GPStRs who are identified as having problems will be monitored either at Training Programme or central School level depending on the individual concern. See the policies section to see information about the formal framework that is followed. There is however specific guidance for GP Trainees contained within the School policy.
The GP school has written a short summary of the courses available for those who may benefit from them.
The following resources may be helpful for those involved in writing a coroner’s report or attending an inquest.
An event in which there is an unexpected fatal or near fatal outcome or there is the potential for this is classified as a SE or significant event. These are investigated by the Trust in which they happened so that lessons can be learn organisationally and by individuals concerned from the event. As some events (e.g. palliative care) will inevitably cause death the definition and interpretation of the term is slightly complex and further information is available at http://www.england.nhs.uk/ourwork/patientsafety/serious-incident/
The national guidelines on how an event should be investigated are long and complex. The investigation however must follow a nationally defined process. This process will often involve several trusts and commissioners. Because of the number of organisations involved there have been issues with communication though work is going on to try to improve these.
It is normal for all those who are even peripherally involved in an event to be included as part of the SE investigation. This does mean that many trainees can be” involved in a SE” (and so be asked and be expected to reflect on their actions) when their part in the events has been to provide good and safe and appropriate care. This can be a difficult and painful period for trainees. Normally their GP TPDs will be happy to signpost support and their ES may also provide continuing input and support. The GP school would want to encourage all GPSTRs to inform their CS that there has been a SUI in which they have been involved and of their part in it.
Until the event is fully investigated (and the national guidance suggests 60 days should be normal though this is, it acknowledges not achieved regularly for appropriate reasons) all those named will have to declare on a Form R prior to any ARCP that the event is there and no outcome is available yet. (The principle that the priority is to protect the public is paramount.)
The GP School will contact the ES and Trainee when it becomes aware of a SE though it is possible that the trust will have contacted the trainee directly before this. The GP School will also review the progress of and monitor those who are involved in a SE to look for whether there is a pattern of problems. Some people who have been involved in a SE will be asked to come up for a meeting with a GP tutor to review their progress in a bit more detail but for most people the monitoring will be more indirect.
For more information on support and what happens next if you are involved in an SE please click here
Supported Return to Training (SuppoRTT) is a centrally funded Health Education England (HEE) programme which aims to support ALL trainees to safely and confidently return to training after a sustained period of absence.
The programme applies to ALL trainees who are absent for a period of three months or more, regardless of the reason. Those who are absent for a shorter period may also access support.
As returning trainees are a diverse group, SuppoRTT aims to provide a bespoke, individualised package for each retuning trainee, rather than a single ‘one size fits all’ approach. The SuppoRTT programme consists of;
- A structured and systematic process for planning absence, maintaining contact whilst out and planning for your return
- A menu of supported Return To Training Activities (RTT-A) that can be built into an individulised return-to-training package
- Funding to support CPD activities and a Supernumerary period dependent on the trainees individual needs
We understand that returning to training after a period of absence can impact your clinical skills and confidence, however, you are not on your own! HEE and your School are here to support and guide you through this process. You just need to ask.
For further information please visit the SuppoRTT pages.