The FP Reference Guide

Stuart Carney & Carrie Moore

UKFPO

The Reference Guide

The review process Key changes

August 2009 revisionsAugust 2010 – 2nd Edition

DiscussionImplementationCommunications

The Reference Guide

Like the “Gold Guide” Provides guidance on

culture, structures and systems required to deliver the FP Curriculum.

1st edition 2005 1st revision 2007 2nd revision 2009 2nd edition 2010

Objectives

Common UK-wide Operational Framework Requirements to enable FP curriculum

delivery Supports quality management Aligned to Gold Guide where appropriate

Timeline

August 2009 2nd revision – urgent changes

October 2009 First full draft for comment

February 2010 “Health check” by regulators

March 2010 Submit to 4 UK health departments for approval

April 2010 Publish 2nd edition

August 2010 Implementation

The Review Process

Proposal

Stakeholder Discussion and Review

Legal

E&DUK FP Board

Regulators

The Four UK Health

Departments

2009 - Changes

No provision to hold places for those who fail finals

Foundation Schools can only prospectively approve the second year of a two-year programme for acquisition of competences outside of the UK

Requirement to complete PMETB / COPMeD survey

2010 - LATs and LAS’

F1 vacanciesLess than or equal to 12 monthsPost-registration doctorsLAS posts

F2 vacancies12 month posts must be appointed with

deanery/foundation school and enable completion of FACD

<12 month = LAS posts

2010 - Supervision

Educational/Clinical supervisorsMust be registered and licensed medical

practitionersAdequate time in job-plans and appraised

Academic supervisorMust liaise with educational supervisorAdequate time in job-plan and appraised

2010 - Transfer of Information

Aims to highlight doctors who may require additional support

Information for FSDs and FTPDs Future developments expected

2010 - Inter-School Transfers

Uses same criteria as special circumstances:Carer responsibilitiesMedical condition or disability requiring local

follow-up

Typically restricted to August transfers

2010 - Inappropriate tasks

Prescription and transcription of cytotoxic or immunosuppressive drugsMust be specifically trained and assessedAppropriate supervision

ConsentF1 and F2 requirements aligned to GMC

guidanceMust understand the proposed intervention,

risks, and prepared to answer questions

2010 - Review of Progress

Annual review for all foundation doctorsShould convene a panel comprising two

members to consider outcome

Doctors in difficultyPanel chaired by FTPD with an educational

supervisor and a lay personAdvise FSD about outcome and further action

Discussion

How will you implement the changes?TimingResources

What additional communication support should the UKFPO provide?