1. MCAN Update Day – 30/06/11 The changing context for medical careers advice and guidance Joan Reid Head of Careers KSS Deanery Heather Samuel Careers Adviser Severn Deanery

2. MCAN Update Day – 30/06/11 What this session will cover Changes to NHS and life post-deaneriesChanges to NHS and life post-deaneries Collins (2010) report on the foundation programmeCollins (2010) report on the foundation programme Group discussion – Heather to leadGroup discussion – Heather to lead Acknowledgement: UKFPO – slides from their website on the Collins report and a presentation given by Prof Gallen to an STFS eventAcknowledgement: UKFPO – slides from their website on the Collins report and a presentation given by Prof Gallen to an STFS event

3. MCAN Update Day – 30/06/11 NHS modernisation proposals NHS white paper published in July 2010 followed by a consultation exerciseNHS white paper published in July 2010 followed by a consultation exercise Legislative framework and next steps – December 2010Legislative framework and next steps – December 2010 Key areas – healthcare commissioning and education and trainingKey areas – healthcare commissioning and education and training NHS Future Forum set up – led by Prof FieldNHS Future Forum set up – led by Prof Field

4. MCAN Update Day – 30/06/11 NHS Future Forum Independent group set up to “pause, listen and reflect on Health and Social Care billIndependent group set up to “pause, listen and reflect on Health and Social Care bill 4 core themes of exercise – choice and competition, public accountability and patient involvement, clinical advice and leadership and education and training4 core themes of exercise – choice and competition, public accountability and patient involvement, clinical advice and leadership and education and training Recommendations published June 2011Recommendations published June 2011 Principles underpinning bill supported – devolving control to clinicians, giving patients real choices and control and focusing on outcomesPrinciples underpinning bill supported – devolving control to clinicians, giving patients real choices and control and focusing on outcomes

5. MCAN Update Day – 30/06/11 Government Response Recommit to the Health and Social Care BillRecommit to the Health and Social Care Bill 4 work stream themes – overall NHS accountability, clinical commissioning, public accountability and patient involvement and choice and competition4 work stream themes – overall NHS accountability, clinical commissioning, public accountability and patient involvement and choice and competition What about education and training?What about education and training?

6. MCAN Update Day – 30/06/11 Education and training Further details in the autumnFurther details in the autumn Safe and robust transition for education and training systemSafe and robust transition for education and training system During the transition deaneries will oversee the training and education of doctors and dentistsDuring the transition deaneries will oversee the training and education of doctors and dentists Deaneries – will give them a clear home in the NHS familyDeaneries – will give them a clear home in the NHS family

7. MCAN Update Day – 30/06/11 Collins 2010 report on the FP - TOR Does the foundation programme meet its original purpose?Does the foundation programme meet its original purpose? Current priorities for the early years of postgraduate medical educationCurrent priorities for the early years of postgraduate medical education Whether the foundation programme meets the strategic direction of the NHS?Whether the foundation programme meets the strategic direction of the NHS?

8. MCAN Update Day – 30/06/11 Collins 2010 report – findings/strengths Credible generic 2 year programmeCredible generic 2 year programme National curriculumNational curriculum Educational infrastructure and facultyEducational infrastructure and faculty National system for entryNational system for entry Exposure to a range of medical specialitiesExposure to a range of medical specialities Vehicle for trainee assessmentVehicle for trainee assessment Academic foundation programmeAcademic foundation programme QAFPQAFP

9. MCAN Update Day – 30/06/11 Collins 2010 report – findings/concerns No generally accepted purpose of the FPNo generally accepted purpose of the FP Confusion about the role of the traineeConfusion about the role of the trainee Inadequate supervisionInadequate supervision Inadequate transfer of informationInadequate transfer of information Excessive assessmentExcessive assessment Inadequate careers adviceInadequate careers advice Lack of flexibilityLack of flexibility Does not reflect future NHS needsDoes not reflect future NHS needs

10. MCAN Update Day – 30/06/11 Collins 2010 report – future needs Ageing populationAgeing population Care in community settingsCare in community settings Broad based beginningsBroad based beginnings

11. MCAN Update Day – 30/06/11 Collins 2010 report – recommendations Curriculum e.g. clear outcomes for F2Curriculum e.g. clear outcomes for F2 Delivery e.g. should remain a 2 year programmeDelivery e.g. should remain a 2 year programme Supervision e.g. trainees must not practise beyond level of competence or without supervisionSupervision e.g. trainees must not practise beyond level of competence or without supervision Balance – e.g. improve the balance between service and trainingBalance – e.g. improve the balance between service and training Harmonisation e.g. collaboration on careers advice and guidanceHarmonisation e.g. collaboration on careers advice and guidance

12. MCAN Update Day – 30/06/11 UKFPO presentation to STFS Financial – increasing medical school numbers, increasing competition for places and drop-out rate post foundationFinancial – increasing medical school numbers, increasing competition for places and drop-out rate post foundation Practical – e.g. increase tastersPractical – e.g. increase tasters Harmonisation – e.g. real opportunity to improve F1 experience and better understanding of the role of a doctor in a hospitalHarmonisation – e.g. real opportunity to improve F1 experience and better understanding of the role of a doctor in a hospital Need to engage undergraduate Deans in what happens after registrationNeed to engage undergraduate Deans in what happens after registration

13. MCAN Update Day – 30/06/11 Group discussion It is likely there will be a shortage of foundation programme places for medical students: how do we prepare students?It is likely there will be a shortage of foundation programme places for medical students: how do we prepare students? What are the common issues for foundation doctors who are “in difficulty”?What are the common issues for foundation doctors who are “in difficulty”? What are possible alternative careers for those with a medical degree?What are possible alternative careers for those with a medical degree?

14. MCAN Update Day – 30/06/11 Any questions?