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This function will enable HEE administrators to manage the connection of trainee doctors on the GMC's register to them as a Designated Body (DB).

While it is trainees' responsibility to ensure they are connected to the correct DB, local teams are also able to connect and disconnect trainees.

Trainees must be connected to the correct DB in order for that local team to manage their revalidation, therefore it is generally revalidation administrators who deal with any mismatches between the actual location of the trainee and data held in IntrepidHEE's database, and those trainees listed as connected to their DB in GMC's records (listed on GMC Connect).While it is trainees' responsibility to ensure they are connected to the correct DB, local teams are also able to connect and disconnect trainees.

  • Connections:
    • Done in batches as part of the on-boarding process for new foundation trainees

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On-boarding process for new foundation trainees (WIP)    

Status
Draft
colourYellowGreen
titleValidated

High level timeline for the recruitment of Foundation trainees here:


View file
nameHigh level timeline for applicants 2017 (1).pdf
height250

Conversation with the GMC's Revalidation team on 9th May confirmed that F1 trainees are emailed by the GMC registration department when their registration is changed from Provisional to Full and in that email they are informed that they need to connect themselves to the correct Designated Body Change of trainee registration status from Provisional to Full . If, after four months, the trainee is still not connected to a DB they are contacted again by the GMC to instruct them to connect themselves and warned that action will be taken by the GMC if they continue to remain disconnected.  As we know that DBs/Local Offices undertake an audit around each October to ensure all appropriate trainees are connected to their DB the majority of trainees who have not connected themselves will be picked up in this audit (see email below from Andy Petherbridge for confirmation of this assumption).

" In theory, once (a trainee has)  full GMC registration (i.e. following their F1 ARCP and before they start their F2 year), they will be prompted by the GMC to connect to a Designated Body; they would then connect to the Deanery/HEE local team through their GMC Online account.

In practice, we get a few connections this way (I emailed all of the F1 trainees progressing to F2 last year with some guidance and contacts regarding revalidation here, and that seemed to work fairly well), but most of them have been picked up when the GMC do a bulk refresh of our connections in October each year."  - Andy Petheridge Petherbridge 


  • Disconnections
    • When trainees have completed their programme (CCT or CCT + Grace Period for higher specialty) - either managed by programme team or revalidation administrator
    • When trainees resign from the training programme for another reason (or are released from the programme - ARCP Outcome 4)
    • Ad hoc when a trainee is noted to be wrongly connected to the DB (usually too soon at start of training)
    • Connection to another DB because of a conflict of interest (with agreement)

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Data mismatch scenarios and related business decision  

Status
colourYellowGreen
titleDraftValidated



Data issueScenario Business Decision
1

Not connected to

Local Office

Designated Body

____

Start Date of Programme is in the future

  • New starter recruited but has not started working and not working clinically anywhere else.
Overseas doctors

These doctors will have records and assigned to programmes to commence in the future

Connect to relevant DB

2No Programme Record

Reval Officer from NE says that trainees should not be connected until the day they start with a DB. Trainees do not need to be connected to a DB as they can be revalidated by the GMC. Rare but does happen.

2Non Trainee Doctors

Non-trainee doctors

- these

employed directly by HEE and not working clinically anywhere else .

These are usually Associate/Deputy Deans

/

and Programme Managers

. These are doctors with no Programme record

.

Connect to relevant DB but only if the RO is aware and has approved the connection. This is a verbal approval not a formal process.
3
Designated Body Mismatch
Vistor Trainee

Visiting training on an Out of

Programme

Placement (OOP)

doctors
  • Doctors on visiting placement
  • These doctors are classed as being outside the flow of training - whilst an OOP doctor is on absence from a programme, they retain the DB of their last programme.

    A doctor on a visiting placement will also retain the DB and of their 'home' DB.

    Flag up these records to the Revalidation Administrator however ; this Defence

    arrangement :

    • OOPC - Out of Programme ( on a career break)
    • OOPT - Out of Programme (Training)
    • OOPR - Out of Programme (Research)
    • OOPE - Out of Programme (Experience)

    A visitor trainee will retain their 'home' DB. The visitor trainee must not be connected to recipient/host DB.

    This is an exception that should not be connected

    4
    Designated Body Mismatch
    Military Trainee Military trainees are managed by the Defence Deanery and not HEE
    Flag up these records to the Revalidation Administrator however ; this
    This is an exception that should not be connected
    5
    No Designated Body
    Provisionally Registered DoctorsProvisionally registered
    doctors -
    trainees on F1 placements
    Flag up these records to the Revalidation Administrator however ; this
    This is an exception that should not be connected. Point of interest, FP1 trainees are connected to their training trust* and change DBs upon successful completion of FP1 and commencement of FP2.
    6Programme End Date has Passed
    • On completion of training programme - ARCP Outcome 6
    • Released from training - ARCP Outcome 4.
    • Resignation from programme
    Disconnect from DB
    7Attached to the wrong Designated BodyTrainees that are wrongly attached to a DB. This discrepancy is likely to be identified on the GMC list of trainees and on investigation, the trainee will not be attached to a programmeDisconnect from DB

    Status
    colourYellow
    titleWIP
    * A Training Trust -   is the trust that our trainees undertake their training in.  They are just standard NHS trusts but we call them training trusts when referring to the training part to differentiate them from Lead Employer Trusts which are the employers. or example, County Durham and Darlington NHS Foundation Trust (CDDFT) is both a training trust and the lead employer trust here in the North East.  Often we have trainees disconnecting themselves from the NE designated body and connecting themselves to CDDFT as that is the trainees' employing body. Trainees will always be connected to their local office as a DB.Training trust information is held as the number for the trust (RXP for CDDFT) is part of the local education provider (LEP) number that the GMC recognise for the approval of that location in a training programme.


    User needs

    Functionality in TIS to enable a Revalidation Administrator to connect or disconnect individual trainees from the designated body**
    Functionality in TIS to enable a Revalidation Administrator to bulk connect or disconnect trainees

    Functionality to flag up to a Revalidation Administrator where a trainee is joining a training programme and needs to be connected:

    • new starters
    • they have had an application to transfer between local offices (Inter-Deanery Transfer) approved and the date of the transfer **
    • have been disconnected inappropriately (i.e. before the end of their training programme or at the end date but before Final ARCP - they don't have an outcome 4/6 - or revalidation has taken place). If a trainee disconnects themselves from their DB an email is sent to the DB informing them. In the NE for example the number of trainees is of a manageable number that the Revalidation Officer can contact the trainee to ask why they have disconnected themselves. This may not work in local offices with a larger cohort of trainees.

    Functionality to flag up to a Revalidation Administrator where trainees are not on a training programme with the DB:

    • they have not yet started their programme and have attached too early
    • they are beyond their Curriculum Completion Date and have an Outcome 6
    • they have an Outcome 4
    • they have resigned from a programme and the date of their last day
    • they have had an application to transfer between local offices (Inter-Deanery Transfer - IDT) approved and the date of the transfer **
    Functionality to flag up to a Revalidation Administrator discrepancies between the GMC Connect list and HEE's database of who should be connected to the local team
    ** As we develop the new core there could/should be functionality to transfer trainees between designated bodies in a single step i.e. not require one local team to disconnect and another team to connect separately. Will need to be built with appropriate approval workflow based on agreed policy and business rules - e.g. which local office (outgoing or incoming) responsible for changing connection NB: IDT's require approval from Postgraduate Deans (Responsible Officers) from both local teams

    ...