1. School of Paediatrics Day - 2019

2. School of Paediatrics Day - 2019
Welcome
10th School of Paediatrics Day / 4th PAFTAs
Bigger and better
Aims:
Celebrate success over the last year
Be informative and update
Inspire colleagues to greater achievements
Excellent programme

4. Improving prescribing
National initiatives
RCPCH e-learning often suggested post START
SCRIPT “Standardised Computerized Revalidation Instrument for Prescribing and Therapeutics”

5. Improving prescribing
Safe prescribing is a patient safety issue
High priority in training
Assessed during recruitment
Assessed during START and often an area for development
Subject to frequent local audit - 20% errors
Many local initiatives – inductions, workbooks
Impact electronic prescribing

7. Improving ARCP outcomes
Annual review competency progression
Informs GMC revalidation process
Requires organization and preparation
Deanery assessment team
Trainee providing evidence in RCPCH Portfolio
Educational and clinical supervisors
ARCP panels

8. Improving ARCP outcomes
Evidence provided to the ARCP panel in portfolio on the day
Sell yourself – we want you to succeed
Take time to prepare
Dates notified 6w in advance as per Gold Guide
Cannot be last minute
F2F v Electronic assessment

9. Improving ARCP outcomes
Experienced panels
TPDs, tutors and supervisors
lay and external representation provide feedback
F2F v Electronic assessment currently 50:50
If unsatisfactory outcome must be F2F
Preparation per ARCP at least 30minutes + panel
Outcomes reviewed by Deanery, GMC and RCPCH

10. Improving ARCP outcomes
Challenges !
Changing curriculum - Progress
Changing portfolio – Kaizen RCPCH

11. Deanery report August 2017 - 2018
Aug Aug 2018
410 assessments
outcome 1
245 (64%)
outcome 2
4 (1%)
outcome 3
26 (7%)
outcome 4
5 (1%)
outcome 5
62 (16%)
outcome 6
23 (6%)
outcome 8
18 (2%)
not assessed
27 (6%)
Satisfactory Outcomes
290 (76%)

12. Deanery report August 2017 - 2018
Outcome 5 conversions.
 62
5 to 1
47 (76%)
5 to 2
2 (3%)
5 to 3
5 (8%)
5 to 4
5 or 6
3 (5%)
5 to 8
5 to NA
Satisfactory ( )
55 (89%)

13. Final Deanery report August 2017 - 2018
Paeds Aug Aug 2018
outcome 1
292 (77%)
outcome 2
6 (2%)
outcome 3
31 (8%)
outcome 4
5 (1%)
outcome 5
outcome 6
26(7%)
outcome 8
21(6%)
not assessed
29(7%)
Satisfactory Outcomes
345 (91%)

14. Final Deanery report August 2017 - 2018
Discussed at HEE EOE quality meeting
Reduction unsatisfactory outcome 5s
25% in to 16% in
Education – trainees and supervisors
Understanding curriculum requirements
Feedback Paediatric Panels well conducted
Delay in conversion outcome 5s by TPDs / HoS

15. ARCP- assessment requirements

16. ARCP – additional requirements

17. Deanery report August 2017 - 2018
Overview of Outcome 5 reasons:
Missing CSAC form, missing CSR, missing safeguarding, missing ESR from previous posts, no leader CBD, no HAT, incomplete form R, waiting for exam results - trainees brought back in July for Deans panel, no academic report

18. Improving ARCP outcomes
Educational supervision
Training and feedback to supervisors
Role of ES and CS
Evidence

19. Improving ARCP outcomes
What should be our goal for ?
Improving quality – Shazia Hoodbhoy
Better training
Trainee lead forms
Better completion SLE / WPBA
Better completion ESTR / CSTR
Sooooooooooo …………..

20. Improving ARCP outcomes- 2019
Paeds Feb panels 41
outcome 1
18 (44%)
outcome 2
3 (7%)
outcome 3
outcome 4
outcome 5
11 (27%)
outcome 6
9 (22%)
outcome 8
not assessed 2
Satisfactory Outcomes 1+2+6
30 (73%)

21. Deanery report February 2019
Overview of Outcome 5 reasons:
Missing CSRs, Missing ESTR , missing safeguarding CBD, insufficient DOCs, insufficient evidence of START remediation / development

22. Improving ARCP outcomes - 2019
Introduction 2019 ARCP folder in documents folder
Trainee lead ESTR forms properly completed
ESTR to properly complete CS section if relevant
CSTR and ESTR for stand alone 6m posts
Develop START specific PDP
We can achieve 10% target for outcome 5s
Lets do it - work still to do !!