The

Surrey and Sussex

Foundation Training Programme Handbook

In association with
The Postgraduate Deanery for Kent, Surrey and Sussex

A Guide for Trainees and Staff

August 2014
Welcome to the Surrey and Sussex Foundation Training Programme. We hope you enjoy your time here.

We have compiled this handbook to help orientate you at the start of the programme and guide you during your time
here. This handbook contains useful information for staff and work colleagues who may come into contact with you
(as a foundation programme trainee) during your time here

This handbook has been divided into the following sections:

Section Page
The Foundation Training Programme 2
Your Education 7
E Learning Modules 8

Your Educational Supervisor: their role 10

Your Clinical Supervisor: their role 10
Your Role 11
Your Employment 12
Steps to success in the foundation years 13
If you need help… 14
Key Contacts 15
List of Appendices 16

There is a lot of information in this handbook. You should read it before your first day on the training programme
and prepare any questions early on so that these can be addressed before you begin.

If you have any other queries during your time at Surrey and Sussex, please do not hesitate to ask any member of the
foundation training programme team (see section on Key Contacts)

Again, we hope you enjoy your time at Surrey and Sussex.

Dr Sarah Rafferty, Director of Medical Education

Dr Sunil Zachariah-FY1 Programme Director
Dr Hina Gandhi & Dr Sushil Niraula-FY2 Programme Directors
Surrey and Sussex Foundation Training Programme Leads

THE FOUNDATION TRAINING PROGRAMME

Programme aims
The Surrey and Sussex Foundation Training Programme (SASFTP) has been designed to provide comprehensive
education and training for doctors in the early stages of their medical career. As a SASFTP trainee, you will be part
of a structured programme which not only focuses on helping you gain the competences necessary to successfully
complete the programme but also provides you with education and training tailored to your individual needs. The
aims of the programme are to help you:

 Consolidate and develop your clinical skills, particularly in acute medicine so that you can identify and manage
sick patients in whatever setting they present (including adult and paediatric settings).
 Embed modern professional attitudes and behaviours in every aspect of your clinical practice.
 Demonstrate your acquisition of these competences through our reliable and robust system of assessment and
participate in annual ARCP process.
 Explore a range of career opportunities in different settings and in different areas of medicine.


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Programme structure, trainee supervision and support
The SASFTP consists of 30 F1 and 30 F2 individual foundation programmes. Each individual programme is made
up of three 4-month placements in specialties offering a wide range of training experiences and opportunities (these
are shown in appendix 1). During each 4 month placement you will be allocated a clinical supervisor who will
monitor your progress during your placement. At the start of the programme, you will also be allocated an
educational supervisor who will monitor your progress throughout the year. Further details regarding clinical and
educational supervisors are contained later in this handbook.

If you desire, you will also be assigned a mentor who will support you in a variety of ways. Your mentor may be
someone who you want to discuss professional issues or issues that are troubling you. They may also advise you
about issues such as your career or even act as a role model. If you are an F1 trainee, your mentor will be from the
F2 year. If you are an F2 trainee, your mentor will be an SHO or Registrar from a speciality of your choice. You
will be assigned a mentor within a few weeks of starting the programme. If you need further advice in regards to
your career you can approach Trust career adviser. We also have Speciality Champions if you need any help or
advice in regards to career advice in any speciality. As a part of Clinical Leadership role we encourage all the
trainees to participate in a Leadership project. You should discuss this with you supervisor or the Trust Lead for
clinical leadership, Miss Jean Arokiasamy.

The learning portfolio

As a foundation programme trainee, you will have an E-learning portfolio which must be kept up-to-date as a record
of your training whilst on the programme. This is a key document and must be read prior to starting the
foundation programme. Your learning portfolio contains a number of key documents. It is essential that you read
these documents and familiarise yourself with the portfolio as a whole as this will help you plan your time here so
that you successfully complete the programme which will then allow you to progress in your career. Please note
that it is your responsibility to organise and update your portfolio and ensure that all appraisals and
assessments are carried out and entered into this document.

The assessment process

Assessment is a key feature of the SASFTP. By assessing you at different intervals and by using a variety of
assessment methods, your clinical and educational supervisors will gain a clear indication of your progress
throughout the programme. The results of these assessments will also be considered when assessing whether you
have completed the programme successfully. During the SASFTP, you will be assessed using the following
supervised learning events (SLEs) descriptions:
 Team Assessment Behaviour (TAB)
 Direct Observation of Doctor-Patient Interaction: Mini Clinical Evaluation Exercise (mini-CEX) and
Direct Observation of Procedural Skills (DOPS)
 Case-Based Discussion (CBD).
 Developing the Clinical Teacher F2 SLE

Team Assessment Behaviour (TAB)

This assessment method uses the views of a number of people with whom you have had contact to gauge your
abilities, your strengths and your weaknesses. As a SASFTP trainee, you must nominate 8 ‘raters’ (who could be
supervising consultants, GP principals, specialist registrars or experienced nursing or allied health professional
(AHP) colleagues) who will then complete the necessary assessment forms, the results of which will then be collated
and then fed back to you. You should complete two TABS during each foundation year, you should also complete
yourself assessment.

Direct Observation of Doctor-Patient Interaction

Two methods have been devised to assess your interactions with patients: The Mini Clinical Evaluation Exercise
(mini-CEX) and the Direct Observation of Procedural Skills (DOPS)

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Mini Clinical Evaluation Exercise (mini-CEX)
This assessment method involves an observer (who may be a consultant, GP principal or experienced SpR)
observing your performance during a clinical encounter with a patient after which you will be given feedback on
your performance. Each mini-CEX should represent a different clinical problem and should fall into one of the
‘acute care scenario’ conditions listed in appendix 2. It is your responsibility to choose the clinical encounter which
you want observed, the timing of the encounter and who you want as your observer.

Direct Observation of Procedural Skills (DOPS)

This is an example of another assessment method where you will be observed during a clinical encounter, but in this
instance, this will involve the performance of a practical procedure. Each DOPS should represent a different acute
care skill (these are also listed in appendix 2) and again you should choose the time, the procedure to be observed
and the observer for each encounter (observers may be consultants, GPs, SpRs, suitable nurses or allied health
professionals. You should choose a different observer for each encounter).

It has been agreed by the Executive Committee and cleared with the Deanery and Foundation School that all F1 and
F2 trainees must undertake DOPS assessments in the following subjects within the first three months of them
starting the Trust, i.e. by the end of October 2013. The subjects are:
 Blood culture (peripheral)
 IV Cannulation
 Urethral Catheterisation (male or female)

Case Based Discussion (CBD)

This assessment is based on a structured discussion which will take place between you and your clinical supervisor
about a case which you have managed. This will allow your supervisor to assess your decision making and clinical
reasoning skills. You should ensure that you take part in a minimum 6 CBDs per year.

You will be expected to coordinate all of the above assessments yourself so that by the end of your foundation year
you will have completed the required number and types of assessments. The information gained from these
assessments will form the basis for your final or end of year review. As a foundation programme trainee, you have a
key role in organising and carrying out the assessments which take place. A sample schedule for the timing of
assessments in the foundation years is shown in appendix 2.

You will be expected to have done 2 CbDs, 2 mini-CEX & 1 DOPS during your first four months to support
your application for further training.

Leadership
Effective clinical leadership is essential for good patient care and leadership is now part of the curriculum for
foundation as well as all core and higher specialty training. In response to this, STFS is piloting the addition of a
formative, specific leadership skills assessment form to the foundation ePortfolio. This form - LEADER – Clinical
Leadership for Work-based Assessment - is now available in the foundation ePortfolio. It can be found under ‘Forms
> Work-Based Assessments > Add New Assessment’ within a trainee’s account (in the same way that you would
access a CbD, DOPS or Mini-CEX) and can be ticketed by the trainee. A blank version of the form is available from
‘Home > Help > Blank Forms’. Please see below guidance for foundation doctors and for educational supervisors on
completing this assessment which includes suggestions of leadership activities which foundation doctors could
undertake.

Quality Management Processes

All Foundation trainees are expected to engage with quality management processes and any other activities that
contribute to the quality improvement of training e.g. by completing the on-line GMC Trainee Survey and STFS
training survey.

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 FY1- Core procedures
What are core procedures?

Core procedures are those 15 procedures set by the General Medical Council (GMC) for foundation year 1 (F1). The
GMC requires demonstration of competence in all 15 procedures in order for provisionally registered doctors with a
licence to practise to be eligible for full registration.

Further information on this can be found via the GMC website: http://www.gmc-
uk.org/Outcomes_to_be_demonstrated_by_provisionally_registered_doctors_F1.pdf_26990221.pdf

How does it work?

It is a requirement that foundation doctors provide evidence that they can satisfactorily perform each of the 15
procedures at least once during F1. Satisfactory completion should be recorded within the e-portfolio.
It is vital that patient confidentiality is maintained and patient identifiable details are not included when recording
these procedures.
The foundation doctor must record and should be able to competently perform and teach undergraduates the
following 15 procedures:
 Venepuncture
 IV Cannulation
 Prepare and administer IV medication and injections and fluids
 Arterial puncture in an adult
 Blood culture (peripheral)
 IV infusion including the prescription of fluids
 IV infusion of blood and blood products
 Injection of local anaesthetic to skin
 Subcutaneous injection
 Intramuscular injection
 Perform and interpret an ECG
 Perform and interpret peak flow
 Urethral catheterisation (male)
 Urethral catheterisation (female)
 Airway care including simple adjuncts.

What must foundation doctors demonstrate for satisfactory completion?

There are both generic requirements and specific procedure requirements for each procedure. Employers will also
typically have protocols for the safe performance of each procedure. The generic requirements are:
 introduce themselves
 check the patient’s identity
 confirm that the procedure is required
 explain the procedure to the patient (including possible complications and risks) and gain informed
consent for the procedure (under direct supervision where appropriate)
 take all necessary steps to reduce the risk of infection, including washing hands, wearing gloves and
maintaining a sterile field if appropriate
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  dispose of all equipment in the appropriate receptacles
 document the procedure in the notes; and arrange appropriate aftercare/monitoring.

 REMEMBER: it is vital that foundation doctors recognise the limits of their competence and seek
advice and help where appropriate.

Assessments Frequency

E-portfolio Contemporaneous

Core procedures Throughout F1

Team assessment of behaviour (TAB) Once in first placement in both F1 and F2, optional repetition

Clinical supervisor end of placement report Once per placement

Educational supervisor end of placement report Once per placement

Educational Supervisor’s End of Year Report Once per year

Completing the programme

We hope that during your time on the SASFTP, you will use the varied training experiences and numerous
educational opportunities available to you to ensure the successful completion of the programme. At the end of the
programme, you should have gained a wide range of generic skills, and skills in the management of acutely ill
patients which will then prepare you for your future career in either vocational training for General Practice or
specialist training for Hospital Practice. If you successfully complete all parts of the foundation programme, you
will receive the following:
 Certificate of Experience for PRHOs – This will be signed at the end of the F1 year by your University
/Foundation School
 F2 Achievement of Competence Document (FACD) – This will be signed off at the end of F2 if you complete
the F2 year satisfactorily as guided by ARCP process.

Feedback
We are always keen to receive feedback on the quality of the training and education we provide as this will help us
to develop the SASFTP in the future. If you have any comments or suggestions relating to the SASFTP, please
contact your educational supervisor.

BLOOD COMPETENCIES

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All FY1 and FY2 doctors joining the Trust need to
 be assessed as satisfactory on the following competencies in order to be involved in the process of blood
transfusion
o Obtaining and sending off a blood sample for G&S or X match
o Receiving and administering blood products
These competencies are valid for 3 years when they will need to be repeated and are transferable to other
Trusts.  The assessments are co-ordinated by Dr Fiona J Lamb (Fiona.lamb@sash.nhs.uk).
 Attend a lecture on blood transfusion which is usually incorporated in the Induction Day timetable. 
Alternatively it can be attended on one of the Trust’s education afternoons.
Certificates of these competencies from other Trusts may be accepted after these have been presented for review to
Dr Lamb.

YOUR EDUCATION
Education which is provided during the SASFTP is embedded in clinical practice. This means that the majority of
education and training will take place whilst working in your clinical teams and providing clinical care for patients in
Surrey and Sussex.

Education and training in the clinical setting

As a SASFTP trainee, you will be working in a multi-professional clinical team alongside other doctors, nurses and
allied health professionals as well as other healthcare workers in providing clinical services for patients across
Surrey and Sussex. Working within these teams, you will be able to closely observe other professionals at work and
see them using both generic and acute care skills on a daily basis. The staff will also supervise you as your
knowledge and skills develop.

It is vital that you use the experience gained in these clinical settings to its maximum potential. Techniques which
may help you gain the maximum educational benefit from seeing and treating patients include reflecting on your
experiences at work and keeping a ‘reflective diary’. This can help you keep note of specific cases you see and
incidents which take place which can then act as learning opportunities. It is also useful if you use your professional
relationships with your colleagues to learn vital generic and acute care skills. Again this may be by observing your
colleagues during their clinical practice or by asking colleagues about the principles which underpin their clinical
practice.

Using educational resources

As well as the numerous training experiences and learning opportunities which you will be exposed to whilst
working in your specific clinical teams, you will be able to supplement your learning by making use of a variety of
educational resources at your disposal.

These include courses run by the various organisations involved in the SASFTP. Details of these courses are
available on the intranet sites of the various organisations. Examples of these are listed in appendix 3. Some of
these courses are considered essential (or ‘statutory’ or ‘mandatory’). You should seriously consider attending these
courses whilst on the SASFTP. Details of other courses and meetings (both internal and external) are available in
the postgraduate education centres (PGEC) at East Surrey and on staff training and education noticeboards which
you may find in individual departments when working in your 4-month placements. The PGEC also host regular
clinical meetings, life support courses and teaching for vocational trainees which you may also attend (please see section
on study leave on page 11).

The East Surrey Hospital Medical Library is also an invaluable resource. It has a superb range of educational
resources which you can access both in office hours and out of hours. These include a wide range of books and
periodicals covering a wide range of subjects. The staffs in the medical library are extremely helpful and will help
you access resources which are not available at either site through the system of interlibrary loans. East Surrey
Hospital Library also has a learning resource centre (with access to the internet and medical databases such as

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MEDLINE), audio-visual facilities and CD-ROM, a local historical collection and subscriptions to over 200 current
journals.

It is vital that you make use of these resources during your time here. You will be expected to have made excellent
use of your educational time whilst on the programme. Your use of this time will be monitored and so you must
keep a personal log of educational activities completed during each post. These will then be reviewed by your
educational supervisor at your appraisal.

The SASFTP formal educational programme in generic professional training

The formal educational programme for foundation trainees has been designed to cover all aspects of good medical
practice, patient safety and accountability through clinical governance. This programme starts with an induction
which will help introduce you to some key aspects of patient care before starting work in your placement.
FY2- Teaching will alternate between Tuesdays and Thursdays once a month from 8.30-5pm, FY1 Teaching
-Tuesday lunchtimes from 12-1pm. Please note that these teaching sessions are compulsory. You must attend
unless you are on annual, study, sick or special leave or if you have worked the night shift before the session or are
due to work the night shift after. Attendance registers will be kept and will be reviewed by your educational
supervisor. Provisional timetables are shown in appendix 4 and 5. Please inform your Foundation Programme
administrator if you are unable to attend. A minimum of 70% attendance is required for sign off; there are a
number of additional teaching opportunities available for you to attend, within each specialty.

The sessions on this programme will not only be lecture based but will also give you the opportunity to put some of
the principles of good medical practice into action using interactive group discussions and scenario based teaching.
Please note, in addition to this formal programme, you will receive a specialty specific induction prior to each
placement which will provide you with the basic knowledge and skills necessary to provide care for the patients you
see during the placement.

E-learning modules
There are varieties of e-learning modules available on the internet for you to supplement your curriculum based
teaching and learning opportunities, evidence of these modules should be recorded on your e-portfolio.
You can access the e-LFH modules through the curriculum on your e-portfolio; the Programme Directors have
produced the following lists of suggested modules-

FY1
Professionalism
1.1 Behaviour in the workplace

Relationship and communication with patients

2.2 Communication with patients
2.5 Consent

Safety and clinical governance

3.0 Safety and clinical governance

Good clinical care

7.5 Safe prescribing

Recognition and management of the acutely ill patient

8.0 Recognition and management of the acutely ill patient

FY2
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 Professionalism

1.1 Behaviour in the workplace

01_09(Stress-Bullying)
11_20(Equality & Diversity: General Awareness)
11_21(Equality & Diversity: General Awareness Assessment)

2.5 Relationship and communication with patients

Consent
11_03(Mental Capacity)
11_04(Mental Capacity Assessment)

3.2 Safety and clinical governance

Quality & safety improvement
07_03(Quality and safety in the NHS)

4.0 Ethical and legal issues

11_06(DVLA)

*This is not an exhaustive list, and you should complete the modules that you feel will benefit and supplement
your training*

Simulation
All FY1 and FY2 trainees will be released from clinical duties to attend a mandatory Simulation training day.

Community Placements-FY1
FY1-ITU
1 FY1 in ITU will be in a community palliative care posting (2 weeks posting) from September 16-27th, January 20-
31st and May 19-30th. During these 2 weeks posting the other ITU FY1 is not allowed to take leave.

The second FY1 in ITU will be in community paediatrics posting (2 weeks posting) from September 30-Oct 11th,
February 3-14th and June 2-13th. During these 2 weeks the other ITU FY1 will not be allowed leave.

FY1-Vascular
1 FY1 in Vascular Surgery will be in community palliative care posting (2 weeks) from September 16-27, 2013 and
January 20-31st 2014 and May 19-30th, 2014. During these 2 weeks the other FY1 in vascular surgery will not be
allowed to take leave.

The second FY1in Vascular surgery will be in community paediatrics posting from October 14-25th, 2013, February
17-28th, 2014 and June 16-27th, 2014. Respectively the other FY1 cannot take leave during that time.

As a mandatory part of your foundation training you must register on the National Patient Safety Agency (NPSA)
educational website (web address: http://www.npsa.nhs.uk/health/resources/ipsel). The educational material offered
here is an integral part of the programme and will form part of your learning portfolio (please see section on study
leave on page 11).

As a foundation trainee, you will be expected to play an active role in your education. You will be expected to
prepare presentations which may be case, teaching, audit or research presentations or clinical topic reviews and
journal article reviews. This will help consolidate the learning which has taken place in the clinical setting and other
settings.

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 YOUR EDUCATIONAL SUPERVISOR: THEIR ROLE

At the beginning of your foundation training programme, you will be assigned an Educational Supervisor for the
year. Your Educational Supervisor will conduct your appraisals throughout the year, will guide you during your
time on the programme and will monitor your progress from an educational point of view.

At your appraisal meetings, you will be able to discuss your strengths and your educational needs and your
educational supervisor will be able to work with you to decide how you can best fulfil those needs and achieve your
objectives. They will also discuss areas of concern with you so that potential difficulties or problems can be
addressed early on during your year. To get the maximum benefit from your appraisals, you must ensure that your
E-learning portfolio is up to date and includes all the necessary documentation required for your appraisal. Your
educational supervisor may need access to your E-learning portfolio up to 2 weeks before your appraisal so that the
contents of your portfolio can be reviewed and inform the appraisal process.

If you have any comments or concerns about any aspect of your education whilst in the foundation programme, you
should contact your educational supervisor as soon as possible. If you have any difficulties with your educational
supervisor, you should contact your appropriate foundation programme director through the foundation programme
administrator.

YOUR CLINICAL SUPERVISOR: THEIR ROLE

During your time on the foundation programme, you will rotate through three different specialties each year to gain
experience in a variety of clinical settings. In each of these placements, you will be allocated a clinical supervisor.
Your clinical supervisors will in most cases, be the consultant of the clinical team to which you are assigned. Their
role will be to supervise you during your time in their specialty, monitor your work during your time there and
advise you on any specialty specific areas relating to your post.

They will also have a key role in performing your assessments whilst you are working in their clinical team. If you
have any comments or concerns about your placement, you should contact your clinical supervisor as soon as
possible. If you have any comments or concerns about your clinical supervisor, you should contact your educational
supervisor (or the appropriate foundation programme director if your clinical supervisor is also your educational
supervisor).

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 YOUR ROLE
As a foundation programme trainee, it is essential that you play an active part in the programme and take an active
role in your education – Remember; you will only get as much out of the foundation programme as you put in!
Therefore you have a responsibility to ensure that you get as much out of your time in the programme as possible.
To ensure that your time is as productive as possible you must:
 Meet with your educational supervisor and arrange your appraisals - It is important that you meet with
educational supervisor (ideally within the first 2 weeks of starting your first placement) to discuss your
educational needs and how you are going to achieve them. It is your responsibility to liaise with your
educational supervisor to arrange a date and time for your appraisal. It is also your responsibility to ensure that
all the necessary documentation has been completed /collated prior to your appraisal and that your educational
supervisor has this well in advance of each meeting. In addition to completing your E-learning portfolio,
please ensure that you have completed the self-appraisal tool in your E-learning portfolio. The information
contained in these forms will be used as a basis for discussion during your appraisal.
 Take control of your education! – Of course we can’t force you to do this but we strongly believe that you
should use your time on the SASFTP to the max! This will mean that you get the most out of it and will be
more likely to complete the foundation programme successfully. We are keen for you to direct your own
education and learning. Therefore, use the educational opportunities and resources available during your time
here (It may not be available in your next job so, use it or lose it!). If there is something you really want to
learn, speak to your educational supervisor and they will try and arrange something for you (If you don’t ask,
you don’t get!). And lastly, we want you to play an active part in your own education. As we have said, you
only get out what you put in!
 Coordinate your assessments well in advance – The assessments are a key component of the foundation
programme as they will decide if you complete the programme successfully or not. It is your responsibility to
arrange and coordinate these assessments. Make sure you do this well in advance and arrange these with your
clinical supervisors as soon as possible. Remember, failure to complete all your assessments means that you
will not successfully complete the programme.

The following section contains a summary of what you need to do as a foundation trainee to ensure that you progress
within the programme and increase your chances of successfully completing the programme.

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 YOUR EMPLOYMENT
During your time here, you will be employed and paid by Surrey and Sussex Healthcare for the whole of your
programme including the period in general practice. You will be paid on the pay scale according to your previous
service, either in the UK or overseas, and will receive the banding for each leg of the rotation which is appropriate to
the rota that you are on. Consequently your banding may change from one specialty to another.
Annual leave
You will be entitled to 5 weeks and 2 days annual leave per year and you must give at least 6 weeks’ notice of your
proposed leave. Doctors on internal rotations are expected to take their holiday entitlement in each leg. As this
affects mainly FY1 and FY2 trainees’, entitlement for each leg would be 9 days. If you wish to take more or to carry
leave over to the next leg this must be agreed with the General Manager of the attachment concerned.
Study leave
If you are an F1 trainee, you will have protected generic professional training on Tuesday afternoons. You will also
be given time to attend an Immediate Life Support (ILS) course and an Acute Life-threatening Events Recognition
and Treatment (ALERT) course.

If you are an F2 trainee, you are entitled to a study leave allowance of 30 days per year. Your attendance at the
Tuesday/Thursday monthly generic professional training is automatically counted against this allowance. You may
use the remaining days to gain focussed experience (‘taster’ experience) in specialties outside your placement
specialty as long as this has been agreed with your educational supervisor. You may also use this time to attend
courses or other activities to acquire generic knowledge or skills necessary for you to successfully complete the
SASFTP which you cannot otherwise gain on the programme.

However, F2 doctors should only be granted study leave for additional courses once the following have been
attended or shown clear intention to do so:

a) ALS required for F2. ALS is a requirement for F2 sign-off.

b) Demonstration of regular attendance at internal training sessions (>70% attendance during working
shifts, excluding night shifts)
c) Intention to attend simulation training
d) Booked a taster week, or have good reason not to require a taster.

F2 trainees should not be given study leave for private study for preparation for examinations.

F2 trainees’ study leave allowance is the same as CT or ST trainees, however according to Deanery
recommendations we subtract a proportional amount for funding of generic training, this leaves a sum of up to a
maximum of £500.

Again you should plan attendance at such courses with your educational supervisor well in advance and submit a
completed study leave application form at least 6 weeks prior to the leave being taken. Retrospective applications
and applications for study leave at short notice will not be granted.

If you have any queries concerning your terms of employment please contact the medical staffing office on ext 6624

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 STEPS TO SUCCESS IN THE FOUNDATION YEARS
Attend SASFTP induction, FY1-July and FY2-7th August 2013. Meet foundation programme team, Collect
relevant documentation including SASFTP handbook and learning portfolio

Meet Clinical Supervisor for first placement and attend specialty specific induction (if appropriate)

Read and prepare documents in learning portfolio and arrange to meet your educational supervisor within 2
weeks of starting your placement. Complete relevant self-assessment forms. Ensure your educational supervisor
has your learning portfolio up to 2 weeks prior to induction appraisal along with completed forms and including
relevant documentation

Register on the National Patient Safety Agency (NPSA) educational website (web address:
http://www.npsa.nhs.uk/health/resources/ipsel)

Prior to first appraisal think about your strengths and educational needs and how you think you can achieve
them. Think about accessing the various educational resources and educational opportunities on offer. Bring
this information to your first appraisal

Devise timetable /action plan for each of the educational objectives identified in your personal development plan
and ensure that they are achieved by mid-point appraisal or before. Complete study leave forms at least 6 weeks
prior to course if planning to attend SASFTP or external course

Devise timetable of assessments for MSF, mini-CEX /DOPS and CBD and liaise with your clinical supervisor to
coordinate these. Select ‘raters’ and ‘observers’. Ensure appropriate documentation forwarded to SASFTP
administrator

Ensure maximum educational value is gained from each placement. Consider keeping a reflective diary. Attend
all formal educational sessions. Keep e-portfolio update and complete for ARCP process

At end of each placement, meet with clinical supervisor to obtain Certificate of Satisfactory Service

Arrange meeting with educational supervisor for mid-point appraisal (usually 6 months into foundation year) to
review progress and discuss any issues

Continue progress to meet all educational objectives, complete all relevant assessments, gain maximum
educational value from placements and educational activities outside placements. Keep up-to-date log of all
educational activities

Arrange meeting with educational supervisor to ensure all educational objectives are met and satisfactory
progress has been made throughout foundation year

Obtain Certificate of Experience for PRHOs (FI) or F2 Achievement of Competence Document (FACD) (F2) if
all of the above achieved

SUCCESSFUL COMPLETION OF FOUNDATION YEAR

IF YOU NEED HELP…

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Some foundation programme trainees may find this period of training difficult. This can be due to a number of
reasons which can involve issues outside work, personal health related issues and also issues related to ability to
perform and take part in the programme.

If you are starting to struggle, this may make you feel like not wanting to take part in the programme or any extra
educational activities or you may start to feel that you don’t want to carry out some of the essential parts of the
programme such as the assessments. Feeling like this may also make you focus less on your job and this in turn can
lead to incidents and complaints which in the worst case, may adversely affect patients. It may be that other people
notice these changes in you before you do (i.e. colleagues, mentors, clinical supervisors, educational supervisors). If
you realise that you are starting to feel like this, ask for help early!

Your work colleague, peers, mentors, clinical and educational supervisors are all there to support you during your
time here. Your educational supervisor in particular has a role in providing support to you as a SASFTP trainee and
should be able to provide a supportive environment in which you can discuss any difficulties or concerns.
In addition we have the support of Jane Armstrong who is available to all for confidential and impartial pastoral
support: p.armstrong@talk21.com

Your supervisors may also contact you if you show signs of stress and difficulty. Again this may manifest itself by a
worsening of your assessment results or attendance record or an increase in incidents relating to you or in sickness
absence. They will be keen to provide an opportunity for you to discuss your progress and provide any assistance
which may help you to manage better in the future.

Remember, all staff are here to help you as a SASFTP trainee, the earlier staff knows about problems, the
sooner they can help deal with them. So please contact them early

14
 KEY CONTACTS
Role Contact details
SASFTP Administrator Victoria Bates
FY1 Surrey and Sussex Healthcare NHS Trust
East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH
Telephone: 01737 231722
Fax: 01737 231723
E-mail; victoria.bates@sash.nhs.uk
SASFTP Administrator Caroline Pusey (Kari)
FY2 Surrey and Sussex Healthcare NHS Trust
East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH
Telephone: 01737 231722
Fax: 01737 231723
E-mail: caroline.pusey@sash.nhs.uk
Director of Medical Dr Sarah Rafferty
Education Surrey and Sussex Healthcare NHS Trust
SASFTP director East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH
Telephone: 01737 231722
Fax: 01737 231723
E-mail: sarah.rafferty@sash.nhs.uk
SASFTP lead (FY1) Dr Sunil Zachariah
Surrey and Sussex Healthcare NHS Trust
East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH
Telephone: 01737 231761
Fax: 01737 231723
E-mail: sunil.zachariah@sash.nhs.uk
SASFTP lead (FY2) Dr Hina Gandhi & Dr Sushil Niraula
Surrey and Sussex Healthcare NHS Trust
East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH
Telephone: 01737 231722.
Fax: 01737 231723
E-mail: hina.gandhi@sash.nhs.uk
Email: sushil.niraula@sash.nhs.uk
PGEC Tina Suttle-Smith
Surrey and Sussex Healthcare NHS Trust
East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH
Telephone: 01737 231722
Fax: 01737 231723
E-mail: tina.suttle-smith@sash.nhs.uk
South Thames Foundation Website: www.stfs.org.uk
School (STFS) FY1: 0208 725 5041
FY2: 01273 523357

15
LIST OF APPENDICES

Appendix Page

Appendix 1: SASFTP Individual Foundation Programmes (IFPs) FY1 & FY2 17

Appendix 2: Acute care scenarios and acute care skills for mini-CEX 19
and DOPS assessments and sample assessment schedule for
F1 and F2 years

Appendix 3: SASFTP Courses 22

Appendix 4: SASFTP Formal education programme in generic 23

Professional training (Foundation Year 1)

Appendix 5: SASFTP Formal education programme in generic 24

Professional training (Foundation Year 2)

Appendix 6: Requirements for satisfactory completion of F1 25

Appendix 7: Requirements for satisfactory completion of F2 27

16
Appendix 1: SASFTP Individual Foundation Programmes (IFPs) - FOUNDATION YEAR 1
Foundation Foundation School SASH Educational 06/8/14 - 02/12/14 03/12/14 - 31/3/15 01/4/15 - 04/8/15
First Name Surname
School (Year 1) rotation Number No. Supervisor (Clinical Supervisor) (Clinical Supervisor) (Clinical Supervisor)

Saha Abousleiman Monkhouse

South Thames 14/KSS/RTP04/F1/001 ES01 Anneka Rudra Monkhouse
GIM/Cardio CoE Surgery-Upper GI
Cetti Phongsathorn
Campbell-Smith
South Thames 14/KSS/RTP04/F1/002 ES02 Robert Goldsby-West Niraula
GIM/Chest CoE Surgery-Lower GI
Prajapati Swinn Saha
South Thames 14/KSS/RTP04/F1/003 ES03 Nicola Oldman Prajapati
CoE Urology GIM/Cardio
Campbell- Phongsathorn Campbell-Smith Cetti
South Thames 14/KSS/RTP04/F1/004 ES04 Lorena Chavez Pino
Smith CoE Surgery-Lower GI
GIM/Chest
Monkhouse Allen Abousleiman
South Thames 14/KSS/RTP04/F1/005 ES05 Shyamal Patel Thorning
Surgery-Upper GI GIM/Cardio CoE
Campbell-Smith Cetti Phongsathorn
South Thames 14/KSS/RTP04/F1/006 ES06 James Buxton Ferrigan
Surgery-Lower GI GIM/Chest CoE
Iqbal Prajapati Swinn
South Thames 14/KSS/RTP04/F1/007 ES07 Natalie Blundell Nadjafi
GIM/Cardio CoE Urology
Zacharia Phongsathorn
Loosemore/Waheed
South Thames 14/KSS/RTP04/F1/008 ES08 Katharine Brockett Zachariah Surgery-
GIM/Endocrin CoE
Vascular/Breast(3)
Mackenzie Desikan Loosemore/Waheed
South Thames 14/KSS/RTP04/F1/009 ES09 Dana Ali Mackenzie Surgery-
GIM/Gastro Critical Care(1)
Vascular/Breast
Stenner Morgan James
South Thames 14/KSS/RTP04/F1/010 ES10 James Horn Stenner
GIM/Gastro Critical Care(2) Surgery-Upper GI
Abousleiman Monkhouse Allen
South Thames 14/KSS/RTP04/F1/011 ES11 Inji Wissa Ibrahim Abousleiman
CoE Surgery-Upper GI GIM/Cardio
Phongsathorn Loosemore/Waheed Field
South Thames 14/KSS/RTP04/F1/012 ES12 Emily Thomas Field Surgery-
CoE GIM/Endocrin
Vascular/Breast(3)
Niraula Loosemore/Waheed Shattles
South Thames 14/KSS/RTP04/F1/013 ES13 Peter De Souza Waheed Surgery-
AMU GIM/Rheum
Vascular/Breast(4)
Powell James Makadsi
South Thames 14/KSS/RTP04/F1/014 ES14 Liam Robinson Makadsi
CoE(Capel) Surgery-Upper GI GIM/Rheum
Bray Smith Mackenzie
South Thames 14/KSS/RTP04/F1/015 ES15 John Melville Desikan
Critical Care(1) Surgery-Lower GI GIM/Gastro
Morton Aslam Stenner
South Thames 14/KSS/RTP04/F1/016 ES16 Shane Wilde Morgan
Critical Care(2) Surgery-Lower GI GIM/Gastro
Swinn Zachariah
South Thames 14/KSS/RTP04/F1/017 ES17 Ahkallya Kuganolipava Swinn Prajapati
Urology GIM/Endocrin
Loosemore/Waheed Saha Phongsathorn
South Thames 14/KSS/RTP04/F1/018 ES18 Timothy Bagnall Loosemore Surgery-
GIM/Cardio CoE
Vascular/Breast(3)
Loosemore/Waheed Mackenzie Niraula
South Thames 14/KSS/RTP04/F1/019 ES19 Daniel Christopher Thorning Surgery-
GIM/Gastro AMU
Vascular/Breast(4)
James Stenner Powell
South Thames 14/KSS/RTP04/F1/020 ES20 Hina Nayee Cetti
Surgery-Upper GI GIM/Gastro CoE ( Capel)
Davies Powell Smith
South Thames 14/KSS/RTP04/F1/021 ES21 Kaveesh Dissanayake Davies
GIM/Rheum CoE(Capel) Surgery-Lower GI
Makadsi Niraula Aslam
South Thames 14/KSS/RTP04/F1/022 ES22 Hooria Cheema Niraula
GIM/Rheum AMU Surgery-Lower GI
Smith Davies Morgan
South Thames 14/KSS/RTP04/F1/023 ES23 Lucy Wharton Smith
Surgery-Lower GI GIM/Rheum Critical Care(1)
Aslam Shattles Sage
South Thames 14/KSS/RTP04/F1/024 ES24 Keshika Vishnuthevan Shattles
Surgery-Lower GI) GIM/Rheum Critical Care(2)
James Acharya B.Mearns
South Thames 14/KSS/RTP04/F1/025 ES25 Isobel Spring Zachariah
Surgery-Upper GI GIM/Chest AMU
Acharya Mearns James
South Thames 14/KSS/RTP04/F1/026 ES26 Ketan Champaneri Acharya
GIM/Chest AMU Surgery-Upper GI
B.Mearns James Acharya
South Thames 14/KSS/RTP04/F1/027 ES27 Krishna Sivakumaran B Mearns
AMU Surgery-Upper GI GIM/Chest
Clark Prajapati Aslam
South Thames 14/KSS/RTP04/F1/028 ES28 Keval Patel Clark
GIM (Diab/Endo) CoE Surgery-Lower GI
Prajapati Aslam Clark
South Thames 14/KSS/RTP04/F1/029 ES29 Laura Crocker Prajapati
CoE Surgery-Lower GI GIM ( Diab/Endo)
Aslam Clark Prajapati
South Thames 14/KSS/RTP04/F1/029 ES30 Abiola Fatimilehin Ahmed
Surgery-Lower GI Diab/Endo CoE
(1)1 FY1 in ITU will be in community palliative care posting (2 weeks posting) from 15th-26th September, 19th-30th January 2015, 18-29th May 2015. During
these 2 weeks posting the other ITU FY1 is not allowed to take leave.
(2)The second FY1 in ITU will be in Paediatrics/General Practice posting (2 weeks posting) from 29th September-10th October, 2nd-13th February 2015, 1st-12th
June 2015. During these 2 weeks the other ITU FY1 will not be allowed leave.
(3)1 FY1 in vascular/breast surgery will be in community palliative care posting (2 weeks posting) from 29th September-10th October, 2nd-13th February 2015,
1st-12th June 2015. During these 2 weeks the other Fy1 in vascular surgery will not be allowed to take leave.
(4)The second FY1 in vascular/breast surgery will be in Paediatrics/General Practice posting (2 weeks posting) from 13th-24th October, 16th-27th February 2015,
17
15th-26th June 2015. Respectively the other FY1 cannot take leave during that time.
In the last rotation April-August 2014, only one Vascular/breast FY1 will go to Community Palliative
Appendix 1: SASFTP Individual Foundation Programmes (IFPs) – FOUNDATION YEAR 2

18
 GPF2 trainee to w ork
Foundation Foundation School Educational 6/8/14-2/12/14 3/12/14-31/3/15 1/4/15 - 4/8//15
Given Name Surname in ED/AMU 3 - 7 PM
School (Year 2) rotation Number Supervisor (Clinical Supervisor) (Clinical Supervisor) (Clinical Supervisor)
shift
Mr Veeramuthu Dr Phongsathorn Elizabeth Moffett Wed AMU
South Thames 13/KSS/03/RTP04/01/F2/001 James Dusting Mr Veeramuthu
Emergency Medicine G(I)M /Geriatrics General Practice
Mrs Gandhi Mr Selvan Mr Veeramuthu
South Thames 13/KSS/03/RTP04/01/F2/002 Kimmee Khan Mrs Gandhi
Obs & Gynae Trauma /Orthopaedics Emergency Medicine
Dr Dioszeghy Miss Wykes Dr Babu
South Thames 13/KSS/03/RTP04/01/F2/003 Chisom Emecheta Dr Dioszeghy
Emergency Medicine Obs & Gynae Psychiatry
Dr Sercl Dr Lew is Dr Bucur
South Thames 13/KSS/03/RTP04/01/F2/004 Gurveer Sagu Dr Pankhania
Emergency Medicine Paediatrics Psychiatry
Pramitkumar Patel Dr Martin Dr Phongsathorn Wed- AMU
South Thames 13/KSS/03/RTP04/02/F2/005 Amar Jessel Dr Nadjafi
General Practice Emergency Medicine G(I)M /Geriatrics
Mr Selvan Dr Dioszeghy Dr Katy Davies
South Thames 13/KSS/03/RTP04/02/F2/006 Gregory Trilling Dr R Ahmed
Trauma /Orthopaedics Emergency Medicine G(I)M /Geriatrics
Dr Katy Davies Mr Selvan Dr Daneshmand
South Thames 13/KSS/03/RTP04/02/F2/007 Unmesh Bandyopadhyay Dr Katy Davies
G(I)M /Geriatrics Trauma /Orthopaedics Emergency Medicine
Dr Daneshmand Dr Prajapati Rubey Dullo Tues-ED
South Thames 13/KSS/03/RTP04/02/F2/008 Sanna-Noor Khan Dr Daneshmand
Emergency Medicine G(I)M /Geriatrics General Practice
Dr Prajapati Alan Clifford Dr Webb Thurs-ED
South Thames 13/KSS/03/RTP04/02/F2/009 Thomas Koczlan Dr Prajapati
G(I)M /Geriatrics General Practice Emergency Medicine
Dr Sercl Dr Makadsi Paul Spensley Thurs-AMU
South Thames 13/KSS/03/RTP04/02/F2/010 Charlotte Verrill Dr Niraula
Emergency Medicine G(I)M General Practice
Elizabeth Moffett Dr Martin Dr Makadsi Tues-ED
South Thames 13/KSS/03/RTP04/02/F2/011 Chloe Pettit Miss Babar-Craig
General Practice Emergency Medicine G(I)M - Rhemu
Dr Makadsi Nila Sathananthan Dr Dioszeghy Wed-AMU
South Thames 13/KSS/03/RTP04/02/F2/012 Caroline Gosson Dr Makadsi
G(I)M- Rhemu General Practice Emergency Medicine
Mr Veeramuthu Mrs Gandhi Mr Bhat
South Thames 13/KSS/03/RTP04/02/F2/013 Josh King-Robson Dr Pankhania
Emergency Medicine Obs & Gynae Trauma /Orthopaedics
Dr Babu Dr Dioszeghy Miss Wykes
South Thames 13/KSS/03/RTP04/02/F2/014 Rachel Crane Dr Babu
Psychiatry Emergency Medicine Obs & Gynae
Dr Bucur Dr Daneshmand Dr Lew is
South Thames 13/KSS/03/RTP04/02/F2/015 Lucy Reeve Mrs Gandhi
Psychiatry Emergency Medicine Paediatrics
Dr Daneshmand Dr Lew is Michael Bosch Thurs-ED
South Thames 13/KSS/03/RTP04/02/F2/016 Anna Duffy Dr Daneshmand
Emergency Medicine Paediatrics General Practice
Rubey Dullo Dr Sercl Dr Lew is Thurs-ED
South Thames 13KSS/03/RTP04/02/F2/017 Samantha Fernandes Dr Ali
General Practice Emergency Medicine Paediatrics
Dr Lew is Gareth Bowen-Perkins Dr Peter Martin Wed-ED
South Thames 13/KSS/03/RTP04/02/F2/018 Mohsin Asharia Dr Lew is
Paediatrics General Practice Emergency Medicine
Peter Morley Dr Sercl Miss Waheed/Mr Ball Wed-ED
South Thames 13/KSS/03/RTP04/02/F2/019 James Davis Dr Suleiman
General Practice Emergency Medicine Surgery
Dr Dioszeghy Miss Waheed/Mr Ball Josie York Wed-ED
South Thames 13/KSS/03/RTP04/02/F2/020 Robert Adams Dr Dioszeghy
Emergency Medicine Surgery General Practice
Miss Waheed/Mr Ball Harminder Panesar Dr Sercl Thurs-AMU
South Thames 13/KSS/03/RTP04/02/F2/021 Christopher Peake Miss Babar-Craig
Surgery General Practice Emergency Medicine
Gareth Bowen-Perkins Mr Veeramuthu B Mearns Tues-AMU
South Thames 13/KSS/03/RTP04/02/F2/022 Rosalyn Haw kes Dr Niraula
General Practice Emergency Medicine Acute Medicine (AMU)
Dr Webb Dr Agarw al Asnita Drahaman Tues-AMU
South Thames 13/KSS/03/RTP04/02/F2/023 Kate Markham Dr Webb
Emergency Medicine Acute Medicine (MAU) General Practice
Dr Agarw al / Asalieh Anny Gilani Dr Sercl Tues-ED
South Thames 13KSS/03/RTP04/02/F2/024 Charlotte Young Dr Aggarw al
Acute Medicine (AMU) General Practice Emergency Medicine
Dr Phongsathorn Hana Patel Dr Peter Martin Tues-AMU
South Thames 13/KSS/03/RTP04/02/F2/025 Rakesh Patel Dr Phongsathorn
G(I)M /Geriatrics General Practice Emergency Medicine
Mr Veeramuthu Dr Katy Davies Mr Selvan
South Thames 13/KSS/03/RTP04/02/F2/026 Noel Murphy Dr Veerumuthu
Emergency Medicine G(I)M /Geriatrics Trauma /Orthopaedics
Hana Patel Dr Daneshmand Dr Prajapati Thurs-AMU
South Thames 13/KSS/03/RTP04/02/F2/027 Matthew Grant Dr Cow an
General Practice Emergency Medicine G(I)M /Geriatrics
Mr Bhat Dr Webb Mrs Gandhi
South Thames 13/KSS/03/RTP04/02/F2/028 Holly Poppe Dr G Agarw al
Trauma/Orthopaedics Emergency Medicine Obs & Gynae
Miss Wykes Dr Babu Dr C Dioszeghy
South Thames 13/KSS/03/RTP04/02/F2/029 Rathy Ramanathan Miss Wykes
Obs & Gynae Psychiatry Emergency Medicine
Dr Lew is Dr Bucur Dr Daneshmand
South Thames 13KSS/03/RTP04/02/F2/030 Andrew Badcock Dr Lew is
Paediatrics Psychiatry Emergency Medicine
Miss Srivastrava Dr Katy Davies Dr Ranjan
South Thames 13KSS/03/RTP04/02/F2/031 Esha Aggarw al Miss Srivastrava
Obs & Gynae G(I)M /Geriatrics ICU
Dr Simon Dr Ravi Kumar Miss Srivastrava Dr Katy Davies
South Thames 13KSS/03/RTP04/02/F2/032 Robert Gregory
Parrington ICU Obs & Gynae G(I)M /Geriatrics
Dr Katy Davies Dr Ranjan Miss Srivastrava
South Thames 13KSS/03/RTP04/02/F2/033 Richard Sennett Dr Katy Davies
G(I)M /Geriatrics ICU Obs & Gynae
Miss Srivastrava Dr N Khan Dr Fiona Lamb
South Thames 13KSS/03/RTP04/02/F2/034 Ayesha Memon Dr Fiona Lamb
Obs & Gynae G(I)M /Geriatrics ICU
Dr Simon Dr Ranjan Miss Srivastrava Dr N Khan
South Thames 13KSS/03/RTP04/02/F2/035 Gregory Horner
Parrington ICU Obs & Gynae G(I)M /Geriatrics
Dr N Khan Dr Ravi Kumar Miss Srivastrava
South Thames 13KSS/03/RTP04/02/F2/036 Anna Coates Dr Laura Ferrigan
G(I)M /Geriatrics ICU Obs & Gynae

FOUNDATION YEAR 2
19
Appendix 2: Acute care scenarios and acute care skills for mini-CEX and DOPS
assessments and sample assessment schedule for F1 and F2 years

Acute Care Scenarios

By the end of the F2 year, the foundation programme trainee should be able to recognise and
demonstrate their understanding of the management of the following.
Airway problems
 be able to recognise situations where the airway may be compromised
o perform simple airway manoeuvres (with adjuncts)
o know the indications for tracheal intubation
 be able to manage the core presentations of:
o unconscious patient
o anaphylaxis
o stridor
Breathing problems
 be able to assess breathing (rate, depth, symmetry, oxygen saturation)
 recognise that a high respiratory rate needs further evaluation
 be able to manage the core presentations of:
o asthma
o COPD
o chest infection /pneumonia
o pneumothorax
o left ventricular failure
o pulmonary embolism.
Circulation problems
 be able to assess the circulation (heart rate, blood pressure, perfusion)
 know when a fluid challenge is required
 be able to manage the core presentations of :
o bleeding
o severe sepsis
o tachyarrhythmias
o bradyarrhythmias
o volume and electrolyte depletion from diarrhoea/vomiting
o hypotension in acute coronary syndromes
o oliguria.
Neurological problems
 in addition to the management of the unconscious patient (above), be able to manage the core
presentations of:
o collapse – ? cause
o seizures
o meningism
o hypoglycaemia
o acute onset of focal neurological signs.

Continued over

Psychiatric/behavioural problems

20
 demonstrate a basic understanding of the Mental Health Act
 show awareness of situations where the safety of the patient, self or others may be at risk
 be able to manage the core presentations of:
o overdose/other self harm
o violence/aggression
o substance abuse
o delirium
o acute confusional state or psychosis.

Treating pain
 understand the analgesic ladder
 treat acute pain promptly, effectively and safely (using appropriate analgesia)
 understand that acute pain may present as a new event or in a setting of chronic pain
 e.g. palliative care patient
 be able to manage the core presentations of
o chest pain
o abdominal pain/acute abdomen
o severe acute head injury
o large joint pain
o back pain
o injuries.

Acute Care Skills

Procedures that F1 trainee should be competent and confident to perform:
o venepuncture and IV cannulation
o use of local anaesthetics
o arterial puncture in an adult
o blood cultures from peripheral and central sites
o injection – subcutaneous, intradermal, intramuscular and intravenous
o prepare and administer IV medications
o intravenous infusions including the prescription of fluids, blood and blood products
o perform and interpret an ECG
o perform and interpret spirometry and peak flow
o urethral catheterisation
o airway care including simple adjuncts
o nasogastric tube insertion.

F2 Trainees
During the F2 year, trainees are expected to maintain and improve their skills in the procedures listed
above so that by the end of the F2 year they should be able to pass on their skills to others and assist
others when procedures are difficult.
There will also be opportunities for trainees to extend the range of practical procedures they can
perform. Each specialty will specify a range of procedures relevant to that specialty in which the
trainees will be expected to become proficient e.g.,
o aspiration of pleural fluid or air
o skin suturing
o lumbar puncture
o insertion of a central venous pressure line
o aspiration of joint effusion.

21
 F1

4 8 8

CbD x 2 CbD x 2 CbD x 2

Mini – CEX X 2 Mini – CEX X 2 Mini – CEX X 2

DOPS X 4

MSF MSF
(Option to repeat if concerns at the first MSF)

F2

4 8 8

CbD x 2 CbD x 2 CbD x 2

Mini – CEX X 2 Mini – CEX X 2 Mini – CEX X 2

DOPS X 4

MSF MSF
(Option to repeat if concerns at the first MSF)

22
Appendix 3: SASFTP Courses
ORGANISATION
Surrey and Sussex Healthcare
NHS Trust*
Surrey and Borders
Partnership NHS Trust
Sussex Partnership Trust
Surrey Primary Care Trust
West Sussex Primary Care
Trust
Postgraduate Deanery for
Kent, Surrey and Sussex
WEBPAGE COMMENTS
http://web/hr/learningzone/default.htm Training courses available for all
staff. List can be accessed from any
SASH network computer
http://www.sabp.nhs.uk/
http://nww.sussexpartnership.nhs.uk/
http://www.surreypct.nhs.uk/
http://www.westsussexpct.nhs.uk/
http://kssdeanery.ac.uk

*Details of Statutory and Mandatory Training requirements for Medical and dental Staff at Surrey and Sussex
Healthcare NHS Trust can be found on page 9 of the Trust Statutory and Mandatory Training Procedure available at:

http://web/ed/staff/newstaff/Statutory%20and%20Mandatory%20Training%20Procedure.pdf

23
Appendix 4:
Week Date Time Subject Speakers
FY1 and FY2 Joint Teaching session 2014/2015
TUES 5th Aug 12-1pm e-portfolio and career planning Mr Neil Smith
TUES 12th Aug 12-1pm How to Survive being an F1 Dr Natalie Powell
TUES 19th Aug 12-1pm IV Fluids TBC
TUES 26th Aug 12-1pm Assessment & treatment of the breathless patient Dr Ed Cetti
TUES 2nd Sept 12-1pm Appropriate use of antibiotics & Infection Control Dr Karen Knox
TUES 9th Sept 12-1pm Initial assessment of patient on medical take Dr Asaleah
TUES 16th Sept 12-1pm Insulin Types Dr James Clark
TUES 23rd Sept 1-2pm e-portfolio-WHO, WHAT & WHEN Dr Zachariah
TUES 30th Sept 12-1pm Mortality Review & Death Certification Dr Natalie Powell
TUES 7th Oct 12-1pm ATLS-No Teaching  
TUES 14th Oct 12-1pm Sepsis Dr Pat Morgan
TUES 21st Oct 12-1pm Pre-Operative Assessment Dr Fiona Lamb
TUES 28th Oct 12-1pm Assessments of TIA'S Dr Stuart Jones
TUES 4th Nov 1-2pm Leadership Miss Jean
TUES 11th Nov 12-1pm Arterial blood gas and non invasive ventilation Dr Sushil Niraula
Mr Muhammad
TUES 18th Nov 12-1pm Pulmonary Embolism
Jawad
TUES 25th Nov 12-1pm COPD Assessment Dr Cetti
Mr Tim Campbell-
TUES 2nd Dec 12-1pm Suturing
Smith
TUES 9th Dec 1-2pm Assessment and management of the acute abdomen Mr Alan James
TUES 16th Dec Christmas Meal
TUES 23rd Dec Break
TUES 30th Dec Break
TUES 6th Jan 12-1pm Post-operative fluid management Dr Fiona Lamb
Dr Gaurav
TUES 13th Jan 1-2pm Assessment and Treatment of Shock
Agarwal
TUES 20th Jan 12-1pm Assessment and treatment of Diabetic Emergencies Dr Ben Field
TUES 27th Jan 12-1pm Acute Management of Status Epiepticus Dr Zhang
TUES 3rd Feb 12-1pm INTERIM ARCPs Dr Zachariah
Dr Caroline
TUES 10th Feb 1-2pm Acute Renal Failure
Ming(CMT)
TUES 17th Feb 12-1pm Stroke Dr Abousleiman
TUES 24th Feb 12-1pm Prescribing - Pharmacy Mead Ali
Dr Gary
TUES 3th Mar 12-1pm GI bleeding assessment and management
Mackenzie
TUES 10th Mar 12-1pm Acute Eye Problems Mr Umar Akbar
TUES 17th Mar 12-1pm Assessment & treatment of acute chest pain Dr Ansuman Saha
TUES 24th Mar 12-1pm Ethics as part of clinical practice Naomi Collins
TUES 31st Mar 1-2pm X-Ray Dept Dr Sonia Biswas
TUES 7th April 12-1pm Assessment and management of the painful/swollen limb TBC
TUES 14th Apr 12-1pm Careers Session Lisa Stone
TUES 21st Apr 12-1pm Blood transfusion/Approriate use of blood products Simon Goodwin
Dr Youssif
TUES 28th Apr 12-1pm Stroke Thrombolysis
Abousleiman
TUES 5th May 12-1pm Cardiopulmonary resuscitation - a refresher Bernadette Lee
TUES 12th May 12-1pm Rheumatological emergencies  Dr Makadsi
TUES 19th May 12-1pm ATLS-No Teaching  
TUES 26th May 12-1pm Accident and Emergency: Assessment Dr Julian Webb
TUES 2nd June 12-1pm Painful, swollen joints TBC
TUES 9th June 12-1pm Preparing for working in ED Dr Webb
TUES 16th June 12-1pm Endocrine emergencies Dr James Clark
Dr Laura Kelly
TUES 23rd June 12-1pm Liverpool Care Pathway
TUES 30th June 12-1pm Joint Injections Dr Shattles
TUES 7th July 12-1pm Skills of a GP & Professionalisam GP Tutor
TUES 14th July 12-1pm Assessment and management of acute trauma Mr Bhat
TUES 21st July 12-1pm Pain Control in Advanced Cancer Dr Laura Kelly
**Please note that all dates and topics are subject to change**
24
Appendix 5:
Week Date Time Subject
FY2 Teaching sessions August 2014 - January 2015
Welcome to Foundation Year 2
THUR 14/08 08.00-09.30 Planning your education and self directed learning and STFS Induction
    09.30-10.30 SLASH course - PRACTICAL (Saving Lives Aseptic Skills for Healthcare)
    10.30-11.30 ITU Management
    11.30-13.00 Blood Competencies
    14.00-15.00 Using care pathways and care bundles: the sepsis care bundle
Safe prescribing and medication error, security issues in prescriptions, prescribing in special
    15.00-16.00
circumstances and adverse drug reactions
       
TUES 09/09 08.00-08.50 Leadership & Risk Management
    08.50-09.40 Diabetes and Ketoacidosis Management
    09.40-10.30 Evidenced based management of Ischaemic Heart Disease
    10.30-11.20 Advanced ECG Interpretation Skills
    11.20-12.10 Case Based Discussions - Respiratory
    12.10-13.00 Infection Prevention Control and Antibiotic stewardship (IPCAS)
      LUNCH & CAREERS FAIR
    13.50-14.40 Application Process
    14.40-15.30 Careers Presentation
      BREAK
    15.45-17.00 Mock Interviews
       
THUR 9/10 08.00-08.50 Use of CT
    08.50-09.40 MRI Spiral Imaging
    09.40-10.30 Advanced X-Ray interpretation
    10.30-11.20 Ultrasound Techniques
    11.30-12.30 Interpreting Blood Results & Arterial Blood Gases
    13.50-14.40 TIA & Stroke
    14.40-15.30 Making the best of the microbiology lab
    15.30-16.20 Assessing the Psychiatric patient in Acute Medical setting(SABP)
    16.20-17.10 Assessing the Psychiatric patient-Self Harming(SABP)
       
TUES 04/11 08.00-08.50 Basic Surgical Skills-PRACTICAL
    08.50-09.40 CbD-General Surgery
    09.40-10.30 Patient Safety: Oral anticoagulation and how to use it safely-Joint with FY1
    10.30-11.20 ED-Assessment
    11.20-12.10 Fluid and Electrolyte Management
    13.00-13.50 Complaints Procedure
    13.50-14.40 Communication and Professionalism
    14.40-15.30 Ethics & Legal Issues
    15.30-16.20 Pain Control in Advanced Cancer
       
THUR 11/12 08.00-08.50 Management of Pleural Effusion
    08.50-09.40 CbD-Orthopaedics
    09.40-10.30 Post Mortem
    10.30-11.20 Managing 3 way consultations with children and parents
THUR 11/12 11.20-12.10 CbD-Dermatology Quiz/Teaching
    12.10-13.00 CbD-Cardiology
Management of patients with disabilities
13.50-17.00
   

       
TUES 06/01 08.00-09.00 Central venous access & Inserting a central venous catheter-PRACTICAL
    09.00-10.00 Chest Drains-PRACTICAL
    10.15-11.15 CbD-Obs & Gynae
    11.15-12.15 CbD-Rheumatology
25
     12.15-13.15 Joint aspiration and injections-PRACTICAL
    14.15-15.15 CbD-CofE
    15.15-16.15 Acute Oncology
***Please Note: All dates, timings and topics are subject to change. Subjects will be repeated Feb-July***

February 2015-July 2015

Thurs 5th Feb 2015 
Tues 3rd March 2015   
Thurs 14th April 2015
Tues 12th May 2015
Thurs 11th June 2015 
Tues 7th July 2015 

South Thames Foundation School

Appendix 6: Requirements for satisfactory completion of F1

See UKFPO Reference Guide 2012, p 42-43, Section 10, Table 1

Requirement Notes

1 Provisional registration and a

licence to practise with the
GMC

2 Completion of 12 months of The maximum permitted absence from training (other than annual leave) during
F1 training by August 2013 the F1 year is 4-weeks. (See GMC guidance on sick leave for provisionally
(taking account of allowable registered doctors).
absence)

3 A satisfactory educational The report should draw upon all required evidence listed below.
supervisor’s end of year
report.
An educational supervisor’s end of placement report is not required for the last
placement; the educational supervisor’s end of year report replaces this.
4 Satisfactory educational
supervisor’s end of
placement reports.

5 Satisfactory clinical
supervisor’s end of
placement reports
atisfactory completion of the
required number of
6 assessments:
If the F1 doctor has not satisfactorily completed one placement but has been
making good progress in other respects, it may still be appropriate to confirm
that the F1 doctor has met the requirements for satisfactory completion of F1.
The last end of placement review must be satisfactory
Continued over
Team assessment of behaviour (TAB)
(minimum of one per year).

The minimum requirements are Core procedures

26
 (all 15 GMC mandated procedures)

set out in the Curriculum. The

deanery/foundation school may
set additional requirements.
A valid Immediate Life
Support (ILS)
7 If the certificate has expired, it may be appropriate to accept evidence that the
doctor has booked to attend a refresher course.
or equivalent - certificate

8 Evidence of participation in
systems of quality assurance
and quality improvement
projects.
9 Completion of the required
number of Supervised
Learning Events.
The minimum requirements are
set out in the Curriculum. The
deanery/foundation school may
set additional requirements
Foundation doctors should take part in systems of quality assurance and quality
improvement in their clinical work and training. This includes completion of the
national trainee survey and any end of placement surveys.
Direct observation of doctor/patient interaction:
• Mini CEX
• DOPS
(minimum of nine observations per year; at least six must be mini-CEX).
Case-based discussion (CBD)

(Minimum of six per year / two per placement)

Developing the clinical teacher

(Minimum of one per year).

10 An acceptable attendance It has been agreed that an acceptable attendance record should typically be
record at generic foundation 70%. However, if the F1 doctor has not attended 70% of teaching sessions for
teaching sessions good reasons, it may still be appropriate to confirm that the F1 doctor has met
the required standard e.g. making up missed sessions by completion of
appropriate on-line learning modules. If there are concerns regarding
engagement or if attendance is below 50%, the FTPD should discuss this with
the STFS Director.
11 Attendance at the appropriate STFS requirement
level of Safeguarding
Children training

12 Attendance at an approved STFS requirement

simulation course

13 F1 – F2 Transfer of STFS requirement

Information (TOI) form

14 Signed probity and health This is in addition to the Declaration of Fitness to Practise required by the GMC
declarations when applying for full registration.
All STFS F1 doctors are strongly encouraged to have completed a leadership
assessment within the e-Portfolio (LEADER tool).
15 Leadership assessment

Continued over

27
South Thames Foundation School
Appendix 7: Requirements for satisfactory completion of F2
See UKFPO Reference Guide 2012, p 53-54, Section 11, Table 1
Requirement
1 Full registration and a license to practice with
the GMC
2 Completion of 12 months of F2 training by
August 2013 (taking account of allowable
absence)
3 A satisfactory educational supervisor’s end of
year report.
4 Satisfactory educational supervisor’s end of
placement reports.
5 Satisfactory clinical supervisor’s end
placement reports
Satisfactory completion of the required
number of assessments:
6
The minimum requirements are set out in the
Curriculum. The deanery/foundation school
may set additional requirements.
7 A valid Advanced Life Support (ALS) or
equivalent - certificate
8 Evidence of participation in systems of
quality assurance and quality improvement
Notes
The maximum permitted absence from training (other than
annual leave) during the F2 year is 4-weeks.
The report should draw upon all required evidence listed
below.
An educational supervisor’s end of placement report is not
required for the last placement; the educational
supervisor’s end of year report replaces this.
of If the F2 doctor has not satisfactorily completed one
placement but has been making good progress in other
respects, it may still be appropriate to confirm that the F2
doctor has met the requirements for satisfactory
completion of F2. The last end of placement review must
be satisfactory.
Team assessment of behavior (TAB)
(minimum of one per year).
Evidence that the foundation doctor can carry out the
procedures required by the GMC.
If the certificate has expired, it may be appropriate to
accept evidence that the doctor has booked to attend a
refresher course.
Foundation doctors should take part in systems of quality
assurance and quality improvement in their clinical work
28
 projects.
Completion of the required number
Supervised Learning Events.
9 • DOPS
The minimum requirements are set out in the
Curriculum. The deanery/foundation school
may set additional requirements
10 An acceptable attendance record at generic
foundation teaching sessions
11 Attendance at the appropriate level
Safeguarding Children training
12 F2 Destination Questionnaire
13 Signed probity and health declarations
14 Leadership assessment
and training. The Curriculum requires that F2 doctors
manage, analyse and present at least one quality
improvement project (e.g. an audit) and use the results to
improve patient care.F2 doctors are also required to
complete the national trainee survey and any end of
placement surveys.
of Direct observation of doctor/patient interaction:
• Mini CEX
(minimum of nine observations per year; at least six must
be mini-CEX).
Case-based discussion (CBD)
(Minimum of six per year / two per placement)
Developing the clinical teacher(Minimum of one per year).
Continued over
It has been agreed that an acceptable attendance record
should typically be 70%. However, if the F1 doctor has not
attended 70% of teaching sessions for good reasons, it
may still be appropriate to confirm that the F1 doctor has
met the required standard e.g. making up missed sessions
by completion of appropriate on-line learning modules. If
there are concerns regarding engagement or if attendance
is below 50%, the FTPD should discuss this with the STFS
Director.
of STFS requirement
Completion of the STFS questionnaire (separate guidance
to follow)
A separate form should be signed for F2.
All STFS F2 doctors are strongly encouraged to have
completed a leadership assessment within the e-Portfolio
(LEADER tool).
29