Website Content Under Review

Please note ahead of the move of the content of this website to a new platform the current information is under review. If you cannot find what you are looking for please visit the FAQ support pages on the Support Portal:
https://lasepgmdesupport.hee.nhs.uk/support/home or telephone: 020 7866 3216

Important Information for Trainees

As you may be aware in recent months the Health Education England teams managing London and Kent Surrey and Sussex have undergone a period of integration and now work under one office managing London and South East (LaSE)

 As part of the integration we have been identifying ways in which to improve both the way that we interact with our trainees and ways to offer more effective customer service levels.

Designated Body/Responsible Officer

The GMC have started contacting FY2 trainees who have recently been given full GMC registration following successful completion of their FY1.

For South Thames Foundation School trainees the Responsible Officer is Alec (Graeme) Dewhurst. Please note this is regardless of whether you/the trainee is employed in a London NHS Trust or in a Kent, Surrey and Sussex NHS Trust.

Programme Fair

Thank you for attending our Programme Fair on Friday 16th March 2018 - if you missed any of the presentations or could not attend, we have uploaded this information to view at the top of the page.

If you have any questions about the programme fair, e-mail FPFair.lase@hee.nhs.uk - Please do visit our feedback page, your comments are important to us.

Otolaryngology (ENT) Run Through Pilot

The recruitment process for the first year of the otolaryngology run through pilot programme commences in the next few days. Recruitment will be via the National Core Surgical Training Application Process.  Applications commence at 10am on Wednesday 8th November and will close at 4pm on Thursday 30th November 2017. Candidates who wish to join the pilot in 2018 must apply in this recruitment ‘window’.

 The posts themselves will be included in the preferencing process for candidates which will take place initially in January 2018. 

London and South East (LaSE) Academic Foundation Programme Recruitment

London and South East (LaSE) Academic Foundation Programme Recruitment August 2019

For enquiries please visit: 

https://www.lpmde.ac.uk/laserecruitment/medical-foundation-recruitment/academic-foundation

1.  Introduction

HEE welcomes views on your experience with our training and recruitment websites

Here at Health Education England, we're trying to gain insights from our website users about what you experience when using any of our websites, with a special focus on those websites around training and recruitment. To help us with that, we would be grateful if you could complete our ten-minute survey.

We understand that your experience of our websites is varied and we are actively working on bringing about change that makes it easier for you to access the information you need and to complete tasks as efficiently as possible.

Safe Prescribing - Information for Foundation Faculty

DownloadsSize
Assessing prescribing skills on induction for foundation doctors 2015452.08 KB
STFS SCRIPT User Guide 2016.pdf316.79 KB
STFS SCRIPT User Guide 2015886.32 KB
SCRIPT V3 Admin Access for Managers v1 2015383.13 KB
SCRIPT Modules 2017.pdf186.86 KB
SCRIPT Implementation Second Year Update1.17 MB
Remediation letter for failed PSA.pdf55.29 KB

Safe Prescribing - Information for Trust

  1. Foundation Doctor Prescribing Assessment

    Over the past few years many NHS trusts have introduced prescribing assessments for trainee doctors, partly because of concerns raised by several studies, including the EQUIP study1 which found a 9% error rate in 125,000 prescriptions written by foundation trainees. Additionally, organisations such as the Care Quality Commission2 set requirements so that trusts could be assured that staff handling medicines had the competency and skills needed to do so safely.

    The Prescribing Safety Assessment

    From 2016 all Foundation Doctors are required to pass the Prescribing Safety Assessment (PSA) by the end of their first year of training. Trainees who successfully completed it at medical school will not be required to repeat it (unless it was passed more that 2 years before the start of foundation training).

    Trainees who have passed the PSA will still be required to undertake a practical prescribing assessment on induction, as this tests the application of prescribing using local drug charts and prescribing systems.

    Information on the PSA in foundation can be found on the UKFPO website.

    More information on the practical prescribing assessment can be found on the Safe Prescribing – Information for Foundation Doctors page.

    Standard Computerised Revalidation Instrument for Prescribing and Therapeutics (SCRIPT)

    SCRIPT is an innovative e-Learning programme that provides trainees with a series of modules to explore prescribing and therapeutics. SCRIPT is an easily accessible web based programme comprising  over 40  modules, divided into 7 units covering competencies defined by the GMC and those required within the Foundation curriculum. The modules contain interactive videos, graphics and exercises. Each module is expected to take 30-90 minutes to complete.

    The SCRIPT implementation guide for 2015, STFS SCRIPT User Guide  2016 and SCRIPT V3 Admin Access for Managers v1 2015 can be downloaded from the right hand side of the page.

    Trusts are required to decide which modules to mandate for trainees in both year one and year two of the foundation programme. To help trusts they should refer to the SCRIPT Implementation Second Year Update v2 available on the right hand side of the page.

    A SCRIPT list of modules  2017 is also available for use by administrators and trainees.

    References

    1. Dornan et al. 2009. An in depth investigation into causes of prescribing errors by foundation trainees in relation to their medical education. EQUIP study. Available online at www.gmc-uk.org 
    2. Care Quality Comission Essential standards of quality and safety Outcome 9B Management of Medicines http://www.cqc.org.uk/sites/default/files/media/documents/essential_standards_of_quality_and_safety_march_2010_final_0.pdf

     

Safe Prescribing - Information for Foundation Doctors

DownloadsSize
2018 BNF Familiarisation Answers.pdf526.28 KB
2018 BNF Familiarisation Questions.pdf515.51 KB
2018 Trust Prescribing Assessment Plans.pdf406.99 KB
Remediation letter for failed PSA.pdf55.29 KB

Introduction

Prescribing is one of the most common medical interventions with 500, 000 prescriptions being prescribed in UK hospitals every day, many of which are by foundation year 1 doctors. However it is widely recognised that prescribing errors are commonly made, particularly by new medical graduates. The incidence of this is reported in the EQUIP study which found that of 50,016 orders written by this group of trainees, there was an error rate of 8.4%, with 5.25% being classed as serious and 1.89% as potentially lethal.

The 2008 Health and Social Care Act includes the regulation that in order to protect patients against the risks associated with the unsafe use and management of medicines, there should be appropriate arrangements for each of the processes involved. In order to meet the regulations, it is necessary for NHS Trusts to be able to demonstrate that employees have the appropriate skills and competencies, including being able to prescribe safely and effectively.

Supporting Foundation Doctors Develop Their Prescribing Skills 

STFS trainees will be supported to develop their prescribing within foundation year in a variety of ways including: 

  • Prescribing assessment
  • SCRIPT
  • Local prescribing training
  • BNF Application

Foundation Doctors Prescribing Assessment (DPA)

The Foundation Doctors Prescribing Assessment was designed with 2 purposes:

  1. To ensure that newly employed foundation doctors are competent to prescribe safely using local drug charts / systems and local guidelines / resources
  2. To identify any additional training and support required to enhance prescribing skills.

Doctors are required to undertake the assessment in those trusts that participate, even if they have passed the Prescribing Safety Assessment. This is because the local Doctors Prescribing Assessment (DPA) tests a trainee’s ability to practically prescribe using local resources such as charts and guidelines, under time pressured conditions (similar to the ward) but in a safe environment – as no patients are involved. The assessment is marked and trainees are given feedback. Trainees can be given “serious errors” mark if they prescribe a medicines in a way that would lead to a Datix/ incident report in practice. In these cases further education may be mandated or further support. The assessment is intended to be supportive, as outlined in the comments from past trainees:

“very useful - highlighted key gaps in knowledge, drug chart is very different to one trained with.”

“useful to practice using the drug charts under pressurised conditions. Less time allowance may have made it more like on the wards-helpful thank you.”

“really useful to do this assessment - good to practice and see what we are likely to need to be prescribing regularly and what we need to go away and revise.”

“really useful to have this assessment to practice prescribing as drug chart very different to what I have been used to in medical school”

The assessment it 1 hour and 15 minutes long, and contains 5 scenarios. Please note the use of phones within the assessment is permitted to allow you to access the BNF and a calculator. Trainees are expected to come to the assessment with a fully charged phone and with the BNF app fully downloaded.

Details regarding the practical written assessment for incoming F1’s can be found in the 2018 Trust Prescribing Assessment Plans (available to download from the right-hand side of this page). This document outlines each trusts plan for training and assessing incoming F1s.

If you were granted additional time for examinations at university due to having additional educational needs, please contact the trust lead. Contact details are on the 2018 Trust Prescribing Assessment Plans.

Trainees can be involved in reviewing the assessment by attending the Prescribing Assessment Group - if you are interested please contact your local trust prescribing lead.  New attached document

SCRIPT

SCRIPT is an innovative e-Learning programme that provides trainees with a series of modules to explore prescribing and therapeutics. SCRIPT is an easily accessible web based programme comprising of over 40 modules, divided into 7 units covering competencies defined by the GMC and those required within the Foundation curriculum. The modules contain interactive videos, graphics and exercises. Each module is expected to take 30-90 minutes to complete.

Each foundation doctor is expected to complete 6 modules a year. You can access the South Thames Foundation School clone of SCRIPT here: https://kss3.safeprescriber.org/login

SCRIPT Mandated Modules

The SCRIPT eLearning is fully integrated in the STFS programme.   In both F1 and F2, you are required to complete a minimum of 6 mandatory modules per year. Each trust mandate modules for trainees to undertake based on the areas of high risk and incidents often raised. Please refer to local medical education centre for further details complete modules gradually over the year.

Medical education departments will monitor whether SCRIPT modules are being completed and that you are not completing modules in a hurry prior to review meetings.

SCRIPT module pre/post-test score

The pre/post-test is intended to help you determine your baseline knowledge on the module subject, and be a measure of knowledge acquisition.  It also adds an element of interactivity. The questions have not been reviewed by an examination board.  

Within the STFS SCRIPT site the post-test pass mark has been set at 70%. If a trainee fails to achieve 70% they will need to repeat the module. At the home screen the module will have a triangle with an examination mark symbol, if you click on this; it will allow you to retake the module.

More information can be found in the National Foundation SCRIPT guide found on the SCRIPT website: https://www.safeprescriber.org/wp-content/uploads/2017/08/script-guide-foundation.pdf

Local prescribing training

In addition to SCRIPT trusts may offer prescribing training as part of the teaching schedule. These sessions will be tailored to the training requirements of the trust and will include local policies and guidelines that must be followed.

BNF Application

All trainees undertaking the prescribing assessment are required to have access to the BNF application.

For trainees who have never used an BNF app or are unfamiliar with the BNF website the prescribing assessment group have created BNF Familiarisation Questions (available to download from the right-hand side of this page) for trainees to work through at their own pace, the answers are provided in the document BNF Familiarisation Question Answers 

Contact us

For further information on the Prescribing assessment and other safe prescribing initiatives, contact Katie Reygate STFS Prescribing Lead via email Katie.reygate@hee.nhs.uk

The Prescribing Safety Assessment

From 2016 all Foundation Doctors are required to successfully pass the Prescribing Safety Assessment (PSA) by the end of their first year of training. Trainees who successfully completed it at medical school will not be required to repeat it (unless it was passed more than 2 years before the start of foundation training).

Trainees who have passed the PSA will still be required to undertake the Foundation Doctors Prescribing Assessment on induction, as this tests the application of prescribing using local drug charts and prescribing systems.

Information on the PSA in foundation can be found on the UKFPO website.

Contact Details

LessonsLearnt@kss.hee.nhs.uk               

Please contact us with any queries or questions about the Lessons Learnt pilot

Please contact trust administrators for details or questions about Lessons Learnt teaching sessions.

 

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