OLD AGE PSYCHIATRY (ST4-6)
EDUCATIONAL SUPERVISOR’S STRUCTURED ARCP REPORT
This form summarises the trainee’s progression towards achieving the necessary
competencies since their previous Annual Review of Competence Progression (ARCP).
The trainee should complete section one and ensure their portfolio is complete and up to date.
The educational supervisor and trainee should then jointly complete the remaining sections,
whilst referring to evidence and assessments the trainee has linked in their portfolio to the
intended learning outcomes (ILO) as per the relevant curriculum. (Please note: ILO 6 and 14
are not included in the curriculum so will not appear in the electronic portfolio. You can add
these learning needs to your personal learning plan and map evidence accordingly).
Once the report is completed, please ensure all the following steps are confirmed:
a) The trainee submits a printed, signed copy to Adam Goddard*. This should be
submitted on the day of the ARCP if the trainee is attending, or received in advance of
the panel if the trainee will not be attending.
b) The trainer sends an electronic copy of the report to Adam Goddard* (email
adam.goddard@ne.hee.nhs.uk) and the trainee.
c) The trainee must also ensure a copy of the ARCP report is uploaded to their portfolio
under the “Supervision” sub-section of “Evidence” before the ARCP date.
The trainee must ensure an electronic copy of this form is submitted to the deanery by
the specified date and all the above steps have been completed. Thank you.
*Adam Goddard: Specialty Programme Coordinator, Northern Deanery, Waterfront 4, Goldcrest Way,
Newburn Riverside, Newcastle upon Tyne, NE15 8NY (adam.goddard@ne.hee.nhs.uk
Tel: 0191 2754744)
Section 1: Basic information
Trainee details
Trainee’s name
GMC number
Training Programme
Training number (if applicable)
Year of training
1
Details of Current placement
Educational supervisor/s
Clinical supervisor/s
Dates of placement (start – finish)
Previous ARCP outcomes
Dates
Outcome
1.
2.
3.
4.
Previous placements in programme
Clinical Post & location
Educational supervisor
Dates
1.
2.
3.
4.
Examinations / Qualifications completed
Date(s)
Notes/ actions
MRCPsych Exam
Section 12
Approved Clinician
Other(s)
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Record of absence / time out of training
As absence from training may have an impact on competency progression, the General
Medical Council has recently produced new guidance whereby trainees absent from work for
longer than 14 days may need to have their completion of training date extended.
Please complete the table below recording all periods of absence over the last 12 month
period. This information will be shared with the Lead Employer Trust (as your employer).
As stated in the latest GMC guidance, “it is each individual trainees responsibility under good
medical practice to be honest and open and act with integrity and as such, to ensure that the
deanery are aware of their absences through deanery reporting requirements”, and so please
ensure that all absences are recorded fully and accurately.
Type of leave
(e.g. ill health,
maternity)
Start Date
Return Date
Number of Days
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Comment
Portfolio checklist
Please ensure your portfolio is complete a week before your ARCP date.
As a minimum this should include:
Yes / No
1. Learning plan
2. All supporting evidence mapped to the
relevant intended learning outcome/s as per
your curriculum
3. All relevant WPBAs (as per RCPsych
guidance)
4. Audit activity
5. Psychotherapy cases (number / modalities)
6. Log of cases including emergency cases
7. Evidence of clinical and educational
supervision
8. Evidence study leave
9. Evidence of reflective practice
10. Evidence of special interest and research
activity
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Section 2: Overall Summary of progression mapped to the Intended Learning Outcomes
In this section of the report, the Intended Learning Outcomes (ILO) the trainee needs to
achieve are assessed in turn.
When completing this section, please use the drop down boxes to give your rating of the
progress made by the trainee. These cover the main competencies in the curriculum that
need to be attained in order to progress to the next year of training. Details of what is
expected of trainees by the end of this year are set out for each of the competencies as per
the guidance from the College.
Please rate the trainee on a scale from 1 through to 4.
1= Limited or Insufficient evidence of competence
2= Some elements of competence have been achieved
3= Approaching competency
4= Competency attained
Please score 4 if the trainee has met the requirements for the ILO for the current year of
training. .
If you give a score of 1, 2 or 3, please indicate what the trainee needs to do or demonstrate in
order to move to a score of 4: this should be done for each ILO as relevant in the last part of
the box under “suggestions for development / comment”.
This means that you can use the full range of scores with each trainee as appropriate. The
ARCP will then review the overall profile of scores as part of the review of the portfolio to
determine the ARCP outcome as appropriate.
Please note the default position is “1” for each item – so all items require scoring to best
reflect the overall progress of a trainee.
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ARCP Old Age Psychiatry 2013 v1
Summary of ILO
1 Be able to perform specialist assessment of patients and document relevant
history and examination on culturally diverse patients to include: - Presenting or
main complaint - History of present illness - Past medical and psychiatric history Systemic review - Family history - Socio-cultural history - Developmental history
By the end of ST4, the trainee will be
able to independently assess older
adult patients presenting with the
following: behavioural and
psychological symptoms of dementia
(BPSD) in the community and
complex problems in both inpatient
and an outpatient service
By the end of ST5, the trainee will be
able to independently assess a an
older adult patient presenting with
physical and psychiatric comorbidities
By the end of ST6, the trainee will be
able to supervise the assessment of
a patient presenting to the older adult
service conducted by a Foundation
Programme Trainee or a Core
Psychiatry Trainee

History taking
1

Mental state examination
1

Physical examination
1

Documentation
1

Suggestions for development / comment
2 Demonstrate the ability to construct formulations of patients’ problems that
include appropriate differential diagnoses
By the end of ST4, the trainee will be
able to independently construct a
formulation for an older adult patient
presenting to an in-patient and out
patient service with a complex
problem
By the end of ST5, the trainee will
continue to be able to independently
construct a formulation for an older
adult patient presenting to an inpatient and out patient service with a
complex problem (local scheme
standard)
By the end of ST6, the trainee will be
able to supervise a Foundation
Programme Trainee or a Core
Psychiatry Trainee constructing a
formulation of a problem experienced
by a patient presenting to the older
adult service

Create a differential diagnosis
1

Identify aetiology factors
1

Suggestions for development / comment
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3 Demonstrate the ability to recommend relevant investigation and treatment in the
context of the clinical management plan. This will include the ability to develop and
document an investigation plan including appropriate medical, laboratory,
radiological and psychological investigations and then to construct a
comprehensive treatment plan addressing biological, psychological and sociocultural domains
By the end of ST4, the trainee will be
able to independently construct a plan of
investigations and treatment for a patient
presenting to an older adult in-patient
and out patient service with a complex
problem
By the end of ST5, the trainee
will continue to be able to
independently construct a plan
of investigations and treatment
for a patient presenting to an
older adult in-patient and out
patient service with a complex
problem (local scheme standard)
By the end of ST6, the trainee will be
able to supervise the construction of a
plan of investigations and treatment
for a patient presenting to the older
adult service conducted by a
Foundation Programme Trainee or a
Core Psychiatry Trainee

Considers and negotiates individual patient factors
1

Planning investigations
1

Treatment planning
1

Suggestions for development / comment
4 Based on a comprehensive psychiatric assessment, demonstrate the ability to
comprehensively assess and document patient’s potential for self-harm or harm to
others. This would include an assessment of risk, knowledge of involuntary
treatment standards and procedures, the ability to intervene effectively to minimise
risk and the ability to implement prevention methods against self-harm and harm to
others. This will be displayed whenever appropriate, including in emergencies
By the end of ST4, the
trainee will be able to
conduct a risk assessment,
instigate a treatment plan
and supervise the progress
of older adult inpatients and
outpatients presenting with
self harm or at risk of
exploitation or neglect
By the end of ST5, the
trainee will be able to
describe the legal
framework of protection for
older adults
By the end of ST6, the trainee will be able to supervise
a core trainee or foundation trainee in conducting a risk
assessment, instigating a treatment plan and monitoring
the progress of patients presenting with self harm
and/or at risk of exploitation or neglect. The trainee will
also be able to lead the MDT in managing a high-risk
patient. The trainee will also be able to competently
present evidence to a Mental Health Act Review
Tribunal (or equivalent body)

In routine clinical situations
1

In psychiatric emergencies
1
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
Mental Health Legislation / Framework

Suggestions for development / comment
1
5 Based on the full psychiatric assessment, demonstrate the ability to conduct
therapeutic interviews; that is to collect and use clinically relevant material. The
doctor will also demonstrate the ability to conduct a range of individual, group and
family therapies using standard accepted models and to integrate these
psychotherapies into everyday treatment, including biological and socio-cultural
interventions
By the end of ST4, the trainee will
start to become be familiar with the
range of psychotherapies available
to older adults in both inpatient and
outpatient settings and be able to
incorporate the principles of these
techniques into their own clinical
practice. (local scheme standard)
By the end of ST5, the trainee will
be familiar with the range of
psychotherapies available to older
adults in both inpatient and
outpatient settings and be able to
incorporate the principles of these
techniques into their own clinical
practice.
By the end of ST6, the trainee will have
completed a second course of
psychological treatment with an older
adult using a different modality and a
different duration from that used
previously in advanced training

Progress towards undertaking a psychotherapy case
1

Ability to apply psychological models in formulations
1

Suggestions for development / comment
6 Demonstrate the ability to concisely, accurately and legibly record appropriate
aspects of the clinical assessment and management plan
The trainee should continue to demonstrate the ability to properly record appropriate aspects of clinical
assessments and management plans during all stages of training. (Local scheme standard - though this ILO is
not explicitly included in the curriculum, please provide evidence to demonstrate how you have continued to
address this learning need. Evidence for this can be mapped to your learning plan).

1
Record keeping
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ARCP Old Age Psychiatry 2013 v1

Suggestions for development / comment
7 Develop the ability to carry out specialist assessment and treatment of patients
with chronic and severe mental disorders and to demonstrate effective
management of these disease states
By the end of ST4, the trainee will
be able to concisely summarise
the previous case records of
patients with severe and enduring
mental illness presenting both de
novo in old age and those carried
into old age, and use this
information to inform the
assessment, treatment plan and
subsequent monitoring of these
patients.
By the end of ST45, the trainee will
continue to be able to concisely
summarise the previous case
records of patients with severe and
enduring mental illness presenting
both de novo in old age and those
carried into old age, and use this
information to inform the
assessment, treatment plan and
subsequent monitoring of these
patients. (Local scheme standard)
By the end of ST6, the trainee will be able
supervise a core trainee or foundation
doctor as they concisely summarise the
previous case records of patients with
severe and enduring mental illness and
use this information to inform the
assessment, treatment plan and
subsequent monitoring of these patients.

Construct treatment plan for older person with chronic mental illness

Suggestions for development / comment
1
8 Use effective communication with patients, relatives and colleagues. This
includes the ability to conduct interviews in a manner that facilitates information
gathering and the formation of therapeutic alliances
By the end of ST4, the trainee will
demonstrate the ability to modify their
communication techniques in
response to situations in which there
are communication problems

By the end of ST5, the trainee will
demonstrate the ability to chair a
review meeting at which the patient
and their relatives are present
By the end of ST6, the trainee will
demonstrate the ability to skilfully
impart a diagnosis of dementia to
patients and relatives
1
Ability to conduct interviews
1

Ability to use emotional sensitivity
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ARCP Old Age Psychiatry 2013 v1

Suggestions for development / comment
9 Demonstrate the ability to work effectively with colleagues, including team
working
By the end of ST4, the trainee will be
able to describe the role of the old
age psychiatrist in either an in-patient
or a community team dealing with
older adult patients and be able to
work as a member of such a team
without the need for close personal
supervision
By the end of ST5, the trainee will be
able to describe the role of the old
age psychiatrist in both an in-patient
and a community team dealing with
older adult patients and be able to
work in such a team without the need
for close personal supervision

Team Working

Suggestions for development / comment
By the end of ST6, the trainee will be
able to manage competing demands,
support and facilitate the leadership
of others and contribute to change
management processes and if not
completed by the end of ST5, they
will have demonstrated the ability to
resolve conflict within a team and to
handle complaints
1
10 Develop appropriate leadership skills
By the end of ST4, the trainee should be able
to demonstrate the ability to effectively chair a
multi-disciplinary team meeting in an older
adults’ psychiatry service and to lead the team
for a short period of time under consultant
supervision. The trainee should be able to
describe the role of a leader and different
approaches and styles of leadership

By the end of ST5, the
should have taken
responsibility for
organising part of the
service, e.g. the oncall rota (if not
completed in ST4)
By the end of ST6, the trainee should have
taken a leading part in a change
management project and should have
demonstrated the ability to mentor a
colleague. The trainee should also
demonstrate the ability to handle conflict
and/or team dysfunction
Effective leadership skills and knowledge
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ARCP Old Age Psychiatry 2013 v1
1

Suggestions for development / comment
11 Demonstrate the knowledge, skills and behaviours to manage time and problems
effectively
By the end of ST4, the trainee should
demonstrate the ability to prepare
and deliver a report for a Mental
Health Tribunal and/or Managers’
Hearing
By the end of ST5, the trainee should
have demonstrated the ability to write
reports for outside agencies (if not
completed in ST4)
By the end of ST6, the trainee should
demonstrate the ability to act as an
expert witness, either in a real or
‘shadow’ situation (if not completed in
ST5)

Time management
1

Communication with colleagues
1

Problem-solving and decision making
1

Developing appropriate understanding of medico-legal processes
1

Suggestions for development / comment
12 Demonstrate the ability to conduct and complete audit in clinical practice
By the end of ST4, the trainee will
have completed an audit project
using a different methodology from
that which they used in core training
and will be able to demonstrate the
application of audit principles to their
own work.

By the end of ST5, the trainee will be
able to demonstrate the ability to
conduct an audit project without
direct supervision, be able to set
standards and be able to
demonstrate how the results of an
audit project have quality
improvement
Understanding principles of clinical audit
By the end of ST6, the trainee will
demonstrate the ability to supervise a
colleague’s audit project and will
have been involved in a service-wide
quality improvement project) if not
completed in ST5)
1
1

Performing and presenting an audit
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ARCP Old Age Psychiatry 2013 v1

Suggestions for development / comment
13 to develop an understanding of the implementation of clinical governance
By the end of ST4, the trainee will
demonstrate an awarenessof risk
management issues and healthcare
governance issues
By the end of ST5, the trainee will
demonstrate an understanding of risk
management issues and healthcare
governance issues as applied to
services for older people
By the end of ST6, the trainee will
demonstrate an ability to handle a
Singular Untoward Incident (SUI) and
ability to work nationally, regionally or
locally to develop and implement
clinical guidelines and care pathways
(if not completed in ST5)

Understanding of the Clinical Governance Framework

Risk management

Understand principles of managing complaints / SUIs
1
1
1
Suggestions for development / comment
14 To ensure that the doctor is able to inform and educate patients effectively
The trainee should maintain the ability to advise patients about the nature and treatment of common mental
illnesses in all years of their training, so the patient may be more able to participate in their treatment and the
ability to advise patients about environmental and lifestyle factors and the adverse effects of alcohol, tobacco
and illicit drugs. (Local scheme standard - though this ILO is not explicitly included in the curriculum, please
provide evidence to demonstrate how you have continued to address this learning need. Evidence for this can be
mapped to your learning plan).

Ability to effectively inform and educate patients

Suggestions for development / comment
15 To develop the ability to teach, assess and appraise
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By the end of ST4, the trainee will
demonstrate an ability to use a
number of different teaching methods
and an ability to conduct workplacebased assessments (WPBA’s) for
foundation orcore trainees
By the end of ST5, the trainee will
demonstrate an understanding of the
basic principles of adult learning and
of different learning styles
By the end of ST6, the trainee will
demonstrate an ability to organise
(including evaluate) educational
events (if not completed in ST5) and
an ability to conduct an appraisal of a
colleague

Ability to conduct assessments
1

Skills, attitudes and behaviours to competently teach
1

Ability to participate in appraisal
1

Suggestions for development / comment
16 To develop an understanding of research methodology and critical appraisal of
the research literature
By the end of ST4, the trainee should
be able to frame an appropriate
research question, conduct a rlevant
literature search, write a
comprehensive review of this
literature and write a research
protocol (this may be for a project
that the trainee will conduct or it may
be in ‘shadow’ form)
By the end of ST5, the trainee should
demonstrate the ability to collect data
and enter it into standard computer
software (this may be from the
trainee’s own research or audit) and
be able to demonstrate the
incorporation of research findings in
their everyday practice
By the end of ST6 should
demonstrate the ability to prepare
findings of research, audit or similar
work for dissemination beyond the
trainee’s workplace and be able to
communicate the importance of
applying research findings to
colleagues

Use of evidence in practice
1

Knowledge of research techniques / methodologies
1

Critical appraisal skills
1

Suggestions for development / comment
17 To ensure that the doctor acts in a professional manner at all times
By the end of ST4, the trainee will
demonstrate an understanding of the
issues surrounding confidentiality
and the appropriate sharing of
information and the need for safe and
positive decision-making with respect
to risk management in old age
psychiatry services
By the end of ST5, the trainee will
demonstrate an ability to advise
consultants in other specialties on
the management of medically ill
patients with psychiatric problems
and will demonstrate skills in
providing clinical supervision
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ARCP Old Age Psychiatry 2013 v1
By the end of ST6, will not only
exemplify the highest standards of
professionalism in their own practice
but will also demonstrate an ability to
support and advise colleagues in
dealing with complex professional
interactions, including the safe and
appropriate sharing of information

Understanding of doctor-patient relationship
1

Confidentiality
1

Risk management
1

Recognising own limits
1

Probity
1

Personal health
1

Suggestions for development / comment
18 To develop the habits of lifelong learning
In this stage of training, the trainee
will continue to demonstrate
commitment to their professional
development and to professionallyled regulation
In this stage of training, the trainee
willcontinue to demonstrate
commitment to their professional
development and to professionallyled regulation
In this stage of training, the trainee
will continue to demonstrate
commitment to their professional
development and to professionallyled regulation

Maintaining Good Medical Practice
1

Lifelong learning
1

Relevance of outside bodies
1

Suggestions for development / comment
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ARCP Old Age Psychiatry 2013 v1
Section 3: Educational Supervisor Declaration for Revalidation
Details of concerns/investigations:
Are you aware if this trainee has been involved in any conduct, capability or
Serious Untoward Incidents/ Significant Event Investigation or named in any
complaint?
Yes/ No
If so are you aware if it has/ these have been resolved satisfactorily with no
unresolved concerns about a trainee’s fitness to practice or conduct?
Yes/No
Please choose
Please choose
Comments, if any:
The section below is only applicable for the Clinical/Educational Supervisor of a GP trainee in a
primary care placement:
If there is an unresolved concern or conduct, capability/ SUI investigation or a complaint for
this trainee please complete the Exception Exit Report and notify the Deanery
Signed:
Date:
Supervisor:
GMC
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ARCP Old Age Psychiatry 2013 v1
Section 4: Trainee Declaration
I confirm that:
The evidence provided to inform my annual review is a complete, accurate record of the
evidence collected and assessments undertaken during the relevant training period
Signed
Date
Print Name
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