1. Quality Monitoring Progression and Multi-Source Feedback
Lee McMullen, Andrew Davie, Melissa Leitch
Healthcare Science Specialty Leads

2. Progress to date JULY OCT Sept MAY 2015 2016 Appointment of
Dec - present
2015/
2017
MAY
Sept
2016
Appointment of
Specialty Leads/ Dev Self-Assessment
Self Assessments sent to departments
SA’s reviewed by Specialty Leads/ dialogue with departments/ Certificates of completion
STP Accreditation Visits
- Genetics/Embryo/Biochem/Haem/Micro (2016)
- Physics/Physiology (Feb/Mar 2017)
Postgrad Community Review Visits (Non-STP)

3. NES Training Programme Management System
Intake Year
Completion Year
Supervisor
Employer
Department
Name
Division
HCS
Specialty
NTN
Funding
Status
Theme

4. Implementation of TURAS database
 TURAS Training Programme Management (TPM) 

5. TURAS – Charting the Trainee’s journey

6. Next logical step: training progression monitoring
 Governance: 
Training must be quality managed on ongoing basis, monitored, reviewed, evaluated and improved.  Training concerns – special measures
 Critical for success: 
Monitoring training progression  proves that the training is ‘actually working!’
 HCS is IMPORTANT: 
HCS postgraduate community is too important not to be monitored! 
    

7. How do other communities monitor training progression?
Annual Review of Competence Progression (ARCP)
 GP training reviewed at least once a year: ensures satisfactory progression.
 ARCP panel: Review carried out at the Annual Review of 
Competence Progression panel.
 Panel:  3 members including a lay member.
 Panel makes a decision as to whether the trainee is achieving 
progress at the expected level.     

8. Within Healthcare Science
 Already happening in some areas: 
E.g. Medical Physics/Clin Eng mid point review 
Portfolio produced by trainee
Discussion with panel
Not examination, QM check
Limited reach
Extend likewise approach to all disciplines to standardise
 STP Trainees
Progression monitored through OLAT 
 PG Bursary applicants
 31 bursaries will be issued this year but no check at all
    

9. What NES would like to do next
 Introduce annual review
Documentation
Review outcome
Liase with dept/trainee if required
MSF/360 degree appraisal (Doc 50)
Questionnaire filled out by trainee and also sent outt o 'rators‘   
Inter disciplinary approach
Allows trainee insight into strengths/weaknesses
    

10. Annual review I Aim Process (Doc 20, Doc 21)
Will apply to all holders of NTNs
Process (Doc 20, Doc 21)
Annual Review completed by supervisor to evaluate quality of training
NES may observe a sample of these to audit
Separate document completed by trainee, which is confidential
Speciality Lead will set date for return of forms and record outcome in TURAS database
This will provide evidence for our new auditors

11. Standardising HCS progress monitoring - documentation

12. Annual review II Outcome May be rated as 'Poor' 'Acceptable' or 'Good'
If poor, then may be appropriate to trigger NES special measures principle in order to resolve any issues
If trainee confidentially raises a concern, it may be appropriate for NES Speciality Lead to assist in resolution .

13. Annual Review - Discussion
Does the group think this is a good idea? 
Is an annual review viable? 
Who is best placed to carry out the assessments? 
How can information be collated? 
How do we proceed if any issues are raised (particularly by trainee)? (Doc 21) .

14. MSF I
Questionnaire based tool used to collect colleagues opinions on trainee performance and professional behaviour
Provides data for evaluation and reflection (Doc 50)
Multi-disciplinary approach
Currently not mandatory but used for those in STP scheme
Can we replicate for others?
If so, what areas should feedback cover? .

15. MSF Discussion
What is your experience of MSF? Is it a useful/necessary tool?
Has anyone used MSF within OLAT?
What areas should be covered?
Should ‘unable to answer’ option be included?
Should there be a question on health and wellbeing? .

16. NES Trainee handbook I
Describes training process and responsibilities of individuals involved (Doc 30)
Produced for all in the HCS community
Clinical Scientist STP trainees
Clinical Scientist non-STP trainees
Independent equivalence candidates
Bursary supported PGs
Outlines role of NES in supporting training
Commission training
Provide CPD opportunities
Programme management and Quality Monitoring .

17. NES Trainee handbook II
Introduces trainees to
NTNs and TURAS
NES short courses and additional learning via NES portal and NES Knowledge Network
NES Special Measures Principle for trainees in difficulty
Speciality Leads for advice and support
Details on Progression Monitoring as discussed
Also provides links to 
Regulatory and professional bodies and other key agencies
Information on NHS HCS careers .

18. Any suggestions or questions?
. Thanks for listening!
Any suggestions or questions?