Improving the experience of Doctors and Dentists in training

Lead Employer Arrangements • From August 2018, doctors in training will have one employer for the duration of a training programme. • NHS Scotland is moving to just 4 ‘employing Boards’ for doctors and dentists in training. • ‘Placement Boards’ will continue to host trainees on placement as part of the training programme. • Employing Boards will have employment responsibilities, these may be delivered by the placement on behalf of the employer. The doctor or dentist in training will receive one contract and Emplo remain on the employing Board payroll for the duration of the training yer programme. • The placement Boards will continue to have clinical governance responsibility for those engaged in providing clinical care to placement Board patients. • The lead employer model has been developed in partnership with the British Medical Association. • Dentists in training will move to the new arrangements incrementally from August 2019. Once for Scotland Employing Board Information Benefits of Once for Scotland Approach Training programmes have been allocated across the employing Boards as detailed below:

NHS Education for Scotland

• Ease of movement between rotations • General Practice Specialty Training • Occupational Medicine • Public Health Attraction makes Scotland a more attractive destination for Training. NHS Grampian • Foundation, core and specialty • Child and Adolescent Psychiatry • Medical Ophthalmology junior doctors (excluding GPs) in • Old Age Psychiatry East/North regional programmes: the North Region of Scotland (NHS Highland, NHS Orkney, NHS • Intellectual Disability Psychiatry • Urology, ENT, East Medical Improved trainee • Engagement through trainee surveys, Microbiology exit questionnaires and iMatter Shetland, NHS Western Isles, NHS • Medical Psychotherapy employment demonstrate an improved employee Tayside and NHS Grampian). experience experience for trainees. NHS Greater Glasgow and Clyde • Foundation, core and specialty • Paediatric and Perinatal Pathology • Palliative Medicine – West junior doctors (excluding GPs) in • Paediatric Cardiology Neurosurgery • Chemical Pathology (All the • Reduced PVG, Tier 2, Occupational West Region of Scotland (NHS – National Scotland) Once for Scotland Health Costs and administration. Ayrshire and Arran, NHS Dumfries On Boarding • Improved consistency of treatment for and Galloway, NHS Forth Valley, • Neurology • Infectious Diseases (All Scotland) trainees across training programmes. NHS Lanarkshire, National Waiting • Medical Virology • Clinical Oncology Times Centre, State Hospital and NHS Greater Glasgow and Clyde). • Paediatric Surgery • Medical Oncology Sharing • Reduced complexity for maternity and • Clinical Neurophysiology (All Scotland) • Oral and Maxillo-facial Surgery • Broad Based Training Information sickness absence administration. (maternity, • Improved performance management. • Continuous service resulting in NHS Lothian absence, reduced payroll issues for trainees, performance, e.g. emergency tax code, access to • Foundation, core and specialty junior • Clinical Pharmacology and • Rehabilitation Medicine mortgages. doctors (excluding GPs) in the Therapeutics payroll) East • Forensic Psychiatry Region of Scotland (NHS Borders, • Community and Sexual and • Clinical Genetics NHS Fife and NHS Lothian). Reproductive Health STAFF • Diagnostic Neuropathology East/North regional programmes GOVERNANCE • Cardio-thoracic Surgery (all) • Plastic Surgery • Core Surgical Training • Genito-urinary Medicine • Forensic Histopathology TURAS TURAS • Vascular Surgery People TPM/ People

EMPLOYEE Turas People with one of the employing Boards for the DOCTOR IN Turas People will be used by duration of a training programme. Turas TRAINING TRAINEE doctors in training and medical staffing/HR People will assist in making the employment Departments in Boards to share information journey more straightforward and provide a on the placement and employment of junior central place for users to access, receive and doctors in Boards. store employment related information.

CLINICAL EDUCATIONAL GOVERNANCE GOVERNANCE Information provided at recruitment and The Turas platform is cloud based, meaning programme allocation information will that employment related information stored on feed into Turas People to assist in the pre- Turas People can be accessed anywhere and TURAS employment checks required for employment from multiple devices. TPM

© NHS Education for Scotland 2017. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES.