andrea taylor streamlining/induction passport project manager
TRANSCRIPT
Streamlining/ Induction Passport Project (SLIP)
Andrea TaylorStreamlining/Induction Passport Project Manager
A pilot project to:◦ identify the induction requirements of one
professional group (foundation doctors)◦ agree a standard for delivery ◦ develop a system for a transferable ‘passport’
What is the project about?
Reduced time for trust induction Less duplication of training Less confusion about what needs to be completed Reduces information overload Optimises educational relevance Provides evidence of completion
What would be the benefits for trainees?
Improves patient safety Standardises interpretation of statutory and mandatory
training Improves quality and consistency Allows for better compliance reporting (e.g. CQC,
NHSLA) Reduces operational costs
What would be the benefits to trusts?
Relevance Consistency Quality
Financial Benefits
Patient Safety
SLIP Steering group established in November 2014 Project Scoping (Sept – Dec 2014)
◦ Review of current induction arrangements and support for project
◦ Review national/regional developments Recommendations
What have we done so far?
Overview of delivery of induction for foundation doctors across HESL and HEKSS
What is covered in induction? How is induction delivered? What are the pros and cons of current induction? What are the benefits and constraints for an induction
passport?
Statutory and mandatory topics covered at induction
Equa
lity
and
Diver
sity
Fire
Safe
ty
Health
and
Saf
ety
Infe
ctio
n Con
trol/H
and
Hygie
ne
Info
rmat
ion
Gover
nanc
e
Movin
g an
d Han
dlin
g
Resus
cita
tion
Safe
guar
ding
Adu
lts
Safe
guar
ding
Chi
ldre
n0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Other clinical topics covered
Pres
crib
ing
Blood
Tra
nsfu
sion
Conse
ntVTE
Death
s
Risk M
anag
emen
t
Hospi
tal a
t Nig
ht
Demen
tia
Menta
l Hea
lth C
apac
ity A
ct
Nasog
astri
c Tu
bes
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
eLearning systems used
0
1
2
3
4
5
Series1
Delivery of clinical information and training Combination of online induction and shadowing for
FY1 Well organised events Opportunities to meet staff face-to-face E-learning modules completed prior to induction Welcomes – eg CEO/DME
Strength of Trust induction
Time to deliver induction Long e-learning packages Lack of clarity of who is starting and therefore needs
induction Too much time spent on corporate induction - less on
local induction
Constraints of Trust induction
Possible strength and constraints of induction passport
Reduced time for induction
31%
Eliminates duplication of induction
content31%
More time for trust specific topics/hands on training
19%
Would be wel-comed by doc-tors and train-
ers6%
More time for FY1 Shadow-
ing6%
More time for de-partmental induction
3%
Saves Money3%
Difference in local stan-
dards/requirements
52%
Link to ESR/OLM
13%
Costs13%
None9%
Responsibil-ity for ad-
ministration of passport
9%
IT requirement for Trusts
4%
Strength Constraints
Better understanding of induction provided by lead employer
Access to information about completion rates Opportunity to inform clinical aspects Opportunity to review local induction More seamless rotation
Affiliated Mental Health Trusts
Induction for medical students at placements Support transition from medical school to foundation
training
Medical Schools
National Developments - Streamlining
National Developments – Passports
North Western Deanery Yorkshire and Humber South East Scotland (SES) VIP induction passport West Midland - DITOGI East Midlands KSS Statutory and Mandatory (SaM) passport Thames Valley
1. Adopt the Skills for Health Core Skills Framework – statutory and mandatory
2. Develop, agree, implement standardised minimum clinical induction content
3. Develop/or adopt an induction delivery/induction record system
4. Promote Dr Toolbox
Recommendations
What are we hoping for
Start workplace training
Shadowing
Trust Induction
Local Induction
Start workplace trainingFY1 FY2
Local Induction
Trust Induction
Start workplace training
Trust Induction
Local Induction
FY1 FY2Start workplace training
Shadowing
Trust Induction
Local Induction
What are we hoping for
Start workplace training
Local Induction
FY1 FY2Start workplace training
Shadowing
Local Induction
Trust Induction
Trust Induction
Hospital TrainingMedicalStudent
Trust Induction
Local Induction
Adopt the Skills for Health Core Skills Framework (CSF) across the region Obtain agreement from DMEs (Feb 2015) Align all current trust programmes (Feb-Jul 2015) Obtain agreement refresher periods (Feb – Jul 2015) Agree systems of certification of completion (Jun 2015) Roll out the CFS across the region (Aug 2015)
Project Phase 1
STFS providing administrative support for Dr Toolbox
Liaison/support for Dr Toolbox champions Admin support for website Recruitment/ support local site editors Promotional activities
Dr Toolbox