Patrick Mitchell Director National Programmes – Medical Education

1. Patrick MitchellDirector National Programmes – Medical Education Better TrainingBetter Care

2. BTBC • Aims to improve the quality of training and learning for • the benefit of patient care • Commissioned by DH Ministers with SoS approval • Professor Sir John Temple: Time for Training • Professor John Collins: Foundation for Excellence • Similar findings from other reports: Wilson, PMETB survey, Lord Patel review, QAFP reports • Medical Education England, now HEE, is taking forward the work with the establishment of the National Taskforce

3. Two aspects of the programme • Identification, piloting, evaluation and dissemination of good education and training practice • Improvements to curricula and the underpinning education and training frameworks

4. Time for Training • Sir John Temple’s Time for Training called for better use of the expanded consultant workforce, not only to ensure improved training for junior doctors but also in terms both of efficiency savings for the service, as well as enhanced safety and higher quality care for patients.

5. Foundation for Excellence • Evaluated the Foundation Programme in the context of the needs of patients and trainees and the changing healthcare environment. • Identified Trusts that were doing well, having changed practices to cope with reduced working hours. • Highlighted concerns that in some cases some of the junior trainees are asked to practice beyond their level of competence and without appropriate or adequate supervision.

6. BTBC = Bringing different bodies together in joined up thinking to deliver national positive change to the way medical education and training is delivered, directly effecting patient care and safety. Cohesive small changes = large improvements

7. Professional and clinical leadership AoMRC CQC BMA GDC GMC Deans NHS Employers Royal Colleges FTN Trainee groups

8. Our workstreams • Local implementation and pilots • Role of the trainee • Role of trainers • Workforce planning • Improving careers guidance and availability • Integrated technology enhanced learning • Harmonising and improving training • Regulatory approach to supporting Better Training Better Care • Funding and education quality metrics

9. 1. Our pilots • 16 Trusts piloting 16 projects • Sustainable and adoptable • Improve training and education • Improve patient care • Meet recommendations from Temple and Collins

10. Pilot success - Southern • East Kent Hospitals University NHS Foundation Trust Introducing emergency ‘hot’ and ward-based ‘cold’ teams to improve training and supervision out of hours and on weekends. • North Bristol NHS Trust • Video-recording trainee consultations to use as a training tool in the outpatients department. • Royal Berkshire NHS Foundation Trust • ‘Making Every Moment Count’ by embedding quality improvement as normal practice and using every learning opportunity.

11. Pilot success – Northern • The Pennine Acute Hospitals NHS Trust • Using innovations in technology for improved handover and better training and education in emergency medicine • Tees, Esk and Wear Valleys NHS Foundation Trust • Putting supervision in the spotlight and supporting training opportunities with ‘on the job’ training and education across the multi-disciplinary team • Airedale NHS Foundation Trust and Western Sussex Hospitals NHS Trust • Working together using telemedicine to overcome geographical barriers and transform education and learning

12. Next steps • Working on adoptability plans • Looking for trusts to adopt successful projects • Holding events for trusts to share knowledge • Implement pilot projects across England

13. 6. Integrated technology enhanced learning • Framework for Technology Enhanced Learning (TEL). • Now seeking to develop simulation standards for simulation providers. • Showcase TEL and simulation that supports medical education at an event in late 2012.

14. 7. Harmonisation and improving foundation training • Largest project with 17 recommendations from Collins • Three main components: • Curriculum Development • Improving Selection into the Foundation Programme • Harmonisation and Improved Delivery • Project focus now shifting into third phase “Harmonisation and Improved Delivery” which aims to meet recommendations for more trainees to undertake broader based training including community based and community facing placements. • Harmonisation Task & Finish Group • Better Training sub-group • Better Care sub-group • Key stakeholders engaged from across the education and provider landscapes

15. Benefit to patients • Improved quality of care, clinical outcomes, and patient experience through improved supervision and training and better systems of care • Greater consultant involvement in the delivery, and supervision of care • Improved and more immediate support of trainees

16. Benefit to providers • Maximise return on training investment • Trainees work better across different settings and ensure continuity along care pathways • Training more responsive to needs of service • Improved quality of care and patient safety • Improved patient satisfaction • More efficient use of resources

17. Benefit to trainees • Improved and more accessible supervision • Improved learning, mentoring and support • Opportunities for technology enhanced learning • Less stress and greater job satisfaction

18. Benefit to consultants • Mentoring and support for newly-appointed consultants • Recognition of education and training in job plans • Framework for the training, accreditation and re-accreditation of trainers • Improved clinical outcomes and patient satisfaction

19. Patrick MitchellDirector National Programmes – Medical Education Questions