FOUNDATION PROGRAMME at Lancashire Teaching Hospitals NHS Foundation Trust
Thank you for your interest in the Foundation Programme at Lancashire Teaching Hospitals NHS Foundation Trust.
Why choose LTHTr for foundation training?
The tracks There are currently 18 different foundation tracks at LTHTr accommodating 54 F1s and 54 F2s. Please take a look at these and you will see the variety of placements available for you. Each track has been specifically constructed to give you a breadth of experience and also the opportunity for more in-depth learning. There is a specific academic track available for 3 doctors each year. Research experience is offered in Critical Care, Respiratory Medicine and Medical Education. If you are interested in research but are not on this track, then we can put you in touch with the appropriate consultants who can help you. Opportunities also arise to complete formal Leadership and Management training, in association with Lancaster University, for a number of trainees although this is subject to change.
Supervision During each placement you have a Clinical Supervisor who will work with you to offer guidance, feedback, teaching and training in order for you not only to achieve the goals set within the Foundation Programme Curriculum but also any further personal targets. An Educational Supervisor will also work with you over the 2 year programme. Their role is to appraise you and guide you through your professional development. Often for one of your placements, your Educational Supervisor will also act as your Clinical Supervisor.
Educational Supervisor F1 F2 Clinical Clinical Clinical Clinical Clinical Clinical Supervisor Supervisor Supervisor Supervisor Supervisor Supervisor Rotation 1 Rotation 2 Rotation 3 Rotation 1 Rotation 2 Rotation 3
The Foundation Team Although we have a large split-site set up at LTHTr and there are many trainees, the foundation team are accessible and friendly. The team comprises of a co-ordinator, an administrator, a director and 2 associate directors. Any problems you may experience, be they administrative or otherwise, will be dealt with promptly and effectively-we will always keep you in the loop. The co-ordinator and administrator for foundation are available to help you in person or over the phone every day of the week. The FPD and AFPD’s have 5 sessions between them, and are usually available to be seen at these times. The directors of the foundation programme will get to know you personally over the 2 year period not only during the thrice yearly one-to-one meetings you will have with them but also during your dedicated teaching time or at meetings that you can initiate yourself. The directors will want to know all about how your training is going and whether there are any issues that need addressing. They are able to give you feedback on reports from your clinical and educational supervisors and guide you on any issues raised. They will be able to give careers advice and pastoral care if needed. They are interested in your achievements not only within the profession but external to it as well.
Found Prog 2014/2016 1 T:\MedicalDirector-RPH\PGME\PGME 2009-2012\Foundation Programme\FOUNDATION PROG\WEB PAGE\2013\FOUNDATION PROGRAMME at Lancashire Teaching Hospitals copy.doc Dr Alison Gale, Director of Postgraduate Medical Education I am a full time consultant Obstetrician and Gynaecologist, having been in post since 2001. I have also held educational roles for much of this time; locally, regionally and nationally. As Director of Postgraduate Medical Education I am responsible for ensuring that your training is of high quality and meets the standards set by the GMC. This includes ensuring that all consultants are aware of their duties as Clinical and Educational Supervisors and have been approved for this role. We have an active Internal Review Group (IRG) within the Trust to quality assure Medical Education – you will have the opportunity to feed into this and let us know of any concerns, worries or good areas within your training. I hope you enjoy your time with us, both hospitals offer excellence experience.
Dr Andrew Haughton, Foundation Programme Director I am a full time consultant at LTHTR, working in the Anaesthetic department, spending half my time in theatre and half in Intensive Care, on both sites. I also work as part of a friendly and approachable team who organise the quality-assured education programme for foundation year 1 and 2 doctors. As stated above, there is a formal programme of teaching based in the education centres - weekly for FY1s and fortnightly for FY2s. However, most learning occurs in clinical areas and we aim to promote an effective work-based learning environment. Our team works closely with the clinical and educational supervisors of our foundation doctors. In addition to regular meetings with their supervisors, we meet our trainees individually for personal interviews. We review portfolios, identify areas of educational/ professional excellence or concern, give careers advice and offer pastoral care.
Dr Ajay Dhaygude, Associate Foundation Programme Director I work as a full time Renal Physician and training lead for Renal Medicine and am also part of a very friendly Foundation Programme team at LTHTR. The Foundation team organises a structured educational programme, mapped to the curriculum for both FY1 and FY2 Doctors. We closely monitor the quality of educational sessions based on the feedback. I also meet Foundation Doctors for 1:1 reviews typically 2-3 times per year. These meetings are rather informal but cover all aspects of training, including progress of FY Doctors, career advice, pastoral care and any other issues which may affect successful completion of the Foundation Programme. Feedback is also given to their Educational Supervisors. I also visit General Practitioners on a regular basis to assure the quality of training delivered in the primary care set up. We continually seek feedback from trainees on the Clinical placements, to try and achieve the excellence we aspire to.
Found Prog 2014/2016 2 T:\MedicalDirector-RPH\PGME\PGME 2009-2012\Foundation Programme\FOUNDATION PROG\WEB PAGE\2013\FOUNDATION PROGRAMME at Lancashire Teaching Hospitals copy.doc Dr Fiona Crosfill, Associate Foundation Programme Director I am one of the foundation team’s Associate programme directors. I have been a consultant obstetrician at the Royal Preston Hospital for 5 years and have worked in Preston for 20 years on and off. I have a longstanding interest in medical education and for the last few years have had a lead role with the medical students before moving on recently to foundation years. Lancashire Teaching Hospitals trust offers a wide range of programmes and provides a friendly and supportive environment in which to work. Also, the North West of England offers an excellent quality of life whether your interests are outdoor (like mine), or more cosmopolitan. The team at LTHTR already has a good reputation for training, education and support during the first two years of the medical career and most of our trainees leave us for their first choice of future career. I am looking forward to playing my part in making the foundation programme even more effective.
Nicky Henderson, Foundation Programme Coordinator I am the Foundation Programme Coordinator. I’ve worked in the department since July 2006 and deal with all things Foundation! This includes: Overseeing the Organisation of the Foundation Teaching Programme for FY1 and FY2 Doctors. Dealing with Foundation Programme track organisation. Participate in organising of Foundation events including Foundation Fair/Induction/Shadowing. Diary Management of the Foundation Director and Associate team. Online learning portfolio (Horus) /Moodle management. As well as offering general team support and a whole lot more…
[email protected] 01772 524234
Caroline Quinn, Postgraduate Training Administrator
I have worked in the department since July 2012. I facilitate the teaching programmes for FY1 and FY2 doctors contacting speakers and help to organise additional courses. I arrange appointments on behalf of the FPD’s. I manage trainee’s portfolios on the Horus online learning website offering support when required.
I also help coordinate other events including Induction, Competency Skills and the Foundation Shadowing Programme and provide general team support.
[email protected] 01772 524234
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The teaching programme for F1s takes place for half a day every Thursday and for the F2s, all day alternate Tuesdays. A wide range of topics is covered in a variety of set-ups-lectures, discursive groups, IT sessions and practical skills sessions using top of the range simulation models. Teaching is compulsory for all those not on leave, on-call or working nights and it is bleep-free protected time. This is also the time for you to catch up with your friends and peers! Many departments also offer their own teaching at different times in the week to which F1s and /or F2s can attend on a rota basis. Contributing speakers are consultants from throughout the Trust and local health economy with a vast experience and knowledge of not only their field but sharing their expertise in a teaching environment. Many of our speakers have attended courses on Problem Based Learning and group work forms an important part of the teaching programme.
Simulation The simulation unit offers a state of the art training facility available for use by undergraduate and postgraduate training as well as multi-disciplinary training for nursing and allied health professionals. The unit is at the cutting edge of simulation development in the UK. Computer controlled patient simulators are going mobile for the first time to train doctors and nurses and other healthcare professionals across the UK in life saving techniques. The state-of-the-art Simulation Centre at Royal Preston Hospital, part of Lancashire Teaching Hospitals NHS Foundation Trust, has bought a new £18,000 wireless human patient simulator, called METIMan.
The simulator will form part of ‘The Sims’ family of mannequins used to practice key clinical skills, which all breathe and talk and come equipped with realistically articulated bones and blood. The new kit is also totally wireless, featuring long lasting batteries, a separate control unit, compressor to accurately simulate breathing and Wi-Fi connectivity
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Funded study leave is available in the F2 year. In the F1 year, there is no funded personal study leave. However from the last placement, you are encouraged to undertake taster sessions. Those F1 doctors scheduled to be in an Acute Speciality placement first in the F2 year, will be enrolled on an ALS course. Also the Undergraduate department offers training for PBL and Communication tutors.
Awards
Every year trainees are nominated for the titles of ‘Foundation Doctor of the Year’ and ‘Best Portfolio’. Competition for this is fierce and the rewards well worth while! Although only 4 trainees can win, we appreciate all the hard work that both F1s and F2s deliver to the Trust and to the foundation programme itself – this is reflected in the references trainees receive and their success in attaining further jobs in the future.
The Trust
Lancashire Teaching Hospitals NHS Foundation Trust was established on 1 April 2005, as a public benefit corporation authorised under the Health and Social Care (Community Health and Standards) Act 2003. It is registered with the Care Quality Commission without conditions, and provides the following regulated activities:
Assessment or medical treatment for persons detained under the Mental Health Act 1983 Diagnostic and screening procedures Maternity and midwifery services Surgical procedures Termination of pregnancies Treatment of disease, disorder or injury
The Trust serves a local population of 390,000, and provides a number of specialised services to around 1.5 million of people across Lancashire and South Cumbria. Most of the clinical services are provided at the two hospital sites: Chorley and South Ribble Hospital and Royal Preston Hospital. There is also a Neuro-Rehabilitation Unit at the site of the former Sharoe Green Hospital in Preston, and the Broadoaks Child Development Centre in Leyland.
Some of the Foundation placements are outside the acute trust and take place in Lancashire Care Trust. These include the Psychiatry, Palliative and GP placements.
General Hospital services are provided as follows:
24-hour emergency department facilities Intensive, high dependency and coronary care units General Medicine, including elderly care General Surgery and Urology Child Health Ear, Nose and Throat Surgery Orthopaedics Maternity Services Gynaecology Anaesthetics Oral and Maxillo-Facial Surgery Ophthalmology Support services for diagnosis and treatment such as Pathology, X-ray, Physiotherapy, occupational therapy and specialist nurses. Rehabilitation Services Found Prog 2014/2016 5 T:\MedicalDirector-RPH\PGME\PGME 2009-2012\Foundation Programme\FOUNDATION PROG\WEB PAGE\2013\FOUNDATION PROGRAMME at Lancashire Teaching Hospitals copy.doc People in Lancashire and South Cumbria also access the following specialist services
• Neurosurgery and neurology • Oncology (radiotherapy and chemotherapy) and complex cancer surgery • Renal • Burns and plastic surgery • Specialist mobility rehabilitation services • Trauma Centre
As a teaching hospital, the Trust plays a key role in supporting clinical education and research. There is an established medical education programme, and our hospitals contribute to the delivery of the curriculum for medical students, foundation trainees, and post graduates. The Trust also provides work-based experience to support the training of nurses, allied healthcare professionals and healthcare workers. The Trust also has a very active research programme, and both the activity level and the allocated funding from the Department of Health have continued to rise. Achievement is evidenced not only by the large number of articles and research reports for publication being accepted in peer review journals, but also by the continued success in attracting external research funding.
The Trust employs over 7,000 staff, and is one of the largest NHS providers in the region.
Mission, Aims and Values
Our Strapline
Excellent care with compassion
Our Mission
Working in partnership to provide safe and effective care that patients expect and deserve Enabling confident and competent staff to provide the highest standards of care and services Leading improvements in healthcare through innovation, research and education
Our Corporate Aims
Patient experience Quality healthcare will be delivered and developed in partnership with patients and their carers, respecting their diverse needs, preferences and choices
Partnership The profile of the Trust as a provider of choice will be promoted through the development of strategic networks, planning and health promoting partnerships that support and consolidate delivery of existing services and identify new opportunities
Workforce Care will be provided by a competent, capable, flexible, efficient and affordable workforce that is able to adapt to the changing context of healthcare and customer expectation
Environment Healthcare will be provided in an environment that promotes patient and staff comfort, well- being, privacy and safety
Governance Leadership and management accountability arrangements will provide a comprehensive overview and assurance of business systems ensuring compliance with Foundation Trust Terms of Authorisation
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Finance Financial stability will be achieved through robust financial management and strategic planning programmes
Efficiency Patient outcomes will be optimised through the provision of accessible, efficient, effective services that are based upon reliable evidence
Our Values Caring and compassionate
Being caring and compassionate is at the heart of everything we do, it is about understanding what each person needs and striving to make a positive difference in whatever way we can
Recognising individuality Appreciating differences, making staff and patients feel respected and valued
Seeking to involve Actively gets involved and encourages others to contribute and share their ideas, information, knowledge and skills in order to provide a joined up service
Building team spirit Working together as one team with shared goals, doing what it takes to ensure we provide the best possible service
Taking personal responsibility Individuals are accountable for achieving improvements to obtain the highest standards of care in the most professional way, resulting in a service we can all be proud of
Postgraduate Education Objectives
Promoting patient safety through comprehensive competency assessments, induction and training for all Foundation and Specialty Trainee doctors.
Implementing and maintaining Quality Assurance systems to monitor the quality of teaching programmes, placements and educational & clinical supervision. Sharing ideas of good practice and identifying activities to support continuous improvement as appropriate.
Providing a holistic service for all junior doctors through ongoing support, careers guidance and pastoral care.
Ensuring training is broad based and balanced through regular post review and feedback.
Supporting and educating Clinical Trainers in providing effective support and supervision through structured educational supervision training.
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The Trust has three state-of-the-art Education Centres at Chorley and South Ribble Hospital and Royal Preston Hospital.
The flagship training venues feature large lecture halls and houses hi-tech monitors, lighting and sound technology for presentations. They also have modern, comfortable teaching and meeting rooms plus a comprehensive library with computer work stations.
The education centres are also used by the Trust’s medical students as well as doctors, nurses and support staff. Other healthcare professionals such as GPs, practice nurses and dentists also use the training facilities.
Main Hospital, RPH (Emergency Department) The Emergency Department at Lancashire Teaching Hospitals NHS Foundation Trust has been named one of the best places for Medical Students to learn the skills needed to be a doctor.
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Famous people from Preston:
Kenny Baker-R2D2 in Starwars David Chambers-Drummer from the band Cornershop Tupele Gorden-Actress in Coronation Street Nick Park-Creator of Wallace and Gromit and Chicken Run Peter Purves-Blue Peter Presenter John Thomson-Comedic actor from the fastshow
Famous people from Chorley:
Joseph Gilgun-Actor from Emmerdale Paul McKenna-Footballer Ken Morley-Coronation Street actor Kevin Simm-singer from Liberty X Starsailor
Interesting Preston Facts:
Preston was the first town in the UK lit by gas (1815) First woman to vote in England came from Preston. Her name was Lily Maxwell and her name was added to the electoral roll by accident. (1867) The first KFC in the UK was opened in Preston in 1965 The row of traditional red phone boxes on Market Street is the longest in the country. The parents of Butch Cassidy the legendary American outlaw came from Preston.
Interesting Chorley Facts:
The founder of the Tate Gallery-Sir Henry Tate was from Chorley Chorley cakes are the town’s most famous export!
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One of Lancashire’s best hidden secrets it is often bypassed for more popular areas such as the Lake District.
It is classed as an outstanding area of natural beauty and a favourite for walkers and cyclists.
The trough itself is a valley and a high pass within the Forest of Bowland. The pass is 295 feet above sea level.
Local Attractions
Welcome to our local attractions page, where you can find useful information and links for Preston and surrounding areas such as Manchester, Blackpool and Liverpool.
Libraries
http://www.lancashire.gov.uk/libraries/librarydetails/libsearch1.asp?name=Preston%20Harris http://www.manchester.gov.uk/libraries/
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http://www.pnefc.net/ http://www.cityvisitor.co.uk/preston/gyms.html http://www.visitpreston.com/what-to-do/sports/ http://www.visitlancashire.com/things-to-do/adventure-sports
Arts & Culture
http://www.visitlancashire.com/things-to-do/galleries-and-museums
Parks and Green Spaces
http://www.visitpreston.com/food-drink/picnic-spots/ http://www.visitlancashire.com/things-to-do/parks-and-gardens
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http://www.visitliverpool.com/things-to-do/attractions/coast-and-countryside http://www.lakedistrict.gov.uk/
Nightlife http://www.skiddle.com/cities/Preston/nightlife.html http://www.anightinliverpool.com/ http://www.visitmanchester.com/what-to-do/nightlife/
Eating Out
http://www.visitpreston.com/food-drink/restaurants/ http://www.visitlancashire.com/food-and-drink
Local Tourist Attractions
http://www.visitblackpool.com/attractions http://www.visitsouthport.com/things-to-do/attractions http://www.visitmanchester.com/ http://www.visitliverpool.com/things-to-do/attractions
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http://www.visitpreston.com/shopping/ http://www.visitlancashire.com/things-to-do/shopping http://www.traffordcentre.co.uk/ http://www.liverpool-one.com/website/
Local Events
http://www.visitpreston.com/events/ http://www.visitlancashire.com/whats-on
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