Updated 15 October 2009
(1) TPD reviews: Post 1 2009 / 20101
As part of the ARCP cycle (see 6. below for further information), all trainees must undergo a progress review with the Training Programme Director for the Lancashire (or Cumbria) sector of the NW scheme. I will be conducting the Lancashire TPD reviews on the following dates: 11, 12, 13, 15 and 18 January 2010.
More details will be posted here in the next couple of weeks.
(2) Core Training Placements: 2009 / 2010
Year 1 (CT1)
There were eleven new starters at CT1 level in August 2009. Each track lists, in order, the jobs that the trainees will be doing for the first two years of their core training. Each track comprises two general adult posts, one old age and one developmental post (either child and adolescent, or learning disability).
Track 1 (Cumbrian): Dr M Claire Moffat
CT1a Cumbria GA1 Muller
CT1b Cumbria OA Maddicott
CT2a Cumbria GA2 Johl
CT2b Cumbria Dev Harvey (north)
Track 2 (Cumbrian): Vacant
CT1a Cumbria OA Maddicott
CT1b Cumbria GA1 Muller
CT2a Cumbria Dev Harvey (north)
CT2b Cumbria GA2 Johl
Track 3 (Crossover): Dr Simon Cave
CT1a Lancaster OA Ashworth / Mulinga
CT1b Cumbria GA3 Thomas
CT2a Cumbria Dev Harvey (south)
CT2b Lancaster GA Taylor
Track 4 (Crossover): Dr Adam Joiner
CT1a Cumbria GA3 Thomas
CT1b Lancaster OA Ashworth / Mulinga
CT2a Lancaster GA Taylor
CT2b Cumbria Dev Harvey (south)
Track 5 (Lancs – Preston & Chorley): Dr Maryam Manzoor
CT1a Preston OA McWilliam
CT1b Preston GA Duddu
CT2a Chorley LD Patel
CT2b Chorley CA Harrison
Track 6 (Lancs – Preston & Chorley): Dr S andhu Amandeep
CT1a Preston GA Duddu
CT1b Preston OA McWilliam
CT2a Chorley CA Harrison
CT2b Chorley LD Patel
Track 7 (Lancs – Blackburn): Dr Amer Badshah
CT1a Blackburn GA Saleem
CT1b Blackburn OA Waghray
CT2a Blackburn GA Reed
CT2b Calderstones LD Razzaque
Track 8 (Lancs – Blackburn): DrAdetoki
CT1a Blackburn OA Waghray
CT1b Blackburn GA Saleem
CT2a Calderstones LD Razzaque
CT2b Blackburn GA Reed
Track 9 (Lancs – Leigh & Burnley): Dr Saab Zenalabdin
CT1a Leigh GA Johnson
CT1b Leigh OA Whittington
CT2a Leigh GA Ramamurthy
CT2b Burnley CA Ahmad
Track 10 (Lancs – Leigh & Burnley): Dr O Konwisorz
CT1a Leigh OA Whittington
CT1b Leigh GA Johnson
CT2a Burnley CA Ahmad
CT2b Leigh GA Ramamurthy
Track 11 (Lancs): Dr Joy Patterson
CT1a Blackpool GA Smith
CT1b Chorley (Pres) OA Leonard
CT2a Blackpool GA Kay
CT2b Calderstones LD Ferguson
Track 12 (Lancs): Dr M Rutherford
CT1a Chorley (Pres) OA Leonard
CT1b Blackpool GA Smith
CT2a Calderstones LD Ferguson
CT2b Blackpool GA Kay
Other placements for Aug 2009 – July 2010
Where two names follow next to a given post or trainee, the first represents Post 1 (Aug 2009) and the second, Post 2 (Feb 2010).
“Floating posts”
Dr Harvey (GA, Leigh): (A Nivison, CT2), (S Azam, CT2)
Dr Knapp (OA, Preston): R Mayombe (rST3), S Ahmed (ST3)
Dr Prince (GA, Blackpool): A Sange (rST3), B Desai (rST3)
Year 2 (CT2 placements)
By trainee
S Shafiq: Kay GA, Patel LD
N Joshi: Harrison CAMHS, Reed GA
S Nawaz: Ahmad CAMHS, Ramamurthy GA
E Baldwin: Ramamurthy GA, Harrison CAMHS
G Thomas: Patel LD, Kay GA
A Nivison: Harvey GA, Razzaque LD
S Azam: Razzaque LD, Harvey GA
New IDT: Harvey LD, Taylor GA
(S Kongara *, supernumerary: Razzaque LD, Ramamurthy GA)
By post
Harvey LD: vacant, vacant
Taylor GA: B Desai (rST3),vacant
Patel LD: G Thomas, S Shafiq
Harrison CAMHS: N Joshi, E Baldwin
Razzaque LD: S Azam *, A Nivison
Ramamurthy GA: E Baldwin, S Nawaz *
Ahmad CAMHS: S Nawaz, RL Mayombe
Kay GA: S Shafiq, G Thomas
Harvey GA: A Nivison, S Azam
Reed GA: (SA Mohamed, ST3), N Joshi
Ferguson LD: (P Dusaj, CT3), (M Dhall, CT3)
Year 3 (ST3 / CT3 placements)
By trainee
A Gupta (ST3): McClaughlin, Gosall
JP Thalada (ST3): Gaskell, Brown
SA Mohammed (ST3): (Reed GA / PICU), Morgan
D Chaudhary (CT3): Adelekan, Plunkett
P Copnall (ST3): Wood, Adelekan
S Ahmed (ST3): Busby / Hyde, (Knapp OA),
M Dhall (CT3): Gosall, (Ferguson, LD)
N Felton (ST3): Brown, Gaskell
P Dusaj (CT3): (Ferguson LD), McClaughlin
M Appleyard (ST3): Vohra / Plunkett, Wood
M Worthington (ST3): Morgan, Busby / Hyde
By post
McClaughlin GA: A Gupta, P Dusaj
Brown PTx: N Felton, JP Thalada
Gaskell GA: JP Thalada, N Felton
Hyde / Busby GA / PTx: S Ahmed, M Worthington
Plunkett For: M Appleyard, D Chaudhary
Adelekan GA: D Chaudhary, P Copnall
Vohra GA: vacancy, Sange (rST3)
Wood: P Copnall, M Appleyard
Morgan: M Worthington, SA Mohamed
Gosall: M Dhall, A Gupta
(3) School of Psychiatry website
The NW Deanery School of Psychiatry now have a web presence, at the URL below. There are useful links to documents that are not always widely available (e.g. psychotherapy and communication skills WBPA forms). You can also leave questions for Damien Longson’s team. It is now also where you go to complete study leave applications - see below.
http://www.psychiatryspace.co.uk/newsites/school/
(4) Consent to treatment for detained patients
The CQC (which has ’subsumed’ the functions of the former Mental Health Act Commission) regularly visits hospitals to review the operation of the Mental Health Act 1983. LCFT’s last two MHAC annual reports have noted problems with prescription cards being amended by junior doctors in ways that are not (legally) compatible with legal ‘consent to treatment’ arrangements.
From three months after psychotropic medication is first administered during a period of detention (“the 3 month rule”), the MHA requires documentation to be completed by senior clinicians - either a form T2 (by the Responsible Clinician) or T3 (by a Second Opinion Approved Doctor – SOAD), according to whether the patient does, does not or cannot consent to the treatment. These forms specify how many of which drugs (or BNF classes of) drugs are authorised, by what route, and up to which dose (usually the BNF limit). A copy of the form must always be attached to the drug cards of detained patients. Please make sure you are familiar with these legal requirements, and that you always review these forms before amending drug cards for such patients.
If drug cards are amended so that a prescription goes beyond these authorised limits, administering the drugs could be illegal – and is usually in any case poor and potentially unsafe practice.
I suggest that if you are in any doubt, you arrange to discuss the issue with your Educational Supervisor. I am also happy to be contacted in case of general queries (although obviously cannot give individual advice).
(5) Online WBPAs and portfolios
While it is not mandatory to use the College’s ‘Assessments online’ system, trainees MUST be registered with the College system to satisfy the requirements of PMETB. WPBAs can be completed on either the College or METIS system. The NW Deanery / School of Psychiatry (and my) advice is to use METIS (where functionality permits) in preference to the College system. For this year at least, however, there is no option but to use the College’s 360 appraisal online scheme (mini-PAT).
(6) ARCP Annual Timetable: Key dates for Trainees, Educational Supervisors, College Tutors, Associate TPDs & Core TPD
Post One:
Aug (month 1): Educational Supervisor (ES) should meet with trainee, and together complete induction meeting form and personal development plan (PDP).
Oct / Nov (month 3 / 4): ES completes mid-point review (MPR) document; College Tutor undertakes mid-post review of progress and post / placement issues.
Late Dec / early Jan (month 5 / 6): ES completes end of post 1 Educational Supervisor’s Structured Report (ESSR). College Tutor / Associate Training Programme Director (ATPD) / Core TPD meet with the trainee to review progress and post / placement issues (TPD review). Tutor and ATPD sign off College Tutor’s Structured Report (CTSR), and identify potential candidates for a ‘performance review panel’.
Post Two:
Feb (month 1): ES should meet with trainee, and together complete induction meeting form and PDP.
Feb / Mar (months 1 / 2): Core TPD convenes ‘performance review panel(s) to consider action required regarding identified ‘trainees in difficulty’.
Apr / May (months 3 / 4): ES completes MPR document. College Tutor undertakes mid-post review of progress and post / placement issues. Core TPD sets rotation for subsequent year (August – July).
June (month 5): ES completes post 2 ESSR. Tutor / Core TPD / ATPD meet with trainee to review progress and post / placement issues (“end of year pro TPD review”). Tutor and TPD sign off CTSR. Core TPD signs off documentation required for ARCP (‘recommendation’).
July (month 6): ARCP panel convened by NW Deanery.
LCFT College Tutors are locality-based, in Lancaster, Blackpool, Chorley, Blackburn, Preston, Leigh and Calderstones. The Associate TPDs are Drs J Mulinga (year 1), PM Brown (year 2) and M Adelekan (year 3). The Core TPD is the Clinical Tutor, Dr J McKenna.
(7) Study leave
The process for study leave (SL) applications for trainees (CT, ST 1 – 6, LAT, SpR, GP ST) has now changed again (as of 29 Jan 09). Trainees need to go to the School homepage (see above) and click on the ’study leave’ link. Completion of this inlcudes making declarations that your trainer, College tutor and rotamaster / organiser have agreed to the proposed leave (this in turn means that the local forms must be completed and signed by the relevant people). It appears that all three people will receive copies of the completed form for their records also. Previously, the Deanery e-mailed the trainee an acknowledgement, and a SL expenses form (the latter to be submitted by the trainee after the course).
I understand that the Deanery will continue to fund the MRCPsych course(s) directly.
The SL allocation is just over £800 p.a., i.e. about £2,400 over the core training period. The MRCPsych course costs about £3,100 over two years. The shortfall of ca. £300 per course year will be charged to trainees by the Deanery (after taking into account any core training SL budget underspend at year end). I understand that funding for other courses during CT 1 – 3 will only be permitted by Deanery in exceptional circumstances. The Deanery has agreed to manage trainees in years 1 – 3 “in a single budget”, so that the cost of the two year course can be spread over three years, and also not to recharge trainees for the current year (2008 / 2009). The latter is to give trainees notice of the change (this shortfall was previosuly ‘hidden’ by Trusts subsidising the Course, as its costs grew faster than the SL allocation).
People starting an MSc generally do so in year 2, and for that year the fees (£1,900) are covered by the Membership registration. The second year of the MSc is in the third year of core training. Since by then the trainee will inevitably have exthausted their three-year SL budget (by virtue of MRCPsych course in first and second years), the second year fees (£1,200) will have to be self-funded by the trainee. The third year of MSc is in ST4 and costs £750, and is funded from a different budget (specialist training SL). It is possible that it will be agreed that NW ST4s may be allowed to retrospectively reclaim their year 2 MSc course fees from their ST 4 – 6 SL budget (of £2,400). This would mean that such students would use £1,950 of their specialist training SL allowance in doinf their MSc (leaving £150 per year by my maths).
The College guidance on documenting emergency and on-call patient contacts, reproduced verbatim below:
“Trainees must gain experience in the assessment and clinical management of psychiatric emergencies. Traditionally this experience has been achieved through participation in on-call rotas and the experience has been monitored through simply counting the number of nights toward a total. A minimum of 55 nights has been the benchmark. The increasing complexity of services means that trainees on call at night are sometimes no longer in the frontline of emergency care e.g. they may see emergency cases only after an initial assessment by a Home Treatment service. In addition the notion of “nights on call” has been fundamentally altered by the European Working Time Directive (EWTD). This dictates a shift away from adding up time spent toward documentation of experience gained and competency achieved. The current position is that trainees should document both time spent on-call and experience gained (cases seen and managed) and this should be “signed off” by their Educational Supervisor and Tutor. A number and range of emergencies will constitute relevant experience. Trainees must have experience equivalent to participation in a first on call rota with a minimum of 55 nights on call during the period of basic specialist training (i.e. at least 50 cases with a range of diagnosed conditions and with first line management plans conceived and implemented.) (Trainees working part time or on partial shift systems must have equivalent experience.)
Where a training scheme has staffing arrangements, such as a liaison psychiatric nursing service, which largely excludes trainees from the initial assessment of deliberate self-harm patients or DGH liaison psychiatry consultations, the scheme must make alternative arrangements such that trainees are regularly rostered to obtain this clinical experience under supervision. Such supervised clinical experience should take place at least monthly.”
There is a suggested form for trainees to use to record on-call activities. Your ES has been sent an e-copy of this. I can also send you a copy by return if you e-mail me. Trainees have been advised to file this form in Section 8 of the portfolio.
John McKenna, Clinical Tutor LCFT
john.mckenna@lancashirecare.nhs.uk
Updated: 12 october 2009
