1. Dr Ian R. Hastie Dean of Postgraduate Medicine Foundation Training, the London Picture

2. Foundation Training in London North of the River –NE Thames Foundation School Managed by London –NC Thames Foundation School Managed by London –NW Thames Foundation School Managed by London Quality manage posts and trainees within North London South of the River –South Thames Foundation School Managed by KSS London QM posts KSS QM trainees

3. QAFP

4. Medical and Dental Education Commissioning System (MDECS) London Deanery Commissioning NHS London Medical and Dental Commissioner Providing Lead Providers (LPs). Local Education Providers (LEPs)

5. REGULATORS/ STANDARD SETTERS Department of Health PMETB, GMC, GDC, SDEB, ROYAL COLLEGES, WORLD CLASS COMMISSIONING ASSURANCE National strategy & funding Medical Education England Strategic advice NHS London Medical & Dental Education Commissioner Commissions medical & dental education for London Lead Providers Manage the provision of high quality education within clearly specified commissions Shared Services Manages the administrative functions most appropriately shared eg recruitment Local Education Providers Provide high quality education working with a lead provider Activity currently carried out by London Deanery

6. Different specialty bundles will be put forward for Lead Providers over the next three years

7. Foundation probably going in April 2011

8. Thank You