|Pennine GPST OOH Guidelines|
Out of hours is a mandatory component of GPST training and you must demonstrate competence to your Educational Supervisor to allow a CCT to be issued.
OOH is defined as work undertaken between 18.30 and 0800 Monday to Friday, all day Saturday, Sunday and Bank Holidays.
OOH is an important part of your experience as a GPST and allows you to experience acute physical and psychological illness which you may never experience in core primary care hours. You will enhance your problem solving skills, team working abilities and time management skills. Look at ooh positively and it is a really rich learning environment which you will enjoy.
Of course you are human and like most doctors you may not be particularly enamoured with doing on-call. However you are paid a significant uplift in your salary for on-call and so cannot opt out. You must do out of hours to complete your work place based assessments for the MRCGP.
The COGPED statement http://www.cogped.org.uk/page.php?id=199 describes the standards and criteria you will need to meet.
The five generic competencies are defined:
1. Ability to manage common medical, surgical and psychiatric emergencies in the out of hours setting.
2. Understanding of the organisational aspects of NHS out of hours care.
3. Ability to make appropriate referrals to hospitals and other professionals in the out of hours settin
4. Demonstration of communication skills required for out of hours care.
5. Individual personal time and stress management.
Must do’s and do not’s
Our OOH providers are GTD and Bardoc, which provider you will attend and how to book sessions will be explained at induction. Attendance at induction is mandatory before undertaking ooh sessions, this can be counted as one of your ooh sessions.
You must undertake a minimum of 6 sessions at ST 1 or 2 and a minimum 12 sessions at ST3. More may need to be undertaken if your educational superviser feels you have not met the described competencies. These sessions must be documented using the OOH workbook at http://www.rcgp-curriculum.org.uk/mrcgp/wpba/out_of_hours.aspx and scanned into your portfolio. Each session must be entered into your learning log with reflection and further learning discussed.
A session is defined as lasting a minimum of 4 hours up to 7 hours and the length is defined by the OOH provider; generally the shorter the session the busier it is.
You should undertake a balance of base, triage and visiting sessions.
You should not exclusively perform overnight sessions.
The number of sessions to be undertaken is the same for LTFT and FT GPST’s.
The initial sessions at ST1-2 should be observing the delivery of care and when your clinical superviser feels you are ready, you may see patients in a supervised manner. As you progress through the sessions at ST3, the supervision will become at a greater distance and you should be consulting alone with remote supervision at the conclusion of your OOH sessions. The COGPED document describes this in greater detail.
Please book your sessions early and complete the sessions before your final educational review at the end of ST3 – if they are not completed by the time of the final ARCP you risk delaying the issuing of your CCT.
Please ensure you turn up for sessions booked in plenty of time – not attending will be regarded as a probity issue and be explored by your programme director. Arriving late will potentially compromise patient care and your clinical superviser may not wait for you, especially if undertaking a visiting session. You should also stay to the completion of the session unless otherwise agreed in advance.
| Pennine GPST OOH Guidelines 2011 >>