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19. Doc19 TrainingManual v7.docx Welcome to Healthcare Scientist Training in Scotland Page 1 of 23 Welcome to Healthcare Scientist Training in Scotland April 2020 Version 7
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19. Doc19 TrainingManual v7.docx Welcome to Healthcare Scientist Training in Scotland Page 1 of 23

Welcome to

Healthcare

Scientist Training in

Scotland

April 2020

Version 7

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Contents Welcome ...............................................................................................................................................................3

Healthcare Scientist Training ..............................................................................................................................5

1 Clinical Scientist STP trainees ....................................................................................................................5

2 and 3 Clinical Scientist non-STP trainees and independent equivalence candidates .............................6

4 Bursary supported postgraduates ..............................................................................................................6

5 Healthcare Science Practitioners ...............................................................................................................6

Attributes of a Healthcare Scientist ....................................................................................................................8

Our Role at NHS Education for Scotland ............................................................................................................9

Meet the HCS Team .......................................................................................................................................... 10

Training Programme Management and Quality Monitoring........................................................................... 11

Centre Recognition in Training .................................................................................................................... 11

Annual Review of Competency Progression (ARCP) ................................................................................... 11

Training Plans ............................................................................................................................................... 12

Feedback and Annual Surveys ..................................................................................................................... 12

National Training Numbers and TURAS .......................................................................................................... 13

Short Courses and Additional Learning ............................................................................................................. 14

TURAS Learn ................................................................................................................................................. 15

NES Resources ................................................................................................................................................... 16

Promoting Healthcare Science .......................................................................................................................... 17

Training Responsibilities .................................................................................................................................. 18

Trainee Responsibilities ............................................................................................................................... 18

Supervisor Responsibilities .......................................................................................................................... 18

What happens when things don’t go to plan ............................................................................................... 18

Regulator Standards ......................................................................................................................................... 19

Advice and Support for your Training .............................................................................................................. 20

Progression Monitoring .................................................................................................................................... 21

Final Word ......................................................................................................................................................... 22

Some Key Links ................................................................................................................................................. 23

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Welcome

Welcome to healthcare scientist training in NHS Scotland. Whether you are a clinical scientist

trainee, a bursary-holder, or independently progressing through a programme of development,

you are all stepping into specialist scientific roles that are essential to our service. This short

guide is designed to help you understand and navigate healthcare scientist training, the role of

NHS Education for Scotland (NES) and the possibilities for you as a Healthcare Scientist in NHS

Scotland.

Your contribution to our NHS as a member of the Healthcare Science workforce is both

essential and ubiquitous. You are joining a community of healthcare scientist trainees that

spans the laboratory sciences, clinical physiology and the physical sciences.

The Healthcare Science workforce does fantastic innovative work - daily. Patients and service

users entering the healthcare system have the anxiety of “waiting for tests” - their fortune

hangs entirely on your ability to contribute to their pathway safely and accurately. Irrespective

of whether you have a patient-facing role or work with samples and specimens, your work

informs and helps steer medical and surgical decision making for patients; outcomes in

modern medicine rest on safe, accurate tests and measurements.

Imagine… without your contribution to the wider multi-disciplinary clinical team, now and in

future, there would be no 24/7 diagnostics, no hot-lab or on call laboratory services to support

theatres, there would be severely impaired acuity in the cause or progression of disease, there

would be no advanced treatment planning or interventions, no investigations or no medical

device management; there would be less innovation, and NHS research would be severely

impacted. You are and will become an expert resource as part of the NHS team - vital to its

success.

In Scotland, we are a total healthcare science workforce of around 6000 staff, with

approximately 180 scientists in formal training. Regardless of discipline, we encourage you as a

healthcare scientist trainee to acquire key attributes that will prepare you for more senior

roles. These attributes are outlined in our framework - the Common Core List which challenges

you to go beyond scientific specialist training. Think about areas such as leadership, business

skills and research. Think about your senior mentors now and the roles and duties they

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have…ask them about their journey and how their knowledge and skills developed as they

moved into more senior roles.

Above all, be open to challenge, be ready to follow your innate scientific curiosity and to

enquire as to how, in whatever discipline you work, things can be made better. Welcome.

Dr Rob Farley, NES Healthcare Science Programme Director

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Healthcare Scientist Training

Healthcare scientist training comprises several pathways. This diversity in training pathways is

a strength, it ensures as wide a workforce supply pipeline as possible - and reflects the broader

approach of science. The pathways are:

1. Clinical Scientist STP training

2. Clinical Scientist non-STP training

3. Independent equivalence portfolio development towards Clinical Scientist registration

or Higher Specialist Scientific registration (HSSR)

4. Bursary-supported postgraduate training (for example specialist/higher specialist

portfolios and MScs) irrespective of funding source

5. Practitioners and Technologists training towards professional registration

Types 1-3 all require adherence to the Academy for Healthcare Science (AHCS) document Good

Scientific Practice, or to very similar competencies defined by the Association of Clinical

Scientists or the Institute of Biomedical Science. For STP training, Good Scientific Practice is

built into training curricula.

1 Clinical Scientist STP trainees

These are enrolled on the UK Scientist Training Programme (STP). Our STPs are linked to a UK

university for the academic component of training and to Health Education England’s National

School for Healthcare Science. The School acts as a UK hub for STP training, but does not

recruit for, nor directly monitor workplace training in, Scotland.

The National School tracks all STP trainee’s progression via its One File (on-line learning and

assessment tool). It also runs STP exit examinations via its OSFAs (observed structured final

assessment). The National School provides induction for new STP trainees and a range of

trainer opportunities specific to the STP format of training. Pass lists are shared with the

statutory regulator- the Health and Care Professions Council. Trainees may then apply to HCPC

for admission to the statutory register as a Clinical Scientist

The school publishes an annual trainee handbook that describes the training process,

responsibilities and a trainee–school agreement. The agreement relates to expectations of

professional behaviour and to information sharing regarding progress, with commissioners

such as NES.

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2 and 3 Clinical Scientist non-STP trainees and independent equivalence candidates

These follow a locally determined training pathway and do not involve the National School, its

OLAT or OSFA systems. Instead trainees must demonstrate learning outcomes equivalent to

STP or meet similar competences laid out by the Association of Clinical Scientists (ACS) or the

Institute of Biomedical Science. Such trainees are effectively ‘equivalence’ type candidates

who must submit a portfolio and undergo a viva either with the ACS, IBMS or AHCS.

4 Bursary supported postgraduates

These have engaged with a discipline specific programme, perhaps a masters-level degree, and

are not necessarily intending further registration as a clinical scientist. They may be HCPC

registered as a Biomedical Scientist, or as a Clinical Physiologist. Whilst Good Scientific

Practice is not mandatory for this type of trainee, NES support recommends adherence to it.

5 Healthcare Science Practitioners

Healthcare Science Practitioners train towards professional qualifications in an undergraduate

training scheme that includes work-based and academic learning. Their training in some cases

articulates with postgraduate training allowing them to step up the healthcare science four-tier

career model. Practitioner training may be accredited by the National School of Healthcare

Science or be via an “equivalence” route. It may lead to admission to a Practitioner register

recognised by the Professional Standards Authority (PSA) such as the Registration Council for

Clinical Physiology, the Academy for Healthcare Science or the Register of Clinical

Technologists. Biomedical Scientists are registered by statute with the Health and Care

Professions Council (HCPC) and are accredited by the Institute of Biomedical Sciences.

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Attributes of a Healthcare Scientist

For all, our Common Core List describes the framework against which such trainees can

develop, to foster consistency across all types of scientist. Our Knowledge Network for

practitioners and postgraduates includes a mapping between the Common Core List and Good

Scientific Practice.

Developing as a scientist is more than becoming a specialist in a particular field. We need you,

our future scientists, to also think about your leadership role, honing your business skills,

developing safety and improvement awareness, and of course refining your research skills.

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Our Role at NHS Education for Scotland

NHS Education for Scotland has three strands of work for Healthcare Science, which includes

our interest in your scientist development. The strands are:

• Commission Healthcare Science Trainees

• Fund both post-graduate and Practitioner training positions/ courses

• Track trainees throughout their training (Turas Trainee Management System)

• Quality Assure all Healthcare Science training throughout Scotland

• Provide CPD including face to face training, E-Learning and CPD suggestions

• Promote Healthcare Science - provide conferences and meetings and support for

various groups

• Support trainees and supervisors

In addition, NES Healthcare Science links with UK agencies, Scottish Government and other

stakeholders to represent NHS Scotland best interests.

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Meet the HCS Team

Left to Right: Simon Petrie – Business Support, Owen Mills - Principal Lead Scientist, Rob Farley - Programme Director, and Principal Lead Scientist s -Claire Cameron, James Logie, Lorna Crawford, Andrew Dunne and Bianca Brownlee, (not pictured ).

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Training Programme Management and

Quality Monitoring

Our Purpose in undertaking quality monitoring is to provide assurance that training is secure and safe – and that it will produce the right calibre of Healthcare Scientists.

Our approach has been to widen our oversight across HCS groups in training supporting the

principles of good-practice and help cement the identity of the scientific workforce.

More information about our standards and the state of quality monitoring is on the Knowledge

Network site: HCS trainees and supervisors

Centre Recognition in Training

NES Healthcare Science monitors workplace training via departmental self-assessment,

training group reviews and progression monitoring of individual trainees. Training group

reviews are conducted by an independent panel and include a lay representative. This is to

ensure parity with training governance arrangements elsewhere in the UK. Guidance is

available on our Knowledge Network Supervisors page.

Annual Review of Competency Progression (ARCP)

Annual reports of competency progression are sent to NES to give us an overview of how the

trainee is progressing. All National Training Number holders are requested to complete our

Annual Review of Competency Progression (ARCP) monitoring in September/ October of each

year. This includes all trainees from one year into training onwards. Trainees can also provide

confidential feedback to the HCS team with any issues, concerns or praise relating to their

training. Clinical Scientist STP trainees in Scotland undertake Scottish ARCP rather than

midpoint review but can expect NES to share with the National School progression matters

including One-file progression, HEI progression and Exceptional Extenuating Circumstances as

is the norm for Trainees based in England. More information on ARCP, please refer to our

Knowledge Network Trainees page.

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Training Plans

All National Training Number (NTN) holders irrespective of the training schedule they are following are invited to complete an outline training plan (example pictured above). It should

be completed by the trainee and supervisors together to ensure an overall plan is agreed and

both parties have full oversight of that plan. A request for this training plan with be sent out to all trainees each year. We ask that main elements of each scheme are recorded, and that the

plan is returned to us at NES no more than two months into each training year.

A completed training plan informs the communication between the supervisor and trainee of all expectations and deadlines. It assists in planning appropriate timelines for each element

and may be useful to guide the Annual Review of Competence Progression.

Feedback and Annual Surveys

Individual scientist trainees are also invited to respond to our annual surveys – non-

confidential responses to which are summarised on the Knowledge Network. This gives us the

reassurance that training for you is going to plan and is an opportunity for you to give us

confidential feedback.

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National Training Numbers and TURAS

All Healthcare Scientist trainees in our

community are issued with a unique

National Training Number (NTN). You

should receive your NTN shortly after

your bursary award, admission into

NHS employment or recognition by

NES of your training plan. Information

about obtaining a National Training

Number for trainees not funded in

some way by NES is on the Knowledge Network site: HCS trainees and supervisors

We track your training using our TURAS “TPM” system, that you will have some access to

once we activate you user account. (TPM means Training Programme Management) This is a

workforce modelling tool and helps inform the wider NHS of those trainees “in the pipeline”.

TURAS records your training journey, if applicable the expected rotations, progression and

exit. It associates those trainers and supervisors supporting your training and the locations of

training.

TURAS is used by other clinical groups with trainees in Scotland such as medicine, dentistry,

pharmacy and psychology.

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Short Courses and Additional Learning

Both our Common Core List and the

needs of STP or equivalence

applicants can be in-part fulfilled

using NES short courses for generic

learning.

The NES Portal allows users to sign-

up for face-to-face courses. By

registering with NES Portal, you can

view learning specifically tailored for

the Healthcare Science workforce.

Examples of some of the courses supported by NES teams;

• Train the Trainer is our one-day generic programme for Healthcare Science trainers and

supervisors delivered by the NES HCS core team. The course provides key concepts, principles and techniques of training and learning to help facilitate the design, delivery

and evaluation of training and assist training supervisors in applying this within their

department.

• Trainees in Difficulty is the follow up one day course after Train the Trainer. By the end

of the session participants should be aware of the main factors of why difficulties arise

and mitigating actions and understand our NES role and how we can help.

• Foundation Leadership this programme introduces leadership and management issues

and is intended to foster a 'future leaders' mindset. Delivered as part of a cohort, it

involves four one-day sessions over several months.

• Refreshing Leadership is intended for more senior HCS staff who are beyond the HCS Foundation / Early Career stage and perhaps beginning to acquire some managerial

responsibilities.

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TURAS Learn is a component of the TURAS system. It holds a range of on-line learning

resources for NHS staff covering patient safety, risk, human factors, HAI and other more generic

themes. Portal is being incorporated into TURAS. E-Learning material to help you in your job,

focusing on the relevant Healthcare Science

Streams and resources available on the HCS TURAS

Learn home page as a multi-profession repository.

Healthcare Science specific materials are being

developed too which can be viewed within the

Healthcare Science E-Learning site.

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NES Resources

The NES Knowledge Network hosts communities of practice with helpful information. To

register with the Knowledge Network, you will need an Athens log-in; the site explains how to

go about this. Specifically, for Healthcare Science we run the following sites:

This Knowledge Network site includes content about training and NES quality monitoring of

that training. There is a page for HCS trainees and for Supervisors with a variety of information

on our NES resources and support.

HCS in Scotland, this Knowledge Network site contains information relating to local Healthcare

science activity, National Leads meetings and events. Trainees are strongly encouraged to

become involved in local HCS committees; several Boards operate Healthcare Science trainee

networks, which are a good platform to learn about the work of other scientific staff, and to

broker rotations, shadowing or collaborate on projects.

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Promoting Healthcare Science

Our annual event for scientist trainees and supervisors is an opportunity to learn more about

and help shape our role, and to participate in a national poster competition. The NES Events

will hold details of upcoming engagements. Past poster winners are on our HCS trainees and

supervisors Knowledge Network site.

Join a professional body! Whether it is ARTP or BAA, IPEM or IBMS, ACB or ACGS to name but a

few, these are all vital in supporting and nurturing your development. The Academy for

Healthcare Science is the “One Voice” agency and has a comprehensive list of professional

bodies.

Become a STEM ambassador! Opportunities are available for Healthcare Scientists to engage

with science promotion, schools engagement and professional body activities – all an essential

part of your development as scientists. NES have a career website detailing the profiles for

promoting the many Healthcare science roles in the NHS. Examples of the career leaflets

below;

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Training Responsibilities

Trainee Responsibilities

• Irrespective of training pathway, scientist training demands a strong element of self-

direction.

• Professionalism, such as that described in Good Scientific Practice , and high standards

of behaviour towards colleagues and service users.

• Communication with training officers and supervisors

• Question current practise and raise a concern or idea.

• Engage with NES when we request information relating to our monitoring role.

Supervisor Responsibilities

• Give broad direction to the trainee, including agreeing a training plan.

• Meet and monitor trainees regularly.

• Attend a train-the-trainer and trainees-in-difficulty programme

• Plan requisite assessments and monitoring of progression

• Give constructive feedback.

• Engage with NES when we request information relating to our quality monitoring role

• Provide a supervisor’s CV for activating a TURAS record and towards centre

accreditation

Our NES Portal offers a range of trainer development courses specifically for the Healthcare

science community; trainers are encouraged to sign up.

What happens when things don’t go to plan

Our Knowledge Network outlines NES Special Measures Principles alongside other Standards

of Education and Training standards relating to admission and practice placement.

For trainees-in-difficulty, NES will only intervene where local resolution is not effective; our

Special Measures Principles are predicated on identifying the root-cause of a problem, not

ascribing blame, and then seeking a constructive, fair resolution. Whether a trainee or

supervisor, please read our Special Measures Principles.

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Regulator Standards

The Health and Care Professions Council is the principal statutory regulator of Clinical

Scientists and Biomedical Scientists. There are others that are “Accredited Registers” and have

a non-statutory remit; whether statutory or non-statutory, there are generic standards of

education and training. These Admissions and Placement standards in Scotland, are

interpreted at our Knowledge Network and underpin our quality role.

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Advice and Support for your Training –

NES Principal Leads

The NES Principal Leads are available to help supervisors and trainees with our quality monitoring standards and requirements. They can offer advice on training pathways and are

also the first line of intervention when NES needs to become more closely involved in trainee's

progression. Principal Leads may be supervisors themselves but generally cover a wider range of disciplines when dealing with generic issues. The Principal Leads are an impartial contact

and can be approached by trainers and trainees at any time. Contacts for the Leads are on the

Healthcare Science home page of the NES website.

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Progression Monitoring

We are interested in your progression as a healthcare science trainee; annually we will ask you

and your immediate supervisor for a simple Annual Review of Competency Progression “ARCP”

check for those at least a year into training. This is a minimum ‘light-touch’ standard and not intended to replace other training scheme or departmental arrangements. Specialties may also

have a range of monitoring arrangements in place to ensure that you as trainee remains on-

track, either a specific scheme-led process or as part of the NHS PDP mechanism.

Information about the Annual Review of Competency Progression is on the Knowledge

Network Healthcare Science site. Our ARCP process includes a confidential return from the

trainee to give direct feedback on their training experience. The use of this confidential return is entirely voluntary.

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Final Word

Enjoy your journey as a healthcare scientist trainee. Should you at any point require further

assistance, please don’t hesitate to get in touch using the contacts listed on the NES website or

email us at [email protected]

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Some Key Links

NES Healthcare Science website

NES Healthcare Science Knowledge Network

NES Special Measures Principles

Academy for Healthcare Science

National School for Healthcare Science

Good Scientific Practice

Common Core List

NES Portal – face-to-face courses

TURAS Learn – online learning resources

TURAS Learn for Healthcare Science – online learning resources for HCS


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