Scotland Deanery ARCP Training 2024 Guidelines and Requirements

Guidelines and requirements for the Scotland Deanery ARCP Training 2024 include the use of decision aids, panel responsibilities, awareness of curricular requirements, completion of Equality and Diversity training, and additional training on Cultural Humility. Panel members must ensure fairness and equity in assessing trainee progression. Resources for equity, diversity, and inclusivity are provided for panel members' awareness and understanding.

• Scotland Deanery
• ARCP Training
• Guidelines
• Panel Responsibilities
• Equality and Diversity

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1. Scotland Deanery ARCP Training 2024

2. Gold Guide V9 and information on ARCP outcomes All panel members must be aware of updated Deanery Policy KEY All panel members must have up to date EDI training FEATURES FOR 2024 Panels will remain virtual and remain as per 2023 Temporary derogations and the use of Outcome 10 ceased as of September 2023.

3. SCOTLAND DEANERY ARCP POLICY ARCP panel members must apply Deanery guidance on appropriate ARCP outcomes using GMC approved decision aids. The responsibility for ARCPs lies with the Deanery Colleges/ Faculties guidance may be helpful and very sensible but is not definitive and does not over-ride Deanery processes Trainees should be advised before ARCP if not expected to receive satisfactory outcome

4. PANELISTS RESPONSIBILITY To review the portfolio holistically and make a judgement on trainee progression based on the evidence against GMC approved curriculum requirements and published ARCP decision aids Panel should issue a standard outcome (1-8) To apply principles of fairness and equity

5. PANELISTS REQUIREMENTS Be aware of ARCP decision aids and curricular requirements for their specialty. Read the updated Deanery ARCP standard operating procedure (available to download from the link below) and be aware of information in Section 4 Gold Guide 9 https://www.scotlanddeanery.nhs.scot/trainer-information/arcp/ Ensure Equality and Diversity training had been completed in the last three years panel members will be asked to confirm that training is up to date. If training is not up to date complete this module: Introduction to equality, diversity and human rights | Turas | Learn (nhs.scot)

6. ADDITIONAL TRAINING Cultural Humility - . Cultural Humility | Turas | Learn (nhs.scot) Sexual Harassment available March 2024 Neurodiversity coming soon

7. EQUITY DIVERSITY AND INCLUSIVITY RESOURCES Kings Fund resource 'A long way to go': ethnic minority NHS staff share their stories (kingsfund.org.uk) NHS Grampian video - 20 mins "It's okay to talk about race" NHS Grampian Staff Share Their Experience With Racism - YouTube NMC Resource - lots of links NHS England Combatting racial discrimination against minority ethnic nurses, midwives and nursing associates Unconscious bias Resources available on Turas Scorm Player - Unconscious bias (nhs.scot)

8. Gold Guide descriptions for Outcomes (GG9 pages 73 77) Outcome 5 (and associated flow chart) should be used if: Absent evidence where there is likelihood this will be obtained in short time frame (if not then consider outcome 2 or 3) Failure to submit SOAR and absence declaration Normally 2 weeks but up to 8 weeks in exceptional circumstances ARCP OUTCOMES

9. Outcome 8 Trainees who are OOPE / OOPR / OOPC No Review Maternity/Paternity/Adoption leave Long term sick leave ARCP OUTCOMES

10. ARCPs for LTFT TRAINEES LTFT trainees will be expected to demonstrate the capabilities relevant to their stage of training as described in their relevant curriculum on a pro rata basis. Any workplace-based assessments should be spread evenly across a training placement. Although the timescales for ARCP for trainees who work LTFT are the same as those working one whole time equivalent (maximum of 15 months between ARCP reviews for revalidation purposes) they should not be expected to have completed the same activity as a WTE trainee. Consideration may need to be given as to when it is most appropriate to hold an ARCP for a someone training LTFT, taking into consideration their critical progression points. This may not be at the same point as reviews of WTE trainees take place.

11. ARCP NO REVIEW Is it possible to hold the ARCP at a time when the panel will be able to issue a substantive outcome but still with an interval of no more than 15 months since the previous ARCP? If it is, then this should be arranged and there is no need to record a no review . This is particularly applicable where the reason would have been trainee not in post long enough as ideally the ARCP would take place once they have sufficient evidence & experience to be assessed. For trainees on statutory leave, best practice would be to hold an ARCP close to the date of the leave starting and a further ARCP following their return, negating the need to record a no review whilst they are not working. In some cases, the length of statutory leave may be such that taking this approach would breach the 15 months maximum interval between ARCPs. If this is the case recording a no review is appropriate. Where the no review outcome is used panels should only use the N13 reason code (other reason) where no standard reason code is applicable. If a standard reason code can be used but there is a desire to make additional notes, which Turas cannot facilitate with standard codes, the programme administrator can record these comments in the trainee file and the standard reason code can be selected in Turas.

12. Outcomes 2 Management Trainees should be aware of this likely outcomes before panel meeting (ES/TPD/FPD should advise and record) The panel should set SMART objectives with a review date Trainee should be advised of right to review decision Follow up educational/interim review where necessary should be undertaken by ES/TPD (this is not a formal ARCP and hence will not have an ARCP Outcome) Plan for ARCP at usual time Arrange earlier ARCP if concerns about progress towards objectives

13. Outcomes 3 and 4 Management Trainees should be aware these are likely outcomes before panel meeting (ES/TPD/FPD should advise and record) Please seek advice from APGD if considering issuing outcome 3 or 4 PG Dean/Deputy Dean should be consulted about all outcome 3 and 4s regardless of programme Trainee should be advised of right to appeal Follow up formal ARCP is required following an outcome 3 at no longer than 6 months

14. LAT OUTCOMES Outcome 7.2 is equivalent to an Outcome 2 Outcome 7.3 is equivalent to an Outcome 3 Outcome 7.4 is equivalent to an Outcome 5

15. Feedback in the ARCP process Effective feedback promotes effective learning and a supportive culture Key principles: Specific vs general Objective vs subjective language Realistic vs unrealistic suggestions Delivered as close to ARCP date as possible

16. Feedback in the ARCP Process Educational Supervisor Report Trainees Panel should identify a member to give developmental feedback to Educational Supervisors Irrespective of ARCP outcome, trainees should be given developmental feedback

17. Scotland Deanery Scenarios 2024

18. TRAINEE REVIEW They have achieved the curricular requirements. SOAR and absence declarations are submitted: Outcome 1 (or Outcome 6 if applicable) They have not met the curricular requirements: Outcome 2 or 3 depending upon whether additional time required Panel may also consider outcome 4 depending on previous history of trainee progression.

19. PREVIOUS OUTCOME 2 OR 3 Trainee issued an outcome 2 or 3 at their last ARCP. They have only partially met the requirements from the last panel. Supervisors report shows improvement. SOAR and absence declarations are submitted: Outcome 2, 3 or 4 depending upon the stage of training and previous extension time. Issue of outcome 3 or 4 must be discussed with the Postgraduate Dean/ Deputy Postgraduate Dean who is lead for the specialty grouping prior to confirmation on Turas & communication to the trainee

20. SOAR Trainee has met the minimum amended curricular requirements. They have not submitted their SOAR declaration. Outcome 5. Trainee submits the SOAR declaration within the 2 week deadline. Panel Chair awards Outcome 1. Trainee fails to submit the SOAR declaration within the 2 week deadline. Trainee will be invited to attend a support meeting with Postgraduate Dean/Deputy Dean or nominated deputy usually APGD/AD. Panel chair will select from the following options As trainee has met minimum amended curricular requirements then outcome 2 is awarded (If not met, outcome 3 is awarded). Outcome 1 or 6 is not awarded, even if there are no progression concerns

21. Has trainee submitted all required evidence within required timescale (2 weeks prior to ARCP date)? Yes, expect for exam / module result Yes, except SOAR declaration Yes No Panel reviews evidence Panel reviews evidence and issues outcome 5. Trainee is notified of their requirement to submit SOAR declaration within 2 week deadline by Deanery admin Panel reviews evidence Panel reviews evidence and issues outcome 5. Panel records date when result will be available and proposes follow-up outcome (depending on result) Panel issues outcome Does the evidence provided demonstrate satisfactory progress? On receipt of exam / module resuult, if trainee successful, Panel Chair issues appropriate outcome. If trainee is unsuccessful, Panel to be reconvened and appropriate outcome issued Is SOAR declaration completed within required timescale? No or unclear, Panel cannot make a statement on progress due to the nature of the incomplete evidence Yes, all evidence apart from late submission No Yes Panel Chair issues previously agreed follow-up outcome Panel issue outcome 5 and agrees what outstanding evidence is required from the trainee and the timescale in which is must be provided (normally 2 weeks but can be up to 8 weeks in exceptional circumstances). If evidence received, Panel proposes follow-up outcome. If an outcome other than a satisfactory outcome is anticipated, the Panel must reconvene. On receipt of SOAR declaration, Panel Chair issues previously agreed follow-up outcome Trainee will be invited to attend a support meeting with LDD or delegated deputy. Panel Chair will select from the following options: Option 1: First time that trainee has not completed SOAR, outcome 2, 3 or 4 will be issued (according to training progression). Outcome 1 or 6 is not awarded, even if there are no progression concerns. Option 2: Trainee has not completed SOAR declaration on previous occassion(s). Begin process of referral to GMC for non-engagement with revalidation. Does outstanding evidence receievd within required timescale and now demonstrates satisfactory progression? [Taken from GGv9 4.127 - 4.130] No Yes Panel will reconvene (can be virtually). Follow-up outcome 2, 3 or 4 will be issued. Face-to-face / virtual meeting will be arranged as per standard ARCP process. If trainee has submitted required evidence as agreed by the Panel, Panel Chair can issue satisfactory outcome.