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