Higher Specialist Training in
Child and Adolescent Psychiatry
Induction February 2013
Dr Latha Hackett
latha.hackett@cmft.nhs.uk
Yvonne Brooks
y.brooks@nwpgmd.nhs.uk
Sandra Russell
sandra.russell@cmft.nhs.uk
Specialist Training administrator, CMFT
Dr David Ochando
Chair, Specialty Trainee group
Child and Adolescent Psychiatry higher
Specialist Trainee
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Induction to the Programme (For New and other trainees)
10.15 coffee
10.30 -12.00
Overview of the Programme Dr Latha Hackett, Training Programme director,
David Ochando, Chair, St4-6 in child and adolescent Psychiatry
Yvonne Brookes, Specialty School manager, NW deanery,
Sandra Russell, Specialty Training Administrator, CMFT
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The following to be organised by Dr Aslam on a separate day
Portfolio ARCP METIS – Trainee & Neelo Aslam
Research on the Programme – Professor Jonathan Green/Dr Rachel Elvins
Academic Programme – Professor Jonathan Hill
Therapeutic Modalities – Dr Neelo Aslam
On call on the scheme – trainee
Mandatory training – Dr Aslam
The Scheme
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Training Scheme
Deanery
School of Psychiatry
CAPFECC - Curriculum
Training Programme – Academic, Case
presentation Guidelines, therapeutic skills
training, research, Management Training.
 GMC
The Scheme
 Trainees meeting with the training
Programme Director
 Trainee, Trainer and Training Programme
Director Meeting
 Training Plans/Learning objectives.
 End of year Report.
 E-portfolio, PDP, WPBA,
 Mandatory training
Scheme
 Mentors.
 Appraisal and assessment –ARCP
 Placement evaluation form – Training
Committee and School
 Study leave
 Applying for CCT
 Travel Expense
Training Scheme.
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Northwestern scheme.
NTN - 22 Salaries WT- 19
Posts approved 24
Salaries - 10 in CMFT, 2 Bolton, 2 Pennine care, 3 GMW, 1
Burnley, 1 in Leyland (Chorley)
 September 08 – EWTD compliant: 1:8 rota for Greater
Manchester
Training Scheme
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St’s - WT - 14 Flex – 4
1 vacancy
NTN’s used - 18 out of the 22
Buddying system – all Trainees allocated
will have a named senior trainee as a buddy
when they first start to help them settle.
Buddies
 You should have been allocated a buddy
 Do you know who your buddy is?
The Scheme
 Specialty trainees (St4-6):
 St6: Dinesh Khanna , * Sally Albachary,*Samina Holsgrove (**) Louisa
Draper, ***David Ochando, Krishna Madhusudhan, Sri Velandy,
 St5 Venu Bansal, Peter Sweeney, Omar Tariq, Vandna Saxena,
 *Katharina Junejo, Akhtar Kapasi, Dush Mahadevan.
 St4 - Sahana Kini, Zubair Ahmed, Nelu Ingirige, Amith Paramel and
*/**Nadia Ranceva
 * - LTFT
 ** ACF
 *** MLP
 18 trainees St4-6 – 14 WTE, 4 LTFT
 1 Vacancy
The Deanery
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The post graduate Dean - Jacky Hayden.
Associate PGD’s Psychiatry - Dr George Nasmyth.
Specialty School Manager –Yvonne Brooks
Appointment of TPD
Meet twice a year on away days with all chairs of
Training Committees and DME other medical
educators- May & Sept
School of Psychiatry
Head of School – Damien Longson
TPD’s for ST 4-6
General Adult –A Poynton
Old Age – Harry Allen
LD – Carol Harvey
Psychotherapy - Mark Evans
Forensic - Simon Plunkett
CAP – Latha Hackett
TPD – Core Training 1,2,3 TPD’s (Dr Graham
Ness, Taseer Kazmi, Lucy Aitkin. Lancashire Care
– Venu Duddu
 School administrator – Sam Abbott
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School of Psychiatry
 Operational board
 Head of school, Associate dean, DME
(MMHSCT, GMW, Pennine Care,
Lancashire Care), Academic, Regional rep
for Psychiatry, Pastoral Care, Quality
assurance, Core training TPD’s & St4-6
TPD’s
 Specialty Manager and School administrator
School Board
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The operational board +
All tutors and TPD’s
Trainee reps
Lay representative
Child and Adolescent Psychiatry
Specialty training committee
 Chair - Training programme director.
 Deputy Programme Directors- Drs Neelo
Aslam, Mischa Mockett, Kenny Ross, Anne
Shortall
 Three way meeting – TPD, Dpty TPD s
Shortall
 Yvonne Brooks – Specialty Manager
 Meet Twice a year - Autumn and Summer –
PP3 or Winnicott Centre
ST group
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Chair & STSC rep
Dr. David Ochando
Deputy Chair & STSC rep
Dr. Katharina Junejo
Academic rep
Dr. Sri Velandy
Research Rep
Dr. Dush Mahadevan
Management
Dr. Omar Tariq
Therapeutic Modalities
Dr. Krishna Madhusudhan
Legal Aspects
Dr. Omar Tariq
Paediatric Liaison
Dr. Akhtar Kapasi
On-call Rota :West
Dr. Vandna Saxena
On –Call Rota:East +Central
Dr. Sahana Kini
Incident review panel , Network Board and On-call Website Management group
– Dr. Peter Sweeny, Dr. Krishnan Madhusudhan
STSC
 All trainers are members of the STSC
 Trainee representatives – 1 Whole time + 1 Flexible
trainees.
 Sub Group ( all have a trainer lead and a trainee rep -in
italics)
 Academic Programme director – Ruth Marshall, Professor
Jonathan Hill, Tim Morris, Mischa Mockett, Louise
Theodosiou, Latha Hackett, Sri Velandy
 Research Coordinator - Dr Jonathan Green, Sri Velandy
 Management training – Tim Morris, Roshelle Ramkisson,
Omar Tariq
STSC
 Therapeutic Modalities - Neelo Aslam & Krishna
Madhusudhan
 Legal Aspects Training – Dr Kenny Ross & Omar
Tariq/Akhtar Kapasi
 Paediatric liaison – Dr Hilary Lloyd & Katharina
Junejo, Akhtar Kapasi
 ST chair – Dr. David Ochando,
Training on the Manchester
Scheme
 Academic – 15 organised days. 1st Mondays of the month
– academic training days(11), 2nd or 3rd Mondays –
Regional training days (4 days a year)
 In placement – most experience gained over three WTE
years
 ADI – video training available for all Sts. Video’s in my
office, you can book it and I can help you on how to train
yourself
 Special courses organised in house: *Management
training, legal aspects and therapeutic modalities.
 Bought from out side – ADOS, Legal aspects etc
 Mandatory in first year – Child protection training, Break
away training, Basic life support training
Academic Programe
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Two trainers per day
One chair of the case conference
Case conference Consultant
Two organising trainees
Meet organising trainers – 3 months in
advance, trainee sent out papers to trainees
and all trainers
Academic Programme
Rawnsley Conference room, 1st working
Monday
ST business meeting
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 Learning objectives of the day (Personal LO, what do you expect to
learn from the day, end of the day what did you learn and how are you
going to address this and reflect on what you achieved that day for
portfolio signed by trainer of the day
 Overview of the topic of the day
 Journal papers
 Discussion of relevance of the day to clinical Practice/Research club
 Case Presentation
 Review of LO of the day
 Mandatory attendance – register will be kept by Sandra Russell and I
will be informed at the end of the year when I write my TPD report for
ARCP (75%)
Academic Programme
 The two organising trainees + trainee for the case
presentation meet with organising consultants for the day 3
months in advance
 Agree on the academic content
 Send programme to TPD & Academic programme
organiser with all the papers – e or paper copy.
 Consultant for the case presentation – need to be told in
advance that their case is being presented. He/she should
be present.
 Hence minimum 4-5 trainers present for case conference
Therapeutic Modalities Training
 Mostly in Placements
 CBT, Family Therapy and Psychodynamic
Psychotherapy; Group therapy try and use
opportunities
 2012-2013 Family Therapy & Psychodynamic
psychotheraoy – 6-7 whole days equivalent
 At the end of these sessions – report from trainer
required for ARCP – attendance – 75%, SAPE,
Psychotherapy ACE, essay marking etc
Trainer/Trainee Hand book
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Introduction
Job descriptions
Induction to the Scheme
Rotation and on call list
Academic Programme
Research – Prof Jonathan Hill to discuss further
Therapeutic Modalities Programme
Legal Aspects Training
Management Training
Paediatric Liaison Training – in preparation
On call
Safety at work place
Audit of courses trainees have attended in the year 2006-2007
Forms - Evaluation of Training placement.
ARCP – Gold guide summary and relevant section.
RCPsych Occasional Paper 65
CAPFECC
 Chair – Brian Jacobs.
 CAPFECC developed curriculum and is
developing assessment tool
 2010 curriculum – you will be assessed
against this
Annual Cycle of review
1. Learning agreement:
 Aims and intended learning outcomes.
 Based on specialty curriculum.
2. Advice on portfolio
3. Regular feed back (two-way)
4. Personal development Plan
5. Educational supervisors structured report
6. NHS appraisal – end of portfolio or MMC Website
Annual Cycle of review
Educational Appraisal & WPBA
A. Evidence
1. Assessment of Performance – WPBA, ESR, TPD Structured report
ARCP & Outcome
2. Assessment of Experience
Portfolio, audit, research, critical incidents, teaching
B. ARCP – Appropriate Panel to consider the evidence.
Review of evidence of progress, outcome of review, educational planning.
Annual Planning
TPD/deputy – meet trainee to – review ARCP outcome and plan next part
of training
Annual Review of Competence Progression –
(ARCP -Gold Guide) July 2010
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Portfolio should have the following:
Evidence of Induction – Induction to the scheme, Induction to Trust, Induction to the
department
Personal development Plan –prepared by trainee signed by Trainer in the first month,
linked to curriculum
Three way meeting PDP or LO signed off by ES. TPD signing off annual planning of
trainees learning – 6-8 weeks
Interim review 6 months later - TPD and a deputy. ES sign off
WPBA – These are not specified. But a minimum of 12 with a combination of ACE, MiniACE, CBD- all with reflective notes, MPAT – important and necessary on metis & Twice
NHS appraisal. Form 4 sign off necessary for ARCP
Psychological modalities training – evidence – supervisors report etc
Research report – Evidence from supervisor
Audit report – evidence – report, presentation, sign off from trainer
Record of on call, teaching and feedback
Management activity- reflections
CPR and break away training
PMETB survey
Educational Supervisors structured report
Training Programme directors Structured report
All this recorded in your portfolio. Sam Abbott, School administrator will update
ARCP – Panel A (July)
 No trainee present.
 Panel – TPD, Head of school and Regional
representative
 To consider evidence and approve
adequacy of the evidence and
documentation
 Judge whether a trainee can progress to
next stage of training
ARCP Outcomes
 1 Satisfactory progress .Achieving progress and
the development of competencies at the
expected rate
 *2 Development of specific competences
required – additional training time not
required
 *3 Inadequate progress by the trainee –
additional training time required
 *4Released from training programme with or
without specified competences
 5 – Not enough evidence
 *2,3,4 – unsatisfactory progression
ARCP – Panel B
 Trainee is present.
 This is when the ARCP outcome is not 1
 Panel organised by the Deanery
Appraisal and 360 degree
assessment – MPAT on metis
 Trainers will appraise trainees before the
ARCP in May/June using the DOH appraisal
document all on metis
 Mini PAT – 360 degree appraisal x 2 – on
metis
 Before the ARCP as well, the information
collected by trainer and report given to
Trainee for ARCP
ARCP challenges
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January 2010 - 2 St4’s – both got outcome 1
July 2010 - 13 Specialty trainees presented
11 got Outcome 1 – panel A
2 outcome 5 had to do the following: no triangulation of evidence in
summary of evidence and NHS appraisal. Got outcome 1 in the end
In Jan & July 2010 – none of the child psychiatry trainee went to Panel
B!
This is an achievement in the school of Psychiatry
July 2011, 15 trainees, Outcome 1=10, 6=2, 2=1, 3=2 (3 trainees to
panel B)
January 2012 – 6 trainees – Outcome 1 =1, 2=1, 6=4 (1 to panel B)
July 2012 – 11 trainees - Outcome 1 =6, 2 =1, 3 =1, 6=3 (2 to panel B)
January 2013 – 5 trainees attended
Most cases of outcome 2 – inadequate evidence and not linking the
evidence - poor triangulation of evidence
Annual Leave & Sick Leave
 Annual leave - 25 days to start
 Third increment - 30 days.
 8 public holidays + 2 extra statutory holidays – you need to
check this with the trust you work for. In CMMC no hospital
holidays but you get 4 extra days!
 Leave year - 1.11 - 31.10.
 Sickness absence - Trust. Trainee has to make two
phone calls – one to base and other to medical staffing at
place of work. 3-7 days self certification. Over 7 – GP sick
note. Weekends are included in sick leave.
 More than 7 days - PG med personnel informed.
 Greater Manchester West employs all trainees
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Any leave/rota issues should be raised with the local medical staffing.
For any pay issues you should contact GMW lead employer.
Study leave
 30 days a year - 15+ 7 days on the Programme.
Budget - WTE-£805/ year. Flexible pro-rata 6
sessions £492(?)
 Study leave forms available electronically
“CAPSAC requires” - 30 academic sessions per
year.
 11 SpR academic days.
 Regional days - 4.
Therapeutic modalities - 7 days; 08-09 CBT &
Psychodynamic
Have 8 days to attend other courses
Courses usually attended
 Research module - £250
 Autism Diagnostic Observation Schedule £850 – reduced
for str. Contact Kleo at Harrington bldg
 RCP – CAP faculty Residential conference - £500-600
 Legal aspects – £100-250 (local, RSM with college)
 Webster Stratton - £400
 Management – Free - £1000
 Manchester Psychopharmacology course - £400 (usually
reduced for trainees)
 Regional days - £25 each
Meeting with the TPD
 TPD/Trainee Induction –Within 2 weeks
after trainee starts.
 3 way meeting - Trainee/Trainer/TPD - 6-12
weeks of starting post.
 Meeting with Trainee annually in April/May
before ARCP individually
 Meeting with TPD and a deputy in June for
structured TPD report
Placement.
 Postings decided at the end of April
Decision. The trainee request vs training
needs Vs requests from SpR’s as a whole
vs Trusts being able to pay banding for extra
flexible trainees.
Supervision
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Once a week.
Clinical
Management etc.
Portfolio
Pastoral
Trainers are requested to document
supervision sessions.
PDP
 This should be documented.
 There is a formal form to do this.
 I would advice this is done in 4-6 weeks of
starting.
 Needs to be reviewed every three months.
 Use the curriculum and do this
 Use the summary of evidence sheet in front
of your portfolio
WPBA
Once a month do a WPBA (Do minimum 12)
 Minimum 2 ACE
 Minimum 4 Mini ACE
 6 CBD’s
 Mini PAT – thro’ Metis. Do discuss with the
trainers and discuss with the people you
want to complete the forms – more than 8
ask for 12
End of Year report
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Should be at last few superv.
Belongs to the trainee for next trainer.
Trainer/trainee sign it.
Headings - Organisation (time keeping,
diary keeping, clinical correspondence),
Quality of clinical letter, Interview skills,
Therapeutic skills
End of Placement trainee feedback.
 Trainee fill in a form.
 Confidential information.
 To be collated after 3 trainees have fed back
on the post.
 Then summarised and sent to trainer
 There is a school of Psychiatry one too – I
would suggest that you complete both
 Three surveys in all – *PMETB - mandatory,
School and training scheme
StR appointment
Annual: like the MTAS applications but
new improved one through GMW
Appointments take place when there are
vacancies
Role of Training Programme Director
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Induction of trainees and Trainers
Trainer / Trainee Handbook.
To support trainers in the training of SpR’s/STRs.
To oversee the training of all trainees.
Reference point – Training Committee, School of
Psychiatry Deanery, Royal College.
 Annual trainer/Trainer meeting - annually.
 Trainer away day - 2 half days annually.
Portfolio
 All trainees must be on Metis
 Discuss with Sam Abbott – attend school
induction for this
 Trainees must use it
 Trainers know about this
 ARCP submission
 Metis is what we look at for TPD report and
ARCP
If there are concerns.
 I would like to be informed as soon as
possible.
 Happy to be a sounding board
 Complete transparency with trainees
Trainee Concerns
 Educational supervisor
 Site Tutor/DME – Neelo Aslam, CMFT,
Margaret Campbell, GMW, Bernie Larkin,
Pennine Care, DME for Royal Bolton,
Lancashire care -Dr Venu Duddu/ John
McKenna
 TPD
 Lead Employer
 Deanery
Mentors
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Trainees must have one.
Trainees are advised to select one
If they want help I will recommend one
Role of mentors
Training available
 PBL tutor, OSCE training – Manchester Med
school
 Research methodology course
 PGCERT course organised by the deanery
 Other courses like – ADOS, management,
Residential conferences etc.
 I recommend trainees meet Professor
Jonathan Green, Research coordinator as
part of induction
Induction for trainees
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To the scheme
To the employing Trust
Local placement induction
Induction to the School of psychiatry
mandatory
Mandatory training/requirement
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BLS
Safeguarding
Breakaway training
Annual appraisal
School survey
GMC survey
Mandatory training for Trainers
 *Metis portfolio training (*Induction training)
 Attend School of Psychiatry training event or
educational conference per 12 months
 WPBA training every three years
 Equality and Diversity every three years
 Training in Supervision every 5 years
 Training in appraisal every 5 years
 Training in bullying and Harassment every 5 years
 Northwestern school of Psychiatry - A guide to
New post approval
Hand outs on CD ROM
 This presentation
 OP69 RCPsych Jan 2010. Postgraduate Training
in Psychiatry – Essential information for trainees
and trainers.
 Child and Adolescent Psychiatry Handbook
 Rotation list
 Dates for Family Therapy training Circulated &
Psychotherapy from Feb-July 2013
 Psychopharmacology course will be posted to you
 Academic day programme 20012-13
 Curriculum 2010
 On call information
Course dates – Therapeutic
Modalities training
 Family therapy training – Coordinator Dr Anne Shortall (September
2012-July 2013)
 Psychodynamic Psychotherapy training - Dr Louise Theodosiou
(February –July 2013
 Cognitive Therapy –Dr Ian Dufton 2013-2014
 Pharmacology course – Manchester usually November 2012
Team Roles – Medical HR Department
Current Trainees on the scheme
 Dinesh Khanna, Krishna Madhusudhan, Sri
Velandy, Venu Bansal, Louisa Draper
 Samina Holsgrove, Sally Albachari,
 Omar Tariq, Katharina Junejo, Sahana Kini,
Vandna Saxena, Peter Sweeney
 Dush Mahadevan, Akhtar Kapasi
 Zubair Ahmed, Nelu Ingirige
 Amith Paramel, Nadia Ranceva