1. Securing the Foundation Programme Stuart Carney Deputy National Director, UKFPO

2. Securing the Programme  The first 7 years  FP Curriculum 2012  FP e-portfolio  Shadowing  FP Reference Guide 2012

3. “Curriculum for Patient Safety”  National  Generic with a focus on acute care  Workplace-based assessments

4. Framework for delivery  Foundation schools  Foundation training programme directors and supervisors  UKFPO and national coordination

5. MMC MTAS Photograph by: Dominic J H Egré MSc MIEM - Institute of Emergency Management

6. Tooke Inquiry recommendations  Dismantle F1 and F2 to guarantee pre- registration jobs for UK graduates  Closer links with Medical Schools  Standardise assessments  “Provisionally Registered Doctors”

7. Evaluation: strengths  A credible generic two-year programme  National curriculum  Educational infrastructure and faculty  National system for entry  Exposure to a range of medical specialties  Vehicle for trainee assessment  Academic Foundation Programme  Quality Assurance

8. Evaluation: concerns  No generally accepted purpose of the FP  Confusion about the role of the trainee  Inadequate supervision  Inadequate transfer of information  Excessive assessment  Does not reflect future NHS needs  Inadequate careers advice  Lack of flexibility

9. FP: Agreed Purpose  Builds on undergraduate education  Provides generic training  Provides opportunities to develop leadership, team-working and supervisory skills  Provides variety of workplace experience to inform career choice  Prepare foundation doctors for specialty (including GP) training

10. FP Curriculum (2012)  Outcomes step up from F1 to F2  Focus on patients with long-term condition  Streamlined assessment  Supervised Learning Events

11. FP e-Portfolio 33.6% of foundation doctors reported that the learning portfolio helped them with their learning needs 79.1% said their supervisors made clear the competences needed for sign-off (Trainee Survey 2011)

12. Shadowing  England  Minimum of 4 days shadowing and induction  Wales  4 days shadowing and induction  Northern Ireland  Minimum of 2 days induction  Scotland  TBD

13. FP Reference Guide - principles  applies across the UK;  sets out what is required to deliver the FP Curriculum;  provides guidance for deanery/foundation school quality management; and  is aligned to the Gold Guide, where appropriate

14. FP Reference Guide - changes  Chapter 2: Guiding Principles  Purpose of the Foundation Programme  Chapter 4: Shape of the FP  Placement length  Flexibility  Chapters 5/6: Roles & Responsibilities  Educational and clinical supervisors  Chapter 7: QA, QM and QC  Aligned to GMC QIF

15. FP Reference Guide - changes  Chapter 8: Becoming a Foundation Doctor  Aligned to ISFP  Chapter 9:The Learning Environment  Aligned to FP Curriculum (2012)  Raising concerns about inappropriate tasks  Community experience  Chapters 10 and 11: Sign-off  ARCP  Remediation and appeals in F1

16. Foundation Programme ARCP  Locally organised under deanery guidance  FTPD/T should chair with 2 other panellists  Review e-portfolios together or separately  ARCP outcomes:  F1: 1, 3, 4 & 5  F2: 3, 4, 5, 6, & 8  F1 final appeal to University/Medical school

17. FP Reference Guide review  March - April: Draft available for comments  April – May: Final changes  May: GMC “health check”  May: Approval by four health departments  June: Publication