Search site for:


SYNOPSIS OF COUNCIL MEETING
9th/10th January 2004

Present:
Dr A Long Chairman
Dr AW Blair Vice Chairman
Dr C Byatt Honorary Secretary
Dr J Lowes Hon Assist Secretary
Mr R Smith Honorary Treasurer
Dr E Spencer Editor Clinical Tutor
Dr G Luzzi Oxford
Dr I Verber Northern
Dr D Nagi Yorkshire
Dr K Kelleher London SE
Mr A Naftalin London NE
Dr D McCrae London West
Dr J Young London Nth Central
Dr M O'Connor Wessex
Dr A Mackie Sth Yorks & Sth Humber
Dr M Cheshire Mersey
Dr A Jeffrey LNR
Dr D Clarke Trent
Dr E Highes West Midlands
Dr S Morris Wales
Dr A Varghese Northern Ireland
Prof P Hill COPMeD


Minutes of 3/10/03
These were agreed and signed.
Matters Arising:
There were none and New Chairman, Dr Andrew Long advised Council of differing style than normal to give more time to Deanery reports.
Regional Reports
  1. Northern Ireland: (Dr Abraham Varghese) Due to implement MMC one year later than rest of UK. Their hospitals struggling to meet New Deal and felt new Consultant Contract might threaten education. Looking at new ways of supporting education within EWTD and delivery of education via tele-medicine.
  2. Kent, Surrey, Sussex: No report in Dr Dewhurst’s absence.
  3. Anglia: No report in Dr Green’s absence.
  4. Oxford: (Dr Graz Luzzi) Report tabled.
  5. Wessex: (Dr Mike O’Connor) Deanery working well together. Swindon DGH identified issues covering A & E whilst developing their “Hospital at Night” pilot to meet EWTD. New Consultant Contract giving concerns. Report tabled.
  6. South Western: (Dr Spencer) Acting Dean trying to restore damaged relationships. Two pilot sites for foundation programmes in 2004/05 – Truro & Gloucester.
  7. Yorkshire: (Dr Dinesh Nagi) Last meeting had MMC & Foundation Year as theme. Dean very keen to have MMC leads who will not necessarily relate to CTs. Lack of time in new Consultant Contract a worry. Could NACT take a lead on this. Report tabled.
  8. Northern: (Dr Verber) Major problems introducing MMC. Recognition for CTs in new Consultant Contract very important. Report tabled.
  9. North West (West): No report in Dr Serlin’s absence.
  10. North West (East): (Dr Mike Cheshire) Very little in place for MMC. Concerns over new Consultant Contract – his is a large Trust. Felt PGC funding should be put on similar basis to other funding within Trust protected by Business Plan. Report tabled.
  11. Sth Yorks & Humber: (Dr Alasdair Mackie) Two MMC pilots running Sheffield & Doncaster with Dr Sarah Thomas as lead on foundation pilots. Study Leave may become centrally funded. MMC meeting clashes with 2nd day of NACT Spring Meeting. Report tabled.
  12. Trent: (Dr Dominic Clarke) Only 50% of his CT colleagues attend Deanery Meetings. New Consultant Contract could prove threat to CTs regarding time restraints and deliverables. Concerns over competency assessment processes linked to Foundation programmes e.g. appeals against judgements and finding restraining opportunities; and overlap between MMC pilots and BST. Report tabled.
  13. LNR: (Dr Andrew Jeffrey) Dr Derek Gallon new Dean and have 3 new CTs in their hospitals. Set up project “Pathway” to adopt multi-professional approach to include capital development & remapping of roles. Concerns over multi-professional learning – more heat than light. Report tabled
  14. West Midlands: (Dr Elizabeth Hughes) Large Deanery with good working relationship with Dean. Exploring honorarium and time elements for education. Engaging CT assessment. Would like NACT to run mentoring course. Report tabled.
  15. Wales: (Dr Steve Morris) Have good meetings. PGE funding increase less than inflation – hope Dean will get more from Welsh Assembly. Pilots in Nth & Sth. Wales has different Consultant Contract details. NACT seen as an “English” orgabisiation. No written report.
  16. Scottish Tutors: Report tabled in their absence.
  17. Defence Services: No report in Major Guy Vautier’s absence.
  18. London NW: (Dr Hilary Cass) Dr Jane Young, Dr Cass’ deputy reported MMC is more problematic in DGHs. London has issues not related to the rest of UK. Time restraints increasing concern. Perhaps use NACT as lever over tension between CTs/Deaneries & Trusts. Need to measure reality with theory.
  19. London SE: (Dr Kevin Kelleher) FP2, MMC & EWTD same problems as rest of UK – difficulties with making sense of it all especially paperwork. A Trainee Point of View Survey suggested that Trainees had not seen any improvement in training over past two years which was discouraging. Report tabled.
  20. LondonWest (Dr Danny McCrea) Although there are pilots and programmes for Foundation Year using 4 mth model, colleagues want longer rotations. Consultant Contract giving huge problems together with no related job planning interviews as yet.
  21. London NE (Mr Alan Naftalin) Leadership training for SPRs & STA arrange training for Management & Leadership roles. Timings are an issue. Report tabled.
Report from COPMeD (Prof Peter Hill)
Assured NACT CTs were highly regarded by the Deans and fundamental part of Deanery machinery. Some areas he commented on:
  1. PMETB – 4 Deans individually appointed to PMETB. Primary agenda quality of medical training. Tension between education and training. PMETB likely to look carefully at Deanery activity and functions including the roles and functions of the STC and Programme Directors.
  2. Trainees experiencing difficulties – still difficult area relating to challenging Deanery decisions and placement of trainees requiring remediation. NCAA need to work closely with Deans.
  3. GMC – new version of “The New Doctor” in consultation phase. Although deals primarily with PRHO grade, hopefully to include all Foundation trainees in future.
  4. Revalidation – At present Deanery processes to satisfy revalidation needs for doctors in training. There’s requirement for formal documentation to maintain standards Nationally and right “evidence” available. Some difficulties producing agreed documentation, but should be used as framework for appraisal and assessment practices locally.
  5. MMC – Three National groups – the Policy Group, the Strategy Group and the Delivery Board. COPMeD had own MMC Steering Group with a group for MMC Leads within Deaneries. NACT represented on both COPMeD & MMC Leads group. Concerns over structure and process - hopefully would be resolved at National level in near future so guidance could be given to Deaneries for local implementation. Also concerns for funding & manpower issues – could be more difficult to resolve.
  6. WDC’s – Recommended reading “Health Service for all the Talents” by all CT’s but clear some parts were changing structure. WDC’s almost subsumed by SHA’s (in England) following the document “Shifting the Balance of Power”. Seems likely all would follow in the future.
  7. Consultant Contract – Seems good opportunity to establish educational time within Consultant workload. Most Deans encouraged Chief Executives of Trusts and WDC’s to take this seriously as part of Consultant Job Planning. NACT to work with COPMeD to persuade recalcitrant Trusts to commit adequate time for CTs and to ensure teaching commitment rewarded with time within the contract.
  8. Payment by Results – this move forward led to National review of funding through merged MPET Levy. Hopes from DoH possible to define national tariffs for cost to Trusts of training health professionals (including medical students and doctors in training). Deans some concerns re formula used to derive tariffs and review process in general. Meeting with DoH to take forward.
AOB:
  1. Meetings
    AMEE – 5-8 Sept Edinburgh: Chairman encouraged all CTs to attend. NACT running D of ME workshop on “Career Planning”. Excellent networking.
    Spring Meeting – 6/7 May, Trent: Programme out shortly.
    Winter Meeting 26th November 2004 RSM
    Spring Meeting 11/12 May 2006 – Belfast.
  2. Effective Clinical Tutor Courses
    Pt 1 “Essential Knowledge for CT’s well received. Parts 2/3 may be offered in local Deaneries and should be dropped by NACT – Chairman suggested these should be discussed further on Saturday morning.
  3. Council Nominations for Officers
    Those seeking re-election were as follows:
          Chairman – Dr Andrew Long
          Hon Secretary - Dr Kit Byatt
          Hon Assitant Sec: Dr John Lowes
          Editor CT : Dr Liz Spencer

    Dr Gordon Jackson was nominated to take over from Dr Alastair Blair as Vice Chairman & Dr Andrew Jeffrey was nominated to take over from Mr Richard Smith as Treasurer.
Dates of next Council Meetings:
7th May – Petwood Hotel, Woodhall Spa. 24th Sept, Med Soc of London.
The meeting concluded at 5.30 p.m

Last modified: 1 Jun 2004