LRCTC Service provider & Training officers assessors user group –1 st October 2014

1. LRCTC Service provider & Training officers assessors user group –1st October 2014 • Ian Phillips – LRCTC

2. Olympus Slide Scanner VS-120- S5

3. Olympus Slide Scanner VS-120 - S5 • The VS120-S virtual slide scanning systems effectively bring imaging and microscopy closer together, providing an advanced and highly versatile virtual slide. • By generating an exact copy of the whole specimen at high resolution, users can view and analyse samples regardless of their proximity to the microscope. • All images are stored on a central server, making simultaneous, world-wide evaluation possible. • The VS120-S5 system allows standard slides to be manually loaded. • VS120-S system provides an efficient method of communicating images and data. • We hope to produce e-learning vignettes on Moodle especially using difficult ICA cases

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5. Normal

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7. LRCTC - Invasive Cancer Audit Total Numbers by Region

8. LRCTC – Evaluations Forms Feed Back SummaryCourse Name: LRCTC Service Provider Group (User Group) MeetingDate Held: Monday 1st October 2014nineteen laboratories were sent a user group questionnaire.eight WERE Returned Their scores and comments recorded in the graph and tables below Highly relevant Relevant

9. Written comments for discussion • Introductory course: • Feedback from trainees back in the lab have always been positive and they have appreciated the opportunity to spend time away from the lab to be able to just concentrate on cytology theory and practical. • Course is well structured and organised • Updates: • Experienced staff always report back that courses have been very interesting and useful. • Occasional comments about not always having sufficient time to screen slides • Newly revamped course has ben well received by those attending in 2014. • The Future trends lecture has improved where the level of detail is much more appropriate • Non-Gynaecological course: • Introductory courses very good • Would like an Update courses developed • Would like FNA morphology course • Difficult to find a NG course only one p.a. knowing the level the yare aimed at as we might have requirement for Introductory or an update course • Topics Covered on Service Provider Meeting: • HPV Testing and effect on service • Whether NHSCSP recognises uncertainty felt by a lot of staff in regard to HPV primary screening roll out. • Has the NHSCSP considered any future re-training of staff, or does it consider the responsibility to be that of employing organisations ? • Cancer Audit?

10. Performance Monitoring • NHS London • Non-Medical Education and Training Contract Performance Management

11. Performance Monitoring • Established baselines which would fulfil SP training requirements, build on current robust courses currently running. • Additional courses to be provided as required

12. Performance Monitoring • Contract Performance Indicators (CPIs) • Contract Performance Return (CPR) • The system reviews the performance of individual courses over the previous academic year against a set of Contract performance Indicators • Cycle runs from August when new contract performance indicators are sent out

13. Purpose of the system • NHS London’s Contract Performance Management system is focused onfitness for purposeandvalue for money

14. Principle of this approach • Enhance transparency • Actively review performance and promote performance enhancement • Drive up standards • Actively promote partnership working • Review and promote the quality of academic and placement • Minimise the burden

15. Overview of the CPM process

16. Pre-registration criteria agreed with Service Providers in 2011 • Introductory Course: (Pre-registration) • Trainee Cytoscreener – 4 GCSE’s • Trainee biomedical scientist – ‘A’ levels or equivalent to allow entry to a HPC approved degree course. • Selection by interview in accordance with local employer protocols • Must be employed in the UK NHSCSP • Non-NHS only if contracted to NHS • Length of time in post : Learners should attend the Introductory Course ideally within the first 6 months of employment Learners spend a minimum of 6 weeks in the home laboratory learning how to set up and use a light microscope to visualise cells for interpretation and be familiar with normal cell morphology and basic infections. • NHSCSP Registration: Prior to starting the Introductory course pre-registration students must be registered by their employers with the Cytology Education office. The laboratory training officer (assessor) must also be registered prior to learners commencing their portfolios

17. Tuition Days • Trainee Cytoscreener – 4 GCSE’s • Trainee biomedical scientist – ‘A’ levels or equivalent to allow entry to a HPC approved degree course. • Selection by interview in accordance with local employer protocols • Must be employed in the UK NHSCSP • Non-NHS only if contracted to NHS • Length of time in post: After satisfactory completion of the Introductory course. • The UK Cytology Training Centre attended for the Introductory course • (if not London) must be given.

18. Follow Up Course: (Pre-registration) • Trainee Cytoscreener – 4 GCSE’s • Trainee biomedical scientist – ‘A’ levels or equivalent to allow entry to a HPC approved degree course. • Selection by interview in accordance with local employer protocols • Must be employed in the UK NHSCSP • Non-NHS only if contracted to NHS • Length of time in post: 12 months post Introductory course completion • The UK Cytology Training Centre attended for the Introductory course • (if not London) must be given. • The number of primary slides screened in year one is required

19. Pre-examination Course: • Trainee Cytoscreener – 4 GCSE’s • Trainee biomedical scientist – ‘A’ levels or equivalent to allow entry to a HPC approved degree course. • Selection by interview in accordance with local employer protocols • Must be employed in the UK NHSCSP • Non-NHS only if contracted to NHS • Length of time in post: 18 months post Introductory course completion • The UK Cytology Training Centre attended for the Introductory course must be given. • The number of primary slides screened required will be 4,500 slides

20. MLA – Introductory Course • MLA : 4 GCSE’s or equivalent • Relevance : Must be working in Cytology laboratory • Selection by interview in accordance with local employer protocols • Must be employed in the UK NHSCSP • Non-NHS only if contracted to NHS • Length of time in post: up to 6 months

21. Post –registration courses SP criteria • Compulsory Update Courses Professional qualification required: • City & Guilds Diploma in Cervical Cytology or equivalent • Time interval between last update: • 3 years or if returning to cervical cytology after an absence exceeding 3 months, undertaking a formal documented in-house assessment programme • If the absence exceeds 6 months, attendance at an external update course will be required.

22. Post – registration courses SP criteria • Non gynaecological cytology courses: • Professional qualification required: City & Guilds Diploma in Cervical Cytology (or equivalent) • Length of time in post: 1 year post Diploma experience • Relevance: Must be actively involved in technical non-gynae preparation work.

23. NHSCSP Diploma Assessors training: • Professional qualification required: NHSCSP Diploma in Cervical Cytology (or equivalent) • Workplace Assessor Requirements – • Qualified BMS occupationally competent in areas of expertise they will be assessing in this qualification. • Responsible for establishment and maintenance of training and continuing education programme for lab staff in collaboration with consultant pathologist. • They will observe, record, discuss, provide constructive criticism, advise and guide learner in order to confirm that the assessment criteria have been met.

24. Advanced Practitioner Biomedical Scientist Course Requirements: • Professional qualification required: Fellow of the Institute of Biomedical Science HPC registration Possession of the Institute’s Higher Specialist Diploma in cytology or equivalent (e.g. Fellowship examination or relevantMSc). • Possession of the NHSCSP Certificate in Cervical Cytology (or preceding IBMS/BSCC Certificates of Competence in Cytology Screening) • Length of time in post: More than five years full-time equivalent post registration experience in cervical cytology particularly at the “checking”level • Employment specific requirements: A single named consultant pathologist trainer who has overall responsibility for guiding and monitoring the progress of the biomedical scientist in training. • Courses required: Completion of an NHSCSP Course in Advanced Practice, preferably early in training. • ( There is very little demand – therefore we collaborate with East Pennine Training Centre who runs this course annually )

25. Course requirements on website • On every course found on our website there is a drop down box outlining minimum entry qualifications as outlined • This is to make look - up easy for our client users • Please make use of this facility

26. Course Content Assessment: • Pre-registration courses: • Introductory course, Follow-up course and pre-exam courses,NHS Service Providers felt were covering all relevant requirements ? • Tuition days: • Cover all relevant requirements ?

27. Course Content Assessment: • Compulsory Update Courses (post registration) • Current three year cycle of courses service providers felt relevant were covering all relevant requirements ? • After attending a course does it enable you to do your job better ?

28. Average Update Course Topic Scores - 2014

29. Update Course Comments What did you find most useful? Variety of topics Looking at lots of abnormal slides Good cases What did you find least useful? Multiheader sessions were too long Too many slides, not enough time to view in some workshops General Comments Informative & educational Interactive & enjoyable Well organised Helpful, friendly staff

30. Course Portfolios: • All courses met requirements and were felt to be relevant ? • Additional courses the service providers would like to see developed next year ?

31. Workplace Requirements: • Service providers felt this was working well and welcomed LRCTC staff to look at training faculties provided by individual laboratories when visiting trainees and training assessors • P7 Where the contract includes courses requiring workplace learning with a formal assessment component either at the students usual place of work or elsewhere the placement has been audited to confirm that it meets the standards set out in the contract on an annual basis

33. Workplace requirements • Environment • Microscopy sessions • Teaching material • Slides • Books • Internet • Training Officer/C&G Assessor

34. New course Published September 2014 for Sample takers Update • As requested last year LRCTC is now expanding into e-learning • E-learning modules using our Course Management System – Moodle • HPV Testing & Triage for sample takers : good positive feedback • HPV Testing & Triage Laboratory modules available for laboratories • To use go to : www.lrctc.org.uk website go to tab Learning Resources takes you to Moodle icon click on user registration link…………… • Apply on line, LRCTC register you within 48 hrs. (Monday–Friday 9am-5pm ) • You will be emailed written instructions on how to access e-learning and you are given a unique username and password.

35. Invasive cervical cancer audit reviews criteria • Post registration : Invasive cancer audit reviews • (a) Courses Professional qualification required: City & Guilds Diploma in Cervical Cytology or equivalent • (b) Length of time in post: Minimum of 3 yrs post registration and after attendance of at least one compulsory update course • (c) Relevance: Must be working in a Cytology laboratory, must be employed in the UK NHSCSP • Non-NHS only if contracted to NHS

36. Overview of the CPM process

37. Courses available on WEBSITE NOW – 2014 • Pre-registration - Two Introductory, Follow Up, Pre-exam, 12 Tuition days • Post qualification- Gynaecological updates ( seven scheduled this year) • Non-gynae Introductory courses-urine,respiratory,serous fluids – one of each • NHSCSP Diploma Assessors training course ( two per annum) • One day medics Update – two scheduled • Introductory course MLA’s – two scheduled • Foundation courses for smear takers (three per annum) • Update for smear takers (triennial) seven scheduled • One week non-gynae cytopathology for pathologists with optional mock exam (two per annum) • One three day gynaecological cytology for pathologists with optional mock exam • One week Introductory gynaecological cytology course (ST1 trainee pathologists) (two per annum) • E-learning modules • We actively support the following related activities Cervical Cytology EQA & TEQA,NHSCSP - Diploma exam.

38. National Cervical Cytology Education & Training Committee (NCCETC) February 2013 -clarification • Due to ongoing service and laboratory mergers, we are aware of an increase in the number of laboratories exploring the possibility of having mandatory update training delivered on site. • All mandatory training has to be delivered through an NHSCSP approved cytology training centre to ensure that standards are maintained and the quality of training preserved • This training has to be held in facilities which meet the assessment criteria for physical resources.

39. National Cervical Cytology Education & Training Committee (NCCETC) February 2013 -clarification • Mandatory training courses for non-medical laboratory staff must be delivered by an NHSCSP approved cytology training centre. • Mandatory training courses includes: • Post registration staff: 3 day/3 yearly updates • Advanced Specialist Diploma in Cervical Cytology • LBC conversion • Pre-registration staff: Introductory/Follow up/Pre-exam/Tuition days

40. National Cervical Cytology Education & Training Committee (NCCETC) February 2013 -clarification • Study days and workshops provided by non-NHSCSP approved training providers are an important part of CPD but do not count towards and individual’s mandatory update • Examples would include attending professional conferences • Attending one day master classes

42. Future of City & Guilds qualification • City & Guilds is unable to obtain the necessary funding or approvals to build a case to extend, amend or develop the Diploma beyond the expiry date. • The City & Guilds Level 3 Diploma in Cervical Cytology 3166-01 will expire on 31st December, 2013. • After that date no new learners can be registered for the award. • Learners who register between now and the end of this year, and those currently in the system, will have until 31st December, 2016 to complete the qualification and achieve certification.

43. Standardisation issues • Consistency of assessment judgements through standardisation activity is a key area for Centre development • Some standardisation exercises have been undertaken at regional assessor's meetings • Some of these exercises had highlighted discrepancies in interpretation of pass criteria or identified specific assessor training needs • Joint assessors single yearly meeting at a central location will be held to meet C&G CPD requirements for assessors. • Another C&G Master class is planned in Birmingham autumn 2014, I will circulate date when available • Cross marking standardisation audit for London – by email

44. A new dawn A new qualification has arrived ! • NHS Cervical Screening Programme: Diploma n Cervical Cytology Version 1 October 2014 • Similar to C&G portfolio in format • Totally revised now 10 units • Differences longer essays e.g. 2K words, • Unit 9 now called “Principles & practice of diagnosis and management of cervical disease” • Unit 10 HPV testing and adjunctive techniques in the UK Cervical Screening Programmes • Levels have also been adjusted as required • Final exam; now grade glandular abnormalities, possibly change in external exam less questions fuller answers ?? • New answer booklet • Basic syllabus similar but changes made in light of current practice

45. Assessors Standardisation marking exercise

46. Summary of responses • Planning Document: • • Very poor planning insufficient detail • • Not enough referencing • • Sign off dates incorrect • • No clear written feedback • • Little evidence of learning taking place • • No personalization, candidate not mentioned once • • No indication an actual meeting had taken place • • 21.4.12 No record of discussion of a referred piece of work • • No reference nor record of Task C ( paired images )

47. Assessors Standardisation marking exercise

48. Summary of responses • Task Ai: • • Absolute minimum for a PASS • • No evidence of learning taking place • • Trainee should be able to describe why they may five rise to false positives • • Learning outcomes not met • • Student should qualify the bullet points • • No dates recorded by learner or assessor • • Other entities mentioned • • No word count

49. Assessors Standardisation marking exercise

50. Summary of responses • Task Aii: • • Absolute minimum for a PASS • • I would have referred this as not enough information provided • • No other entities listed • • No evidence of learning outcomes being met • • Trainee should be able to describe why they may five rise to false negatives • • Other entities mentioned • • No dates recorded by learner or assessor • • No word count