Reconfiguration of NHS Services: An Opportunity for Improvement in Postgraduate Medical Education Liz Holt Educational Lead For Obstetrics and Gynaecology Royal Bolton Hospital and Salford Royal Hospital

Back ground to the reconfiguration Formation of a new Local Education Provider consisting of two separate Trusts Structure of Educational Governance within the LEP

Greater Manchester Maternity Units Pre Reconfiguration 12 Units NMGH UHSM

Post Reconfiguration: MIB Nov 2011 NMGH UHSM

Bolton 4500 increases to deliveries Full acute and elective gynaecology service Satellite ANCs in Salford PREPOST Consultants815 NCG middle grades47 O&G ST’s916 GP ST’s66 FY doctors22

Salford Full acute and elective gynaecological service Regional gynaecological cancer centre Tertiary level urogynaecology PREPost Consultants9.5 NCG junior grade03 O&G ST’s72-3 (daytime) GP trainees33 FY doctors22

O&G Speciality Trainees 16 ST (year 1-7) based at Bolton 24 hour 2 middle grade on call rota at Bolton 2-3 Trainees attend Salford for specialist gynaecology training – day time only

GP Speciality Trainees 2 separate GP training schemes 7 based at Bolton, 3 based at Salford Salford GP trainees spend 4 week blocks at Bolton to receive obstetric training Plans for Bolton GP trainees to attend specialist gynaecology oncology clinics at Salford

Foundation Doctors 2 FY doctors at Bolton, 2 FY doctors at Salford At present no training to be offered between sites Agreement for Salford FY doctors to sit in at Bolton satellite ANC held in Salford

LEP Educational Lead Liz Holt Obstetrics & Gynaecology Associate Specialty Tutors (Bolton and Salford ) Bolton (P Chia) Salford (J Wolfe) Board of Educational Supervisors (Bolton and Salford)) O&G School Board DMEs Midwifery Education Lead Clinical Supervisors Multidisciplinary Education Team Trainees Structure for Educational Governance

Summary LEP consisting of two Foundation Trusts formed in Nov 2011 Cooperation to maximise access to training opportunities Educational Governance structure Dynamic and adaptive towards the future

With Thanks to: Andy Watson Head of School for Obstetrics and Gynaecology North Western Deanery Network Board for Maternity Services Greater Manchester