs with any difficulties continue to be monitored to ensure that the appropriate support is being given to them. Should any GPStR need extra time in order to successfully complete their training, then information about this process can be used to inform the Deanery to decide if this is appropriate.

Although it is every GPStR’s responsibility for their education and to demonstrate their learning, the KSS GP School will always ensure that all appropriate support is delivered to GPStRs who need it.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

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INFORMATION SHARING

SALARY

The KSS GP School has an extensive process for informing GPStRs about any relevant information. This can be done through your ePortfolio, and we have a process for briefing and informing your Programme Directors and Educational Supervisors through a regular and frequent electronic Bulletin. In addition, we have an electronic newsletter which is sent to GP Training Practice Managers, Medical Education Managers and also to others involved with GP Training.

As a GPStR you will receive a salary in line with the national guidance and the basic salary for ST1 and ST2 grades, with banding that is agreed by the employer for that post according to the guidance.

Posts in GP are paid at ST3 level and receive a 45% banding supplement.

EMPLOYMENT The KSS Deanery, with all KSS Acute Hospital Trusts (with the exception of Epsom and St. Helier) is piloting, for the second year from August 2012, a new process to have a single employer for GP Registrars. The first year pilot received positive feedback, particularly from GPStRs who benefitted from having a single employer for their GP training year (The KSS Deanery are only the second Deanery to implement a single employer concept for GPStRs). This means that the Acute Trust for the GP Training Programme area will be the employer for the GP Registrar whether they are in hospital, GP, psychiatry or other placement for that year. Details about this can be found at http://kssdeanery.org/general-practice/gptraining-single-lead-employer-pilot

As a GPStR you will receive a salary in line with the national guidance of the StR payscale (see nhs employers web site) Annex A Section 1 of the relevant pay circular refers to pay for trainees in hospital and Annex A Section 11 refers to pay for trainees in GP placements and includes a 45% banding supplement.

The actual pay point will be determined by your employer.

ADDITIONAL FINANCIAL SUPPORT You will be covered for medical indemnity whilst working in a hospital post under the Crown indemnity scheme. This means that you will pay only a nominal sum to the Defence Union. When undertaking the GP placements, you have the responsibility for organising your own medical Indemnity, although the KSS Deanery will organise a pre-purchased medical indemnity and you will be invited to sign up for this package; this means that you will not need to fund this, as payment will be made direct by the Deanery.

You may be also eligible for relocation expenses as a result of needing to move to your new training post. As a GPStR your new employer will be the single employer Acute Trust, and KSS Deanery has reciprocal arrangements with the London Deanery (because many of the rotations for the other specialties include London Hospitals) and their office will manage this.

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DEFERMENT Doctors who are given an offer of training in the KSS GP School may defer the start date of the offer, but only for the statutory reasons that are congruent with the guidance in the Guide to Postgraduate Training in the UK (The Gold Guide). These include maternity leave and certified ill-health.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

LESS THAN FULL-TIME TRAINING (LTFT) The KSS GP School welcomes and supports applications from doctors who wish to train less than full-time.

Less than full time training can be from 50% of full-time. If you wish to train at less than full-time you should contact both the KSS GP Training Recruitment Manager and the KSS LTFT Department in order to have this organised. It is very important that, if you wish to start your training programme at less than full time, you have obtained approval for this beforehand. The GP School works closely with the KSS Postgraduate Deanery to support less than full-time training in the hospital posts which form part of a GP training programme and has full responsibility for approving this for training in the GP placements.

The KSS Deanery provides information regarding eligibility and funding approval for the hospital posts which are normally undertaken either as job-shares (slotshares) with a colleague also training LTFT, or in reduced sessions in a full-time post.

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SICKNESS ABSENCE

TRANSFERS

Although the need to take prolonged sickness absence is rare for our GPStRs, it is an unfortunate fact of life that illness can happen to anyone. In each of your posts your employer will be the main contact, and you will be expected to provide appropriate medical evidence for any period of sickness longer than the statutory period that is covered by a self certificate.

Whilst undertaking your GP training in KSS, your personal circumstances may significantly change such that your training is disadvantaged. As a result you may wish to change the location where you are training. The KSS GP School will support appropriate requests for training transfers, either between Deaneries or within the KSS GP School area. The School commits to the national agreement that outlines this process, and will look favourably on all requests made that are congruent with guidance and will try to find placements. Transfer requests that are approved can only take place if a suitable vacancy is available within KSS or an external Deanery (if the request is to transfer out of KSS). Requests for transfers are considered twice a year in April and October windows, and normally are not possible within the first year of training.

You will be paid whilst sick, up to the maximum period allowed under the regulations. In order to ensure that your learning is not disadvantaged, you will need to make up any time lost that is greater than two weeks in any one year.

The KSS GP School will organise this in an appropriate placement if it is not possible to do this in the same post that you were in when you went off sick.

The School will ensure that any GPStR who has health problems that might affect their training has full support, and will ensure that Occupational Health support is provided. We will also support Trusts and GP Practices in making appropriate adjustments to the training timetable of any GPStR who would benefit from this.

OUT OF PROGRAMME EXPERIENCE Out of Programme Experience is not usual, and indeed not normally possible, for GPStRs, due to the short time scale of GP training. The KSS GP School however, will favourably consider any appropriate requests that are congruent with national guidance. In KSS we provide the complete training for general practice, so there will be no need to gain experience in order to successfully complete your training but, for instance, you may wish to gain experience working with healthcare in a developing country. This may also be possible, in exceptional circumstances, for a career break. You should discuss any request with your Programme Director before making this formally to the Head of School. There is an application form that is available from the GP Training Recruitment Manager. You do need to note that although if approved, KSS will continue the training when you return, but this may not be available in the area where you were training previously. Out of Programme time will be treated as unpaid leave by the School.

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THE GP CURRICULUM The RCGP GP Curriculum is for doctors training for General Practice and their trainers and educational supervisors. It covers the period known as Specialty Training for General Practice: from the end of the Foundation Programme to the award of a Certificate of Completion of Training (CCT). It assumes GPStRs have already attained the core competencies of the Foundation Programme. The Curriculum covers a wide area and is intended to be regularly subject to revision as medical knowledge advances and the roles and responsibilities of GPs in the UK change. The curriculum has been defined as “An attempt to communicate the essential features and principles of an educational proposal in such a form that is open to scrutiny and capable of effective translation into practice” The curriculum covers 1. The aims, objectives, content, experiences, outcomes and processes of your GP training 2. There is a description of the structure and expected methods of learning, teaching, feedback and supervision and 3. The knowledge, skills, attitudes and behaviours which you will need to achieve.

The curriculum has recently been updated and the latest version of the curriculum can be found on the RCGP website and also through your eportfolio. The description below relates to the latest (Aug 2012) version of the prospectus.

THE ePORTFOLIO

THE MRCGP

As soon as doctors are appointed to a GP Training Programme they should register with the RCGP in order to be assigned an ePortfolio and to get the appropriate information from the RCGP.

The MRCGP is an integrated assessment programme that includes three components:

The ePortfolio is the way in which GPs in training collect and collate their evidence of learning and performance for the MRCGP assessment. It offers an overview of the current position on the journey to CCT, as a complete record of their assessments.

• Workplace-Based Assessment (WPBA)

However it is not just a collection of assessments or a record of attainment. The ePortfolio is above all a learning log, and each GPStR will have their own learning log in which they can record notes on significant clinical encounters, lectures attended, professional conversations and any reading they have done. Each item is personal to the GPStR until such time as they permit it to be shared. These learning entries should be tagged against the relevant curriculum heading. It is a requirement of training that by the end of the training programme the curriculum has been covered and this is one way to demonstrate this. Two entries are required per week, one of which needs to be a clinical encounter demonstrating reflective learning.

Child protection Level 1 and 2 must be included annually in your Log, any Out of Hours that you do while in General practice rotations and in ST3 you need to include an audit and demonstrate your understanding of leadership.

Your Educational Supervisor may then link your log entry to the competences and add a comment.

On starting their Specialty Training Programme for General Practice, GPStRs will receive a unique log-in to their personal ePortfolio. Training will be provided on how to get started with this, but GPStRs are encouraged to look at this at the earliest opportunity and use the available on-line help.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

• Applied Knowledge Test (AKT), • Clinical Skills Assessment (CSA) Each of these is independent and will test different skills but together they will cover the curriculum for specialty training for general practice. Evidence for the workplace-based assessment will be collected in the e-Portfolio of each GPStR. The AKT can be taken at any time, although most trainees choose to take this in their 3rd year of training. The college recommends not sitting the CSA until you have had a minimum of 6 months in a General Practice post The WPBA will span the full 3 year programme. Most GPStRs who will commence their ST3 year in August should take the CSA for the first time the following February. The CSA and AKT can be taken for a maximum of 4 attempts each.

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ASSESSMENT METHODS IN WPBA

Case Based Discussion (CBD) This is a structured oral interview you will have with your Clinical Supervisor while in your hospital attachments and with your Educational Supervisor/GP Trainer during your General Practice attachment.

It is designed to test your professional judgement across a range of competency areas. By professional judgement we mean how you have made holistic, balanced and justifiable decisions in consultations which were a little uncertain or complicated. In other words it is looking at whether you acted in a safe and sensible way in a difficult consultation.

In the ST1 and ST2 years you will undertake a minimum of 6 Case Based Discussions per year. You will select 2 cases one week before the assessment and present them to your clinical supervisor. The assessor will choose one of the cases and will prepare questions to ask you which will cover the competency areas. A case based discussion should take 20 minutes and you will also receive 10 minutes feedback at the end, when your grades will be discussed In the ST3 year, you will have to do a minimum of 12 Case Based Discussions.

You will select 4 cases and present them to your assessor one week before your assessment. The assessor will choose 2 cases. The same format as above is used with each complete Case Based Discussion marking and feedback taking 30 minutes in total.

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Mini-CEX This is observation of a clinical episode of care. It will often be a registrar or your consultant performing this, but might also be a suitably trained nurse. In general practice it is replaced by COT.

Consultation Observation Tool COT Consultation Skills Training is a central part of GP Specialty training programme.

It will enable you to increase the amount and quality of information you elicit from patients, so improving the accuracy of your diagnosis. You will learn to find out the concerns of the patients as well as their ideas about what might be wrong and their expectations of you and your help. This will allow you to employ specific skills to reach a shared patientcentred, relevant and workable treatment plan. Improving your consulting skills is about improving outcomes for patients.

The Consultation Observation Tool is used with your trainer in your time in GP to give you feedback on your progress towards competence and then excellence in consulting in the year. It is best done using a video recording of a (consented) consultation with a patient. It will help you identify your learning needs. It is likely that early in training many of the areas will be graded as “Needs Improvement”. Arranging COTs early in training will help you identify which areas you need to work on. By the end of the training programme you should be “Competent” against all the particular competences which you are trying to demonstrate in a particular consultation.

Consultations vary in complexity and

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

content so you will normally not cover all competencies in any one consultation.

By month 10 in your ST3 year you should have demonstrated competence in each area a couple of times, at least, so that your trainer is confident that you can.

Our advice is to start videoing early after you have been consulting. Do videos regularly and learn how to observe and analyse consultations in detail; read through the “Detailed Descriptors of Competencies” on the college website; bear in mind the definitions of ‘Competence’ and ‘Excellence’. You will need to do much more videos than the 12 COTs in the year. This will also help you rehearse for the Clinical Skills Assessment.

PLEASE NOTE YOU MUST GAIN PATIENT’S CONSENT FOR VIDEO. The sample consent forms are on the RCGP website.

The videos you use for COT should be kept with the consent forms for 3 years in a locked cupboard in the Practice (if tapes) or if electronic files on a secure and security protected computer/server.

Direct Observation of Procedural Skills (DOPS) DOPS is designed to provide feedback on procedural skills essential to the provision of good clinical care. The mandatory procedures chosen have been selected as sufficiently important and/ or technically demanding to warrant specific assessment. GPStRs will be asked to undertake observed encounters during the three years with a different observer for each encounter. Each DOPS should represent a different procedure. The doctor in training chooses the timing, procedure and observer.

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There are 9 mandatory procedures to be covered: Some of these procedures may be combined e.g. prostate and rectal examinations.

Breast examination

Male genital examination

Female genital examination

Rectal examination

Prostate examination

Cervical cytology

Simple Dressings

Blood glucose

There are 9 optional procedures which should be recorded, if undertaken: Cryotherapy

Curettage/Shave excision

Cauterisation

Incision and drainage of abscess

Aspiration of effusion

Excision of skin lesions

Joint and periarticular injections

Hormone replacement implants of all types/any types

Proctoscopy

DOPS can only be assessed by a senior clinician or consultant not by a fellow peer.

Multi Source Feedback (MSF) When learning, it is always useful to get feedback from different sources. It helps us to reflect and continuously improve. It also feeds back to our ability to work in a team.

MSF is done TWICE in ST1, one prior to each 6 month review. Five clinicians need to answer 2 questions. These ask for their assessment of your overall professional behaviour and for their assessment of your overall clinical performance.

The RCGP has strict rules on how an MSF must be carried out.

Via your ePortfolio, you produce a ticket code and web address which you give to 5 clinicians. They must go into the website and complete the assessment within a 6 week period. The results can only be amalgamated if this 6 week deadline is followed. It is therefore probably advisable to ask 6 clinicians to complete the assessment just in case one of them isn’t able to do so.

The MSF is not required for the ST2 year, but is needed again in ST3; both at the 30-month and 34-month review. In the ST3 year, 5 clinicians complete both questions as before, but also 5 nonclinicians. The 5 non-clinicians are just asked to assess your overall professional behaviour. Again it is probably advisable, if possible, to ask more than 10 people on each occasion to complete the assessment for you.

Patient Satisfaction Questionnaire (PSQ) This looks at patients’ views of how empathic you were during their consultation. The CARE questionnaire is used. It is completed in General Practice only. This therefore may only be done once in your ST3 year, but if you have a 4-month attachment to General Practice in either your ST1 or ST2 year, it will also need to be done then too. You only complete the PSQ once in your first two years, even if you have a 4 month attachment in General Practice in your ST1 or ST2 training years.

The Patient Satisfaction Questionnaire is handed out to 40 consecutive patients in GP and the results added electronically to the RCGP website by the practice manager. The RCGP will produce a report that appears in your portfolio. You should discuss this with your GP Trainer along with the MSF. You will need to arrange this with the help of your practice manager and GP Trainer. Forms are available through the ePortfolio.

The PSQ in ST3 is carried out between months 31-34 of your training.

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GLOSSARY Term

Explanation

AKT

Applied Knowledge Test - part of the MRCGP.

ARCP

Annual review of competency progression. This formal review takes place each year for every GPStR and will generate one of a number of outcomes. A satisfactory outcome permits progress to the next year, and the final satisfactory outcome allows the CCT to be obtained.

Associate GP Dean

A member of the main GP Deanery Team. Patch Associate Deans are the next level of support for all the GP Training Programme Directors and GP Trainers in the patch, which is normally the east or west of each county.

CCT

Certificate of completion of training. This will be issued to you by the GMC at the end of your training, provided you have successfully completed the assessments and been signed off in your final ARCP.

CEGPR

Certificate of Eligibility for the GP Register. This is the alternative certificate given to GPStRs who have completed their training using evidence from posts that are not part of a full GP training programme.

This will not apply to GPStRs who are doing a full three year training programme.

Clinical Supervisor

This is normally a hospital consultant who will be responsible for ensuring the appropriateness of GP experience in any Hospital Specialty Post for the GPStR (particularly with reference to patient safety and level of competence) and for facilitating the workplace-based assessments for the GPStRs. In GP Placement the GP Trainer will combine the roles of Clinical Supervisor and Educational Supervisor.

CSA

Clinical Skills Assessment - part of the MRCPG.

Educational Supervisor

Each GPStR has a nominated Educational Supervisor who will support their learning progress through their three year programme (including both hospital posts and GP posts) and monitor and sign off their learning in the ePortfolio. This is often, but not always, the same GP Trainer throughout the three years. Additional Educational Supervisors may be provided by the GP School when there is an identified need for the GPStR.

GMC

General Medical Council. This is the statutory competent authority that determines the way that all Postgraduate Medical Specialty training is carried out in the UK. The GMC awards GPStRs with a CCT (Certificate of Completion of Training), or a CEGPR (Certificate of Eligibility for the GP Register).

GPStR

General Practice Specialty Training Registrar

GPST

General Practice Specialty Training

ITP

Integrated Training Post. (These posts are GP based posts that include sessions each week in a specialty department, community clinic, or Primary Care Trust).

LFG

Local Faculty Group

MRCGP

Membership of the Royal College of General Practitioner. Membership is gained by successfully completing a three year programme of assessments in the workplace (WPBA) and two final external assessments (AKT & CSA).

OOH

Out of hours. In general practice, cover for patients between the hours of 6.30pm and 8.00 am is provided by Out of Hours organisations. GPStRs in their GP placements have sessions in these organisations, normally at the rate of a 6 hour shift every month.

PDP

Personal Development Plan

PMETB

Postgraduate Medical Training and Education Board. This was the organisation that previously carried out the Medical Education Regulatory functions now carried out by the GMC.

Programme Director

The GP training programmes in each locality are supported by a team of Programme Directors. These are normally GP Trainers who have undergone further educational development for this role. Some schemes have individuals who are not doctors but have a university role and particular expertise in medical education. The Programme Directors support not only the group of GPStRs in that locality but also the group of GP Trainers linked to that locality.

RCGP

Royal College of General Practitioners. The College defines the MRCGP which all GPStRs need to have successfully completed in order to proceed to be registered on the specialist register of the GMC.

ST1/ST2/ST3

Speciality Training years one, two or three. ST1 and ST2 incorporate hospital placement and some GP Placement. The ST3 year is spent entirely in GP.

WPBA

Workplace Based Assessments

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

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KENT

About Kent Kent is the “Garden of England” famous for its orchards and hop gardens, its history and its proximity to Europe. As well as extensive rural and countryside areas, Kent also has densely populated towns and cities, and a beautiful coastline.

Administratively, Kent is split into two Patches by KSS, East Kent and Medway and West Kent. There are two Associate GP Deans for Kent, Dr Kim Stillman for East Kent and Medway and Dr Debbie Taylor for West Kent. Apart from their work for the Deanery, they are GPs. The Associate GP Deans are supported by the Kent Patch Manager, Julie Coulson, who is based full-time at the KSS Deanery Office in London Bridge.

In East Kent, which functions as a single GP Training Programme area, the town of Ashford has the advantage of an International Rail link connecting it to London and continental Europe.

Canterbury is a site of national historical interest with a beautiful cathedral.

“

Charles Dickens is closely associated with the area and there is a fine maritime history.

“

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

The coastal area is increasingly being developed and towns along the Thames Estuary are popular with those living in the capital and offer a range of shopping and dining experiences, whilst Dover provides ferry links to Europe. Margate is a traditional seaside town, and hosts a new art gallery to celebrate the work of JMW Turner who painted here. The Isle of Sheppey is a quaint seaside location.

In Medway the training scheme encompasses the historic Medway towns and surrounding semi-rural countryside.

The Medway towns form an up and coming area with good links to London.

In the West Kent Patch, there are GP Training Programme areas centred around Dartford, Maidstone and Tunbridge Wells.

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Dartford and Gravesend lie where the Garden of England meets London – only 20 miles away from the capital. There is great shopping in Bluewater and Lakeside (just over the Thames).

Tunbridge Wells is an attractive spa town, and Maidstone is the county town and has a good range of entertainment and shopping.

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EASTERN AND COASTAL KENT East Kent hosts one GP Training Programme. As this is large, the training locations are clustered round the three main hospitals in East Kent.

About East Kent

About the East Kent GP Training Programme

East Kent is diverse. It has areas of open countryside, large towns including Ashford, Folkestone and Dover. The coastal areas include the towns of Dymchurch and Hythe, and the Romney Marshes. The population of the East Kent coastal towns is swollen by tourists in the summer months. The East Kent coast is a popular holiday destination. Margate is becoming increasingly popular as a London commuter town. Dover Castle, one of the largest castles in the country, was still in use as a military base until the end of Second World War.

The East Kent Vocational Training Scheme utilises the three local hospitals - the Kent and Canterbury Hospital (K&CH) in Canterbury, Queen Elizabeth the Queen Mother hospital (QEQM) in Margate and the William Harvey hospital in Ashford.

It links in with training practices in all three areas. You will spend 20 months in hospital posts and 16 months in General Practice. We will help you along the way but we expect you to be able to learn independently as well as a team member.

There will be lunchtime meetings held on each of the three hospital sites K&CH at Canterbury, QEQM at Margate and the William Harvey Hospital at Ashford. On Wednesdays between 12:30 and 14:00, you will meet as a group in your local hospital.

We hold these meetings every week both in and out of term time. There is an open agenda which is directed by the learning needs of the GPStRs. We often cover hot topics, role play, case-based discussion and critical reading. It is expected that

everyone within the scheme will attend.

ST3s meet for 10 sessions per term, three terms per year on a Wednesday afternoon or all day, for planned learning. The lunchtime session is led by a Programme Director. These are useful sessions where STs undertake to produce and present a topic such as a NICE guideline. The most recent sessions have included DVLA and medical restrictions, the NICE lipid guidelines, depression, CKD and sickness certification.

The most recent term programme for the ST3s, which was put together in consultation with the ST3s included such diverse subjects as cardiology, spirituality, ophthalmology and child protection.

Previous sessions have included: Acute red eye, Referrals, The doctor’s bag, STD Q & A, Resistant hypertension, Ethics in GP, Heart failure, Epilepsy, Child protection, Dealing with Heartsinks, Tired all the time, Atrial Fibrillation, Sickness certification, Statistics, Parkinsons disease, Examination of joints, Chronic Kidney Disease, Syncope, Debono’ Sixhats, Palpitations, Dermatology, Patient centeredness, 3 minute neuro exam, ENT for General Practice, Rapid Access Criteria, Dementia, GP adult psychiatry, Understanding lung function tests, Dizziness, Peak flow charts, Allergy information, Inhaler technique.

Rotations now include an additional 4 months in a training practice or in a practice moving towards training. The GP has had special training as an Educational Supervisor. We have developed ITPs in palliative care and community paediatrics.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

33 The Programme Directors in the East Kent GP Training Programme Area are: Dr Jane Arnott Jane has a nursing, midwifery and health visiting background. She has worked in Higher Education for eight years and has a Masters in Public Health she is also a Fellow of the Royal Society of Public Health and the Higher Education Academy. She is currently studying for a PhD at Canterbury Christ Church University. She was seconded into the Programme Director’s Post in September 2008 from Canterbury Christ Church University. She has a responsibility for placement allocation and the development of Integrated Training Placements. Jane has a particular interest in leadership development and has led the Clinical Leadership in Commissioning Rotation since July 2009 for GPST2s. Jane works with the other Programme Directors to support the education programme for the ST3 GPStRs.

Both of these rotations offer excellent opportunities to develop a greater understanding of the role of the GP within these areas of medicine. These posts also support the development of high levels of communication skills which underpin general practice. The Clinical Leadership in Commissioning rotation has been running since July 2009 and offers ST2s the opportunity to work within the local Clinical Commissioning Groups developing an understanding of how GPs lead in commissioning. This rotation has been well evaluated and trainees who wish to undertake this rotation need to apply to Jane Arnott PD who oversees this rotation.

We have a two day residential conference for all of our ST3s which is both educational and great fun. GPStRs frequently meet for social events arranged by the group.

We recognise the importance of passing the external components of the nMRCGP and so are developing local training courses to aid candidates in passing the AKT and the CSA examinations.

Dr Caroline Crosfield Caroline commenced in post as East Kent Program Director on 1st August 2011.

She has worked as a GP in Minster, in Thanet for 25 years and has been a GP trainer for 20 years. She was previously a Course Organiser on the Canterbury and Thanet GPVTS from 2001 to 2006, and is delighted to be involved as a Programme Director once more. Caroline has responsibility for coordinating the GP elements of the foundation program in East Kent, as well as working with the other Programme Directors supporting the education of the GP trainees.

Dr Simon Dunn Simon has been a GP in Herne Bay for nearly 20 years and a trainer since 2009 having been FY2 Clinical Supervisor previously. He has been involved in the development of Clinical Commissioning having been Clinical Commissioner for Respiratory from 2008 until March 2012 for NHS Eastern & Coastal Kent at which time the programme ended. He has a long standing respiratory interest having been a Clinical Assistant from 1999-2011 and written a number of educational

items for the Primary Care Respiratory Society and the Palliative Care e-LFH programme. He is part of the Clinical Advisory Team for NHS Kent & Medway sitting on the Individual Funding Request Panel. He has been a GP Appraiser since 2004. When not being a doctor he is a member of a local church and enjoys walking and running, having completed the London Marathon 3 times as well as Edinburgh and Brighton and numerous shorter races.

Dr Allan Fox Allan is a GP Trainer and Programme Director with a particular interest in the AKT and CSA. He is currently training as a CSA assessor and developing an aid to the AKT. He is a partner in Wye surgery and a fellow of the Royal College of Physicians and a member of the Royal College of General Practitioners.

Dr Greg Manson Greg is a GP Trainer, Programme Director, GP appraiser and full time GP in Canterbury. He is also a cognitive and behavioural psychotherapist. His main areas of interest in medical education are in assessment and evaluation. He has assisted local GP registrar membership revision groups for the past few years.

In addition to teaching on his local VTS programme, he assists trainees in difficulty.

Dr Stephanie de Giorgio Stephanie is a part time salaried GP in Margate and a recently appointed Programme Director. Trained on the East Kent VTS and sat the new exam format, so has a good understanding of what it entails. Professional interests include women’s and sexual health. Lives locally and believes that the VTS should be sociable as well as educational.

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Medway

About Medway The five Medway towns of Strood, Rochester, Chatham, Gillingham and Rainham possess an exceptional geography, a rich heritage, a dynamic, creative population and a resurgent economy. The population of the Medway towns is approximately 250,000.

Strood’s name derives from an Old English word for marshy river bank.

It lies on the north-west bank of the Medway at its lowest bridging point, breaching the chalky hills of the North Downs. It is now mainly a residential suburb of Rochester and a commuter town for London. Rochester, Strood and Frindsbury grew because of the river activity and the important road and rail links that used the bridge linking the town with Rochester.

On the east side of the Medway opposite Strood, Rochester is known for its cathedral and castle and has for centuries been of great strategic importance. Its fortification down the ages protected the crossing of the Medway and the route to London.

Rochester has always governed the land on the Strood side of the Medway.

The town was Charles Dickens’ favourite.

Chatham has strong historical links to the Navy and the dockyards have become an interesting museum. The Chatham Dockyard area is currently bidding for a World Heritage Site status. Rainham was a separate village until it was added to Gillingham in 1928. It sits on the northern slope of the North Downs and is bounded to the south by the M2. The arrival of the railway in 1858 spurred its growth, and again when this was electrified in 1959. The Medway towns are bordered by the rural areas of Hoo, Cliffe and the Isle of Grain to the west, and the area to the east known as Swale which includes Sittingbourne and the Isle of Sheppey. In total these surrounding areas have a population of over 100,000, and this can swell by a further 30,000 people, holidaying or visiting the Isle of Sheppey, during the summer months.

GP Training in the Medway area is centred around Medway Maritime Hospital.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

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About the Medway GP Training Programme The Medway towns have excellent rail and road links and are located within a 40 minute high speed rail commute to London.

We are in the heart of the Thames Gateway development, with good local schools and affordable, attractive new housing.

The Medway GP training programme has a friendly group of dynamic Programme Directors that tackle a wide variety of topics relevant to general practice life and training. We offer interdependent peer support through the training years as well as expert teaching from a wide variety of external speakers. Our aim is to engage in supportive, collaborative, fun general practice education. We offer ITPs in community paediatrics, obstetrics & gynaecology, psychiatry, dermatology, GUM and palliative care.

The programme offers regular lunch time lectures and support for all ST1s and ST2s and a curriculum linked ST3’s programme based at Canterbury Christ Church University at Medway or within the Post Graduate Education Centre at Medway Maritime Hospital Postgraduate Education Centre.

Our GP Training Programme group rules are: • To respect and support others • To engage in the learning programme • To be considerate • To allow time to bring difficult cases to discuss • To review hot topics • To have a holistic approach to general practice • To have a mid-session break Our Model of Learning: In the Medway VTS programme we adopt a variety of learning approaches. These include web-based, CDs, ward based clinical teaching, exposure to outpatients and theatres at the appropriate identified level, group learning, private study, courses, reflective practice, audit projects, regular teaching specific to year and specialty, but also multi-specialty if appropriate. Above all this is a ‘trainee centred’ approach to learning with you at the centre of the learning cycle taking responsibility for identifying your own learning needs and sourcing the opportunities to meet those needs, we also aim to provide a tailored programme of study and clinical experience that, as far as is possible meets the individual needs of each trainee.

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Medway continued

Clinical Experience in your ST1 and ST2 Years During the first two years of your training at Medway you will gain a wealth of GP related experience working within the Medway Maritime NHS Foundation Trust Hospital and the Community Psychiatric services. The Medway Maritime Hospital site is home to the Macmillan Cancer Care unit, the West Kent vascular centre, a state-ofthe-art obstetrics theatre suite, the neonatal intensive care unit, a foetal medicine centre, a dedicated stroke unit and the West Kent centre for urology.

Details of the range of services provided by the hospital can be found on http://www. medway.nhs.uk/our-services/ Past sessions information can be found on our Website www.medwayvts.com Some of our previous sessions have included: CSA practice session with patient simulators and CSA assessors Question time with a CSA examiner AKT Training sessions including on-line mock examinations to help prepare for your AKT examination Reflective writing skills designed to help you complete your e portfolio Sessions on Clinical Leadership

Lecturers from nationally and internationally renowned clinicians related to for examples: ENT, Dermatology, Sexually transmitted disease.

We also ensure we build on and shared the wealth of experience brought by trainee members of the group and encourage the GPStRs’ to give presentations on various aspects of medicine as applied to general practice.

Talks related to drugs and alcohol and local services Session at university practical demonstration of study skills and e-searches ST presentation re delirium Improvisation Skills development Emotional and Spiritual Intelligence sessions Sessions relating to the emerging role of General Practitioners related to for example: Collaborative Clinical Commissioning, Business and practice management, CCG’s.

We also run a yearly residential for our GPStRs in their ST3 placements and have regular away days during the term. For example, we have a visit planned to the Herb Garret and old operating theatre Museum at the old St Thomas’s Hospital.

We are also able to use the facilities of Canterbury Christ Church University providing a state of the arts teaching and learning environment including assess to simulated clinical skills laboratories, live video feed back for consultation skills, extensive internet access, bookable tutorial rooms for individual study groups practicing for the CSA examination to meet and learn together.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

GP Trainers The Medway VTS programme is supported by a proactive, enthusiastic and experienced group of GP Trainers providing focused one to one supervision, support and guidance during the three years of training. The range of GP experience is extensive providing trainees with exposure to inner city type service provision, urban and rural exposure.

The websites of each of the practices used as training practices are provided below, each website will provide information regarding the range of services offered and the specialist interests of the GP’s working within the practice.

Employment Opportunities On qualification doctors from the Medway VTS have excellent opportunity to gain employment in a progressive, dynamic practice – 80% of the ‘class’ of 2009 are now employed in their practice of choice.

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GP Programme Directors in THE MEDWAY GP Training Area Are: Extracts from the latest Deanery Inspection... “excellent training experience opportunities” “very well organised” “Programme Directors praised for excellent support and organisational skills” Comment from a ST3…

“Medway has a well organised teaching programme which gave me direction, a better understanding of effective learning and managing my e-portfolio. The venue for the “away” seminar was fantastic and a great opportunity to bond with colleagues.

Lots of useful tips for the CSA exam!!!!!!!”

Dr Tariq Hussain GP Dr Hussain is a GP Principal and a trainer at Downs Way Medical Practice. He qualified in 2000 from Guy’s and St Thomas’s Hospitals. He has a background in medical education and an MSc in Primary Health Care. He supports the champions, Chelsea F.C. Peter Milburn, Educationalist Peter is Director of the Medway Campus for Canterbury Christ Church University and Academic Lead for Post Graduate Medical Education. His research interests relate to person-centrered collaborative practice and has written widely within the field of interprofessional education and medical imaging. As the former Director of Undergraduate Interprofessional Education Peter led the Universities’ first pre-registration interprofessional programme bringing together nine separate professions within one common programme of study. Areas of expertise include interprofessional collaborative practice, leadership and management and methods for effective learning and teaching.

Dr Raneesh Mahandru GP Dr Mahandru is a GP Principal and a trainer at St Werburgh Medical practice, Rochester. He qualified in 1996 from Mumbai University. After spending a few years doing internal medicine, he decided to train as a GP in 2004. His interests include occupational medicine and spending time with his two young daughters. Like most Indians, he is a keen cricket follower and understandably supports the Mumbai Indians in the IPL.

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West Kent DARTFORD

About DARTFORD

About the Dartford GP Training Programme

Dartford is situated 20 miles to the east of London on the bank of the river Thames, on the border of Kent, London and Essex. Dartford is the perfect location to access both the bright lights of London and the wildlife of the countryside.

The Borough of Dartford comprises the town of Dartford and eight surrounding parishes.

Originally a Roman settlement, Dartford is an old market town with a rich industrial heritage. It now boasts one of the largest shopping centres in Europe and has direct links to the continent with the development of the International railway station at Ebbsfleet.

Dartford is at the heart of one of the Government’s key growth zones within the Thames Gateway and will see around 20,000 new homes and up to 50,000 new jobs created in the borough over the next 25 years – a substantial addition to the existing 80,000 residents in the Borough.

Dartford is proud of its heritage and has many notable buildings.

To the south of the town lie a number of beautiful and ancient villages, each of which has its own links with English history.

Since 2000 the Dartford scheme has been based at the state of the art Darent Valley Hospital overlooking the Thames. The scheme began in 1971 with 2 training posts per year, moved to 3 in the 1980s and now has 14. Jobs in medicine, elderly care, obs/gynae, paediatrics, A&E are part of our programme and psychiatry can be accessed (at nearby Littlebrook Hospital).

We encourage brief attachments to other disciplines, often arranged in the ST3 year.

The training practices are in a variety of town and country settings .

GPStRs meet on Wednesday afternoons, for 30 weeks of the year, at the Phillip Farrant Medical Education Centre, Darent Valley Hospital. We try to cover most curriculum areas over the year in a learner led, interactive way using additional expert resources where appropriate.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

We have 3 ITP posts: Palliative care/GP (based at Lions Hospice, Northfleet), Orthopaedics/GP (based at DVH), Cardiology/GP (based at DVH). Each post is for 4 months. All trainees have an opportunity to experience these posts. On average each week 2 days are spent in practice and 2 days in the hospital post.

GPStRs and trainers go for a team meal at the start of the course. We try and arrange one or two trips out per year (galleries/museums/projects), the most recent trip was to the National Gallery.

We usually finish with a BBQ or similar.

GPStRs organise their own activities from time to time. A 2 day residential course is organised for GPStRs at the start of their ST3 year. This takes place in the lovely environment of Bore Place near Sevenoaks. ‘Can’t we do this more often?’ is the usual request!

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THE Programme Directors in THE Dartford GP Training Area Are: Dr John Luffingham John has been a GP in Longfield since 1984 with interests in medical education, cardiovascular medicine, diabetes, practice based commissioning and men’s health.

He has been a trainer for 13 years, and an appraiser since the start of GP appraisals.

Interests outside medicine include rugby, tennis and music.

Dr David Payne David has been a GP in Shorne since 1992, and a trainer since 2003. He enjoys the long-term continuity of family practice, and has an interest in audit. He started his role as Programme Director in the summer of 2012. Interests outside medicine include cycling and ornithology.

Dr Purnima Sharma Purnima is a GP and trainer working in a town centre practice in Gravesend. She trained on the Dartford VTS scheme in 2000 and joined the Royal College of GP’s in 2003. She is active in teaching at the local 1/2 day release and her specialist areas are contraception and sexual health.

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West Kent MAIDSTONE

About Maidstone

About the Maidstone GP Training Programme

Maidstone is the county town of Kent 32 miles SE of London which is easily accessible by road and rail (about 5060 min). The Medway runs through the town centre, historically the route of much of the town’s trade. The town has a population of about 75,000 and as such supports a theatre, cinema, restaurants and night life. The seaside and ports to the continent are also easily accessible from Maidstone as is the beautiful Kent countryside for pubs, walks and historic houses such as Sissinghurst and Leeds Castle.

The Maidstone scheme is based around Maidstone and Tunbridge Wells Hospitals and as such, over the 3 year scheme you will soon get to know your colleagues and build up a good support network to help you through your MRCGP and the 3 year rotation.

Our mix of jobs is directly relevant to the MRCGP curriculum and will help you build your confidence in handling the conditions you will encounter in your registrar (ST3) year.

Those currently in general practice (ST3) meet on a Wednesday afternoon over 3 terms of 10 weeks and form a tight knit group, having already got to know each other in hospital rotations. There is a residential during the ST3 year to encourage team building and trust, enabling you to work together for mutual support and learning.

Small group work is also done in the ST1 and ST2 years in each term, with topics for example on consulting skills and chronic disease management. This is usually several sessions in each term.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

We meet at the Maidstone Hospital Postgraduate Centre for the regular Wednesday afternoon sessions, though ad hoc arrangements are made if meeting with other GPStRs, for example a visit to a local homeopathic/ Steiner based practice.

The programme includes topics chosen

by GPStRs and these are often presented by them too. We have consultants who present their chosen specialties and we look at the problems that might arise in the general practice settings. Hot topics are discussed and it is a useful forum for discussion about difficult patients or problems, when peer support can be very beneficial. GPStRs form small groups in order to work together on topics for the CSA and AKT. We promote debate and discussion for group learning. There is often additional coaching to small groups or individuals approaching the externally marked nMRCGP modules especially the CSA.

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The Programme Directors in the Maidstone GP Training Area Are: During the ST1 and ST2 years you will have the opportunity of educational days in the GP practice of your Educational Supervisor. This is usually the same GP Trainer as in your ST3 year, and allows time to review your e-Portfolio as well as maintaining the context and frame of reference of general practice aligned with your current post. Currently you will have one of your six posts in ST1 or ST2 years spent in general practice, again where possible in the same practice as in your final ST3 year.

Our scheme is relatively small so you quickly feel at home and integrated, and we look forward to welcoming your contribution to our training programme.

Dr Jonty West

Dr Mike Strachan

Jonty is the newest member of the Programme Director team at Maidstone, starting in post in 2010. His main responsibilities are organising the educational programme for trainees, as well as teaching on Wednesday afternoons. He has been a partner at West Malling Group Practice since 2005, and a GP trainer since 2008. He is also an appraiser for West Kent PCT. In his spare time he has taken up running, and after completing several half-marathons has now discovered that a marathon is really too far.

Mike supports the GP Trainers group as well as providing teaching and organisational support to the training programme, especially at ST1/ST2 level.

He has been a GP Trainer for 19 years in a town centre practice with two other trainers in the practice. In addition to GPStRs, there are other learners at the Practice such as medical students, doctors in the second year of Foundation training (which he also oversees for the area)

Dr Richard Laurent Richard oversees the rotas and placements of the scheme and runs the Wednesday afternoon GP Training Programme of teaching, He has a particular interest in evidence based learning. He is a GP Appraiser. His Practice has other GP Trainers at foundation and GP registrar level. Watch for his cycle parked outside the Medical Education Centre on a Wednesday afternoon.

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West Kent TUNBRIDGE WELLS About TUNBRIDGE WELLS

About the TUNBRIDGE WELLS GP Training Programme

This Georgian Spa town is a great place to live and work, surrounded by unspoilt countryside and within an hour’s reach of both central London and the south coast. Many members of the VTS have returned to Tunbridge Wells having had a very positive experience here as medical students and junior doctors: a large proportion of local GPs are graduates of our scheme. The Tunbridge Wells area offers something for everyone with beautiful parks, a vibrant arts and cultural scene, Michelin starred cuisine, good local schools, and the legendary Da Vinci’s Nite Club. Shopaholics are well provided for, with high street chains and more eclectic shops in the old town and Pantiles. You can even get to Bluewater in under an hour!

For those with sporting inclinations there are numerous walking and off-road cycling routes; more unusual recreational tastes are catered for with dry-slope skiing, sailing at Bewl Water and climbing at Harrison’s Rocks.

The GP Training Programme is based at the new Tunbridge Wells Hospital at Pembury. The majority of the hospital jobs are based at Pembury, with a small number at Maidstone Hospital, and in the Community Mental Health Trust.

In addition to the major specialties of Medicine, A&E, Paediatrics and O&G, training opportunities for ST1s and ST2s may also include Psychiatry and a specially designed post that includes experience in Dermatology, ENT and Ophthalmology.

We are also lucky enough to have a post at the Hospice in the Weald where some Trainees get invaluable experience in Palliative Care. Trainees currently have one placement in GP in their first two years on the VTS, and spend the ST3 year at a different practice. GP placements occur at our 16 training practices, which are in the towns of Tunbridge Wells and Tonbridge, and the surrounding areas.

The learning set for VTS teaching occurs on Wednesday afternoons and takes place in the Education Centre at the new Pembury Hospital. Responding to feedback from our ST3s, the programme is congruent with the RCGP Curriculum but is now divided into three phases: “Knowledge, Skills and Attitude”. This is to enable the teaching programme to mirror the changing learning needs and assessments as the ST3 year progresses.

Our ST1 and 2 Trainees will attend the

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

Wednesday Learning Sets when in GP placements, but also have a termly learning event, and fortnightly Trainee led Learning Sets. We are very fortunate to be able to call upon local RCGP examiners to lead sessions on consulting skills which has been found to be helpful in preparing for the CSA module of MRCGP. The VTS also strives to help Trainees prepare for the competitive job-market with sessions on CVs and interview skills.

Some of the more challenging areas in GP Training arise from looking at ourselves as doctors, our interaction with patients in the consultation and our multiple roles as autonomous practitioner, team-member, prescriber, gate-keeper, ethicist, employer or employee. Often there aren’t right or wrong answers, but we hope the VTS will challenge you and help develop the skills to find your own unique position.

So whilst you may be stretched, we strive to ensure a relaxed, supportive and fun environment.

The teaching programme is complimented by our website www.tunbridgewellsvts. org.uk which holds our calendar of events. We are currently in the process of redeveloping this website. Trainees are able to keep up-to-date with VTS news and there is a superb archive of teaching sessions and presentations for Trainees to download.

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The Programme Directors in the TUNBRIDGE WELLS GP Training Area Are: We strive to ensure the years integrate and in addition to the annual Christmas meal, evenings out are organised from time to time and special occasions are celebrated.

The VTS runs an annual Residential which is an opportunity to learn together in a more relaxed and creative environment.

Brighton is a favourite haunt and the Programme Directors have even been spotted treading on Trainees’ toes at the Funky Fish nightclub.

Ms Siobhan Atherley

Dr Richard Estall

Siobhan is a Senior Lecturer at Canterbury Christ Church University and has a background in Primary Care Nursing. She has been involved in Health Professional Education for a number of years working as a Senior Lecturer in Brighton University and as an Open University Tutor. She became a GP PD in 2010 as part of the KSS Deanery’s Strategic Plan to facilitate Inter-Professional Development and Working. She trained at St.Thomas’s Hospital 1981 and did her PGCEA at Surrey University in 1991. Siobhan has a first degree in Social Science and a Master’s in Health and Public Policy.

Siobhan also graduated from South Bank in 1986 with the Higher Diploma in Health Visiting. Siobhan is an enthusiastic tennis player and cycles to keep fit.

She enjoys travel, history and reading.

She’s not into football but appreciates competitive sports.

Richard qualified from Oxford and Bart’s in 1992, and subsequently did his GP training on the Royal Free VTS. He worked as a GP Principal in London for 11 years, before moving to Kent in June 2008, he is now a 3/4 time partner in Marden. He became a Programme Director in 2008.

He also works as an Appraiser and does Out of Hours sessional work. His interests include sport of all types, but the current obsession is cycling, which is his excuse for the odd appearance at the Medical Education Centre wearing lycra!

Dr Michael Morris Michael qualified from St Georges in 1990.

He trained for General Practice in Tunbridge Wells and liked it so much that he chose a local partnership. He has now been a GP principal for 16 years, and a trainer for 10 years. He found his GP training an immensely enriching and enlightening time, full of challenge, but definitely good fun, and would like to facilitate a similar experience for doctors on the local scheme. Michael enjoys travelling with his family, music, theatre, gardening and running with his dog.

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KENT LOCAL EDUCATION PROVIDERS

There are a number of Local Education Providers (e.g. Acute NHS Hospital Trusts, NHS Psychiatric Trusts) in Kent that provide placements for GPStRs in the KSS GP School Placements in hospital posts are currently of 4 months duration.

The Local Education Providers in Kent are:

MAIDSTONE & Dartford & Gravesham NHS Trust TUNBRIDGE WELLS NHS • Darent Valley Hospital TRUST • Maidstone Hospital

East Kent HOSPITALS UNIVERSITY NHS FOUNDATION TRUST: • K ent and Canterbury Hospital Canterbury • Q ueen Elizabeth Queen Mother Hospital Margate • William Harvey Hospital Ashford

Kent and Medway NHS & SOCIAL CARE Partnership Trust (Psychiatry) The Lions Hospice, Gravesend (Hospice)

• Tunbridge Wells Hospital at Pembury

Medway NHS Foundation Trust • Medway Maritime Hospital

Pilgrims Hospice, Canterbury (Hospice) The range of hospital posts included in the programmes: Accident and Emergency; Paediatrics; Obstetrics and Gynaecology; Palliative Care; Trauma and Orthopaedics; Ophthalmology; Rheumatology; Psychiatry; General Medicine; Endocrinology and Diabetes; Cardiology; Respiratory Medicine; Gastroenterology and Stroke Care More information about the Trusts and hospitals appears below with the GP Training programmes they provide placements for.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

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DARTFORD & GRAVESHAM NHS TRUST Darent Valley Hospital GP Training Programme area: Dartford

Overview of Training at the Trust Address Darent Valley Hospital Darenth Wood Road Dartford Kent DA2 8DA

Switchboard Telephone Number 01322 428100

Website www.dvh.nhs.uk

Darent Valley is uniquely placed just outside the M25, i.e. “in the country”, yet within 20 minutes of central London (via St Pancras). Our catchment is wide and varied with both socially excluded patients mixing with those of greater affluence. This provides a very wide group of patients for trainees to learn from and this is dealt with in greater detail below.

We are a new-looking but well established unit, built in 2000, and provide all those services expected in a district general-type environment, and some more specialist as well, e.g. recurrent miscarriage, complex minimal access surgery.

Public transport access is very good with fast and reliable services for both staff and patients. Being located so close to the M25 allows trainees from further afield to commute daily rather than weekly, as they do for some other units. A further advantage that has been

mentioned is our close proximity to Bluewater Shopping Centre.

The on-site modern accommodation rooms are available to all staff at a competitive rate for short or long term bookings.

The new Simulation and Skills Suite opened in February 2012 and includes the Simman 3G, state of the art mannequin.

The simulation experience is captured with live relays to viewing rooms and play back facility for debriefing.

The library is based within the Philip Farrant Education Centre. Services include general literature enquiries and searches, information skills training and electronic resources.

The Trust is fully committed to training and development all of its staff and has strong links with Guys, Kings and St Thomas’ Medical School, the Universities of Greenwich and Canterbury, and the South Thames Foundation School.

Key Individuals Director of Medical Education Dr Paul Key

GP Faculty Administrator Mrs Sue Franklin

Deputy Director of Medical Education Mr Mark Waterstone

Training Programme Directors Dr David Corbett Dr John Luffingham Dr Dermot O’Connor

Medical Education Manager Mrs Claire Nottage

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

47 EAST KENT HOSPITALS UNIVERSITY NHS Foundation TRUST Kent & Canterbury Hospital GP Training Programme area: East Kent

Overview of Training at the Trust Address Ethelbert Road Canterbury Kent CT1 3NG

Switchboard Telephone Number 01227 766877

Website www.ekhuft.nhs.uk

East Kent Hospitals University NHS Foundation Trust is one of the largest hospital Trusts in the country, with more than 7,000 staff serving a local population exceeding of around 720,500 people and provides integrated patient care in East Kent with over 80 clinical specialities. Established on 1st April 1999, East Kent Hospitals University NHS Foundation Trust has three acute hospitals at Canterbury, Ashford and Margate, with smaller hospitals in Dover and Folkestone. The Trust has invested in an extensive development programme in its services and buildings. At Kent & Canterbury Hospital these include: a £1.5million investment in robotic surgery, a state-of-the-art day surgery centre, dermatology centre, endoscopy suite, a new aseptic suite and robotic automation for pharmacy, a unique Children’s Assessment Centre and extensive ward refurbishments.

It is home to one of just 21 specialist haemophilia centres in the UK and is the local centre for inpatient urology, vascular and renal services. Neurology services are also centralised on this site. A purpose-built endovascular theatre, believed to be the first of its kind in England, was opened at

Key Individuals Director of Medical Education Dr Prathibha Bandipalyam Clinical Tutor Dr Martin Mayall Medical Education Manager Mrs June Toms

Kent & Canterbury Hospital. The stateof-the-art facility allows highly complex diagnostic procedures and operations, including endovascular stenting of aortic aneurysms (an alternative to open surgery).

The critical care service was expanded from five beds to six intensive care beds and four high dependency beds, and is supporting the new vascular theatre. Canterbury is a beautiful historic city with a large student and tourist population. Kent & Canterbury has a tradition of being a popular and friendly hospital for GPStRs and we also have 3rd year and 5th year medical students from King’s College London Medical School.

Based on this, in August 2008, the Trust achieved University teaching status.

In 2010 East Kent Hospitals University NHS Foundation Trust was awarded ‘Trust of the Year 2010’ by healthcare information organisation Dr Foster. Dr Foster measures healthcare across a range of different areas that are important to patients on behalf of the Government. At the end of last year it named EKHUT as the best performing Trust in the country.

48 EAST KENT HOSPITALS UNIVERSITY NHS Foundation TRUST William Harvey Hospital GP Training Programme area: East Kent

Overview of Training at the Trust Address Kennington Road Willesborough Ashford Kent TN24 0LZ

Switchboard Telephone Number 01233 633331

Website www.ekhuft.nhs.uk

The William Harvey Hospital in Ashford, Kent, is one of three acute hospitals forming the East Kent Hospitals University NHS Foundation Trust covering a total catchment area of approximately 720,500 people. The Trust provides a comprehensive range of acute and specialist services and works in partnership with Mid Kent Healthcare NHS Trust for provision of oncology services. The William Harvey Hospital is a district general hospital undergoing continual expansion as it is sited within a designated growth area. The hospital is located on the outskirts of Ashford close to the Ashford International Station and adjacent to the M20. It has 488 beds and covers General Medicine (including Coronary Care Unit), General Surgery, Trauma and Orthopaedics, Paediatrics including special care and a neonatal intensive care unit, Obstetrics and Gynaecology, ENT and Ophthalmology.

There is an X-ray Department and the East Kent Pathology Department and

Key Individuals Director of Medical Education Dr Bandipalyam Prathibha Clinical Tutor Dr Sarah Birks Medical Education Manager Mr Rags Subramaniam Mrs June Toms

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

Microbiology Department is based here. Recent developments include new robotic facilities both in the Pathology Department and Pharmacy. William Harvey Hospital has a dedicated stroke unit, which undertakes thrombolysis for acute stroke and is the Kent centre for PCI. The cardiac catheter laboratory also undertakes therapeutic interventions including angiograms and angioplasties, permanent pacemaker insertions and intraventricular defibrillator insertions. An extra laboratory is being built on the site.

Cardio-thoracic Surgeons visit the hospital every fortnight to hold joint meeting with cardiologists and discuss cases.

This became the Kent Cardiac centre for primary angioplasty in 2010. There is a satellite Renal Dialysis centre and the hospital has the single Head & Neck unit which includes ENT and Ophthalmology services. There is a dedicated Day Surgery unit (Channel day surgery), as well as dedicated Endoscopy and Chemotherapy (Celia Blakey) units. The Intensive Care

49

unit has four dedicated intensivists and is accredited for specialist intensive care training. The A&E Unit is open 24 hours a day and includes a 5 Bay Resuscitation area, separate Paediatric Waiting Room with 4 self contained bays. There is a Minor Injury unit staffed by nurse practitioners and a Bereaved Relatives Lounge. In A&E there are trained Teams in ATLS, Trauma, ALS and Cardiac Arrest.

These deal with all major trauma, acute medical, surgical and gynaecological emergencies. There is a helicopter site for HEMS and Police Helicopter. Most medical patients are admitted to either the Clinical Decision Unit (CDU) or directly to the Coronary Care Unit. Staff within the Medical Unit are responsible for all acute medical admissions, regardless of age, and care provided by the physicians includes the specialties of Cardiology, Respiratory Medicine, Gastroenterology, Diabetes & endocrinology, Rheumatology and Geriatric medicine as well as a Renal satellite unit. Integrated care pathways

for management of chest pain, stroke and other medical emergencies are used on the wards and in the CDU. There is an active teaching programme based at the William Harvey Education Centre.

Peer teaching sessions are encouraged and there is an active programme for recognition of teaching skills and contribution. There is an active social life with involvement of medical students, junior and senior doctors, including a Christmas party organised by the students for all staff.

50 EAST KENT HOSPITALS UNIVERSITY NHS FOUNDATION TRUST Queen Elizabeth the Queen Mother Hospital GP Training Programme area: East Kent

Overview of Training at the Trust Address St Peter’s Road Margate Kent CT9 4AN

Switchboard Telephone Number 01843 225544

Website www.ekhuft.nhs.uk

East Kent Hospitals University NHS Foundation Trust, established in 1999, is one of the largest hospital Trusts in England, with five hospitals and several outpatient facilities across East Kent and Medway. For more information, please go to our website www.ekhuft.nhs.uk.

In 2010 East Kent Hospitals University NHS Foundation Trust was awarded ‘Trust of the Year 2010’ by healthcare information organisation Dr Foster. Dr Foster measures healthcare across a range of different areas that are important to patients on behalf of the Government. At the end of last year it named EKHUT as the best performing Trust in the country.

Based in the picturesque seaside town of Margate, the Queen Elizabeth the Queen Mother Hospital has recently benefited from a major development and refurbishment programme, with new facilities including a state-of-the-art cancer centre, an additional operating theatre, new children’s ward, new special care baby unit and outpatients building.

The maternity department has also been refurbished with extra facilities.

Key Individuals Director of Medical Education Dr Prathibha Bandipalyam Clinical Tutor Miss Elizabeth Sharp Medical Education Manager Mr Rags Subramaniam

The hospital is also home to a state-ofthe-art heart centre, containing a £3.6 million operating theatre for specialist diagnostic procedures and up-to-date facilities for the hospital’s cardiology department. There is also a new dedicated Clinical Skills Lab within the Education Centre and the educational library has just been modernised,

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

extended and refurbished to provide textbook learning resources as well as electronic and internet-based resources, which are available 24/7 with key fob access.

There is also a new High Fidelity Simulation Suite established for enhancing the learning opportunities for doctors in training. Simulation training is actively encouraged within the Trust and Hospital for doctors as part of improving patient safety and trainee doctors’ competencies.

Margate itself is a popular, up and coming town with plenty of nightlife, a multi-million pound casino, cinemas, theatres and an enviable coastline, some of which is perfect for watersports such as surfing and jet-skiing. The new multimillion pound Turner Contemporary Gallery is also a major cultural and artistic venue which is within a short distance from the Hospital in Margate.

Shopping and recreational facilities attract people from across the area and transport links to London are quick, direct and frequent. Travelling to Ramsgate, Canterbury, Ashford and West Kent is also straightforward, allowing you the freedom to explore more of Kent at your leisure. It is easy to see why East Kent is becoming so popular - all the attractions without the London prices or stress.

51

Kent and Medway NHS and Social Care Partnership Trust (KMPT) GP Training Programme Areas: Dartford, Medway, Maidstone, Pembury/Tunbridge Wells, Canterbury, Ashford and Thanet

About the Trust KMPT Trust Headquarters The Kent and Medway NHS and Social Care Partnership Trust HQ 35 Kings Hill Avenue Kings Hill West Malling Kent ME19 4AX

Switchboard Telephone Number 01732 520400

Website www.kmpt.nhs.uk

Kent and Medway NHS and Social Care Partnership Trust was formed on 1 April 2006 after East Kent NHS and Social Care Partnership Trust and West Kent NHS and Social Care Trust merged.

Trust Services

We provide mental health, learning disability, substance misuse and other specialist services for 1.6 million people across Kent and Medway.

• Inpatient units

We pride ourselves on providing high quality clinical services, innovation and partnership working.

Community services, inpatient and outpatient units are generally split into services for adults and services for older people over local areas. KMPT have a specialist Child and Adolescent Mental Health Service for children in west Kent. In addition to the community and inpatient and outpatient services, KMPT also provide a number of specialist services across the county and some learning disability services.

We are one of the larger NHS Trusts covering an area of 1,450 square miles, employing over 3,600 staff and operating from over 170 buildings across Kent and Medway.

Mental health

Key Individuals Medical Education Managers Carol Atkins 01227 812017 Nick Winter 01622 222034 Directors of Medical Education: To be announced Locality Tutors: Dr Clive Stanton (Pembury/Maidstone) Dr Anthony Beirne (Dartford) Prof Hana Soliman (Medway) Dr Aamer Sarfraz (Canterbury)

The demand for mental health services is increasing at a higher rate than that of the general population. It is currently estimated that 1 in 100 people suffer from a severe mental illness, but this is rising. There has been a huge increase in mental health clients over recent years and by 2016 there will be over 1700 extra people known to us with a severe mental illness.

We are committed to delivering integrated, community-based health and social care services and our strategy is underpinned by a ‘recovery and wellbeing model’ delivered in partnership with service users, their families and a wide range of organisational stakeholders.

KMPT provide a number of different mental health services to people of all ages living in Kent and Medway. Most of the mental health services are provided through: • Outpatient units • Community teams

KMPT as a Local Education Provider offers a variety of GP training posts as part of the secondary care training progammes organised via the District General Hospitals, namely, Dartford & Gravesham NHS Trust, Medway NHS Foundation Trust, Maidstone & Tunbridge Wells NHS Trust and East Kent Hospitals University NHS Foundation Trust.

Each acute trust has an allocated number of posts for Psychiatry and the relevant trust will liaise with us for up to date placement information. The psychiatry placements are spread across a large geographical area and are mostly community based. For further information on locations of these placements, please contact the Medical Education Manager.

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The Lions Hospice GP Training Programme area: Medway

About the Lions Hospice Address Coldharbour Road, Northfleet, Kent DA11 7HQ

Telephone Number 01474 320007

The Lions Hospice provides specialist palliative or hospice care for those people with life shortening illnesses. Whilst many of our patients have cancer, we also offer care to those with other illnesses such as motor neurone disease, end stage organ failure, pulmonary disease and many more.

Care is offered as an in-patient or on a day care basis for symptom control, care at the end of life, complex psycho-social support and rehabilitation.

In addition to clinical treatments, individuals are provided with a range of activities, services and complementary therapies to build confidence and improve quality of life. The hospice also provides care, advice and support for families and friends of our patients during their illness and into bereavement.

The Hospice has a twelve bedded In-patient unit, which cares for over 300 patients a year. The team aim to improve the patients’ situation and support people so they can return home if possible.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

Patients stay on average for two weeks.

Because of the need for our services we cannot offer long term nursing care in the Hospice.

The Hospice also offers day therapy for up to twenty patients on four days a week.

The day therapy team are able to support patients undergoing blood transfusions, needing dressings or who wish to receive complementary therapies.

The Hospice has a team of doctors experienced in palliative care led by our medical director. The Hospice also has a team of specialist qualified nurses, social workers, complementary therapists, chaplains, activity co-ordinator, bereavement counsellors and many more all with the aim of giving our patients and their families what they need when they need it. Patients are referred by general practitioners, hospital doctors, community nurses or Ellenor nurses.

53

Maidstone and Tunbridge Wells NHS Trust Maidstone Hospital GP Training Programme area: Maidstone

Overview of Training at Trust Address Maidstone Hospital Hermitage Lane Maidstone Kent ME16 9QQ

Switchboard Telephone Number 01622 729000

Website www.mtw.nhs.uk

Key Individuals Director of Medical Education Dr Garth Sommerville Clinical Tutor Dr Chris Thom Medical Education Manager Mrs Celia Cusworth

Maidstone & Tunbridge Wells NHS Trust provides secondary care to roughly half a million people in West Kent & East Sussex. Its two main hospitals are Maidstone, situated in Kent’s county town and the Tunbridge Wells Hospital at Pembury, some 18 miles away.

Maidstone Hospital has a highly accessible location, on the western outskirts of the town, very close to junction 5 of the M20 and within walking distance of Barming railway station with frequent train services to London Victoria. The hospital was opened nearly 30 years ago and has been enlarged considerably in the intervening years. It has roughly 320 beds. In-patient specialties include general medicine, elective general surgery, care of the elderly, oncology, clinical haematology, urology and ophthalmology.

The A&E department sees approximately 60,000 patients per year. The hospital is the main base for the Kent Cancer Centre. Following recent service reconfiguration in –patient orthopaedics and trauma, paediatrics and obstetrics and gynaecology have been centralized at Pembury, but active day case and outpatient services remain at Maidstone.

The Robert Hardwick Postgraduate Centre is located in the Academic Centre, a separate building, recently enlarged and refurbished, adjacent to the main hospital. It provides the main setting for our extensive range of educational activities, and includes a

new 150 seat tiered lecture theatre, a skills laboratory and what we hope is the best laparoscopic training centre in the country. Maidstone is the base for 54 Foundation trainees, 18 Core Medical trainees and 18 GPST1 and ST2 trainees as well as smaller numbers in several other disciplines. We provide a very active educational milieu for these and a regular intake of medical students. .

Within easy reach of both London and the continent, Maidstone offers a wealth of attractive countryside, sports facilities and leisure pursuits, as well as extensive shopping, entertainment facilities and a particularly active nightlife. There is a supermarket and several food outlets very near to the hospital.

Within easy reach of both London and the continent, Maidstone offers a wealth of attractive countryside, sports facilities and leisure pursuits, as well as extensive shopping, entertainment facilities and a particularly active nightlife. There is a supermarket and several food outlets very near to the hospital.

Accommodation There is limited off-site accommodation available on a first come first served basis. The self contained apartments are situated in Hermitage Lane, just five minutes walk from the hospital site.

54

Maidstone and Tunbridge Wells NHS Trust Tunbridge Wells Hospital Pembury GP Training Programme area: Tunbridge Wells

OVERVIEW OF TRAINING AT THE TRUST Address Tunbridge Wells Hospital at Pembury Tonbridge Road Pembury Tunbridge Wells Kent TN2 4QJ

Switchboard Telephone Number 0845 155 1000

Website

www.mtw.nhs.uk

Key Individuals Director of Medical Education Dr Garth Sommerville Clinical Tutor Dr Paul Reynolds Strategic Medical Education Manager Mrs Chris White

Maidstone & Tunbridge Wells NHS Trust is a large acute hospital Trust providing a full range of general hospital services and some very specialist care to 500,000 people in West Kent and East Sussex. Its two main hospitals are Maidstone and the Tunbridge Wells Hospital at Pembury. .The 400 bed Hospital at Maidstone provides elective care for complex Colorectal, Gynaecological oncology, Urology and Upper GI surgery. It provides a tertiary referral for Kent. The hospital is the main base for Kent Cancer Centre.

The Tunbridge Wells Hospital at Pembury is a new 512 bed £220 million PFI build. It is the only all single room NHS hospital in the country with individual en-suite rooms for all patients. The hospital acts as a level two trauma centre. All emergency surgery is performed on this site in a state of the art facility. It is one of the most technologically advanced hospitals ever built. Inpatients have individual en suite rooms, many with spectacular views overlooking the nearby woodland. All the rooms have patient controlled temperature systems, solar control glass windows and flat screen TVs. All this amounts to the most effective infection control, shorter hospital stays and happier, healthier patients. As well as offering a wide range of acute services, the hospital will also act as the hub for women and children’s services and emergency surgery in Maidstone and Tunbridge Wells.

The Trust has a reputation for having a friendly atmosphere and a strong educational ethos. Significant amounts of money have been invested in education by the Trust and education has a high profile at

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

Board and Chief Executive level. The new Education & Training Centre houses the latest learning facilities, a computer suite, a state of the art simulation suite, a skills room and wet laboratory. Also, there are excellent library facilities with 24 hour access.

The Pembury Site Tunbridge Wells Hospital is situated three miles from the middle of Royal Tunbridge Wells with regular buses running to and from the city centre. Direct trains from Tunbridge Wells to London Charing Cross and London Bridge stations take less than one hour and the coast is only an hour’s drive away. With excellent transport links, Tunbridge Wells lies within easy reach of the South Coast, Gatwick Airport and the Channel Tunnel.

Outside of work there is a vibrant social life, including Pay Day themed outings and regular Mess nights, a Winter and Summer Ball, Christmas Revue and annual cricket match against the consultants. Tunbridge Wells Hospital offers easy access to Knights Park leisure complex including gym, cinema, bowling and many retail outlets. Situated in an area of outstanding natural beauty , Tunbridge Wells itself is an old Royal Spa town and has much to offer with attractive parks, places of interest, sports facilities and leisure interests, good restaurants and nightlife. The town also has excellent shopping facilities to cater for everyone’s needs but, should you be hard to please, Bluewater, one of the largest shopping centres in the UK, is only a 30 minute drive. Conveniently there is a large Tesco supermarket 10 minutes walk away and a Costa Coffee and WH Smiths located in the main hospital.

55

Medway NHS Foundation Trust Medway Maritime Hospital GP Training Programme area: East Kent

Overview of Training at the Trust Address Windmill Road Gillingham Kent ME7 5NY

Switchboard Telephone Number 01634 830000

Website www.medway.nhs.uk

The Medical Education Department is located on the Ground Floor of the Postgraduate Centre and the DME and Foundation Leads can be contacted there. Medway NHS Foundation Trust, at Medway Maritime Hospital, is located in Gillingham, Kent, one of the towns on the banks of the River Medway known collectively as the Medway Towns.

Medway Maritime Hospital is the largest and busiest in Kent, employs over 3,550 staff and serves an increasing population of over 370,000 in the Medway and Swale areas of the county. Medway is characterised by a highly populated urban area around the River Medway estuary, to the north and west of which lie substantial rural areas. Medway is also part of the Thames Gateway, a national priority area for regeneration and growth.

The Medway towns include several areas of high social deprivation – consequently, health needs are higher here than in other parts of Kent. The Emergency Department is the largest centre for trauma and emergency services in Kent. The Neonatal

Key Individuals Director of Medical Education Dr Bov Jani Clinical Tutor To be appointed Medical Education Manager Ms Lynne Russell

Intensive Care Unit, is a tertiary unit Level 3 and is also the largest unit in Kent. The Trust is proud of its achievements and has continued to expand. It is a centre for urology cancers, working across Medway and Dartford and the new cardiac catheter suite means local people need no longer travel to London. We also have a Macmillan Cancer Care Unit on site. Further improvements in services are planned to ensure that we are able to offer patients the best facilities and standards of care.

Medway NHS Foundation Trust takes pride in its reputation as a hardworking and friendly environment to train and work in. It was one of the first Trusts in the country to achieve Practice Plus status for Improving Working Lives and has developed clear vision and values to ensure that it is the first choice for patients and staff.

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Pilgrims Hospice GP Training Programme area: East Kent

About The pilgrims hospice Address 56 London Road Canterbury Kent CT2 8JA

Telephone Number 01227 459700

The Pilgrims Hospices are an independent charity and the principal provider of specialist palliative care in east Kent.

Pilgrims Hospice, Canterbury is our founding hospice and was opened in June 1982 by Her Majesty Queen Elizabeth, the Queen Mother.

Our specialist teams offer physical, social and spiritual support to those facing life-threatening illness. These services are extended to the families and carers of the patients in our care. The MultiProfessional Team is led by our Medical Consultants in Specialist Palliative Care and include the joint expertise of doctors, nurses, social workers, counsellors, physiotherapists, chaplains and complementary therapists.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

Refurbished in 2003, it has an in-patient unit of 16 beds and provision for approximately 20 day hospice patients per day open 2 days a week.

The hospice, which is situated on London Road, off the Rheims Way, stands within its own beautiful grounds, set back from a large three storey building that houses administration, education facilities and a library.

57

Training Practices in the East Kent GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Ashford & Dover

Balmoral Surgery

Canada Road

Walmer

Deal

CT14 7EQ

Thanet

Bethesda Medical Centre

Palm Bay Avenue

Cliftonville

CT9 3NR

Thanet

Birchington Medical Centre

Minnis Road

Birchington

CT7 9HQ

Canterbury

Bridge Health Centre

Patrixbourne Road

Bridge

Canterbury

Canterbury Health Centre

26 Old Dover Road

Canterbury

Canterbury

CT4 5BL CT1 3JB

Ashford & Dover

Charing Surgery

Hither Field

Charing

Ashford

TN27 0HZ

Canterbury

Chartham Surgery

Parish Road

Chartham

Canterbury

CT4 7JU

Canterbury

Cossington House Surgery

51 Cossington Road

Canterbury

CT1 3HX

Ashford & Dover

Crane Surgery

Rectory Fields

Cranbrook

TN17 3JB

Thanet

East Cliff Medical Practice

Dumpton Park Drive

Ramsgate

Canterbury

Estuary View Medical Centre

Estuary View Business Park

Boorman Way

CT11 8AD Whitstable

CT5 3SE

Canterbury

Faversham Health Centre

Bank Street

Faversham

ME13 8QR

Ashford & Dover

Hamstreet Surgery

Ruckinge Road

Hamstreet

TN26 2NJ

Ashford & Dover

Ivy Court Surgery

Recreation Ground Road

Tenterden

Ashford & Dover

Kingsnorth Medical Practice

Ashford Road

Kingsnorth

Ashford Nr Ramsgate

Canterbury

Minster Surgery

75 HighStreet

Minster

Canterbury

New Dover Road Surgery

10 New Dover Road

Canterbury

TN30 6RB TN23 3ED CT12 4AB CT1 3AP

Ashford & Dover

New Hayesbank Surgery

Bybrook

Kennington

Nr Ashford

TN24 9JZ

Thanet

Newington Road Surgery

100 Newington Road

Ramsgate

Kent

CT12 6EW

Canterbury

Newton Place Surgery

Newton Place

Newton Road

Faversham

ME13 8FM

Canterbury

Northgate Medical Practice

1 Northgate

Canterbury

CT1 1WL

Ashford & Dover

Oaklands Health Centre

Stade Street

Hythe

CT21 6BD

Canterbury

Peter Street Surgery

Peter Street

Dover

CT16 1EF

Ashford & Dover

Sandgate Road Surgery

180 Sandgate Road

Folkestone

CT20 2HN

Ashford & Dover

Sellinge Surgery

Main Road

Sellindge

Canterbury

St Anne's Group Practice

161 Station Road

Herne Bay

Canterbury

Sturry Surgery (Branch of Canterbury HC 1)

53 Island Road

Sturry

Ashford & Dover

Sydenham House Medical Centre

Mill Court

Ashford

Thanet

The Grange Practice

The Montefiore Medical Cntr

Dumpton Park Drive

Ashford

TN25 6JX CT6 5NF

Canterbury

CT2 0EF TN24 8DN

Ramsgate

CT11 8AD

Canterbury

The New Surgery

128 Canterbury Road

Folkestone

CT19 5SR

Canterbury

The Park Surgery

116 Kings Road

Herne Bay

CT6 5RE

Thanet

Union Row Surgery

Union Row

Margate

CT9 1PP

Canterbury

University Medical Centre

Giles Lane

Canterbury

CT2 7PB

Canterbury

Whitstable Health Centre

Harbour Street

Whitstable

Ashford & Dover

Willesborough Health Centre

Bentley Road

Willesborough

Ashford

TN24 0HZ

Canterbury

Wye Surgery

Oxenturn Road

Wye

Ashford

TN25 5AY

CT5 1BZ

58

Training Practices in the Medway GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Medway

Downs Way Medical Practice

Worcester Close

Istead Rise

Medway

Highcliffe Surgery

Hermitage Road

Higham

Medway

Lordswood Health Centre

Sultan Road

Lordswood

Medway

Memorial Medical Centre

Bell Road

Sittingbourne

Medway

Riverside Medical Practice

Halling Medical Ctr

Ferry Road

Medway

St George's Medical Centre

55 St George's Avenue

Sheerness

Gravesend

DA13 9LB

Chatham

ME5 8TJ

Halling

ME2 1NP

ME3 7DB ME10 4XX ME12 1QU

Medway

St Mary's Medical Centre

Vicarage Road

Strood

Rochester

ME2 4DG

Medway

St Werburgh Medical Practice

98 Bell's Lane

Hoo

Rochester

ME3 9HU

Medway

The Churchill Clinic

94 Churchill Avenue

Chatham

Kent

ME5 0DL

Medway

The Parks Medical Practice

Parkside Surgery

Cliffe Wood

Rochester

ME3 8HX

Medway

Thorndike Surgery

Longley Road

Rochester

Medway

Walderslade Village Surgery

62a Robin Hood Lane

Walderslade

Chatham

ME5 9LD

ME1 2TH

Medway

Woodlands Family Practice

Gillingham Medical Centre

Woodlands Road

Gillingham

ME7 2BU

Training Practices in the Dartford GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Dartford

Dartford East Health Centre

Pilgrims Way

Dartford

Kent

DA1 1QY

Dartford

Downs Way Medical Practice

Worcester Close

Istead Rise

Gravesend

DA13 9LB

Dartford

Gravesend Medical Centre

1 New Swan Yard

Gravesend

DA12 2EN

Dartford

Horsman's Place Surgery

Instone Road

Dartford

DA1 2SR

Dartford

Ingleton Surgery

84 Ingleton Road

Welling

DA16 2JZ

Dartford

Kent House Surgery

36 Station Road

Longfield

DA3 7QD

Dartford

Lowfield Medical Centre

65-67 Lowfield Street

Dartford

DA1 1HP

Dartford

Meopham Medical Centre

Wrotham Road

Meopham

DA13 0AH

Dartford

Old Road West Surgery

30 Old Road West

Gravesend

DA11 0LL

Dartford

Pelham Medical Practice

17 Pelham Road

Gravesend

DA11 0HN

Dartford

The Oak Partnership

Nightingale Way

Swanley

BR8 7UP

Dartford

The Orchard Practice

Dartford West Health Centre

Tower Road

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

Dartford

DA1 2HA

59

Training Practices in the Maidstone GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Maidstone

Bearsted Medical Practice

Yeoman Lane

Bearstead

Maidstone

ME14 4DS

Maidstone

Blackthorn Medical Centre

St Andrew's Road

Maidstone

ME16 9AN

Maidstone

College Practice

50/52 College Road

Maidstone

ME15 6SB

Maidstone

Headcorn Surgery

Clerk's Field

Headcorn

Maidstone

Len Valley Practice

Groom Way

Lenham

Ashford

ME17 2QF

TN27 9QL

Maidstone

Mote Medical Practice

St Saviour's Road

Maidstone

ME15 9FL

Maidstone

Snodland Medical Practice

Catts Alley

Malling Road

Snodland

ME6 5SN

Maidstone

Stockett Lane Surgery

3 Stockett Lane

Coxheath

Maidstone

ME17 4PS

Maidstone

The Medical Centre

10a Northumberland Court

Maidstone

ME15 7LN

Maidstone

The Vine Medical Centre (1)

166 Tonbridge Road

Maidstone

ME16 8SS

Maidstone

Thornhills Medical Group

Larkfield Health Centre, Martin Square

Larkfield

Maidstone

West Malling Group Practice

116 High Street

Aylesford

ME20 6QJ

West Malling

ME19 6NE

Training Practices in the Tunbridge Wells GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Tunbridge Wells

Amherst Medical Centre

21 St Botolph's Road

Sevenoaks

TN13 3AG

Tunbridge Wells

Belmont Surgery

Wadhurst

East Sussex

TN5 6BJ

Tunbridge Wells

Borough Green Medical Practice

Quarry Hill Road

Borough Green

TN15 8RQ

Tunbridge Wells

Church House Surgery

Church Lane

Tonbridge

TN9 1DA

Tunbridge Wells

Clanricarde Medical Centre

Clanricarde Road

Tunbridge Wells

TN1 1PJ

Tunbridge Wells

Dunorlan Medical Group

64 Pembury Road

Tonbridge

TN9 2JG

Tunbridge Wells

Groombridge and Hartfield Medical Group

The Nook,Withyham Road

Groombridge

Tunbridge Wells

Grosvenor Medical Centre

23 Upper Grosvenor Road

Tunbridge Wells

Tunbridge Wells

Hildenborough Medical Group

Westwood

Tonbridge Road

Tunbridge Wells

Lonsdale Medical Centre

1 Clanricarde Gardens

Tunbridge Wells

Tunbridge Wells

TN3 9QP

Hildenborough

TN11 9HL

TN1 2DX TN1 1PE

Tunbridge Wells

Marden Medical Centre

Church Green

Marden

Kent

TN12 9HP

Tunbridge Wells

Rusthall Medical Centre

Nellington Road

Rusthall

Tunbridge Wells

TN4 8UW

Tunbridge Wells

The Kingswood Surgery (1 of 2)

Kingswood Road

Tunbridge Wells

TN2 4UJ

Tunbridge Wells

The Old Bakery

Anshurst Road

Speldhurst

TN3 0PE

Tunbridge Wells

Warders Medical Centre

East Street

Tunbridge Wells

TN2 1LA

Tunbridge Wells

Waterfield Surgery

186 Henwood Green Road

Pembury

TN2 2DD

Tunbridge Wells

Winterton Surgery

Market Square

Westerham

TN16 1RB

Tunbridge Wells

Woodlands Health Centre

Allington Road

Paddock Wood

Tonbridge

TN12 6AX

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SURREY

About Surrey Surrey has a population of approximately 1.1 million people. Due to its proximity to London there are many commuter towns and villages in Surrey, the population density is high and the area is more affluent than many other parts of the UK. Surrey is the most densely populated county after Greater London, the metropolitan counties and Bristol.

Much of the north east of the county is an urban area contiguous to Greater London.

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The Surrey Hills Area of Outstanding Natural Beauty is one of 36 nationally protected landscapes in England, having equal landscape status and protection to a National Park.

The county of Surrey borders Greater London, Kent, East Sussex, West Sussex, and Hampshire.

Surrey is also England’s most wooded county. Its desirability as a place to live, work and visit is closely linked to its pleasant rural environment. The Surrey Hills Area of Outstanding Natural Beauty is one of 36 nationally protected landscapes in England, having equal landscape status and protection to a National Park. One of the first landscapes to be designated as such, in 1958, it has a diverse and rich landscape - the hills themselves embrace an amazing variety of countryside, from the rolling chalk downs of yew and box woodland and flower rich grasslands, to the acid heaths and woodland of the Greensand Hills that rise to form the highest point in South East England at Leith Hill. These offer some of South East England’s most beautiful and accessible countryside, with an extensive footpath network, open commons, breathtaking views, attractive market towns and villages and much more.

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The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

Administratively, Surrey is split into two Patches, East Surrey and West Surrey.

There are two Associate GP Deans for Surrey, Dr Chris Warwick is the Associate GP Dean in June 2009 for East Surrey.

Dr Hilary Diack is the Associate GP Dean for West Surrey until the end of March 2013 when she will become Head of the GP School. Dr Diack’s replacement as Associate GP Dean is currently being appointed. The Associate GP Deans combine their work as GPs in the area with that for the GP Deanery. They, and the GP Programme Directors and GP Trainers are administratively supported by the Surrey Patch Manager, Laurainne Copnall, who is based full-time at the KSS Deanery Office in London Bridge.

The West Surrey patch contains 3 GP Training Programme areas: Chertsey, Frimley and Guildford.

In West Surrey, there are the towns of Camberley, Ashford (Middlesex), Woking, and rural areas of Surrey together with Aldershot and Farnborough on the Hampshire borders. The towns of Frimley and Camberley are located towards the west of the region and both towns have good rail and road connections to London and out to the West. Close by are the River Thames and the historic towns of Windsor and Eton, together with Windsor Great Park. The Magna Carta was signed at a spot nearby. Farnborough is famous for its annual airshow and Aldershot has a long association with the British Army.

Guildford is often ranked as one of the safest and desirable towns in which to live in the UK. It has good shopping, and is surrounded by attractive countryside.

The smaller towns all have good rail and

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road connections to London, and the area is close to Heathrow airport.

The East Surrey patch contains 2 GP Programme Training areas: East Surrey/Crawley and Epsom.

In East Surrey, there are the towns of Caterham, Redhill, Dorking and Reigate and rural areas of Surrey, as well as Epsom (famous for its racecourse and its Downs) and Leatherhead. Dorking is known for its range of antique shops and Reigate has a large number of restaurants. Crawley is a large town with excellent entertainment provision including a large cinema complex. The North Downs cross the patch and there is good walking country and many historic houses, gardens and National Trust properties. The towns of Crawley and Horsham are both in the county of Sussex but because of their proximity, are administratively part of the KSS East Surrey patch.

The area is well served by rail links to London and the South Coast and has the convenience of having Gatwick Airport.

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EAST SURREY CRAWLEY AND EAST SURREY (CRESH)

GP Training in East Surrey

The Crawley and East Surrey Training Programme

Gatwick airport is in the centre of this area, London is within easy reach and Brighton and the south coast only 30 minutes away by car or train. Crawley is an early example of the “New Towns” having been subject to significant expansion in the late 1950s and 1960s. Like Milton Keynes, Crawley is famous for its roundabouts. The current population is around 100,000 and the proximity of Gatwick airport means that there is almost full employment. There is a wide mix of social and ethnic groups.

The people who originally moved to the new town are now forming an ageing population and the age distribution of the area as a whole mirrors that of the UK. Redhill and Reigate are the two towns to the north of the area covered by CRESH. They are old established towns just outside the M25. Although much of the population is prosperous, there are areas of significant social deprivation within the borough.

The Crawley and East Surrey GP Specialty training programme is commonly known as CRESH. The CRESH training programme is one of the larger programmes in the KSS Deanery area. Historically there was a scheme based at Crawley Hospital and another scheme at East Surrey Hospital in Redhill. With the merger of the two Trusts in 2000 it became clear that the service reconfiguration meant that the GP training programmes should merge.

The large number of doctors on the programme means that there is a whole day of educational activity during term time with the doctors who are in general practice placements (ST3) attending on a Wednesday morning. After lunch there are learning sets for ST1 and ST2 doctors in their hospital. The sessions are held in the East Surrey Hospital (Redhill) Medical education centre and all GPStRs in hospital posts are encouraged to attend.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

The teaching programme is based on the GP curriculum, but we encourage a creative approach to this. For example, previous sessions have included topics such as, ‘Ethics and resource Management’, Child Protection Issues, “Tinsillitis” - Christmas and Seasonal Affective Disorder, Smoking and Respiratory Diseases, CSA skills practice, how to use Yoga and relaxation, Presentation skills and ‘Teaching each other’.

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The programme directors in the CRESH GP Training Programme Area Are: Dr Terry Conaty Terry has been a GP Programme Director since 2004 and has been involved in GP Training in East Surrey since the early 1990s as a GP Trainer. He practices in Smallfield just to the east of the runway at Gatwick airport. Terry has recently supported the GP School by taking a role as Academic Mentor for East Kent.

All the rotations will include GP placements in the first or second years.

Residential courses allow subjects to be explored in much greater depth than is possible on the day release scheme.

The Programme Directors therefore aim to run at least one, and possibly two 48 hour residentials per year at varying venues. Subjects that have been included recently include “Law and Peace�, ethical dilemmas and consultation skills. We have hosted these events at hotels in Brighton and Bournemouth as well as the delightful surroundings of Cisswood House near Horsham in recent times. The GPStRs arrange social evenings together, and group evenings (e.g. tenpin bowling) take place.

Dr Bob Ward Bob started as a GP Programme Director in 2004 having previously had responsibility for looking after the GP Trainers in the Crawley area. He has been a GP Trainer since 1995. Bob works in Furnace Green in Crawley with his three partners and salaried colleagues. He has completed a Diploma in Sports Medicine and does a session a week as a GP with a special interest in musculoskeletal medicine.

Graham Carr A Senior Lecturer at London South Bank University in the Faculty of Health and Social Care, Graham brings a unique perspective to the team at CRESH. As an educator and nurse he ensures that a multidisciplinary and lay perspective is brought into the learning and teaching environment. He promotes a vision of learning that is fun, stress free and transformative. For the last decade, he has been working on joint KSS/LSBU educational projects, linked to teacher training for GPs, and as part of this liaison he has been a GP Programme Director since 2005.

Dr Heidi Fahy Heidi is part time GP in a small rural village in Surrey, and a part time educationalist. She is a trainer, an appraiser, as well as a PD, and also works as GP Tutor in East Surrey and Crawley.

She has been a GP since 1990, and has experience of variety having worked as a full time partner, a locum, and now as a salaried GP. Her areas of interest include Gynaecology, Family Planning, and Paediatrics. She has three teenage children and has in the past taken a three year sabbatical. She has discovered skiing far too late, but is keen to one day be able to ski elegantly down a black run.

Dr Pippa Woolner I work as a part time salaried GP at Townhill Medical Practice in Caterham.

I juggle this with being a mother of two young children. Work interests include medical education, general medicine and care of the elderly. Hobbies include playing tennis and going out to restaurants!

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East Surrey EPSOM

About Epsom

About the Epsom GP Training Programme

Epsom is most well known for its racecourse. Epsom town centre is busy and bustling, with good shopping facilities and plenty of social and entertainment facilities including the Epsom Playhouse. The surrounding areas are rural, with many parks and wooded areas.

The Surrey hills are close by for walkers and mountain bikers and with Gatwick and Heathrow ½ an hour away it is a very well placed area for travel.

Epsom is a well established and popular GP training scheme in a very livable part of the country, based around a friendly hospital that is part of the Epsom and St Helier University Hospitals NHS Trust. There are many innovative training Practices locally and Practices in the Epsom area were some of the first in the country to go forward with Practice-based Commissioning.

The Epsom scheme attracts excellent quality candidates who benefit from the high quality educational opportunities we offer. In recent years we have had a very high pass rate for both AKT and CSA exams. The GPStRs meet on Wednesdays mornings 09.30 – 13.00 in term time in The Bradbury Medical Education Centre, Epsom General Hospital.

The post rotations are designed to provide a balance of appropriate experience, and much support is gained by sharing experiences with the other scheme members. Epsom has developed active learning sets in each year of the training programme which are well attended and supplement the education already provided within the departments.

The GP learning sets are designed with input from GPStRs at all stages and are mapped to the GP curriculum to ensure full and thorough coverage. We attempt to cover those areas best learnt in small groups and the curriculum includes numerous sessions in examination practice and technique with the MRCGP in mind. A mixture of clinical and managerial topics are covered in a supportive and nurturing environment, which is universally considered the highlight of the GP training programme in Epsom.

Recent sessions have included: Consultation analysis; Minor Illness; Ophthalmology in Primary Care; Dermatology in Primary Care; CSA Practice; Evidence-based medicine and critical appraisal; Prescribing and Therapeutics; Ethical issues; GPStR Presentations; Medicine and the Media; Practice visits; Sexual Health; Dementia Care; and Practise Based Commissioning.

Full details can be found at: http://www. epsomgpvts.org.uk/Half_Day_Release_ Course.asp Our programme includes a 4 month placement in General Practice during the ST1 or ST2 years, in addition to the full year of ST3 experience in general practice. Some of these placements will be in the doctor’s eventual ST3 Practice, but others will not, giving a broader range of experience.

This will give a superb opportunity to have a well rounded training that aims to make you a capable and confident GP.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

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The Programme Directors in the Epsom GP Training area are: The Epsom GP training programme aims to run at least one residential course a year. In recent years we have stayed at Cumberland Lodge in Windsor Great Park, and have been as far afield as Brighton for a seaside residential. Topics covered have included advanced consultation skills, (particularly non face-to-face skills), Disability, ‘Heartsink Patients’, and CBT in GP Consultations. In the evening the more relaxed ambience has allowed some hidden talents among the group to be uncovered!

We arrange a variety of opportunities outside of the VTS including a recent joint injection evening course. We have also arranged interview technique workshops with the Trainers’ group which have proved popular with GPStRs beginning to think about their future careers.

The GP training group, though small (we have an intake of 12 members) has its own lively social scene of meals and nights out, organised by an enthusiastic band of current members, and the scheme works hard to involve members at all stages to join in, encouraging a feeling of belonging throughout the whole programme.

Epsom prides itself on its young and motivated Programme Directors, who have recent and valuable experience in passing the MRCGP, and are undertaking further study in education as they progress.

Dr Mark Halloran Mark is a GP Partner based in Shorehamby-Sea. He has worked closely with the deanery through the Trainees Committee and School Board. In 2009 he helped set-up the RCGP faculty ‘Finding Jobs in General Practice’ AIT day. He is also passionate about music and is a lazy gardener.

Dr James Steinhardt Dr James Steinhardt is a Partner at a large local training practice in Leatherhead and has been a PD for over 2 years now. He was a trainee on the Epsom scheme and has experienced the CSA and AKT first hand. He lives in Epsom with his 2 year old son and wife who is also a GP. His interests include education and general medicine and he is on the pathway to become a trainer. In his free time he likes to DJ and go to the park with his son. He also has a slot on the hospital radio station keeping the feet tapping on the Orthopaedic ward!

Dr Terri Lovis Terri is a partner at the Wall House Surgery in Reigate where she is a GP trainer and family planning trainer. She has a special interest in sexual health.

Terri did her VTS at Epsom and liked it so much that she returned as a Programme Director to help others who wanted to become GPs.

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WEST SURREY CHERTSEY

About Chertsey

About the Chertsey GP Training Programme

Chertsey is situated midway between Egham and Weybridge; and is one of the oldest towns in England, as such it boasts some of its finest pubs, restaurants and scenery.

The Chertsey GP Training Programme has been developed to deliver a robust and enjoyable curriculum within the design of an innovative programme. The scheme is based in Ashford and St Peters hospitals, with GPStRs meeting at the Oliver Plunkett Medical Education Centre in St Peters Hospital.

include mock exam practice with external simulated patients, as recommended by examiners for the CSA.

We are currently able to offer 21 rotations. With training in both hospital posts and General Practice ones. You spend 16 months in General Practice. Our training is based across the Ashford and St Peters sites with Psychiatry rotating to the Abraham Cowley Unit. We are also able to offer Integrated Training Posts (ITP) which amalgamate both General Practice and specialty training in one rotation allowing for cross disciplinary learning. ITP posts are GP posts based in GP Practices with some time release to spend in Hospital in a constructed scheme.

We are motivated by an ongoing desire to achieve excellence and to help guide the continual evolution of our trainees into fully fledged General Practitioners. We have a diverse group of GP Educational Supervisors, specialists and Programme Directors, who are experienced and interested in training. We ensure standards are maintained by close links to hospital specialists responsible for GP specialty posts. This allows continual updates in the methods of practice within these attachments, ensuring delivery of an appropriate educational curriculum.

The Programme is based on the RCGP curriculum with an emphasis on the Skills and Attitudes that are so key to developing the art form that good general practice is.

We also enjoy the opportunity to take our trainees on a relaxing residential, which is a wonderful opportunity for participants in the scheme to get to know each other and develop stronger ties. These are held at Cumberland Lodge, a beautiful stately home set amongst stunning expansive grounds. Previous trainees on the scheme have enjoyed the tennis courts, famous Red Deer and exquisite dining.

The town is part of the Borough of Runnymeade, named after the riverside meadow where King John sealed the Magna Carta in 1215.

Amongst some of the attractions, is the Chertsey Museum which is located in a fine Regency house, giving visitors the chance to explore the history of the Borough of Runnymeade using hands-on interactive displays.

The river is spanned by an elegant seven-arched bridge at Chertsey and there is lots of riverside activity here including pubs, boatbuilding yards and river traffic. In addition Chertsey Meads is a delightful 170 acre site of open grassland fronting the River Thames, with wildlife habits, walks and picnic areas.

Nearby is the world famous Thorpe Park, offering a wide range of amusements for families, young people and groups. A short distance from Thorpe Park is John Battleday Waterski, this centre offers a number of activities including waterskiing, cable skiing and wake boarding and caters for all levels of ability.

We aim to deliver a well rounded approach aided by a variety of teaching methods, which will include both knowledge based work as well as the practical skills needed to practice holistically. We are fully aware of the importance of addressing all aspects of the curriculum with particular reference to areas that will facilitate successful completion of the MRCGP. This will

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

Most importantly the ethos of the GP Training Programme is to be learner centered with planned input from learners, Programme Directors, Clinical and Educational Supervisors.

This underpins the overall vision of the scheme which is to deliver a training programme that is both supportive and nurturing while maintaining high standards of achievement.

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The Programme Directors in the Chertsey GP Programme area are: Dr Layth Delaimy I qualified in 1990 from University of Baghdad & practiced in the Middle East, West Africa and the UK. I currently work as a GP principal in Walton on Thames, Surrey. I have been a GP since 1998 and a GP Trainer since 2003. I took the role of Programme Director for Chertsey in 2008.

We run the Chertsey half day release course for registrars (historically called VTS) on Thursdays at St Peter’s Hospital and manage & direct the GP training programme in the Chertsey area. I also look after the Foundation doctors doing their GP jobs. Prior to committing myself to educational work only, I was an active member of the professional executive committee for North Surrey Primary Care Trust (PCT) & West Elmbridge Primary Care Group 2000-2006. I played an active role in establishing the Thames Medical Practice Based Commissioning Consortium (Federation of practices) for Elmbridge & Runneymede, and chaired the board for six months during its foundation. I am working towards an MA in Education and I also work as a GP Appraiser for Surrey PCT. My ethos of practice is to provide excellence of care to my patients. I believe that we could do so by having a clear definition of what primary care is all about, I encourage patient management in the community with the best current evidence based practice and best use of available resources to provide best healthcare. I enjoy playing and listening to music and enjoy playing basketball and golf. I also like a good and stimulating book.

Dr Neman Khan – MBBS, MRCGP, DRCOG, DFFP Having qualified from St Georges Hospital Medical School in 1999, I took on a partnership in General Practice after my training post in Woking and have been working there almost 10years now.

I have been a trainer prior to taking on the Programme director role in December 2011. As well as my involvement in medical education, I have maintained an interest in the wider roles within General Practice, and have a portfolio of experience involving Clinical governance via being a QOF and IMT DES assessor for Surrey PCT, while continuing to develop as an appraiser for General Practitioners. I was elected as the LMC representative for Woking, and continue in that capacity. I have been involved in Commissioning, up to and including helping to set up the current CCG board for North West Surrey – and left that to focus on medical education. Contact with the local hospital trust continues via work as the GP liaison to several Local Faculty groups at St. Peter’s Hospital. Prior experience of working within the prison healthcare system, as well as providing GP care to psychiatric patients in a medium secure facility has helped open my eyes to some less familiar areas within general practice. Proof that learning is linear and ongoing – I have enrolled to complete the Postgraduate Certificate in Education along with some of the local trainers. I have written for Pulse magazine as a guest contributor, advising on locum use. I am a keen sports fan, now watching more than playing, as the injuries are cutting short the playing opportunities!

Dr Saba Khan I was born and raised in London and, while sampling the delights of South London cuisine, completed my medical training at St Georges Hospital University London.

I went straight into my chosen career path as a GP on the Oxford rotation based in Windsor. The bulk of this training was at Wexham and Heatherwood hospitals, with a final year in Ascot.

I have recently completed an MSc in Primary Care Education which has helped to support my ongoing work to develop the Chertsey training scheme.

I have been a Regular Locum in the Surrey area, since 2006, and I have been given the opportunity to become a Programme Director since the summer of 2009. I have also been involved in the development of Child Protection and Domestic Abuse Training since 2005.

I have a passion for painting and sculpture and have worked hard to maintain this throughout my medical career. I also love to travel and have had the opportunity to visit various parts of the Middle East, Europe and the Far East.

I look forward to the future of the Chertsey Training Scheme and the wonderful opportunities that this will bring for all those involved in our team.

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WEST SURREY FRIMLEY

About Frimley If you do not know the SurreyHampshire border area, you do not know what you have missed! The main attractions are the easy access to London, numerous shopping centres and outstanding heaths & woodland (most army owned and “free-to-roam”). For centuries Frimley was a farming village and an album of Victorian photographs in the Borough Museum shows haymaking and harvesting where the Albany Park Industrial Estate now stands. The site of the old village pound, where stray animals were ‘impounded’, may still be seen on the Grove opposite Frimley Park Hospital. Notable personalities associated with the Frimley area include Samuel Cody, the first man to fly an aeroplane in Britain and Daphne du Maurier, who wrote most of “Jamaica Inn” here whilst her husband (General ‘Boy’ Browning) was stationed nearby.

About the Frimley GP Traini The development of the last fifty years has seen village and town boundaries become increasingly blurred. For instance, the boundary between Frimley and Frimley Green, has gone, although the latter’s original village green survives, together with a few half timbered buildings. Lots of pockets of parkland remain; people enjoy sport and leisure activities at Frimley Lodge Park, where the historic Basingstoke Canal, once a commercial waterway, now offers opportunities for pleasant walks and boat trips. Mile upon mile of open heaths and pine forests surround the towns providing outstanding leisure opportunities.

The Frimley GP Training Programme is centred around Frimley Park Foundation Hospital Trust (FPH). Currently we offer 14 places each year on the programme.

In addition, we also host Military trainees both at FPH and also in local practices.

The training practices are scattered through the towns & villages around Frimley – Sandhurst, Yateley, Camberley, Lightwater, Farnborough, Aldershot, Fleet and Farnham. There is a map on the VTS website showing the location of our training practices. Most have good road and rail links to the M25 and west London and many of our GPRs commute from West London.

Frimley Park Hospital is a typical District General Hospital with a broad spread of specialties and an active, well-supported post-graduate centre. It has an excellent reputation with junior doctors – busy, but a very friendly place to work in. The hospital consistently earns the highest ratings for educational support.

Our psychiatric posts are based at a variety of hospital and community locations in the surrounding area.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

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The Programme Directors in the FRIMLEY GP Programme area are:

ing Programme Every rotation includes a 4-month GP post in either ST1 or ST2. Usually GP ST1/2 placements will be in your eventual ST3 training practice, but this is not always possible. Your GP trainer for the ST3 year will be your Educational Supervisor and mentor for the whole three year programme.

ST1/2 Hospital posts: In ST1 these are “core medical” posts – general medicine, care of the elderly and A&E; In ST2 these are mainly “other specialties” – O&G, Paediatrics, Psychiatry, ENT, Orthopaedics.

ST1/2 GP posts: Most of the ST1 and ST2 GP posts are ITPs (Innovative Training Posts) consisting of 3 days per week in GP and 2 days per week in a hospital specialty. Posts offered as part of an ITP include Paediatrics, Ophthalmology, ENT, GUM, Dermatology, Palliative Care and Rheumatology/ MAU.

The teaching programme is varied throughout the three years. In GP ST1/2 posts, the weekly teaching focuses on core GP conditions (for example asthma, hypertension, contraception, depression).

We introduce the trainees early to consultation skills training and working with simulators. In ST1/2 hospital posts, departmental teaching programmes all reflect the knowledge required for GP training. In addition, one of the Programme Directors runs a monthly teaching session for all of the ST1/2s The ST3 teaching programme is a halfday release on Thursday afternoons. The varied programme is constantly reviewed and updated (recent time-tables can be found on the VTS website) to reflect the changing needs of GPSTs. We understand the challenge of the CSA and organise sessions specifically to help prepare for this examination. The programme includes one residential each term at Cumberland Lodge – a stunning location in the heart of Windsor Great Park.

Over the course of the programme we aim to help you to cover all of the key aspects of the GP Curriculum. Initially, the focus is on understanding context & content of the MRCGP examination and core medical knowledge. Later, the focus moves to the wider aspects of GP work and the various components of the MRCGP examination.

VTS website – www.frimleyvts.org

Dr Andrew Cochrane Dr Cochrane is a full time GP trainer and also Programme Director. He works with Dr Marshall in running the Thursday afternoon educational programme. He did his GP training in the Frimley scheme 10 years ago.

Dr Christine Marshall Dr Marshall has been running the Thursday afternoon programme since 1996. Her main focus is the ST3 cohort each year. She has an MA in Medical Education from the University of Surrey (2005) and has also taught internationally for the RCGP. Her particular interests are teaching consultation skills, medical humanities and pastoral support for doctors at all stages of their careers. She has several other roles within the Deanery with a particular emphasis on teaching the new teachers.

Dr Richard de Ferrars Dr de Ferrars has been a Trainer since 1999. His areas of responsibility include GP input into the Foundation Programme, working with the GP Trainer Group and the organisational aspect of the GP training programme. He also coordinates the teaching programme for the ST1 and ST2s GPStRs.

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WEST SURREY GUILDFORD

About Guildford

About the Guildford GP Training Programme

Guildford is a vibrant historic town, set in the rolling hills of the Surrey countryside. Its location and excellent transport links mean that Guildford has welcomed travellers for centuries.

There are a variety of GP Training Practices from large suburban practices in the middle of Guildford to small rural or semi rural Practices, some of which are dispensing.

The River Wey, which runs through the centre of town, is owned by the National Trust, and was one of the first rivers to be made navigable. Guildford later became an important staging post for travellers between London and Portsmouth, being mid-way between the capital and the coastal port.

Training Practices are located in and around the centre of Guildford and the surrounding villages including Grayshott, East Horsley, Binscombe, Woodbridge Hill, Godalming, Haslemere, Cranleigh, Wonersh, Shere, Chiddingfold and Milford. The GP Trainers are an enthusiastic and supportive group of doctors. They enjoy teaching, one to one and in the Trainer/GPST3 group, which is an integral part of the GPST3’s teaching timetable.

Guildford is the county town, retaining its traditional cobbled high street and riverside walks, but offering all the richness and amenities of a city, with excellent shopping and entertainment.

Guided walks of the town offer an insight into the fascinating history of the area, taking in the castle keep, the 15th-century Guildhall and a wealth of other historic buildings.

The Surrey Hills Area of Outstanding Natural Beauty encompasses much of the surrounding countryside, which is dotted with picturesque villages and a wealth of gardens and houses to visit. Guildford’s attractions range from the 240 acre garden at Wisley to the 20th-century cathedral just outside the town and many are linked by the North Downs Way national trail.

The Guildford GP Training Programme offers a wide range of posts and experience, aligned with the GP curriculum. Each GPST rotation includes 6 four month posts which will incorporate at least one Integrated Training Post (ITP).

An ITP post involves working two days in the GP Practice and two days in the Hospital specialty with one day release for teaching.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

Posts offered include: Paediatrics, ENT, Obs & Gynae, Rheumatology, Geriatrics, Oncology, A&E, Palliative Care, Psychiatry, ITP Paediatrics, ITP Obs & Gynae, ITP Geriatrics, ITP Dermatology, ITP CAMHS, ITP Neurology.

When appointed you will be allocated to a GP Trainer at the beginning of your three year rotation. Your GP Trainer will act as your overall Educational Supervisor as well as your mentor and give you advice throughout your training. You will spend one day in your Educational Supervisor’s General Practice during each of your hospital placements. It is expected that at the end of your hospital rotation you will then spend your ST3 year with the same Trainer.

The GPST3’s meet on Thursday mornings from 08:30-12:00 for the core GPST3 teaching. A GP Trainer and GPST3 group meets for an hour in the afternoon. The ITP group have their own day release teaching on a Thursday morning from 10:00 – 12:00, all taking place at Royal Surrey Hospital Education Centre. The remainder of Thursday afternoon for GPST3’s & GPST’s in ITP posts is for study groups to work independently. We have an excellent track record of CSA success within the 12 months VTS.

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Programme directors in Guildford: We aim to cover all aspects of the Curriculum and the initial sessions are aimed at understanding the context and requirements of the MRCGP exam. We place a significant focus on the complex skills required in the GP consultation, which is vital in preparation for the CSA exam, but also to become an effective GP in future practice. The timetable is planned in advance although this is always adapted to the needs of our current group. We run two residential sessions at Cumberland Lodge in Great Windsor Park and have a social once a term which takes a variety of forms.

GP Clinical Updates take place at lunchtime for the GPST1, 2 & 3s and Trainers. Topics covered include relevant clinical issues linked to the competences of the RCGP Curriculum. Each Training Practice has the opportunity to lead an update in turn.

We work very hard to provide teaching that equips you for a lifelong career in General Practice. We have excellent facilities at the Education Centre and always aim to adapt what we do to the needs of the group.

For more information about the Guildford scheme please visit: www.guildfordvts.org

Dr Simon Dunbar Simon is a GP and Trainer as well as a Programme Director. He enjoys teaching, particularly working with small groups.

Outside of medicine, he enjoys sports and family life.

Dr Catharine Humphrys Catharine is a Salaried GP in central Guildford and Programme Director for the Guildford VTS and Joint Director of Medical Education overseeing the delivery of the GP Curriculum through hospital and into General Practice. Areas of special interest: Child and Adolescent Mental Health and Mediation (UKCP registered Family Therapist 2004-2010).She is a Hub Tutor for final year Medical Students and a GP Trainer.

Dr Martin Brunet Martin is a GP and Trainer in Godalming.

He enjoys writing and keeps a medical blog at www.doctorblog.co.uk/blog. He also finds it stimulating to connect with other doctors through social media, and can be found on Twitter: @DocMartin68

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SURREY LOCAL EDUCATION PROVIDERS

There are a number of Local Education Providers in the Surrey patch participating in the KSS GP School GPST programme. Rotations in hospital are currently of a four-month duration.

The Local Education Providers in Surrey are:

Ashford and St Peters Hospitals NHS FOUNDATION Trust • St Peter’s Hospital

Epsom & St Helier University Hospitals NHS Trust • Epsom General Hospital

Frimley Park Hospital NHS Foundation trust • Frimley Park Hospital

Phyllis Tuckwell Hospice ROYAL SURREY COUNTY HOSPITAL NHS TRUST • Royal Surrey County Hospital

ST CATHERINE’S HOSPICE

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

SURREY AND BORDERS PARTNERSHIP NHS foundation TRUST SURREY AND SUSSEX HEALTHCARE NHS TRUST • East Surrey Hospital

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Ashford & St Peter’s Hospitals NHS FOUNDATION Trust St Peter’s Hospital GP Training Programme area: Chertsey

Overview of Training at the Trust Address St Peter’s Hospital Guildford Road Chertsey Surrey KT16 0PZ

Switchboard Telephone Number 01932 722000

Website www.ashfordstpeters.nhs.uk

Ashford & St Peter’s Hospitals NHS Trust serves a population of 450,000 including a broad socio-economic and ethnic mix. The Trust provides a broad range of medical, surgical, diagnostic and emergency services as well as a full range of medical outpatient specialities. The acute services are provided at the St Peter’s hospital site, which has modern Intensive Care and Coronary Care units and sees approximately 100,000 A&E attendances annually, with a full general medical take supported by acute medical beds. The Ashford hospital site provides the Trust’s 24 Hour Walk-in Centre and Rapid Access Centre, along with Rehabilitation Wards. Ashford and St Peter’s have a combined total bed allocation of approximately 600 beds.

Specialist Services

Key Individuals Director of Medical Education Dr Peter Martin Medical Education Manager Mrs Angela Langwith-Green GP Programme Directors Dr Layth Delaimy Dr Saba Khan Dr Neman Khan

The Trust has a variety of specialist services; specialist NICU, specialist Orthopaedic services, Neurophysiology services, Cardiac Angiography, Cardiac MRI and Nuclear Cardiology. Within the angiography suite cardiology undertakes percutaneous coronary interventions (PCI), electrophysiology studies and ablations, biventricular device (pacemaker and ICD) implantations. The Trust links with a number of tertiary units including Atkinson Morley, Charing Cross, St Helier, St George’s, Harefield and Royal Brompton. The Trust links with St Luke’s (Guildford) and the Royal Marsden for cancer services.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

The GP Specialty Training at Ashford & St Peter’s Hospitals NHS Trust offers one of the biggest GP Specialty training programmes in the KSS Deanery. It currently has 18 three year rotations, with 20 months in hospital posts and 16 months in General Practice.

In addition to the St Peter’s Hospital based posts, the trainee is also exposed to Psychiatry at the Abraham Cowley Unit which is based at St Peter’s. Each trainee will also have the opportunity to do one Innovate Training Post, where time is shared between General Practice and the Hospital.

Ashford & St Peters Hospitals NHS Trust is an excellent DGH with a broad spread of specialties and an active well supported postgraduate centre. All rotations give a balanced range of training for General Practice.

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Epsom & St Helier University Hospitals NHS Trust Epsom General Hospital GP Training Programme area: Epsom

Overview of Training at the Trust Address Epsom General Hospital Dorking Road Epsom Surrey KT18 7EG

Switchboard Telephone Number 01372 735735

Website www.epsom-sthelier.nhs.uk

Epsom and St Helier University Hospitals NHS Trust is a large 700+ bed acute Trust serving South West London and Surrey. It comprises one acute hospital in Carshalton and a district general hospital in Epsom, a dedicated children’s hospital (Queen Mary’s Hospital for Children) the South West London Elective Orthopaedic Centre (SWLEOC), one supporting hospital at Sutton and one private patient unit and provides services from a number of support hospitals. The Trust works closely with two primary care Trusts, Sutton and Merton PCT and Surrey PCT and provides services to local communities including the entire London Borough of Sutton, part of the London Borough of Merton, the Surrey boroughs of Epsom and Ewell, Reigate and Banstead and Elmbridge, plus part of the district council of Mole Valley. Within this area the Trust provides care for approximately 500,000 people. It also provides medical care

Key Individuals Director of Medical Education Mr Ashraf Raja Medical Education Manager Mrs Elena Power

for a wider population particularly for certain specialist services, including Renal, Paediatrics, Pathology and Orthopaedics.

The Trust has a good reputation for undergraduate and postgraduate education. There is a well equipped Medical Education Centre and library on each main hospital site.

For more information about the Trust see the website www.epsom-sthelier.nhs.uk.

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FRIMLEY PARK HOSPITAL NHS FOUNDATION TRUST Frimley Park Hospital GP Training Programme area: Frimley

Overview of Training at the Trust Address Portsmouth Road Frimley Surrey GU16 7UJ

Switchboard Telephone Number 01276 604604

Website www.frimleypark.nhs.uk

Frimley Park is a 700 bedded NHS Foundation Trust near Camberley in Surrey serving a local population of approximately 400,000. The hospital is situated just off junction 4 of the M3 with quick and easy access to London by car or train and is roughly an hour from the south coast. It is host to a MDHU which means that Armed Forces doctors and other military personnel are integrated into the hospital workforce.

Frimley Park has an excellent reputation as a dynamic successful Foundation Trust with a high rate of doctors choosing to return to work here. The Trust is also one of the few nationally to hold NHSLA level 3 for acute services and maternity services. There is an excellent purpose built Education Centre which is the hub for Medical Staff.

The Trust benefits from a ÂŁ22 million, new EM Centre, two new cardiac cath labs and an on-going improvement programme to services and estates.

The PGEC hosts a busy CPD programme for local GPs and GP trainees are encouraged to attend this teaching and network with GPs in the community.

The PGEC offers a full suite of teaching rooms including Simulation and clinical teaching area. All of the seminar rooms are well furnished and equipped. The Lecture Theatre and seminar rooms all have live links to theatres, endoscopy and radiology as well as video conferencing facilities.

The Centre has its own restaurant which is well used by all medical staff in the Trust and local General Practitioners. The PGEC has a small PC Suite and wireless access is now available in the Centre and Health Sciences Library.

The Health Services library is situated above the PGEC. It provides a wide range of services and also houses a PC suite, quiet study area and internet cafĂŠ style space.

Key Individuals Director of Medical Education Mrs Geeta Menon Medical Education Manager Mrs Lynn Moran GP Administrator Ms Kimberley Manning

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

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The Phyllis Tuckwell Hospice GP Training Programme area: Guildford

About the Phyllis Tuckwell Hospice Address The Phyllis Tuckwell Hospice Waverley Lane Farnham Surrey GU9 8BL

Switchboard Telephone Number 01252 729400

The Phyllis Tuckwell Hospice offers Specialist Palliative Care to those facing the end of their life and to those who love and care for them, serving a population of 600,000 across West Surrey and North East Hampshire.

The Hospice has a team of Community Nurse Specialists who visit patients in their own homes, a Day Hospice facility, complementary therapies and in-patient hospice care.

The Phyllis Tuckwell Hospice has 14 beds on Willow Ward, with 10 single rooms and a 4-bedded bay for female patients.

The ward has four times the average nurse-patient ratio found in a hospital, and this is reflected in the amount of time spent on nursing care for each individual patient. There are also four doctors who are responsible for the day-to-day medical care on the wards and in Day Care.

Where possible, patients are given a choice of accommodation they would prefer. Priority is always given to ensure that the dignity and privacy of our patients is maintained at all times.

Key Individuals Medical Director Dr Cate Seton-Jones

Each room is equipped with a television and the Hospice has an extensive video/ DVD library for the use of patients.

There is a large sitting room for inpatients, their families and friends, and coffee and tea making facilities are available. There is also an inner courtyard area to be enjoyed and spacious gardens surround the Hospice The Day Hospice is one of the busiest places in the Phyllis Tuckwell Hospice. The patients who visit the Day Hospice come for a variety of reasons - some come for the companionship and activities, others come for specialist medical or nursing care, others visit to allow their carers a respite one day a week. All of the patients are able to live at home but can take advantage of all of the Hospice’s services, such as complementary therapies, physiotherapy, occupational therapy, the library or nursing care.

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Royal Surrey County Hospital NHS Foundation Trust Royal Surrey County Hospital GP Training Programme Patch: Guildford

Overview of Training at the Trust Address Egerton Road Guildford Surrey GU2 7XX

Switchboard Telephone Number 01483 571122 Ext 4926

Website www.royalsurrey.nhs.uk www.guildfordvts.org

Royal Surrey County Hospital is a district general hospital with a few differences.

It has a tertiary referral cancer centre (St. Lukes) providing care for patients from a large catchment area. Many surgical firms also offer complex surgery to patients from a wide area. There is an efficient, well run A&E department with separate medical and surgical assessment units.

Stroke services include an acute stroke unit and 24/7 thrombolysis. There are strong links with University of Surrey supporting academic excellence.

Our 4 month posts rotate across a wide range of specialties including Paediatrics, Obs & Gynae, Oncology, Palliative Care, Psychiatry as well as integrated posts (with GP) such as Genito-Urinary Medicine and Neurology or Dermatology.

The Education Centre is on site and houses a library with 24 hour access and a local simulation suite for clinical teaching and a communication skills room.

Key Individuals Directors of Medical Education (Joint) Dr Jane Tilley (Consultant Anaesthetist)) Miss Julie Kohls-Gatzoulis (Consultant Surgeon) Medical Education Manager Mrs Louise Duffield GP Programme Directors Dr Martin Brunet Dr Simon Dunbar Dr Cath Humphrys GP Manager Miss Jessica Wells

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

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St Catherine’s Hospice GP Training Programme area: Crawley

About the St Catherine’s hospice Address Malthouse Road Crawley West Sussex RH10 6BH

Switchboard Telephone Number 01293 447333

St Catherine’s Hospice is a charity dedicated to providing specialised end of life care and support to local people, their families, friends and carers.

• W e help people retain their independence, mobility and sense of control by providing practical help, equipment and advice

For 25 years we have been providing high quality hospice care, free of charge, to people living in Crawley, Horsham, Mid Sussex and South-East Surrey. Hospice care is based on the belief that each person is more than their illness, and that each of us has unique physical, emotional, social and spiritual needs. St Catherine’s responds to the needs of each individual, helping people achieve the best possible quality of life.

• W e help restore self confidence and well-being by giving patients the opportunity to meet socially, gain support from others in similar circumstances, and benefit from relaxation therapies

This highly personal, holistic approach to care takes time, skill and experience from a multi-professional team. We care for people in the hospice, in their homes and in nursing homes. We also provide training, advice and support to other health professionals.

• T hrough expert assessment and regular monitoring we aim to relieve pain, symptoms and side-effects of illness • W e enable people to receive care, treatments and therapies directly, wherever they live, through liaison with other healthcare professionals and by providing 24 hour telephone support

• W e give patients and their loved ones opportunities to discuss their thoughts and feelings which can relieve fears and anxieties • W e help people plan for the future so that they can enjoy life as fully as possible • W here possible we support patients’ carers by providing respite care, giving people a much needed break from their caring role • W e provide open and honest explanation to questions, enabling people to make informed choices and have greater control throughout the dying process • W e support people as their condition deteriorates, helping families, carers and friends to prepare for bereavement • W e provide ongoing support to families and carers in bereavement, from simple practical advice through to counselling services

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Surrey and Borders Partnership NHS FOUNDATION Trust GP Training Programme Areas: North West (Chertsey, Walton on Thames, Ashford), East and Mid Surrey (Reigate, Redhill, Caterham on the Hill, Epsom, East Molesey, Dorking, Leatherhead), South West (Frimley and Guildford)

About Surrey and Borders Partnership Trust Trust Headquarters 8 Mole Business Park Leatherhead Surrey KT22 7AD

Switchboard Telephone Number 01372 216000

Surrey and Borders Partnership NHS Foundation Trust provides health and social care services for people with mental health illness, drug and alcohol addictions and learning disabilities across Surrey and North East Hampshire. As one of the largest mental health and learning disability Trusts in the country we employee over 3,400 people who work across 127 sites serving 1.3 million people of all ages.

In addition to serving Surrey and North East Hampshire we provide specific services across our borders, namely: • L earning disability social care services in both Croydon and Hampshire • M inor provision of specialist mental health services in Croydon • D rug and alcohol services in Hampshire Placements for GPStR Psychiatry rotations within the Surrey and Borders Partnership NHS Foundation Trust maybe located at one of the following facilities:

South West Surrey Ridgewood Centre – Frimley Sycamore House – Camberley Frimley Childrens Centre – Frimley Farnham Road Hospital – Guildford Buryfields Clinic – Guildford North West Surrey Abraham Cowley Unit – Chertsey Napier House – Walton on Thames The Cedar Unit – Ashford Ashford Hospital - Ashford Bourne House – Chertsey East and Mid Surrey Farmside – Epsom Joseph Palmer Centre – East Molesey Shaw’s Corner – Reigate Langley House – Oxted Meadows – Epsom Tylney House – Leatherhead Dene Street Clinic – Dorking

Key Individuals Director of Medical Education Dr Sunil Babu Training Programme Director/Clinical Tutor Dr Philip Hall College Tutors Dr Deepa Deo Farida Yousaf

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

Locality Tutors TBA TBA TBA Medical Education Managers Elizabeth Coulson – South West Surrey TBC - East and Mid Surrey Maggie Reynolds – North West Surrey

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Surrey and Sussex Healthcare NHS trust East Surrey Hospital GP Training Programme areas: Guildford, Crawley and East Surrey

Overview of Training at the Trust Address Canada Avenue Redhill Surrey RH1 5RH

Switchboard Telephone Number 01737 768511

Website www.surreyandsussex.nhs.uk

East Surrey Hospital is situated 2 miles south of Redhill Town Centre. The towns of Redhill and Reigate have excellent shopping, entertainment and sports facilities. There is a fast train service from Redhill to Central London (approximately 30 minutes) and 15 minutes to Gatwick Airport. There is easy access to the coast at Brighton and other parts of Surrey and the Southeast via J8 of the M25 motorway at Reigate. Local areas of interest include the North Downs for walking and biking, flying at Redhill Aerodrome, horse racing at nearby Lingfield Park all weather course, theatres and cinemas in Redhill, Reigate and Crawley.

The Trust provides training opportunities for all staff within the Trust. There is a newly refurbished Doctors’ Mess, regular lunchtime teaching in the Medical Education Centre and a Simulation room in the Medical Education Centre.

There is a library at East Surrey Hospital providing access to traditional services and resources as well as PCs with internet access on a 24 hour basis. Local Public transport (buses) will take you to most of the surrounding areas (Dorking, Redhill, Caterham, Crawley, Horley etc). Redhill station is approximately 10/15 minutes bus journey from East Surrey Hospital.

Key Individuals Director of Medical Education Dr Allan Vallon Medical Education Manager Nisha Patel GP Administrator Yvonne Prior Carol Hill

GP Programme Directors Dr Terry Conaty Mr Graham Carr Dr Bob Ward Dr Heidi Fahey Dr Pippa Woolner

82 Training Practices in the Chertsey GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Chertsey

Chobham Surgery

16 Windsor Road

Chobham

Surrey

GU24 8NA

Chertsey

Church Street Practice

22 Church Street

Weybridge

Surrey

KT13 8DW

Chertsey

Crouch Oak Family Practice

Addlestone Health Centre

45 Station Road

Addlestone

KT15 2BH

Chertsey

Heathcot Medical Practice

York House Medical Centre

Heathside Road

Woking

GU22 7XL

Chertsey

Hillview Medical Centre

3 Heathside Road

Woking

Surrey

GU22 7QP

Chertsey

Parishes Bridge Practice

The Health Centre

Madeira Road

West Byfleet

KT14 6DH

Chertsey

Runnymede Medical Practice

The Health Centre

Bond Street

Englefield Green

TW20 0PF

Chertsey

Shepperton Health Centre

Laleham Road

Shepperton

Middlesex

TW17 8EJ

Chertsey

Studholme Medical Centre

50 Church Road

Ashford

Middlesex

TW15 2TU

Chertsey

Sunny Meed Surgery

15/17 Heathside Road

Woking

Surrey

GU22 7EY

Chertsey

The Abbey Practice

Chertsey Family Health Centre

Stepgates

Chertsey

KT16 8HZ

Chertsey

The Bridge Practice

Chertsey Family Health Centre

Stepgates

Chertsey

KT16 8HZ

Chertsey

West Byfleet Medical Centre

Madeira Road

West Byfleet

Surrey

KT14 6DH

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

83 Training Practice in the Crawley and East Surrey (CRESH) GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups CRESH

Birchwood Medical Practice

The Health Centre

Kings Road

Horley

RH6 7DG

CRESH

Bridge Medical Centre

Wassand Close

Three Bridges

Crawley

RH10 1LL

CRESH

Caterham Valley Medical Centre

Eothen House

Eothen Close

Caterham

CR3 6JU

CRESH

Coachmans Medical Centre

Coachman's Drive

Broadfield

Crawley

RH11 9YZ

CRESH

Elizabeth House Practice

515 Limpsfield Road

Warlingham

Surrey

CR6 9LF

CRESH

Furnace Green Surgery

50 The Glade

Furnace Green

Crawley

RH10 6JH

CRESH

Gossops Green Medical Centre

Hurst Close

Gossops Green

Crawley

RH11 8TY

CRESH

Greystone House

99 Station Road

Redhill

Surrey

RH1 1EB

CRESH

Holbrook Surgery

Bartholomew Way

Horsham

West Sussex

RH12 5JL

CRESH

Holmhurst Medical Centre

13 Thornton Side

Redhill

Surrey

RH1 2NP

CRESH

Ifield Medical Practice

218 Ifield Drive

Ifield

Crawley

RH11 0EP

CRESH

Langley Corner

Ifield Green

Ifield

Crawley

RH11 0NF

CRESH

Leacroft Medical Practice

117 Ifield Road

Crawley

West Sussex

RH11 7BS

CRESH

Medwyn Surgery

Reigate Road

DORKING

Surrey

RH4 1SD

CRESH

Moat House Surgery

Worsted Green

Merstham

Surrey

RH1 3PN

CRESH

Northbrook Surgery

Warwick Road

South Holmwood

Surrey

RH5 4NE

CRESH

Saxonbrook Medical Centre

Maidenbower Square

Maidenbower

Crawley

RH10 7QH KT20 5JE

CRESH

Smallfield Surgery

Wheelers Lane

Smallfield

CRESH

Tadworth Medical Centre

1 Troy Close

Tadworth

Surrey Betchworth

CRESH

Tanners Meadow Surgery

Tanners Meadow

Brockham

CRESH

The Wall House Surgery

Yorke Road

Reigate

CRESH

Townhill Medical Practice

Guards Avenue

Caterham

CRESH

Woodlands Surgery (2)

Tilgate Way

Tilgate

RH6 9PT RH3 7NJ RH2 9HG CR3 5XL Crawley

RH10 5BS

Training Practices in the Epsom GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Epsom

Ashlea Medical Practice (1)

Gilbert House

39 Woodfield Lane

Ashtead

KT21 2BQ

Epsom

Ashley Centre Surgery

Ashley Square

Epsom

Surrey

KT18 8DD

Epsom

Eastwick Park Medical Practice

Eastwick Park Avenue

Bookham

Surrey

KT23 3ND

Epsom

Fairfield Medical Centre

Lower Road

Great Bookham

Surrey

KT23 4DH

Surrey

Epsom

Fitznells Manor Surgery

2 Chessington Road

Ewell

Epsom

Glenlyn Medical Centre

115 Molesey Park Road

East Molesey

KT17 1TF KT8 0JX

Epsom

Heathcote Medical Centre

Heathcote

Tadworth

Epsom

Oxshott Medical Centre

Holtwood Road

Oxshott

Surrey

KT22 0QL

KT20 5TH

Epsom

The Old Cottage Hospital

Alexandra Road

Epsom

Surrey

KT17 4BL

84 Training Practices in the Frimley GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Frimley

Camberley Health Centre

159 Frimley Road

Frimley

Downing Street Group Practice

4 Downing Street

Camberley

Surrey

GU15 2QA

Farnham

GU9 7PA

Frimley

Farnham Dene Medical Practice

Lodge Hill Road

Lower Bourne

Farnham

GU10 3RB

Frimley

Fleet Medical Centre

Church Road

Fleet

Hants

GU51 4PE

Frimley

Frimley Green Medical Centre

1 Beech Road

Camberley

Surrey

GU16 6QQ

Frimley

Giffard Drive Surgery

68 Giffard Drive

Cove

Farnborough

GU14 8QB

Frimley

Hartley Corner

51 Frogmore Road

Blackwater

Camberley

GU17 0DB

Frimley

Heatherside Surgery

73 Cumberland Road

Camberley

Surrey

GU15 1SE

Frimley

Holly Tree Surgery

42 Boundstone Road

Farnham

Surrey

GU9 4TG

Frimley

Lightwater Surgery

All Saints Road

Lightwater

Surrey

GU18 5SQ

Frimley

Mayfield Medical Centre

Croyde Close

Farnborough

Hants

GU14 8UE

Frimley

Milestone Surgery

208 Farnborough Road

Farnborough

Hampshire

GU14 7JN

Frimley

Monteagle Park Surgery

Monteagle Park

Tesimond Drive

Yateley

GU46 6FE

Frimley

Oaklands Health Centre

Yateley Medical Centre

Oaklands

Yateley

GU47 8JT

Frimley

Park Road Surgery

143 Park Road

Camberley

Surrey

GU15 2NN

Frimley

Princes Gardens Surgery

2a High Street

Aldershot

Hampshire

GU11 1BJ

Frimley

Sandhurst Group Practice (1)

72 Yorktown Road

Sandhurst

Berkshire

GU47 9BT

Frimley

Sandhurst Group Practice (2)

1 Cambridge Road

Owlsmoor

Sandhurst

GU47 0UB

Frimley

Southlea Group Practice

276 Lower Farnham Road

Aldershot

Hants

GU11 3RB

Frimley

The Ferns Medical Practice

Farnham Centre for Health

Hale Road

Farnham

GU9 9QS

Frimley

Upper Gordon Road Surgery

37 Upper Gordon Road

Camberley

Surrey

GU19 5HJ

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

85 Training Practices in the Guildford GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Guildford

Binscombe Medical Centre

106 Binscombe

Godalming

Surrey

GU7 3PR

Guildford

Chiddingfold Surgery

Ridgley Road

Chiddingfold

Surrey

GU8 4QP

Guildford

Cranleigh Health Centre

18 High Street

Cranleigh

Surrey

GU6 8AE

Guildford

Dapdune House Surgery

Wharf Road

Guildford

Surrey

GU1 4RP

Guildford

Fairlands Medical Centre

Fairlands Avenue

Worplesdon

Guildford

GU3 3NA

Guildford

Grayshott Surgery

Boundary Road

Hindhead

Surrey

GU26 6TY

Guildford

Guildowns Group Practice

91-93 Wodeland Avenue

Guildford

Surrey

GU2 4YP

Guildford

Haslemere Health Centre

Church Lane

Haslemere

Surrey

GU27 2BQ

Guildford

Merrow Park Surgery

Kingfisher Drive

Guildford

Surrey

GU1 1UU

Guildford

Milford Crossroads Surgery

Church Road

Milford

Godalming

GU8 5JD

Guildford

Shere Surgery

Gomshall Lane

Shere

Surrey

GU5 9DR

Guildford

St Luke's Surgery

Warren Road

Guildford

Surrey

GU1 3JH

Guildford

The Horsley Medical Practice

Kingston Avenue

East Horsley

Leatherhead

KT24 6QT

Guildford

The Mill Medical Practice

Catteshall Mill

Catteshall Road

Godalming

GU7 1JW

Guildford

The Villages Medical Practice

Send Barnes Lane

Send

Surrey

GU23 7BP

Guildford

The Wonersh Surgery

The Street

Wonersh

Guildford

GU5 0PE

Guildford

Woodbridge Hill Surgery

Deerbarn Road

Guildford

GU2 8YB

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SUSSEX

About SUSSEX Sussex is centrally located on the coast of southern England, and has large areas of green and pleasant countryside, vibrant and varied cities and towns plus miles of south facing sunny seaside.

The city of Brighton offers a mix of history and culture, sophisticated shopping, buzzy restaurants and glittering nightlife – with the laid-back charms of the seaside.

14 miles of coastline, including the award-winning beaches of Bognor Regis and Littlehampton, make Sussex by the sea a popular spot for families. The town of Worthing also has lots to offer with its theatres, restaurants and shopping.

A few miles inland is photogenic Arundel with its castle and antique shops, and the beautiful South Downs. The Roman city of Chichester has an imposing cathedral, a major art gallery and the renowned Chichester Festival Theatre, plus the wildlife-rich inlets and bays of Chichester Harbour and the beaches of West Wittering and East Head.

To the east is 1066 Country, with the site of the Battle of Hastings, and on the coast, the old Cinque Port of Rye, bohemian Hastings, nearby Bexhill and pretty countryside inland. Along the coast is Eastbourne, a seaside resort with award-winning beaches and a grand promenade leading to the iconic white

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

chalk cliffs of Beachy Head and the Seven Sisters. This area offers lovely scenic walks along the coast and through picturesque villages, with great views over the Channel.

Mid-Sussex contains charming villages, windmills and the spectacular Balcombe viaduct. There is also Ashdown Forest, where you can visit “pooh sticks bridge”.

If you spend your time throwing sticks upstream of the bridge, you’ll be enacting the famous game associated with Winniethe-Pooh!

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Sussex is easily accessible from the rest of the country and overseas, with good rail links via London and direct services from Scotland, the North West, Midlands and South Wales. Sussex also has two airports and a ferry port - Gatwick Airport in the north of the county, Shoreham Airport to the west and Newhaven ferry port in the east. From the M25 London orbital, several roads head south into Sussex and the coast, including the A21 to Hastings and Battle, the M23/A23 to Brighton and the A286 to Chichester.

Administratively, Sussex is split into two Patches, East Sussex and West Sussex each with a Patch Associate GP Dean, Dr Mary-Rose Shears for East Sussex and Dr Glyn Williams for West Sussex and supported by the Sussex Patch Manager, Sue Smith, who is based full-time at the KSS Deanery Office in London Bridge.

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EAST SUSSEX Brighton

About Brighton

About the Brighton GP Training Programme

Brighton is often called “Londonon-Sea”. It is one the busiest most diverse cities in the South East, and has beaches, a busy city centre, the chic and unique lifestyle shops of The Lanes, a selection of galleries and theatres, a vibrant and thriving cultural scene and of course the famous attractions of the Pier and Pavilion. Brighton is well-connected to London and the rest of the South east, with a good public transport network operating in Brighton and along the South Coast.

In Brighton we operate a shared training programme working closely with MidSussex, so that during your training you will be working at different sites throughout both Brighton and Mid Sussex hospitals and GP Practices. At the start of your training you are allocated to a GP Trainer who will remain as your Educational Supervisor for the duration of your training. You will have an opportunity to meet with them regularly throughout the year to discuss your educational needs, development and plans. In both ST1 and ST2 years you will spend 4 months working in a General Practice placement culminating with a final 12 month placement in the ST3 year.

The majority of your hospital attachments will be based at the Brighton and Sussex University Hospitals (BSUH) NHS Trust, which incorporate The Royal Sussex County, Brighton General and Sussex Eye Hospitals in Brighton and Princess Royal Hospital in Haywards Heath. The psychiatry placements are with the Sussex Partnership Trust which has several units throughout the area. You can access further information via our GP training Website www.brightongpvts.org.uk We have a rolling GP Educational Programme on Thursday mornings which provides an opportunity for trainees to meet each other and the Programme Directors.

This is an informal forum where we address difficulties trainees may be facing as well as focusing on some of the more challenging aspects of General Practice. The formal part of the morning focuses on GP relevant education and involves a mix of small group

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

work, trainee-led sessions and consultant lectures. We also have sessions focusing on preparation for the MRCGP membership exams and life after training.

The formal component of the education programme is based at the Audrey Emerton Medical Education Centre which is the administrative base for the Specialty Training Programme and the main training facility on the Royal Sussex County Hospital campus. It is one of the many new developments within the Trust and provides state of the art facilities for training as well as a restaurant with sea views on the top floor. Some group workshops and locality learning sets take place in training practices locally and for our overnight residential teaching program we hire country hotels in the area.

In the Thursday teaching sessions we cover a mix of formal topics based on the GP curriculum as well as broader topics such as communication skills, ethics and GP related management.

Our term timetable is posted on our Website http://www.brightongpvts.org.uk/timetable In addition to this we arrange several full day GP training workshops which are run by local GP Trainers. This is a formal education programme which provides an opportunity to meet the local trainers in your area. Three times per year you will meet in your locality in small group ‘learning sets’ with GP Trainers and focus on locally agreed educational topics. Twice a year, in conjunction with our colleagues in MidSussex we try to arrange a 2 day overnight

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The East Sussex patch contains 4 GP Training Programme Areas: Brighton, Eastbourne Hastings and Mid-Sussex and includes the towns of Hastings, Eastbourne, Bexhill and Brighton as well as rural areas of East and mid Sussex The Programme Directors in the Brighton GP Training Programme Area are: ‘Residential’ event often in a country hotel when we focus on group work to tackle broader and more challenging topics in relaxing surroundings. This is a unique opportunity to get to know your fellow trainees, relax, have some fun and learn without external pressures. In addition to all of this we will organise occasional one-off sessions for trainees in hospital posts. These can be a mix of social and formal education events which again give you an opportunity to meet up with one another. Finally it is worth mentioning that most GPStRs form small study groups especially in the run up to exams. These groups often continue after qualification and are a useful support network for newly qualified GPs. As well as our standard GP posts we also offer a few Innovative Training Posts (ITP) when you are based in General Practice, but spend 2 days per week in hospital working within certain specialities.

Currently we offer these posts in GenitoUrinary Medicine, A&E, Dermatology, Ophthalmology and Palliative Care. Due to the popularity of Brighton as a VTS scheme some GP placements in ST1 and 2 may take place in practices in Mid-Sussex, Crawley or Worthing.

Throughout the year we also try and plan social events for everyone such as evening meals or barbeques. Our GPStRs also organise social events and have formed a group on Facebook. (Brighton and MidSussex VTS).

Both during your placements in general practice and in the hospital posts, the culturally diverse population of Brighton will provide a unique exposure to a wide range of clinical settings and patient groups from all social classes. In addition to the core specialities we offer attachments in HIV Medicine, Substance Misuse, Learning Difficulties and Ophthalmology.

We believe this wide exposure will help equip you in the process of becoming a competent, well rounded and motivated GP who is comfortable working in any GP environment.

We have three Programme Directors in Brighton who are involved with the recruitment of GPStRs and allocation of posts on the rotation. They also organise, oversee and run the GP Training Programme for all three years. Dr’s Christine Habgood, David Supple and Win Phag-udom all adopt an ‘open door’ policy and are happy to help with any queries or concerns that you may have.

Dr Christine Habgood Christine is a GP and trainer in Mile Oak and has been Programme Director for the Brighton VTS since August 2010. She has particular interest in community-based palliative care, safeguarding of children and vulnerable adults, consultation skills and narrative based medicine.

Dr Win Phag-Udom Win commenced as a Programme Director in January 2011.

Dr David Supple David is a GP and trainer near Preston Park in Brighton. He commenced as a Programme Director in July 2010.

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East sussex The Eastbourne and Hastings GP programmes function together as the East Sussex GP Training Programme About Eastbourne The seaside resort of Eastbourne is a grand Victorian beauty, set in South Downs countryside and surrounded by 1066 heritage. The resort has Blue Flag beaches, national beauty spot Beachy Head, and summer night concerts on the seafront bandstand.

Eastbourne hosts the International Open tennis championship, held at the Devonshire Park. Attracting top tennis players from around the world, it is regarded as the pre-Wimbledon main event.

Eastbourne Seafront is the venue for the popular Airbourne air show attracting visitors nationwide.

Eastbourne has 5 miles of promenade, five theatres, a pier and a thriving night life.

About the EAST SUSSEX (EASTBOURNE SITE) GP Training Programme GPStRs are encouraged and supported in this stimulating environment. Their experience of a wide range of medicine in both hospital and community settings is broad. This practical experience is carefully supervised by dynamic teachers. Our scheme develops the skills and enthusiasm of Eastbourne’s future general practitioners.

In 2013 we will be offering 10 individual 3 year training programmes based in Eastbourne area (which ranges from Seaford in the west to Uckfield in the north to Eastbourne) as part of the East Sussex VTS (there are also 8 rotations based in the Hastings area. All hospital posts are on a four-month rotation. The rotations include hospital jobs selected from: accident and emergency, general medicine, orthopaedics, paediatrics, obstetrics and gynaecology and psychiatry - both general and elderly.

In 2010, we piloted trainee self-selection of their rotations: it was not possible for everyone to have their first choice, but the general feedback was positive as a way of trainee empowerment. We actively encourage members of the scheme to be Reps to the local academic boards, the Deanery GPStR subcommittee and the very important role(!) of social rep.

Eastbourne has embraced the ITPs (Integrated Training Posts), starting with two (Ophthalmology and ENT) in 2008. In 2009, we extended the range to include Dermatology and GU Medicine. All our GPStRs spend 4 months in an ITP during their ST1 or ST2 year. During the ITP, the

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

GPStR spends part of their time in a training Practice and the other part in a speciality which will complement their individual learning and training programme (some will spend the time purely in general practice).

Our main aims remain the provision of a package of educational and personal support to enable our scheme members to develop into competent and confident GPs. We usually meet at either Eastbourne DGH or Hastings Conquest Hospital medical education centre, and episodically we meet at a community venue, such as the hospice or a local practice, on Thursdays - we are currently doing a trial of full-day sessions. We encourage ST1s and ST2s to apply for study leave for these sessions. Those in general practice attend on each occasion as it is a protected teaching session for them. Those in general practice attend each week as it is a protected teaching session for them.

The sessions cover a very broad spectrum, drawing on the GP curriculum for inspiration – the timetables are designed by the Programme Directors who couldn’t and wouldn’t want to do it without maximal input from our GPStRs. Outside speakers, local GPs and Consultants and of course the wide knowledge base of our own GPStRs are exploited to make this a vibrant interactive afternoon.

The informal parts of the afternoon – the ad hoc discussions – allow specific issues encountered to be raised. Not surprisingly, the RCGP assessments are discussed frequently. We have held specific sessions to

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The Programme Directors in the Eastbourne GP Training Programme Area are: prepare the scheme members for the CSA, with visiting examiners and Programme Directors from other schemes. We consider peer support an important part of the scheme – and many friendships are made in these continuing group learning sets.

This term we have had a very successful workshop using patient simulators, enabling trainees to practice their consulting skills. We’ve also had clinical talks on ophthalmology, joint examination and entertaining presentations by GPStRs on topics such as “my favourite website”.

We have regular meetings with other GPStRs, including those who have recently left the training programme, the GP Trainers and GP Programme Directors. Our events occur at least three times a year and include meals out, bowling and walking on the Downs. GP training in Eastbourne has a very good reputation locally. All our GPStRs who want to stay locally find jobs both as partners and salaried doctors. Our scheme prepares doctors well for “life after GP training”.

We have one residential course each year to which all our GP registrars are invited. During this course, we develop communication skills through group discussions and role plays. There is also an opportunity for ST3s to practice CSA skills.

In addition, we run 3-4 CSA skills days, to practice scenarios with simulators, and receive feedback from GP trainers and CSA examiners.

Throughout the year, there are various social events such as a summer BBQ; recently we had a trip to Chessington, which we enjoyed thoroughly.

Dr Raya Al-Jawaheri Raya finished the Eastbourne GP Scheme in 2005 and is a partner at the Grove Road Surgery. She works as the clinical director for the local walk in centre in Eastbourne She was appointed Programme Director in November 2008.

She is a GP registrar trainer.

Dr Andrew Stewart Andrew has been a GP Trainer since August 2003. He comes from a Practice with a strong heritage in training – the Lighthouse Medical Practice has had three partners over the years who have been Programme Directors and seven partners who have been GP Trainers and three who have been FY2 Clinical Supervisors He became a Programme Director five years ago and has delighted in further improving the quality of the Eastbourne scheme, forging links with other programme directors and with the Hastings scheme and looks forward to the 2012-13 year of helping facilitate learning in the newly formed East Sussex VTS. Andrew believes strongly in supporting the GPStRs to develop their own learning rather than didactic teaching: he believes the Programme Directors in East Sussex have a broad educational experience to cater for most learning styles.

Andrew has just completed the PGCert in Practice Education through London South Bank University

Dr Ben Sturgess Ben is the newest addition to the programme director team and joined in July 2011. Since then he has implemented new RCGP curriculum based structure to the VTS training days and introduced adult learning techniques such as problem based learning. He is a graduate of the Eastbourne VTS from 2008 and is a full time partner at Enys Road Practice in the centre of Eastbourne. Ben completed his PGCert in medical education from BSMS in 2011.

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East sussex The Eastbourne and Hastings GP programmes function together as the East Sussex GP Training Programme About Hastings Hastings has a history as a thriving fishing village, and the wooden netdrying huts along the beachfront are world-famous. It is also the heart of “1066 country” with Hastings and Pevensey being excellent examples of Norman castles, and Battle Abbey marking the site of the Battle of Hastings. Hastings also has a rich history as a smuggling port, and has several museums, and Hastings still has its working funicular railways from its time as a Victorian resort, one at East Hill and the other, West Hill, which is the oldest working railway of its type in England.

About the EAST SUSSEX (HASTINGS SITE) GP Training Programme The East Sussex General Practice Specialty Training Programme is based both at the Conquest Hospital in Hastings and Eastbourne District General Hospital in Eastbourne. The Conquest hospital is a District General Hospital which opened in 1992 and was further expanded in 1997 and is run by East Sussex Hospitals NHS Trust. The hospital is a modern complex set in the heart of historic 1066 country and surrounded by the beautiful countryside and coastline of East Sussex. London is only 95 minutes away by train, and the Channel Tunnel and Eurostar international station are within easy reach. We invite all the GPStRs (ST1,2 &3) to meet with us on Thursday afternoon or the full day sessions run jointly with the Eastbourne site for our varied GP teaching sessions. Our learning set is held at the Medical Education Centre, Conquest Hospital or Eastbourne District General Hospital over 3 terms each year. Both education centres are modern and extremely well equipped, with a library that bristles with new workstations for easy access to the hospital Intranet and the Internet. GPStRs are encouraged to apply for study leave and attend the sessions. GPStRs have a major input into the content and structure of them.

We strive to promote a relaxed and informal atmosphere.

We also hold a two-day residential course each year in a local country hotel. Noted for its mix of learning and fun, it has become a high point in the year for everyone. This

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

year we covered topics including reflective writing and managing your accounts as a GP. There were also many games to enable the group to get to know each other better. The feedback this year has been very positive.

Sample topics have previously included: Introduction to dermatology / Psoriasis and acne with a Consultant Dermatologist The Consultation – methods of looking at consultations, 6 category intervention analysis, Cambridge Calgary models, etc.

Preparation for problem based learning Videos, interesting cases and problems from general practice Presentation for problem based learning Visit to St Michael’s Hospice – ‘talking with patients’ with hospice Medical Director Medical Ethics Urology – prostate cancer and screening with a Consultant Urologist Shared study days at Eastbourne Heart Failure, NICE guidelines – how to implement in General Practice with a Consultant Cardiologist Ballint Group

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The Programme Directors in the Hastings GP Training Programme Area are: We currently have 21 GPStRs. Most GPStRs will experience a specialist ITP in the middle of their training programme. In these ITPs, GPStRs have the opportunity whilst based in general practice to gain valuable experiences in the local Hospice or orthopaedic departments. We are looking to develop these posts further over the next few years.

We encourage all the GPStRs to meet regularly for various social events and these are well received. We often meet for dinner but we have also met for ice-skating, Go Ape! and karaoke. We find our GPStRs appreciate the values and approach of our training programme. Often GPStRs decide to work locally as they find the local environment supportive. When asked about the training programme, the current GPStRs felt that there are a wide range of excellent experiences to be had in Hastings.

Dr Clare Ilsley Clare first came to Hastings as a medical student and liked it so much she just kept coming back! First for house jobs and then after a time in New Zealand to take up a place on the GPVTS finishing in 2008. She has been a programme director since June 2009, and is enjoying the job very much so far, she works part time as a Salaried GP at present, giving her lots of time to organise an interesting and stimulating programme. Her areas of medical interest are Palliative care and mental health.

Dr Karen Skinner Karen has been a Programme Director since 2007. She is a part time GP in the area and is actively involved in the Out of Hours scheme, including being involved currently with a pilot project to explore working in A and E. She also has MRCOphth and works as a member of the eye team in the local eye department, involved in clinics and on calls. She strongly believes in the group environment being a great asset to becoming a GP and encourages this in the GP training programme. She is embarking on the PG Cert this year and is training to be a GP Trainer. In the spare time she has left, she likes to attend the

gym and socialise.

Dr Robert Cameron-Wood Robert has been a Programme Director since 2004. He is a full time partner in a well established Practice in the town centre. He has been a GP Trainer since 2003. He is mainly involved in running the GP Trainers learning groups and the running of learning sets which encourage good working relationships between GPs and hospital consultants.

He enjoys running, cycling and swimming being a member of the 100 marathon club and takes part in the annual Long distance walking 100mile event over a weekend.

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mid-sussex Mid-Sussex

About Mid-Sussex

About the Mid-Sussex GP Training Programme

The Mid-Sussex and Brighton GP Training Programmes work closely together, and share hospital placements. Application is to “Brighton and Mid Sussex�. You need to be aware that there are many fewer places on the Brighton Scheme than on the Mid Sussex scheme. We believe Mid Sussex offers a fantastic training experience and our trainees would testify to that.

Mid-Sussex includes the towns of Burgess Hill, East Grinstead, Horsham and Haywards Heath. The area is well-served by train links to London and to the South Coast, and combines the attractions of a rural setting with busy towns and easy access to the coast.

We are based in the Medical Education Centre at the Princess Royal Hospital which is an attractive, friendly hospital in Haywards Heath. We have a wide variety of hospital posts on our rotations including O&G, Paediatrics, Medicine, A&E, Psychiatry, ENT, Opthalmology, Substance Misuse, Learning Difficulties, Orthopaedics and HIV Medicine. Some of these jobs are based in Brighton. All rotations have 4 months GP in ST1 or ST2. We currently have 34 GP Trainers, some very experienced and some new, but all enthusiastic both about training and about General Practice. You will know who your ST3 trainer will be from the start of your rotation, and they will be your Educational Supervisor to guide and support you for the three years. Every six weeks or so one trainer and GPStR run an evening session which is both educational and social.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

We meet on Thursday mornings for 30 weeks of the year at the Medical Education Centre in the Princess Royal Hospital. Parking is easy. We have a competitive coffee rota with nice cakes and biscuits, and a delicious lunch all together. The staff at the centre are pleasant and helpful. All trainees in General Practice come to the Day Release Course, and those in hospital jobs are welcome to come subject to study leave approval from their department. We feel learning with and from other GPStRs is invaluable.

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The Programme Directors in the Mid-Sussex GP Training Programme Area are: We plan our sessions around the stated needs of the GPStRs and the GP curriculum and provide a variety of learning experiences. We usually start with a GP based session, for example discussing cases people wish to talk about. We have a good relationship with local consultants and often they will come to do a question and answer session on a subject relevant to General Practice. Sometimes we go elsewhere for teaching, for instance to the local hospice for a day. We have two residential workshops a year, much enjoyed by all. We try to have a team building day once a term as we believe that everyone learns more effectively in a supportive environment.

There are often additional social events throughout the year.

Our GPStRs often report that they look forward to Thursdays as we have lots of fun whilst learning. There is a strong social element to our training programme.

Most of our GPStRs want to work locally after completing their training and stay in touch both with the training programme and with each other.

Dr Mandy Claiden Mandy is an experienced GP Trainer who is passionate about General Practice and training but best known for wearing flip flops all year round!

Dr Lara Belle Lara is a GP Trainer who has a special interest in Dermatology. She (fairly) recently graduated from the Mid Sussex VTS and loved it too much to leave!

Dr Liz Norris Liz is a part-time partner and GP trainer in East Grinstead. She became a Mid-Sussex programme director in 2009.

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West Sussex Chichester

About Chichester

About the Chichester GP Training Programme

Chichester is a fantastic place to live. It’s one of the largest inland harbours in the country and is an area of outstanding natural beauty. There are ample opportunities for sailing, windsurfing, kiting and other water sports on the amazing beaches. It is a beautiful Cathedral City set on the edge of the South Downs National Park which is superb for walking and mountain biking. There are numerous big events including Goodwood Festival of Speed, the Revival, and Glorious Goodwood etc. Chichester has its own yearly festival, a fabulous gallery and an excellent theatre with many shows going to London. There are also direct trains to London and Brighton. Chichester has great shops (high street to boutiques), bars and restaurants – so there are plenty of things to do on your days off!

The Chichester GP Training Scheme offers a wide range of posts aligned with the GP curriculum and each GPST rotation consists of 6 four month posts including one job in General Practice. Posts offered include Medicine, Psychiatry, A&E, Paediatrics, Obstetrics and Gynaecology, Surgery and Palliative Care.

Our Practices are in the rural parts of the South Downs, in towns such as Arundel, Bognor Regis, Southbourne, Witterings and Chichester town centre. We are very proud of our close working relationships that we have with our hospital colleagues.

In Chichester we have organised three locality groups for GPStRs and GP Trainers which meet up for one afternoon every two months (at a GP Training Practice) which has excellent feedback from the GPStRs, as those in hospital posts enjoy catching up with other GPStR colleagues and their GP Trainers.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

GPStRs in their hospital posts will go to their Educational Supervisors Practice for 1 day every 4 months to have a review of their PDP, and their learning and assessments, and to create the linkage between the learning opportunities of their specialty post and the GP curriculum.

A half day release course is held every Thursday afternoon, in term time, for those in GP placements (in all years) and this follows an organised programme.

These afternoons provide opportunities for learning but also mutual and peer support.

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The West Sussex patch contains 2 GP Training Programme Areas: Chichester and Worthing.The patch extends along the coast to include towns such as Bognor Regis and Littlehampton and inland to towns including Billingshurst, Henfield and Pulborough.

Previous sessions have included CSA training with simulators, CSA Top Tips, Pharmacology, Ethics/Capacity/ Confidentiality, Problem Based Learning, Psychosexual Medicine, Liquid Based Cytology and Musculoskeletal Problems.

We also offer a few Integrated Training Posts (ITPs) when you are based in General Practice but they are linked to other specialties including Pain Management, Palliative Care, Paediatrics and O&G. We have 2 residentials per year, which are great fun, a Christmas party and a Summer BBQ. We encourage our GPStRs to form small study groups for which we can provide them with a room to meet in.

The Programme Directors in the Chichester GP Training Programme Area are: Dr K Chadwick, Dr David Pullan, Dr Jo Galbraith and Dr Alison Parrish Who are all local GPs who trained locally (and couldn’t leave!). We love the sea and the Downs and in our free time are likely to be found on a boat, kitesurfing or cycling to a pub. We all work in Training Practices and have a strong interest in GP Education.

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West Sussex Worthing

About Worthing

About the Worthing GP Training Programme

Just along the coast from Brighton, Worthing provides a fantastic GPStR experience with a new tailored programme focusing on both theoretical and practical General Practice in an enthusiastic, lively atmosphere.

The Worthing GP training programme is a learner-centred course, responding to GPStRs needs and preparing doctors not just to pass the required assessments but also to become lifelong independent learners and, importantly, to enjoy their chosen profession.

The GP Programme Directors provide a friendly supportive environment where the GPStRs can gain a valuable perspective on being a GP. Of course there is the opportunity to share best practice but the sessions also provide an enjoyable environment to offload their difficulties!

Worthing is a large seaside town, which has grown from its origins as a Stone-age settlement later becoming a fishing village and then a popular holiday destination in the Regency period, in which many of the town’s fine buildings were built. However one note of advice! Whilst we certainly welcome applications from trainees across the country, in our experience commuting from as far afield as London does place considerable strain on trainees despite direct train links.

Please bear Worthing’s location in mind when applying!

Worthing GPStRs have a well-respected training programme delivered by motivated experienced GP Trainers and enthusiastic Programme Directors. Most of our GPStRs choose to stay in the South Coast area and those trained here are highly regarded by their peers and the hospital consultants. There are three terms of weekly Programme Director and GPStR meetings at the Worthing Postgraduate Medical Education Centre, which provide a lively and engaging forum for the exchange of ideas and experiences.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

All those currently within a GP practice placement attend, with focused training for years 1, 2 and 3. The sessions are led and facilitated by the Programme Directors with outside speakers providing expertise on topics ranging from Orthopaedics to Motivational Interviewing.

It is a real challenge, but an exciting and stimulating process, to build up the knowledge base required for general practice. We take a broad ranging approach integrating medical knowledge and consultation techniques within a holistic paradigm to give you the best grounding for your training.

We appreciate each group is different and thus the education is learner focused and tailored to group needs around a consistent backbone including Hot Topics, Consultation Theory, CSA training and, importantly, pastoral care. The latter is something we take very seriously here as the jump from hospital medicine to GP is a real change of gear and even the most flexible GPStR can struggle initially.

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Programme Directors in the Worthing GP Training Programme Area are: ST1/2 Trainees will have 3 one-day locality meetings per year with their Educational Supervisor. The GP Programme Directors work very closely with the Medical Educational Managers who will also provide you with extensive information and support.

The trainees will have a four month post in general practice in ST1 or ST2, then a continuous 12 months in the ST3. We currently have a variety of wide-ranging Integrated Training Posts (ITP) in GP with Palliative Care, Commissioning and both achieve excellent feedback from our trainees.

We liaise with Clinical and Educational Supervisors and our GPStRs on a regular basis to ensure needs are met and all GPStRs are getting the support that is required. The GPStRs gain not only a broad understanding of General Practice but the basic tools to move on from the training year into the real world.

Time is specifically spent on discussing ‘How to Become a Locum’; ‘Negotiating a GP Contract’ and ‘Life after GP Training’ amongst other topics relevant to the post training GP world, so that GPStRs are not left feeling adrift on completing the ST3 year.

In short: an excellent place to train

Dr Bilal Ali Bilal qualified with the MRCGP in 2008, and is currently a GP Partner in Crawley.

Having taught at Brighton and Sussex Medical School he has an excellent understanding of Medical Education which he mixes with enthusiasm and an infectious laugh. Bilal took up his post as Programme Director in June 2009. He spends his spare time singing in a choir, and lying on the beach!

Dr Isla Cox: Dr Cox qualified with the MRCGP in 2007. She is a partner in Shoreham and has worked as a Programme Director in Brighton prior to taking on the role in Worthing. Her interests include cycling, climbing, hiking and comedy.

Dr Anand Patel: Anand is a relatively new GP. Having undertaken MRCGP three years ago, he has a good understanding of what it is to be a GPStR. Interests include music, cocktails and education.

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SUSSEX LOCAL EDUCATION PROVIDERS

There are a number of Local Education Providers (e.g. Acute NHS Hospital Trusts, NHS Psychiatric Trusts) in Sussex that provide placements for GPStRs in the KSS GP School.

Placements in hospital posts are currently of 4 months duration.

The Local Education Providers in Sussex are:

BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST (BSUH)

Sussex Partnership NHS Foundation Trust (psychiatric)

• Royal Sussex County Hospital

Please refer to page 104

• Princess Royal University Hospital

East Sussex HEALTHCARE NHS Trust

WESTERN SUSSEX NHS TRUST • Bognor War Memorial Hospital

• Eastbourne District General Hospital

• St Richard’s Hospital

• Conquest Hospital

• Worthing Hospital

St Barnabas House Hospice

The range of hospital posts included in the programmes:

St Wilfrid’s Hospice

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

Accident and Emergency, Paediatrics, Obstetrics and Gynaecology, Palliative Care, Trauma and Orthopaedics, Ophthalmology, Rheumatology, Psychiatry and General Medicine There are also rotations in more specialised medical rotations including Endocrinology/ Diabetes, Cardiology, Respiratory Medicine, Gastroenterology and Stroke Care.

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Brighton and Sussex University Hospitals NHS Trust Royal Sussex County Hospital & Princess Royal University Hospital, Haywards Heath GP Training Programme areas: Brighton and Mid-Sussex

Overview of Training at the Trust Addresses RSCH Eastern Road Brighton East Sussex BN2 5BE

Switchboard Telephone Number 01273 696955

Website www.bsuh.nhs.uk PRH Lewes Road Haywards Heath West Sussex RH16 4EX

The Trust has two main hospital sites named the Princess Royal Hospital (PRH) which includes Hurstwood Park Neurological Centre in Haywards Heath, and the Royal Sussex County Hospital which includes the Royal Alexandra Children’s Hospital in Brighton. You will be based at one of these hospitals during your rotation. Both hospitals are in easy reach of London with frequent trains to London Bridge and Victoria stations.

We are fortunate in that both Haywards Heath and Brighton enjoy close proximity to the beautiful countryside of the South Downs and a free bus service runs hourly between each hospital site.

The Trust works in partnership with the Brighton and Sussex Medical School which is one of four new medical schools created as part of the government’s strategy to increase the number of qualified doctors from the UK working in the NHS. Brighton & Sussex Medical School has become one of the most popular choices for medical students in the UK. Therefore you can expect to work within a stimulating environment.

The Director of Medical Education is the academic lead for postgraduate training within the Trust. Postgraduate Departments are based on both hospital sites with dedicated administrative staff to support you.

Switchboard Telephone Number 01444 441881

Website www.bsuh.nhs.uk

Key Individuals Director of Medical Education Varadarajan Kalidasan Clinical Tutor Jeremy Tibble (RSCH) and Andrew Elkins (PRH) Medical Education Manager Nora Tester Assistant Director of HR (Medical Personnel & Education): Jane Burrage

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The Euan Keat Education Centre, based at the Princess Royal Hospital and The Sussex Medical Education Centre based within the Audrey Emerton Building, Brighton provide professional expertise and support for medical and dental trainees working within the Trust and the wider community. The Centres ensure competence and performance of trainees is assessed effectively and Tutors are available for careers information, advice and counselling. The Audrey Emerton Building, is located opposite the main entrance to the Royal Sussex County Hospital and is a combined education facility for the Trust and Brighton & Sussex Medical School.

It provides state of the art facilities with 16 teaching rooms, 2 lecture theatres and a clinical skills lab. It also enjoys a restaurant facility on the top floor with stunning views across to the sea.

The Education Centre at the Princess Royal Hospital is located on the second floor opposite the Library. The centre has two lecture theatres, one which seats 150 (and is divisible into two separate seminar rooms each fully equipped with state of the art audio visual facilities) and an 80 seat lecture theatre. Each Lecture theatre has a live link to the operating theatres.

In addition there are two further seminar rooms, one of which is a multi purpose teaching room which is suitable for clinical skills workshops. This room is also equipped with an interactive whiteboard and network points for some (Medical) IT training.

Library and e-learning Resources There are multi-professional libraries on both sites adjacent to the Education Centres.

They have a superb range of educational resources for you to access on a 24-hour basis. These include printed and electronic resources covering a wide range of books, journals and exam questions. The staff in the libraries are extremely knowledgeable and will help you access training material which if not available on site can be obtained online or through the system of inter-library loans and literature searches.

Computers with internet access are available in both departments and there is access to a wide range of relevant databases such as Embase and Medline.

SPSS is available on one computer at both sites.

Library Services also offer a training programme which covers literature searching, finding evidence based resources and critical appraisal. Full details of the library opening times and services can be found on the library’s website at: www.bsuh.nhs.uk/library

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East Sussex HEALTHCARE NHS Trust Eastbourne District General Hospital and Conquest Hospital GP Training Programme area: Eastbourne and Hastings

Overview of Training at the Trust Addresses Eastbourne District General Hospital Kings Drive Eastbourne East Sussex BN21 2UD

Switchboard Telephone Number (01323) 417400

Website www.esht.nhs.uk Conquest Hospital The Ridge St Leonards On Sea East Sussex TN37 7RD

Switchboard Telephone Number 01424 755255

East Sussex Healthcare NHS Trust was established on 1 April 2011 following the merger of East Sussex Hospitals NHS Trusts and East Sussex Community Health Services.

The Trust aims to provide high quality hospital, clinical and community services for the people of East Sussex.

There is a combination of urban and rural development with areas of outstanding natural beauty and of considerable historic interest. There are excellent recreational and sporting facilities in the area and good rail links to London and Brighton, to Europe via the Channel Tunnel and Eurostar and to international airports. The Trust is keen to develop its staff and postgraduate medical and nurse training takes place on all sites.

Modern, up to date learning resource centres are available on both hospital sites along with many other training opportunities

including a skills laboratory at the Conquest and a Clinical Skills Room at Eastbourne.

There is a library on both sites, providing access to traditional services and resources (textbooks, journals, search skills training, document delivery etc.) and internet-based resources (e-journals, e-books on-line exam support). Both libraries have PCs and internet access 24/7. Both hospitals are modern and very friendly places to work. The towns are lively, with nightclubs, sailing, cycling and other activities. Both hospitals have an onsite nursery and a social club/bar. Eastbourne D.G.H. has a gym and an (outdoor, but heated) swimming pool on-site, for which a small fee is charged.

The Doctors’ Mess on both sites is very popular.

Key Individuals Director of Medical Education Mr Salim Shubber EASTBOURNE Medical Education Manager Ms Maggie Patching (cross site) Clinical Tutor Dr Simon Walton Programme Directors Dr Andrew Stewart Dr Raya Al-Jawaheri Dr Ben Sturgess Postgraduate Administrator Mrs Becky Couch

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

CONQUEST HOSPITAL Medical Education Manager Ms Maggie Patching (cross site) Clinical Tutor Dr Mark Whitehead Programme Directors Dr Robert Cameron-Wood Dr Karen Skinner Dr Clare Ilsley Postgraduate Administrator Tina Scott

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St Barnabas House Hospice GP Training Programme area: Worthing

About the St Barnabas House Hospice Address St Barnabas House Columbia Drive Worthing West Sussex BN13 2QF

Telephone Number 01903 706300

St Barnabas House is a local independent charitable hospice, first opened in 1973 by a local GP Dr Francis Gusterson.

Our service includes: • An 18 bed inpatient ward • Day Hospice • Community Team • Family Services Team • Education Department The hospice team consists of nurses, doctors, social workers, counsellors, chaplain, physiotherapists, complementary therapists, artist-inresidence and volunteers.

Hospice staff will discuss your treatment and care with you, giving you opportunities to express your wishes and address your concerns. We appreciate that this is a difficult time for you and your family and that some things may be difficult to talk about. We aim to be sensitive and supportive in our conversations with you respecting your individual beliefs, lifestyle and culture.

Patients may be referred to the service for: • Management of physical symptoms • E motional support, which may include counselling • Day Hospice • A dmission to the ward for symptom management, respite care, or care in the last days of life

106 Sussex Partnership NHS Foundation Trust (PSYCHIATRIC) GP Training Programme Areas: Brighton, Chichester, Bognor Regis, Crawley, Horsham, Eastbourne, Hastings, Mid-Sussex, and Worthing

ABOUT SUSSEX PARTNERSHIP NHS FOUNDATION TRUST Trust Headquarters Sussex Partnership Swandean Arundel Road Worthing West Sussex BN13 3EP

Telephone Number 01903 843000

Website http://www.sussexpartnership.nhs.uk/ welcome/

Key Individuals Director of Medical Education Dr Panos Argiriu Medical Education Manager Sam Vaughan Email: Sam.Vaughan@ sussexpartnership.nhs.uk

Sussex Partnership NHS Foundation Trust provides specialist mental health, substance misuse and learning disability services. We are an integral part of the health and social care network for the people of Sussex.

There is no health without mental health.

The Trust was established as Sussex Partnership NHS Trust in April 2006. We became an NHS Foundation Trust with teaching status in August 2008.

Our commitment is to everyone who uses our services: • To welcome you • To hear you • To be hopeful for you • To work with you • To be helpful.

Our values are:

Being a Foundation Trust brings us closer to our local communities.

• T o challenge stigma and discrimination whilst promoting equality and positive attitudes

Our teaching trust status recognises our work in research and development: we aim to be a leading teaching mental health trust.

• W ork in new ways and develop new services

Our vision is to ensure that the people who use our services, their carers and staff have the best possible experience of receiving help or working within our services.

At Sussex Partnership our vision is to ensure that the people who use our services, their carers and staff have the best possible experience of receiving help or working within our services.

Clinical Tutor Dr Chris Aldridge – Brighton & Hove College Tutors Dr Al Amaladoss – Chichester Dr Arun Kishore – Worthing Dr Glen Berelowitz – Crawley & Mid Sussex Dr Radha Bhat – Eastbourne & Hastings

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

• P ut the human rights of the people who use our services at the centre of everything we do • Work in partnership with others, • Be a creative force and lead by example

107 GP Training Sites Brighton and Hove Adult Mental Health & Older Peoples Mental Health Services Assessment Treatment Centre Brighton General Hospital Elm Grove, Brighton BN2 3EW Adult Mental Health & Older Peoples Mental Health Services Acute Inpatient Service Mill View Hospital Nevill Avenue, Hove BN3 7HZ Adult Mental Health Services Assessment Treatment Centre West Access Team Hove Pollyclinic Nevill Avenue Hove BN3 7HZ Learning Disability Hove Community Learning Disability 86 Denmark Villa’s Hove BN3 3TY Substance Misuse Assessment Treatment Centre Vantage Point New England Road Brighton BN1 4GW Adult Mental Health Assessment Treatment Centre 76-79 Buckingham Road Brighton BN1 3RJ

Chichester/ Bognor Adult Mental Health Assessment Treatment Centre Chichester Community Mental Health Team Chapel Street Chichester West Sussex PO19 1BX Learning Disability Team Assessment Treatment Centre 72 Stockbridge Road Chichester, West Sussex PO19 8QJ Adult Mental Health Forensic Services Acute Inpatient Services Centurion Mental Health Unit 9 College Lane Chichester West Sussex PO19 6FX Tel: 01243 790920

Adult Mental Health Acute Inpatient Services Oaklands Unit Centurion Mental Health Unit 9 College Lane Chichester West Sussex PO19 6FX Older Peoples Mental Health Service (OPMHS) Acute Inpatient Services Harold Kidd Unit Bloomfield Drive Chichester PO19 6FX Tel: 01243 791833 Adult Mental Health & Older Peoples Mental Health Services Assessment Treatment Centre (satellite) Bedale Centre 1 Glencathara Road Bognor Regis PO21 2SF Tel: 01243 841041

Crawley / Horsham Adult Mental Health & Older Peoples Mental Health Services Acute Inpatient Services Langley Green Hospital Martyrs Avenue Crawley RH13 7EJ Adult Mental Health & Older Peoples Mental Health Services Assessment Treatment Centre New Park House North Street Horsham Tel: 01403 223240 Adult Mental Health Services / Psychotherapy Assessment Treatment Centre (satellite) Longley House, East Park, Crawley R10 6AP Tel: 01293 539911

MID SUSSEX (Hayward’s Heath) Older Peoples Mental Health Services Assessment Treatment Centre Summerfold CMHT 152 Leylands Road, Burgess Hill RH15 8JE Tel: 01444 462830 Child & Adolescent Mental Health Unit (CAMHS) Acute Inpatient Service Chalkhill Lewis Road Haywards Heath RH16 4EX

Adult Mental Health Services Assessment Treatment Centre Springvale 72-74 Moat Road, East Grinstead RH19 3OH Adult Mental Health Services Linwood Butlers Green Road, Haywards Heath RH16 4BE

Eastbourne / Hastings Adult Mental Health Services Assessment Treatment Centre St Marys House 52 St Leonards Road Eastbourne East Sussex BN21 3UU Adult Mental Health & Older Peoples Mental Health Services Acute Inpatient Service Department of Psychiatry Eastbourne DGH Kings Drive Eastbourne BN21 2UD Adult Mental Health & Older Peoples Mental Health Services Cavendish House Breeds Place Hastings East Sussex TN34 3AA Adult Mental Health Services Acute Inpatient Service Woodlands 729 The Ridge Conquest Hospital St Leonards-On- Sea

WORTHING Adult Mental Health Services Assessment Treatment Centre Chanctonbury Swandean Arundel Road Worthing West Sussex Adult Mental Health Services Acute Inpatient Service Meadowfield Swandean Arundel Road Worthing West Sussex BN13 3EP Child & Adolescent Mental Health Unit (CAMHS) Community Childrens Unit Worthing and Southlands Hospital Worthing Tel: 01903 286756

108

WESTERN SUSSEX NHS TRUST St Richard’s Hospital GP Training Programme area: Chichester

Overview of Training at the Trust Address St Richard’s Hospital Spitalfield Lane Chichester West Sussex PO19 2SE

Switchboard Telephone Number 01243 788122

Website www.westernsussexhospitals.nhs.uk and www.cmec.info

IIn the last 10 years St Richard’s Hospital has seen enormous development. The main hospital opened in 1996 and houses 17 wards, ITU and six main theatres with almost 100 consultants in total. The Chichester Treatment Centre was opened in April 2005 and houses 4 theatres, endoscopy and preoperative assessment areas. Last year our new Cancer Day Unit, The Fernhurst Centre opened. Here is where all of the cancer and haematology facilities are available. Also the opening of our new Donald Wilson Neurological Rehabilitation Centre.

per year. All departments hold regular MDT meetings in the Chichester Medical Education Centre (CMEC). In addition, CMEC is host to foundation training, GPVTS training, courses e.g. ATLS, MOET, TEMS, BSS, PLS, ILS, ALS and GP refresher courses.

There are twenty consultant/physicians representing most medical specialties including cardiology, rheumatology, respiratory medicine, neurology, care of the elderly, diabetes & endocrinology, haematology. There are seven consultants in general surgery, two in vascular, four in urology and nine in orthopaedics.

CMEC attracts GPs, dentists and hospital doctors from an extremely wide area.

Dentists from London regularly come down to attend dental courses and GPs from as afar a field as Scotland come to CMEC for the twice yearly GP Refresher Courses. There is also a good local attendance from the various disciplines.

We also have an active GP STP training scheme and a large intake of medical students from various medical schools.

We also provide a half day protected educational programme for all members of the GP practice team either hosted at CMEC or within practices.

Our recently refurbished A&E department deals with 50,000 patients per annum overseen by four consultants, this now includes a new children’s A&E area.

We have seven O&G and six Paediatric consultants that handle 2,400 deliveries

The facilities of the Chichester Medical Education Centre (CMEC) are available to hospital staff and external clients, priority always being given to educational meetings, seminars and conferences.

The ground floor of CMEC provides

Key Individuals Director of Medical Education Mr David Beattie Clinical Tutor Dr Christopher Smith Medical Education Manager Mrs Bebba Smithers

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109

an excellent range of conference and seminar facilities. There are 9 seminar/ tutorial rooms; a tiered lecture theatre seating 30 with extensive computerised av facilities; multiple X-ray viewers, overhead projector, dual slide projection and examination couch; and a large air conditioned tiered lecture theatre seating 70, with extensive computerised audio visual equipment, microscope, and video conferencing facilities.

There is also a large hall capable of seating 250 people. All rooms are very well equipped with audio-visual facilities including data presenters and laptops, slide projection, overhead projectors, X-ray projection, TV/videos, etc. An excellent cafĂŠ serving sandwiches, hot meals and beverages is available within CMEC for all clients. A large, 18 station IT training room was completed in September 2007 primarily for the use of doctors and medical students. All terminals have direct internet access and the IT suit is available 24 hours a day.

The Simpson Clinical Skills Room was completed in 2009 and was the first phase of an ambitious skills suite within CMEC. The Simpson Room has video conferencing to enable live inter-active links to all theatres for training purposes.

The room is well equipped with training equipment at the request of various departments to enhance clinical skills training. This superb facility will ensure that the clinical training opportunities at St Richard’s Hospital continue to develop and flourish. Phase 2 saw the creation

of a simulation suite with control room, Sim Man, Sim Baby, etc and this facility is widely used by all clinical departments and GPs. The final phase was a further, more versatile and practical clinical skills suit (Roger Miles Suite) to support clinical skills within individual learning pods, i.e.

Venepuncture, cannulation, laparoscopic skills, etc.

Western Sussex Hospitals NHS Trust was established on 1 April 2009 by the merger of Royal West Sussex and Worthing and Southlands Hospitals NHS Trusts. This brought together two acute NHS Trusts some 20 miles apart on the south coast of West Sussex, with hospitals sited in Chichester, Worthing and Shoreham-bySea. Our Vision and Strategic Objectives are supported by two important Trust strategies - Clinical Services and Quality strategies.

Our Clinical Services Strategy is focused on the integration and redesign of clinical services within the current commissioning and financial climate. Our Quality Strategy outlines the basis and principles on which we will make these changes, guided by our commitment to continuously improve patient experience, outcomes and safety.

WSHT cares passionately about providing the best quality care for our local population; this is what drives us as an organisation. We want to improve our services, achieve the best experience and outcomes for our patients and respond positively to their feedback.

Firstly, and most importantly, we care about the patient. Wherever possible we want to provide a comprehensive, locally based service to the 450,000 population we serve, so that when they need care they will choose to come to us. We want to improve our services, achieve the best experience and outcomes for our patients and respond positively to their feedback. We will do all we can to make sure we treat the patient with kindness, respect and compassion. We are here to serve them and their needs and we will never forget this. We want to be an organisation that people can rely on, both now and in the future.

That’s why it is important we make sure that we operate within our means and invest for the future. We are committed to providing the safest care possible, eradicating hospital acquired infections, reducing mortality and providing the best environment for our patients. We want to continually strive to be better, to make sure that we are providing modern evidence based care to our population.

We know how important it is for patients to receive integrated care across primary, secondary, community and social care.

We will work relentlessly with partners to make sure this happens.

The GP STP schemes run independently on each site.

110

WESTERN SUSSEX NHS TRUST Worthing and Southlands Hospitals (Southlands Hospital is not normally used for GP training) GP Training Programme Areas: Worthing

Overview of Training at the Trust Address Worthing Hospital Lyndhurst Road Worthing, West Sussex BN11 2DH Southlands Hospital Upper Shoreham Road Shoreham-by-Sea West Sussex BN43 6TQ

Switchboard Telephone Number

Western Sussex Hospitals NHS Trust serves a population of 450,000 people from a catchment area covering most of West Sussex.

The Trust was created on 1 April 2009 through the merger of St Richard’s Hospital, Chichester, Southlands Hospital, in Shoreham-by-Sea, and Worthing Hospital.

Our aim is to • Provide high quality care for patients • D eliver efficient, effective services and balance the books

01903 205111

• M eet and exceed all our national targets

Website

Every year, the Trust’s 5,000 staff

www.westernsussexhospitals.nhs.uk

• T reat 102,000 in-patients and day cases • See 376,000 out-patients • T reat 115,000 people in the two Accident and Emergency departments • Deliver 5,700 babies • Carry out 75,000 operations • Take 170,000 blood tests • Dispense 600,000 medicines

Key Individuals Director of Medical Education Mr David Beattie Clinical Tutor Dr Gordon Caldwell Medical Education Manager To be appointed

• T ake 210,000 imaging exams (x-rays/ scans) The Worthing Postgraduate Medical Centre provides educational facilities for all doctors employed by Western Sussex Hospitals NHS Trust who are based at Worthing & Southlands Hospitals, and also to local general practitioners.

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

The centre incorporates excellent library facilities and a postgraduate dining room.

It is fully equipped for all Audio Visual requirements, offers IT support services and is situated close to the junior doctors’ mess.

Worthing and Southlands are home to a wealth of experience, pathology, learning and education. There are around 150 junior doctors in training posts at Worthing and Southlands at any time.

Undergraduate medical students regularly come on attachment from Kings College London and Brighton Medical School, and the Trust also participates in a programme of teaching for American medical students.

Worthing has a very popular General Practice Specialty Training Programme (GPSTP) and offers highly-regarded Foundation Programmes.

Weekly educational programmes are arranged for all specialties and monitored

by Local Faculty Groups (LFGs). These LFGs also monitor the performance progress of all junior doctors in training.

A GP tutor has responsibility for the continuing medical education programme for general practitioners and GPSTP Training Programme Directors arrange the Specialty Training Programme for general practice at Worthing.

111

St Wilfrid’s Hospice GP Training Programme Area: Chichester

About The St Wilfrid’s Hospice Address Grosvenor Road Chichester West Sussex PO19 8FP

Telephone Number 01243 775302

St Wilfrid’s Hospice has been in Chichester since 1987 and over the years has grown in size developing the services provided. We are now a 14 bed (with en-suites) inpatient unit with day care facilities, an education unit, a hospice at home service, and nurse specialist based in the community. We rely on the generosity and support of volunteers and donors alike with only 15% of our income coming from the NHS. The other 85% of our income is generated from

Key Individuals Medical Director Dr Brendan Amesbury

fundraising and retail. St Wilfrid’s has 8 shops and a donations centre in a number of towns in the local area. There are over 400 volunteers who help out by generously giving their time both in the hospice and in our shops.

Our excellent members of staff behind the scenes support the wide range of services we deliver and our Board of Trustees ensure we are governed to high standards.

112

Training Practices in the Brighton part of the Brighton and Mid-Sussex GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Brighton

Beaconsfield Medical Practice

175 Preston Road

Brighton

Chapel Street Surgery

Newhaven

Brighton

BN1 6AG BN9 9PW

Brighton

Charter Medical Centre

88 Davigdor Road

Hove

Brighton

Meridian Surgery

Co-Op Car Park

Meridian Way

BN3 1RF Peacehaven

BN10 8BB

Brighton

Mile Oak Medical Centre

Chalky Road

Portslade

Brighton

BN41 2WF

Brighton

Newick Health Centre

Marbles Road

Newick

Lewes

BN8 4LR

Brighton

Portslade County Clinic

Old Shoreham Road

Portslade

BN41 1XR

Brighton

Portslade Health Centre Medical Practice

Church Road

Portslade

BN41 1LX

Brighton

Preston Park Surgery

2a Florence Road

Brighton

BN1 6DJ

Brighton

Quayside Medical Practice

Chapel Street

Newhaven

BN9 9PW

Brighton

Rowe Avenue Surgery

17 Rowe Avenue

Peacehaven

Brighton

St Andrew's Surgery

Southover Road

Lewes

East Sussex

BN10 7PE BN7 1US

Brighton

St Peter's Medical Centre

30-36 Oxford Street

Brighton

BN1 4LA

Brighton

Stanford Medical Centre

175 Preston Road

Brighton

BN1 6AG

Brighton

Wish Park Surgery

124 New Church Road

Hove

East Sussex

BN3 4JB

Training Practices in the Eastbourne part of the East Sussex GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Eastbourne

Arlington Road Medical Practice

1 Arlington Road

Eastbourne

Eastbourne

Bird-In-Eye Surgery

Uckfield Community Hospital

Framfield Road

Uckfield

TN22 5AW

Eastbourne

Bolton House

10 Bolton Road

Eastbourne

East Sussex

BN21 3JY

Eastbourne

Grove Road Surgery

59-63 Grove Road

Eastbourne

East Sussex

BN21 4TX

East Sussex

Eastbourne

Heathfield Surgery

96-98 High Street

Heathfield

Eastbourne

Old School Surgery

Church Street

Seaford

BN21 1DH

TN21 8JD BN25 1HH

Eastbourne

Princes Park Health Centre

Wartling Road

Eastbourne

BN22 7PG

Eastbourne

Seaford Medical Practice

Dane Road

Seaford

BN25 1DH

Eastbourne

Seaside Medical Centre

18 Sheen Road

Eastbourne

East Sussex

BN22 8DR

Eastbourne

The Lighthouse Practice College Rd

College Road Surgery

6 College Road

Eastbourne

BN21 4HY

Eastbourne

The Lighthouse Practice - Ian Gow

Milfoil Drive

Langney

Eastbourne

BN23 8BR

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113

Training Practices in the Hastings part of the East Sussex GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Hastings

Albert Road Surgery

24 Albert Road

Bexhill on Sea

East Sussex

TN40 1DG

Hastings

Carisbrooke Surgery

Marlborough House

19-21 Warrior Square

St Leonards on Sea

TN37 6BG

Hastings

Churchwood Medical Practice

Tilebarn Road

St Leonards On Sea

Hastings

Collington Surgery

23 Terminus Road

Bexhill on Sea

Hastings

Little Common Surgery

82 Cooden Sea Road

Bexhill on Sea

Hastings

Northiam Surgery

Main Street

Northiam

Hastings

Old Town Surgery

13 De La Warr Road

Bexhill On Sea

Hastings

Pebsham Surgery

119 Seabourne Road

Bexhill on Sea

TN38 9QU East Sussex

TN39 3LR TN39 4SP

Rye

TN31 6ND TN40 2HG

East Sussex

TN40 2SD

Hastings

Roebuck House Surgery

25 High Street

Hastings

Hastings

The Plaza Surgery

2nd Floor, Station Plaza Health Ctr

Station Approach

Hastings

TN34 1BA

TN34 1QF

Hastings

The Rye Medical Centre

Kiln Drive

Rye Foreign

RYE

TN31 7SQ

Training Practices in the Chichester GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Chichester

Avisford Medical Group

North End Road

Yapton

West Sussex

BN18 0DU

Chichester

Cathedral Medical Group

The Medical Centre

Cawley Road

Chichester

PO19 1XT

Chichester

Flansham Park Health Centre

109 Flansham Park

Felpham

Bognor Regis

PO22 6DH

Chichester

Grove House Surgery

80 Pryors Lane

Bognor Regis

West Sussex

PO21 4JB

Chichester

Langley House

27 West Street

Chichester

West Sussex

PO19 1RW

Chichester

Loxwood Medical Practice

The Surgery

Farm Close

Loxwood

RH14 0UT

Chichester

Maywood Healthcare Centre

225 Hawthorn Road

Bognor Regis

West Sussex

PO21 2UW

Chichester

Parklands Surgery

4 Parklands Road

Chichester

West Sussex

PO19 3DT

Chichester

Petworth Surgery

Grove Street

Petworth

West Sussex

GU28 0LP

Chichester

Pulborough Medical Group

Pulborough Primary Care Centre

Spiro Place

Pulborough

RH20 1FG

Chichester

Riverbank Medical Centre

Dodsley Lane

Midhurst

West Sussex

GU29 9AW

Chichester

Seal Medical Group

High Street

Selsey

West Sussex

PO20 0QG

Chichester

Selsey Medical Group

High Street

Selsey

West Sussex

PO20 0QG

Chichester

Southbourne Surgery

337 Main Road

Southbourne

Hants

PO10 8JH

Chichester

West Meads Surgery

4-6 The Precinct

Bognor Regis

West Sussex

PO21 5SB

Chichester

Witterings Health Centre

Cakeham Road

East Wittering

Chichester

PO20 8BH

114 Training Practices in the Mid-Sussex part of the Brighton and Mid-Sussex GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Mid Sussex

Ashdown Forest Health Centre

Lewes Road

Forest Row

RH18 5AQ

Mid Sussex

Brow Medical Centre

The Brow

Burgess Hill

West Sussex

RH15 9BS

Mid Sussex

Buxted Surgery

April Cottage

High Street

Buxted

TN22 4LA

Mid Sussex

Cuckfield Medical Centre

Glebe Road

Cuckfield

RH17 5BQ

Mid Sussex

Dolphins Practice

Butlers Green Road

Haywards Heath

Sussex

RH16 4BN

Mid Sussex

Holbrook Surgery

Bartholomew Way

Horsham

West Sussex

RH12 5JL

Mid Sussex

Hurstpierpoint Health Centre

Trinity Road

Hurstpierpoint

BN6 9UQ

Mid Sussex

Judges Close Surgery

East Grinstead

West Sussex

RH19 3AA

Mid Sussex

Meadows Surgery

Temple Grove

Gatehouse Lane

Burgess Hill

RH15 9XN

Mid Sussex

Mid Sussex Health Care

Windmill Avenue

Hassocks

West Sussex

BN6 8LY

Mid Sussex

Moatfield Surgery

St Michael's Road

East Grinstead

West Sussex

RH19 3GW

Mid Sussex

Newtons Practice

The Health Centre

Heath Road

Haywards Heath

RH16 3BB

Mid Sussex

Northlands Wood Surgery

7 Walnut Park

Haywards Heath

West Sussex

RH16 3TG

Mid Sussex

Orchard Surgery

Lower Tanbridge Way

Horsham

Mid Sussex

Ouse Valley Practice

Dumbledore Primary Care Ctr

London Road

Handcross

RH17 6HB

Mid Sussex

Park Surgery

Albion Way

Horsham

Sussex

RH12 1BG

RH12 1PJ

Mid Sussex

Riverside Surgery

48 Worthing Road

Horsham

West Sussex

RH12 1UD

Mid Sussex

Ship Street Surgery

Ship Street

East Grinstead

West Sussex

RH17 7HE

Training Practices in the Worthing GP Training Programme Area Programme Area

Surgery

Address

Town

Town

Post Code

Please note: Some Practices details appear in more than one programme as Trainers may attend different Trainer Groups Worthing

Arun Medical Group

18-20 East Street

Littlehampton

BN17 6AW

Worthing

Ball Tree Surgery

Western Road North

Sompting

BN15 9UX

Worthing

Billingshurst Surgery

Roman Way

Billingshurst

West Sussex

RH14 9QZ

Worthing

Fitzalan Medical Centre

Fitzalan Road

Littlehampton

West Sussex

BN17 5JR

Worthing

Henfield Medical Centre

Deer Park

Henfield

West Sussex

BN5 9JQ

Worthing

Kingfisher Surgery

19 Culver Road

LANCING

West Sussex

BN15 9AX

Worthing

Lime Tree Surgery

Lime Tree Avenue

Findon Valley

Worthing

BN14 0DL

Worthing

Mayflower Surgery

Durrington Lane

Worthing

West Sussex

BN13 2RX

Worthing

Park Surgery

Albion Way

Horsham

Sussex

RH12 1BG

Worthing

Shoreham Health Centre

Pond Road

Shoreham by Sea

West Sussex

BN43 5US

Worthing

St Lawrence Surgery

79 St Lawrence Avenue

Worthing

West Sussex

BN14 7JL

Worthing

Steyning Health Centre

Tanyard Lane

Steyning

West Sussex

BN44 3RJ

Worthing

The Manor Practice

20 Southwick Street

Southwick

West Sussex

BN42 4TA

Worthing

The Orchard Surgery

Penstone Park

Lancing

West Sussex

BN15 9AG

Worthing

The Park Surgery

St Flora's Road

Littlehampton

West Sussex

BN17 6BF

Worthing

The Strand Surgery

2 The Strand

Goring-by-Sea

Worthing

BN12 6DN

Worthing

Westcourt Medical Centre

12 The Street

Rustington

West Sussex

BN16 3NX

Worthing

Willow Green Surgery

Station Road

East Preston

West Sussex

BN16 3AH

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115

GP training posts GP Training Practices in the Medway Training Programme available August 2013 The following table gives the indicative number of individual 3 year GP Specialty training programmes, starting at ST1, available from August 2013, broken down by GP Training Programme area.

IMPORTANT - These are indicative numbers and are subject to change.

Training Programme

Post numbers for August 2013

Brighton & Mid Sussex

32

Chertsey

16

Chichester

14

Dartford

11

East Kent

40

East Surrey

22

East Sussex

18

Epsom

9

Frimley

14

Guildford

16

Maidstone

9

Medway

16

Tunbridge Wells

13

Worthing

15

Total

245

The KSS GP School Dean Team would like to thank the members of the school, both Educators and GPStRs who supplied some of the photographs used to illustrate this prospectus.

116 THE KSS POST-CERTIFICATION GP SCHOOL GP Training is very well supported by the GP Specialty School within KSS Deanery but learning and professional development do not cease with the celebration of the arrival of one’s Certificate of Completion of Training!

KSS Deanery has always promoted good quality CPD (continuing professional development) for GPs in Kent, Surrey and Sussex, and the arrival of Revalidation and Clinical Commissioning has made us even more aware of the need to support all GPs with lifelong learning and help them meet the requirements of the NHS annual appraisal system.

The Post-Certification GP School works in collaboration with the PCTs in Kent, Surrey and Sussex to ensure GPs are prepared for Revalidation and receive the support they need for high quality professional development. The School also recognizes the developmental needs of GPs and others engaging with Clinical Commissioning and has produced a number of learning and support systems to help GPs understand commissioning and contribute to the work of their Clinical Commissioning Groups (CCGs).

We aim to help GPs manage the transition from well-supported trainee to independent practitioner and self-directed learner!

The Post-Certification GP School provides the following services WITHIN ITS SUPPORT PROGRAMME FOR APPRAISAL, REVALIDATION AND COMMISSIONING (SPARC) • A ppraisal Support Programme.

Working in partnership with many of our PCTs the School has developed Appraiser Development Centres which provide training and updating for new and existing appraisers and PCT personnel, preparing them for the changes required for Revalidation.

• S upport for appraisers. In addition to the Appraiser Development Centres the School uses the GP Tutor network to provide learning sets for the appraiser network and trains lead appraisers to support their colleagues.

We also train Revalidation Facilitators, appointed by the two RCGP Faculties, to help GP appraises with multi-source feedback and clinical audit prior to their NHS appraisal.

• G P Tutors also facilitate protected learning time for GPs and practice staff, working with their PCTs and local Clinical Commissioning Groups, and will ensure GPs in their area are fully informed about the Revalidation process. They act as a focus for educational activity and support in their localities, including support for local commissioning initiatives.

The School also recognizes the developmental needs of GPs and others engaging with Clinical Commissioning and has produced a number of learning and support systems to help GPs understand commissioning and contribute to the work of their Clinical Commissioning Groups (CCGs).

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

OTHER SUPPORT SERVICES AVAILABLE THROUGH THE SCHOOL • T he School also collaborates with PCTs on the development of local support and performance improvement training for GPs identified through the appraisal system as needing local remediation or rehabilitation.

• T he School is also responsible for the organisation and development of the KSS Mentoring and Career Support Programme which offers additional support for GPs through a one to one, confidential relationship with a respected GP peer. This service is available to all GPs in KSS and can help with career planning and personal development as well as supporting GPs with individual or practice-based concerns and is particularly helpful for new GP’s starting out in practice after completing their training.

• T he School supports the GP Retainer Programme, a scheme whereby GPs can work part-time in a practice, perhaps whilst raising a young family or when committed to other responsibilities, in an approved practice with good educational support, and so avoiding a break in that doctor’s career.

• T he Post-Certification GP School also responds to the needs of GPs who may have been identified as causing concerns and can coordinate local remediation work for such individuals.

Continuing Professional Development • C PD is a continuing learning process that supports GPs to stay up to date and maintain and improve their standards across all areas of their practice and at all times of their career development.

• C PD encourages and supports specific changes in the quality and delivery of a doctor’s practice from professional, patient and service requirement perspectives.

117

GP Training Practices in the Medway Training Programme • C PD includes any educational or professional activity directed towards developing the knowledge, skills, attitudes and personal effectiveness necessary to improve practice.

Professional expertise demands a continuing awareness of new concepts, values and technologies.

• D evelopment as a GP in the year immediately after certification is likely to be focused on needs driven by patient care, personal enthusiasm and service imperatives.

• I t is important for doctors to update themselves not only on the evidence base, but also on opinion and consensus. Equally they must be aware of local needs.

Following completion of training you lose the services of your educational supervisor and your local programme directors; you become an independent self-directing learner. This is quite a jump for most doctors but your local GP Tutor can help this transition by providing advice and by sign-posting learning resources for you.

• T he ultimate aim of CPD is to support doctors to improve the care they provide to patients through their own personal development.

• T he KSS Deanery CPD strategy will adhere to the ten principles of good practice in CPD evolved by the Academy of Medical Royal Colleges (AMRC) and RCGP CPD Strategy.

Appraisals GP Trainees undergo annual appraisal and in their last year their educational supervisor ensures they experience the NHS appraisal process that they will experience every year thereafter.

• F or new GPs the NHS appraisal process is the first educational initiative following the completion of their e-portfolios. KSS Deanery has supported PCTs in the development of the appraisal process in all PCT localities.

• T he Post-Certification School encourages excellence in General Practice by promoting the continued professional development of GPs throughout their careers.

• W orking with PCTs, the PostCertification GP School tries to ensure that every GP in Kent, Surrey and Sussex has a productive and appropriate annual NHS appraisal that looks at the needs of patients, the needs of the individual GP, the needs of the practice, and the needs of their locality.

• I t also supports individual GPs and Practices in enhancing care through developing and achieving their learning plans.

GP Tutors

• G P Tutors are important members of the Post-Certification GP School workforce and facilitate the Continuing Professional Development (CPD) of all GPs working in their area.

• T hey work closely with their local PCTs to facilitate appropriate learning activity that answers the needs of the local GPs as identified by the appraisal process and by the collation of clinical governance data.

• T hey are developing relationships with local Clinical Commissioning Groups, helping them identify the professional learning needs generated by new services arising in their localities and responding to those needs appropriately.

• I n many areas these needs are being answered by events supported by PCTs and/or CCG’s through Protected Learning Time arrangements, either as local educational meetings or as multiprofessional learning events in individual practices.

• G P Tutors also have a vital role in preparing GPs for Revalidation. They usually act as leaders of their local Appraiser Learning Sets and also help raise awareness of the requirements for revalidation amongst the local GP workforce.

• T hey act as local resource directories for individual GPs looking for primary care knowledge and skills training and work closely with the staff in local Postgraduate Medical Education Centres.

About us You can find a lot more information about the Post-Certification School and its activities through the Deanery website by looking at the CPD section. It provides more information on Revalidation and Appraisal and has a number of useful downloads and web-links.

The work of the Post-Certification School is often collaborative and we maintain strong links with our Primary Care Trusts, Local Medical Committees, Postgraduate Education Centres and Royal College Faculties.

Helping us achieve our lifelong learning objectives are 24 GP Tutors and 43 Mentors together with over 100 GP Appraisers.

Their work on behalf of the School is coordinated by a central team: Professor Abdol Tavabie Deputy Dean Director and GP Dean Dr Kevin Hurrell Head of KSS Post-Certification GP School Dr Mary Davis Associate GP Dean and Lead on Simulation Sandra Forster Primary Care Business Manager Steve Scudder Lifelong Learning Advisor To be appointed CPD Manager Lizzie Allen CPD Administrator

118 DEPARTMENT OF POSTGRADUATE TEAM PROVIDING SUPPORT FOR

PROFESSOR ABDOL TAVABIE

Dr Kevin Hurrell

Dean of Postgraduate GP Education

Head of KSS Post-Certification GP School

Professor Tavabie manages the whole of the Department of Postgraduate General Practice, with responsibility for both the GP School and Post Certification GP School providing educational support for GPs. He leads on the Appraisers Development Centres and providing support for the revalidation process in KSS. He is also Deputy to the Dean Director and has a number of national roles.

Dr Kevin Hurrell’s role is to:

Email: atavabie@gpkss.ac.uk

• S upport the GP Dean in the management of the KSS PostCertification GP School • M anage and support the KSS GP Tutor network and so promote appropriate effective continuing professional development (CPD)for all GPs in KSS • S upport the KSS Quality Assurance of Appraisal Working Group (QAWG) and the CPD Board • S upport the partnership between Deanery and allied organisations involved with appraisal, revalidation and commissioning • Primary Care Organisations • R oyal College of General Practitioners Faculties • Local Medical Committees • Clinical Commissioning Groups • D evelop the KSS Support Programme for Appraisal, Revalidation and Commissioning (SPARC), including the training and ongoing development of GP Appraisers and others involved in GP Appraisal and the training and ongoing development of clinical commissioners.

• M anage and lead the KSS GP Mentoring and Career Programme, including training, appointment and ongoing development of KSS GP Mentors • S upport a variety of learning sets for GPs within KSS and support the Deanery’s remedial work undertaken with individual GPs when required E-mail: Khurrell@gpkss.ac.uk

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

119 GP EDUCATION ADMINISTRATION THE POST CERTIFICATION GP SCHOOL

The Post-Certification GP School has appointed three Associate Deans for Commissioning this year. Tony Jones, Hamish Whittaker and Lisa Argent have taken on this role for Kent, Surrey and Sussex respectively. All three are very experienced GP Tutors working within those counties and have a great understanding of the need to promote ‘commissioning awareness’ within continuing professional development (CPD) for GPs and amongst trainees and supervisors.

TO BE APPOINTED

The Associate Deans will support other GP Tutors in their counties as they network with emerging clinical commissioning groups (CCGs) ensuring educational provision and CPD for GPs reflects the commissioning priorities in their localities. They will also help GP Tutors provide leadership for GP Appraisers in their areas, again ensuring that appraisal discussions and outcomes reflect local commissioning priorities as well as meeting the national revalidation requirements.

• C oordinating workshops and conferences for GP Tutors, Mentors and Sessional Doctors

The Associate Deans will also help Educational and Clinical Supervisors as they encourage doctors in training to recognise learning opportunities relevant to commissioning and understand how this new learning may be assessed.

These are innovative posts and reflect KSS Deanery’s commitment to ‘lifelong learning’ and the recognition that doctors need educational support throughout their working life: professional development does not finish with the certificate of completion of training!

CPD Manager • S upporting the Head of Post Certification GP School in managing and implementing the developing Continuing Professional Development (CPD) Strategy for appraisal, revalidation and commissioning, servicing the CPD Board and Quality Assurance Working Group (QAWG) • M anaging the modular training pathway for GP Appraisers

• M anaging the GP Mentoring and Career Support Programme, SIMulators Project and Sessional Doctors Learning Sets Contact is primarily with qualified GPs to support them in their continuing professional development, and can be emailed on

120 DEPARTMENT OF POSTGRADUATE TEAM PROVIDING SUPPORT FOR

SANDRA FORSTER

Mr Stephen Scudder

Primary Care Business Manager

Lifelong Learning Adviser

Sandra’s role includes:

Responsible for the continued implementation of the Primary Care strategy, supporting the Patch Associate Deans and lead for special projects. Steve also works with both the Pre CCT School and Post CCT Schools and supports the concept of life long learning and development of opportunity for learning for all staff within primary care.

• P roviding leadership of the GP department ensuring the planning and implementation of the business plan, policy and strategic objectives including improving and developing systems • P roviding leadership to the management of recruitment of GP Specialty trainees and their ARCP • F inancial management of the GP departmental budget • R esponsibility for GP data and information management • P roviding leadership on the administrative processes for the Post Certification GP School processes • P roviding high level support for business management to the Dental department • P articipates in the Senior Management Forum to support Deanery wide business and operational issues Whilst the other members of the team will help you with your day to day issues, you may contact Sandra if you are looking for further clarification on deanery processes. Sandra can be contacted by email at sforster@gpkss.ac.uk or telephone 0207 415 3484

The Kent Surrey and Sussex GP School Prospectus | Programmes commencing August 2013

On the Pre CCT side he is responsible for the management and coordination of the GP educational pathway for GP wanting to become trainers. Carrying out practice visits and revisits to non-training practices to quality assure both the practices and new educators.

On the Post CCT side he works closely with the Head of the School dealing with all aspects of CPD support for GPs including Appraisal and Revalidation training and awareness and the Commissioning programme (SPARC) the mentoring programme, With responsibility for Sessional Doctor groups and the GP Tutor Network across the three counties of Kent, Surrey and Sussex. sscudder@gpkss.ac.uk

121 GP EDUCATION ADMINISTRATION THE POST CERTIFICATION GP SCHOOL

Dr Nathan Nathan

LIZZIE ALLEN

Associate Dean KSS GP Deanery

CPD Administrator

Nathan’s role includes:

Lizzie’s role includes:

• O rganising training programmes for General Practitioners referred to the Deanery for development of performance where concerns have been identified

• S upporting the Continuing Professional Development (CPD) Manager and Head of Post Certification GP School with administration process of multiple CPD projects including the Development Centres for GP Appraisers and organising CPD workshops and conferences

• R esponsible for facilitating practitioners to meet their action plans recommended

by GMC/NCAS or PCT following assessment of their performance • S upporting PCT’s in managing concerns relating to Practitioner performance by working with PAG Groups

• R esponsible for the administration of the SIMulator Project bookings • A dministration of the Mentoring Scheme

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The KSS GP School hopes that you will find this prospectus useful. General Practice has always been one of the best jobs in the world, and now with the significant changes to the way healthcare is delivered by the NHS, it will provide one of the most exciting and challenging careers as a doctor. The training will give you maximum support for working in this stimulating and changing environment. The KSS GP School looks forward to working with you to achieve your aims.

KSS Deanery 7 Bermondsey Street London SE1 2DD

KSS Switchboard Phone 020 7415 3400 Fax 020 7415 3687 E-mail info@gpkss.ac.uk

http://kssdeanery.org/general-practice

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THE KENT, SURREY AND SUSSEX GP SCHOOL

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Ian McLean, Head of KSS GP School September 2012