Undergraduate Medical Training Financial Accountability & Quality Enhancement Annual Report 2014/15 UCL Medical School is one of the largest in the country and it has the widest range of integrated BSc opportunities in the UK. With an internationally acknowledged faculty of education and research leaders and a committed team of NHS based teachers, together with our associated university hospitals and a wide range of other placement providers, we aim to provide the best possible student experience and prepare our graduates to meet the needs of today's and tomorrow's patients and to thrive in 21st century healthcare environments. UCL Medical School is committed to excellence in education. The Medical School has a strong reputation for teaching informed by cutting-edge research and a distinguished cadre of academic staff. UCL Medical School has a range of clinical facilities, teaching laboratories, lecture theatres and libraries. This infrastructure, dedicated team of internationally acknowledged world leaders and highly trained technical staff, provides the ideal learning environment for medical students. One of the top ranking universities in the UK for research in basic medical sciences and clinical medicine Experiencing research-led teaching from current leaders in basic medical science and clinical medicine Opportunity to learn anatomy through dissection, in addition to prosection, computer simulation imaging and other modern methods Clinical teaching in some of London’s world famous hospitals, by leading healthcare professionals Opportunity to practise clinical skills in our fully equipped clinical skills centres A medical school truly integrated into the multi-faculty institution of UCL with all the associated benefits in terms of sporting, cultural and social facilities The widest range of integrated BSc opportunities in the UK Strongly supportive environment with welfare clinics to address medical students’ concerns Status of this report This report has been prepared for the sole use by HE NCEL, and no responsibility is taken by the Medical School to any director / member or officer in their individual capacity, or to any third party. Contents Summary Introduction Detailed Report A. Student number time series information to highlight future bulge and fallow intakes Student population as at 1 December 2014 Forecast for Autumn 2016 intake Number of qualifiers in summer 2014 B. Summary of SIFT expenditure against budget C. Reporting of quality assurance exercises QA of Clinical Placement Providers QA of the MBBS Programme D. Summary of developments, innovations, best practice to include significant future changes to the curriculum or any other important achievements Appendix 1 - UCLMS Student Evaluation Questionnaires Departmental Summary Appendix 2 - UCLMS MEPAR summary Appendix 3 – UCLMS Year 6 visit summary Appendix 4 - UCL Annual Student Experience Review (ASER) Self Evaluation Report and Development and Enhancement Plan Appendix 5 – UCLMS Annual Return for the GMC (MSAR) Introduction Detailed Report A. Student number time series information to highlight future bulge and fallow intakes Student population as at 1 December 2014 Table 1 Student Population by year group and by Home / EU and Overseas as at 1 December 2014 Year Group Home/EU Overseas Total Population Year 1 293 24 317 Year 2 312 23 335 New Year 3 (IBSc) 281 20 301 New Year 4 342 32 374 New Year 5 303 34 337 New Year 6 334 12 346 Forecast for Autumn 2016 intake Table 2 Forecast for Autumn 2016 intake by year group and by Home / EU and Overseas Year Group Home/EU Overseas Total Population Year 1 306 24 330 Year 2 299 32 331 New Year 3 (IBSc) 260 20 280 New Year 4 382 22 404 New Year 5 366 21 387 New Year 6 331 28 359 This replaces the forecast for Autumn 2015 which has been superceded by actual intake. Number of qualifiers in summer 2014 Table 3 Number of qualifiers in Summer 2014 *The 17 who did not qualify, repeated the course in 2014-15 Number qualified, repeating or failed Qualified 357 Repeating Failed 10 Did not complete / withdrew 7 Total 374 B. Summary of SIFT expenditure against budget Table 4 Summary of SIFT expenditure 1 April 2014 to 31 March 2015 2014-15 Act (HENCEL) as at April 2014 BUDGET at Q1 Budget Elements ACTUAL VARIANCE IN LONDON SIFT SLA Trusts BARKING, HAVERING AND REDBRIDGE UNIVERSITY HOSPITALS NHS TRUST BARNET AND CHASE FARM HOSPITALS NHS TRUST BARNET, ENFIELD AND HARINGEY MENTAL HEALTH NHS TRUST CAMDEN AND ISLINGTON NHS FOUNDATION TRUST CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST CENTRAL LONDON COMMUNITY HEALTHCARE NHS TRUST GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS FOUNDATION TRUST MOORFIELDS EYE HOSPITAL NHS FOUNDATION TRUST NORTH MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST ROYAL BROMPTON & HAREFIELD NHS FOUNDATION TRUST ROYAL FREE LONDON NHS FOUNDATION TRUST 8.12 330,168 330,168 £0 £0 See RFL 5.74 238,547 238,547 46.31 1,961,340 1,961,340 37.40 1,572,222 1,572,222 0.25 10,657 10,657 4.88 217,229 217,229 4.84 211,849 211,849 29.30 1,218,401 1,218,401 1.47 63,802 63,802 246.82 10,604,516 10,604,516 8 £0 £0 £0 £0 £0 £0 £0 £0 £0 ROYAL NATIONAL ORTHOPAEDIC HOSPITAL NHS TRUST UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST THE WHITTINGTON HOSPITAL NHS TRUST TAVISTOCK AND PORTMAN NHS FOUNDATION TRUST Sub Total Budget Elements 1.67 68,134 68,134 227.71 10,230,348 10,230,348 159.07 6,682,586 6,682,586 0.76 32,583 32,583 774.34 33,442,382 33,442,382 FTE BUDGET ACTUAL £0 £0 £0 £0 £0 VARIANCE OUT OF LONDON SIFT SLA Trusts BASILDON AND THURROCK UNIVERSITY HOSPITALS NHS FOUNDATION TRUST EAST AND NORTH HERTFORDSHIRE NHS TRUST LUTON AND DUNSTABLE UNIVERSITY HOSPITAL NHS FOUNDATION TRUST WEST HERTFORDSHIRE HOSPITALS NHS TRUST SURREY AND SUSSEX HEALTHCARE NHS TRUST NORTH ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST SOUTH ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST Sub Total GP Education and Infrastructure (inc Small and Tasked GP) GP Clinical Placement £0 40.08 1,558,161 1,558,161 20.98 828,420 828,420 44.53 1,727,182 1,727,182 13.29 538,714 538,714 0.05 2,016 2,016 0.01 376 376 £0 0.20 7,686 7,686 £0 4,662,555 4,662,555 £0 - 431,845 431,845 £0 137.06 1,635,537 1,635,537 £0 119.14 9 £0 £0 £0 £0 GP Facilities - 856,500 856,500 £0 137.06 2,923,882 2,923,882 £0 Non Contract Trust Budget (includes Non SLA Trusts) 0.0 Fully allocated at Q5. Medical School Direct funding (at Q5) 5.1 204,000 110,967 93,033 5.1 204,000 110,967 93,033 Sub Total Sub Total NB Providers regularly claim after the end of the budget year. 10 £0 CLINICAL TOTAL Clinical Total Budget Elements 1,035.64 41,232,819 FTE BUDGET 41,139,786 ACTUAL 93,033 VARIANCE ADMIN BUDGET Teaching the Teachers - 117,837 117,837 £0 Occupational Health - 0 0 £0 CRB Checks - 0 0 £0 Clinical Skills Tutors - 140,018 140,018 £0 SIFT Co-ordination Budget - 158,478 158,478 £0 Simulated Patients for teaching and assessment - 26,778 26,778 £0 Patient Database Administrator - 15,173 15,173 £0 Admin Total - 458,284 458,284 £0 Total 1,035.64 41,691,103 41,598,070 93,033 11 12 C. Reporting of quality assurance exercises QA of Clinical Placement Providers The MBBS Quality Assurance Unit (QAU) was set up in 2004 to ensure that the Medical School meets the quality management needs of both the GMC Quality Assurance of Basic Medical Education (QABME) procedures and the UCL requirements for quality monitoring and enhancement and has a clear framework for organising and ensuring quality management and quality control of an increasingly integrated programme in a complex and dynamic educational and service environment. The MBBS Quality Assurance Unit (QAU) is academically led by Dr Ann Griffin, the Academic Lead for Quality who leads on all its activities. She is supported by a full time QAU manager and a full time QAU assistant. The role of the MBBS QAU is to ensure: that high standards in teaching, learning and assessment are supported through timely and detailed feedback; that problems can be systematically and rapidly identified and addressed; and that good practice in undergraduate education across the programme is recognised and rewarded. The QAU has a key role in helping the MBBS programme leads interpret, respond to and reconcile the demands of its multiple stakeholders (students, staff, NHS providers and academic Divisions) and ensuring its procedures and policies are compliant with the expectation of UCL, the GMC and Health Education England. In order to fulfil this role, the QAU is responsible for coordinating the following: Internal monitoring of the programme, including clinical placements, is through: Development and dissemination of teaching standards / guidelines Student evaluation questionnaires (SEQs) and other student experience data generating activities (‘Raising concerns’ and the new ‘name and proclaim’ reporting systems, the MBBS no-show system for reporting teaching cancellations) Collection of, and action on, annual self-assessment returns by placement providers known as Medical Education Provider Annual Returns (MEPAR) Targeted visits to providers who fail to return a MEPAR Collaborative participation in Undergraduate Teaching Committees at the main NHS placement providers Attendance at Undergraduate Teaching Committees at associated Trust providers on a rotating basis every 3 years Informal, light touch visits to providers by Year 5 and Year 6 teams to share developments and review feedback; promote good relations; share good practice and support the quality of education provision within the requirements of the Learning and Development Agreements and other guidelines issues by the School, GMC and LETB. Liaison with student representatives Overseeing the Reward and Recognition scheme (including the Top Teachers and Excellence in Medical Education Awards) External monitoring Ensuring that procedures are established and maintained which allow the School to respond in a systematic and transparent manner to the regulatory requirements of the: QAA (via UCL IQR and Annual Monitoring), GMC (through the QUABME and Medical School Annual Return (MSAR) Education Provider Annual Return processes) and Health Education England Education Commissioner requirements via this annual return to HENCEL The Medical School’s Quality Monitoring and Enhancement Committee (mQMEC): oversees the activities of the QAU and identifies quality enhancement priorities for the curriculum committees and NHS providers. The committee reports to the MBBS Teaching Committee. The QAU works closely with the Tariff Office, the three central NHS Trusts and DGHs, the Sub Dean for Community (who is responsible for all GP placements), UCL Academic Services and committees across the MBBS programme. QA of Clinical Placement Providers: The following QA monitoring documents are attached: 1) UCLMS Student Evaluation Questionnaires Departmental Summary (Appdx 1) 2) UCLMS MEPAR summary (Appdx 2) 3) UCLMS Year 6 visit summary (Appdx 3) QA of the MBBS Programme: 4) UCL Annual Student Experience Review (ASER) Self Evaluation Report and Development and Enhancement Plan (Appdx 4) 5) UCLMS Annual Return for the GMC (MSAR) (Appdx 5) D. Summary of developments, innovations, best practice to include significant future changes to the curriculum or any other important achievements The UCL Annual Student Experience Review (ASER) completed by the Medical School as part of UCL’s internal QA processes includes an evaluative report and development and enhancement plan, summarised below: The MBBS was significantly improved in 2012 with the introduction of MBBS 2012 and many of the changes to the MBBS programme over the last few years have been in relation to preparing for, and the embedding of, this new curriculum. Developments have also been aligned to the four key principles of MBBS 2012: to provide the best possible student experience; to reflect the needs of st today’s and tomorrow’s patients; to create 21 century doctors able to thrive in modern healthcare environments and to maximise the benefits of learning medicine at UCL. Other changes have been made in response to the National Student Survey or student feedback through our formal and informal systems. In the academic year 2014/15 significant changes include: The reconfiguration of the modules in year 2 to allow for a module focusing on Genetics, Development and Cancer; to address the need for modern medical students to understand the fundamentals of the genomics revolution in healthcare and research Changes to the timing of the final exams better to prepare students for practice by moving the elective to the post-finals period and introducing a ‘preparation for practice’ special study module that focusses on day 1 competencies at work and now takes place after finals and after completion of all core modules and placements Introduction of ‘quarantining’ during OSCE examinations to eliminate exchange of information between candidates in early and later circuits and address student perceptions of advantage for those examined in later circuits Introduction of redesigned individual feedback on assessments: both the knowledge test performance and OSCE station feedback forms for the summative assessments in year 4 and 5. A re-design of the Consolidation Integration and Feedback weeks in years 1 & 2 Introduction of further patient-centred care patient pathways and student Schwartz rounds to better prepare students for patient-centred practice Introduction of GP led workshops in women’s health and mental health to increase exposure to primary care Given the significant changes to the curriculum and the disruption it caused, particularly with students already in the latter years of the programme, we were delighted to maintain our high NSS satisfaction rates. Encouraged by our active student body we have made major decisions through staff and student working groups, often complemented by whole student body votes. These include the change in finals timing the decision to quarantine students during OSCEs listed above and changes to our attendance and engagement policy. We have introduced Town Hall Meetings in years 4, 5 and 6 to increase the routes of gathering and acting upon student feedback, and in Year 6 taking a student vote on the topics to be addressed during Anchor Days. We are delighted to have started using the Cruciform Hub which is very highly regarded by our students. In the last academic year nine students have won National awards or prizes including the Faculty of Public Health Cochrane Award. 14 core or associated Faculty teaching on the MBBS programme won awards last year: either becoming Fellows or Senior Fellows Higher Education Academy or winning teaching awards external to the medical school including one Provost’s Teaching Award. Achievement of both Faculty and students are publicised and celebrated in our termly Medical School newsletter. The senior leadership team has changed in the last academic year with Professor Deborah Gill taking over as the new Director of the Medical School and Dr Will Coppola joining as the Divisional Tutor which has allowed a review and consolidation of the student support structure. Appendices Appendix 1 - UCLMS Student Evaluation Questionnaires Departmental Summary Appendix 2 - UCLMS MEPAR summary Appendix 3 – UCLMS Year 6 visit summary Appendix 4 - UCL Annual Student Experience Review (ASER) Self Evaluation Report and Development and Enhancement Plan Appendix 5 – UCLMS Annual Return for the GMC (MSAR)