NHS Education for Scotland MENTAL HEALTH STB Minutes of the meeting held on 14 February 2014 at 10.30am in Room 5, 2CQ, Glasgow Present: Susan Miller (SM) Chair, Anita Ganai (AG), Kathy Leighton (KL), Robin McGilp (RMcG), Norman Nuttall (NN), John Russell (JR), Chris Sheridan (CS) Videoconference: Aberdeen – Gillian Needham (GN) and Dick Athawes (DA), Edinburgh – Rhiannon Puig (RP) and John Crichton (JCr) Apologies: Roger Blake (RB), Margaret Bremner (MB), David Brown (DB), Tom Brown (TB), Ashley Catto (ACa), Alastair Cook (ACo), Euan Easton (EE), Helen Goode (HG), Alex Keith (AK), Siobhan Murphy (SB), Judy Thomson (JT) and Carol Wilson (CW). In attendance: Paola Solar (PS) 1. Apologies and welcome The apologies were read and the group was welcomed to the meeting, in particular Chris Sheridan, new BMA trainee rep. 2. Minutes of the meeting held on 2 December 2013 The minutes of the previous meeting were approved. 3. Matters Arising 3.1. Foundation There were no updates related to Foundation development. GN noted that there was nothing specific to Psychiatry as far as she was aware but she could ask around and report back. Action: GN 3.2. Proposed National Training Programme for Learning Disability Psychiatry Not much had happened so far to take this forward. It was agreed that GN will speak with Karen Shearer to put in motion the TPD HR request. Action: GN RMcG and JR will do the job in the interim. SM will send an email list of all LDP consultants to GN, who will pass it to Karen Shearer to ask for expressions of interest. Action: SM 3.3. Locum Consultants as trainers The negative response from the College had been circulated to the group for information. 3.4. Shape of Training – paper from Wendy Burn Mental Health STB 14.02.14 1 NHS Education for Scotland The Shape of Training paper has been circulated and widely distributed. The RCPsy has set up a group to look at its implementation. SM has been asked to supply a Scottish rep for the group. She will email around for interest. Action: SM It was noted that the general reaction to the Shape of Training was favourable. Psychiatry are keen on broad-based training. Some think that it might lead to a lengthening of training. JCr noted that higher training programmes can become credentialing programmes, which would be very easy to do but might not be appropriate. GN noted that the BMA had had a negative reaction to the report and it was about to launch a publicity campaign against it. She suggested that if the members of this group were favourable and had influence with the College they could take a more active position to back it up. 3.5. NES Deanery re-structuring GN reported that there was no further update since the last paper. NHS Grampian had replied to the paper. The West of Scotland Working Group had queried circulating information more widely. Although the move is new to the territorial Health Boards, all Medical Directorate staff at NES should be well aware of it by now. GN confirmed that she was happy for SM to circulate the report around the STB and to have the information circulated as widely as possible. Action: SM 4. Recruitment 4.1. Recruitment 2014 update 4.2. Additional posts for recruitment 4.3. Recruitment Subgroup JR informed the group that there had been two days of interviews for Core Training recruitment in January. 57 candidates had been interviewed, 9 had been deemed nonappointable, which left 48 candidates in principle. There were 43 posts plus 5 posts that had been recently approved. Offers will be out on the 25th of February, the candidates will be allowed to hold until the 12th of March, and all upgrades to be done by 19th of March. Then they will know if there is need for a Round 2. The recruitment team had given some feedback about the process. The group debated whether it would be better to publish the questions before the interviews as other regions do. Damian Longson, Head of Recruitment and the RCPsy, is going to speak to HEE about it. JR reported that there had been some issues with Konetic for the recruitment of ST4, and another system will be used next year. Candidates are allocated to deaneries and within them they can preference the regions. There are 9 interview dates for higher training in March and April, to be held in London. The Recruitment Board will be present at recruitment days to have oversight of the process. JR will be there for two of the dates. JR will check if there is need for more interviewers, although Scotland has provided the number of interviewers that was requested. Action: JR Mental Health STB 14.02.14 2 NHS Education for Scotland The three stations being piloted are working well. JCr reported that all TPDs had been invited to the Forensic Faculty meeting in December. There was some concern as the people on College FECC were not the same as those delivering the education. It seems that the Forensic questions had been done by the Chair of the Forensic FECC without much consultation with TPDs. It was felt that much more TPD input was needed. The autumn round of recruitment will start in August, with interviews held in October and clearing in November. SM noted that there had been a webinar organised by the StART initiative, to boost recruitment. ACo had chaired the session in Westport, which had been watched live by 10 people, but was now in the website where it can be seen by anybody. It had been a very positive experience and SM wanted to thank all those involved in it. The group will consider having another webinar for the next recruitment round. As part of the StART project, Alistair McLellan is organising a Scottish Medical Careers Fair on the 20th of September, to be held in Glasgow. It was suggested that the STB members start thinking about what kind of input and involvement they would like from Psychiatry. MB had asked DA to note that the North of Scotland had only 2 posts advertised for General Adult Psychiatry, when there should be 10. GN noted that Karen Shearer is looking into it. SM indicated that if there were any issues like this related to recruitment they can contact Michele Laverty directly. 5. Forensic Psychotherapy Specialty Trainee post in Scotland SM noted that Jon Patrick had asked for the possibility to have a Forensic Psychotherapy programme in Scotland. RPu will prepare a paper for the next Board. Action: RPu 6. Workforce The suggested disestablishments for this year were 2 Forensic posts, 1 in CAMHS and 1 in LD. There was no problem to disestablish the 2 Forensic posts, and they had reluctantly agreed the 1 in CAMHS but they had not agreed to disestablish the 1 in Learning Disabilities. Rowan Parks will take this information back and reply for next year. 7. ARCP 7.1. Subgroup update JR reported that the process has started for June ARCPs and he will circulate the e-ARCPs Action: JR It is envisaged that the Deanery re-structure will bring more harmonisation. The College’s Chris Murphy is leading on the development of ARCP forms. RMcG noted that the West of Scotland had been working on this with higher trainees and they have made their form available both to the rest of Scotland and to the College. Mental Health STB 14.02.14 3 NHS Education for Scotland 7.2. Externality for ARCPs It is not certain whether Scotland has signed up to use the external system for ARCPs. JCr noted that we have externality via the College but they have gaps in specialties and geographical areas. The pragmatic approach is to keep doing it as before, using externality from other regions. There is a training day for ARCP and visits for new External Advisors at the College. External Advisors in Scotland are JR, Sandra Duke, EE, NN, JCr (reserve) and Pauline McConville. 8. Training opportunity in Ghana The information for this placement in Ghana had been received from the College. SM wanted the group to have sight of it although it might duplicate our work in Malawi. She noted that she has a colleague from Ghana who goes to the country regularly and might visit the project site and feed back to the group. Action: SM GN highlighted that England, through HEE, was trying to embargo recruitment to LAT posts, although the move has now been shelved for a year. If this was successful there would be no opportunity to backfill if trainees went in OOP or any other gaps. Psychiatry recruits LATs at Core, not at High training, so if this is not allowed they will have to join a round 2 of recruitment. 9. Training opportunity with Scottish Patient Safety programme A trainee had been involved in the SPS programme and she thought it was an excellent opportunity. David Hall was keen to set up 3 month attachments for higher trainees. The group was generally supportive. David will be asked to put together a presentation for this Board. Action: SM 10. NTS Specialty Specific reports JR felt that the reports were not consistent across specialties, but it had highlighted a couple of issues in the South-East of Scotland, so it was very useful. GN noted that the questions had been developed by the College FACS, which the GMC had added to the survey. If there are any issues (wording for example) it was suggested to check with the QI Managers in the first instance. SM will ask all specialty TPDs to look at the SSR in detail and to feed back. Action: SM 11. StART – Psychiatry Webinar This item was discussed above. 12. Updates 12.1. Liaison Dean/MDET update GN reported that the version 5 of the Gold Guide was almost approved for publication, only Scotland and Northern Ireland still to sign off. The content most worth looking at is Section 7, which makes ARCP outcomes and appeals paths much clearer. Mental Health STB 14.02.14 4 NHS Education for Scotland GN further reported that there was a lot happening around Recognition of Trainers. The DMEs will send out a letter to all trainers. The letter explains the main points of Recognition of Trainers and it includes some FAQs. DMEs should be working to get the names of their trainers into Pinnacle by the end of July. 12.2. Deanery and Specialty updates – West deanery visit to Lanarkshire There had been a deanery visit to Lanarkshire on the basis of the red flags received in the trainee survey. There was concern regarding timing in core placements. Due to their large number of rotas, there were trainees doing only 1 or 1.5 sessions in their actual placement. This had been taken to the Heads of School who had confirmed that at least 60% of the time should be spent at their own placements. They might have to take it to the QA Committee to perhaps put this down in the curriculum. Another issue in Lanarkshire was the lack of direct clinical supervision, for example in outpatient clinics. SM will ask John Taylor to take this issue to the Medical Managers group. Action: SM The third major issue was about handover and consultant presence at weekends. There is an on call system in the West of Scotland but the routine presence of a consultant is not compulsory, it is left to the trainee to call the consultant if he feels there is a need. This has changed in Edinburgh so now the consultant goes to the clinic on Saturday and Sunday morning to do the ward rounds when he is on call. In the North of Scotland there is always a consultant doing the weekend handover. There were no updates from the Specialties. 12.3. College update – previous speciality time counting to CCT SM had circulated the email with the College position at the moment. SM will send round the paper when it is finalised. 12.4. Service update There was no Service update. 12.5. Academic update The West of Scotland has been requested to free up a LD and a GAP post for SCREDS. 12.6. Regional Planning update There was no regional planning representative. 12.7. Trainee/Specialty Doctor update CS, the new BMA trainee rep noted that he was not aware of a campaign concerning the Shape of Training. There had been some concerns expressed in general, but nothing in particular to Psychiatry. There was some concern that credentialing might replace CCT. Mental Health STB 14.02.14 5 NHS Education for Scotland 12.8. STARG There was no update. 12.9. Heads of School update SM and RPu had been to the last Heads of School meeting the previous week. The main theme for discussion had been recruitment and prioritisation within deaneries. SM will send the notes around once they are ready. Action: SM 13. Received for Information No items received for information. 14. AOB Section 22 training – AMP training (Approved Medical Practitioner) This was a training commissioned by the Scottish Government and delivered by an external provider. Now the Scottish Government had asked NES to manage the training. ACo is drafting a paper about it on behalf of the College. The Professional Development Workstream (led by GN and Anthea Lints) is going to work on it and will lead the next steps. They will be asking for ideas and information. They are keen to continue the work on Forensic Medical Advisors. JCr noted that there is a training programme set for multidisciplinary practitioners around Forensic Physicians work. GN understood that there was plenty of expertise on the delivery side of AMP, but needed to look at capacity and scheduling. JCr indicated that, although there are some well developed modules, it might be helpful to enhance AMP by specialty in addition to the basic AMP training. GN noted that there might not be a chance to do much more unless there was a Business Case in place. The Health Board were funding the costs as employers. The Board agreed that it would be helpful to have a representative of this STB as a point of contact for this work. JCr agreed to liaise with Anthea Lints on this project. MB will possibly also be happy to contribute. Action: GN/JCr/MB 15. Date of next meeting The next Mental Health STB will take place on Monday 28th of April 2014 at 10.30am, in Room 5, Westport, Edinburgh, with VC links. Mental Health STB 14.02.14 6