North West School of Surgery - Information and Resources for Doctors in Postgraduate Surgical Training
For information about individual specialties within the North West School of Surgery, please click on the links in the menu on the right hand side (or towards the bottom of the page if viewing this page on a mobile device).
Enhancing Supervision for Postgraduate Doctors in Training
Enhancing Supervision for Postgraduate Doctors in Training
Enhancing Supervision for Postgraduate Doctors in Training – Handbook
Annual Review of Competence Progression (ARCP)
Please see the School of Surgery ARCP pages for further information.
Best Practice
BMJ & HEE - Best Practice for Junior Doctors flyer
The Royal College of Surgeons of Edinburgh: Anti-Bullying and Undermining Campaign - including an online e-module. This emodule guides you through the facts, identifies the problem and suggests ways of managing our own behaviour in order to change the surgical culture. CPD accredited. RCSEd online account holders can access the emodule by logging in with your RCSEd account here. Non-RCSEd online account holders will first need to register to create an online RCSEd account here. Once you have registered, you can then log in to complete the emodule with your new RCSEd account here.
The Lead Employer's Respect and Dignity at Work policy can be downloaded from Mersey and West Lancashire Teaching Hospitals NHS Trust's Lead Employer 'Policies and Forms' page (formerly St Helens and Knowsley Teahcing Hospitals NHS Trust).
Care of Private (non-NHS) Patients and Working in non-NHS Settings
CCT, CESR and the Combined Programme - Pathways to entry on the GMC's Specialist Register
CCT, CESR and the Combined Programme - A guide to the routes of entry on the GMC’s specialist register for doctors starting specialty training in HEE North West *updated 03 August 2022*
Please also see information on the JCST website and the GMC website.
Checklist for Supervisor Meetings with Doctors in Postgraduate Training
Clinical Supervision of Doctors in Postgraduate Training at Out-Patient Clinics
COPMeD: Doctors in postgraduate training and clinical supervision at out-patient clinics
Data Protection and Data Security
An e-learning module on 'Data Security Awareness' can be accessed through HEE's e-learning for Healthcare website.
The Lead Employer's Code of Confidentiality policy can be downloaded from Mersey and West Lancashire Teaching Hospitals NHS Trust's 'Our policies and procedures' page and there is also a social media policy which can be found on Mersey and West Lancashire Teaching Hospitals NHS Trust's Lead Employer 'Policies and Forms' page. (Mersey and West Lancashire Teaching Hospitals NHS Trust were formerly known as St Helens and Knowsley Teahcing Hospitals NHS Trust).
E-Portfolio (ISCP)
The e-portfolio for surgical specialities is ISCP (Intercollegiate Surgical Curriculum Programme). All postgraduate doctors in surgical training are expected to engage with the ISCP portfolio to provide evidence of their progress in training which will be assessed at Annual Review of Competence Progression (ARCP). A fee is payable to the Joint Committee on Surgical Training (JCST) for access to ISCP and evidence cannot be added if the fee has not been paid.
There is a help section on ISCP, or if you have any other problems, you should contact the ISCP help desk via email: helpdesk@iscp.ac.uk or phone: 020 7869 6299
*Updated 03 August 2022 to reflect Gold Guide V9*
4.11 There will be occasions when a trainee progresses more rapidly than the expected rate of progress and in such cases, the award of an Annual Review of Competence Progression (ARCP) Outcome 6 can be brought forwards. However, this can only occur if:
- the trainee has gained all the relevant capabilities required in the curriculum
- the trainee has completed all the necessary examinations and assessments
4.12 The early achievement of CCT needs to be planned via the ARCP process and would not normally be advanced by more than one year.
JCST's Early Certification Principles
JCST's Requesting change to provisional certification date flowchart
Enhancing Junior Doctors’ Working Lives
Enhancing Junior Doctors’ Working Lives - a progress report 2018
HEE and EJDWL 2018 presentation by Dr Alistair Thomson
eSurgery - e-learning resource for Surgeons
eSurgery is a free e-learning resource supporting doctors in postgraduate surgical training in their early years of surgical training. It is a collaboration between Health Education England's e-Learning for Healthcare programme and the Royal College of Surgeons of England. It is a free e-learning resource for NHS employees and anyone delivering NHS commissioned care.
e-Learning for Healthcare - eSurgery
In 2023 the GMC survey will be available to complete from 21 March to 2 May 2023.
Gold Guide
The Gold Guide is a Reference Guide for Postgraduate Specialty Training in the UK and is applicable to all postgraduate doctors in training (StRs) taking up appointments in specialty training which commenced on or after 1 August 2007. The nineth edition was published on 3 August 2022 replaces all previous editions of the Gold Guide with immediate effect and can be downloaded from the COPMeD website.
Higher Surgical Training ST3+ induction - 09 August 2022
Introduction to School of Surgery and overview of training - Nadeem Khwaja, Head of School
Trainee perspective - 'What I wish I had known when I started' - George Nita, Doctor in Postgraduate General Surgery Training
Trainee perspective - 'What I wish I had known when I started' - Kohila Sigamoney, Doctor in Postgraduate Trauma & Orthopaedic Surgery Training
SuppoRTT / LTFT Training - Danielle Wharton, SuppoRTT Champion & Consultant Trauma & Orthopaedic Surgeon - coming soon
MACH: Mentorship advice and connection hub - Penny Birmpili, Doctor in Postgraduate Vascular Surgery Training
Education and srudy leave - Ambareen Kausar, Associate Head of School - coming soon
Induction Toolkit
BMJ and HEE - Junior Doctor Induction Toolkit.
JCST Quality Indicators
Learning Agreements and Multi Consultant Reports
*UPDATED 13 October 2022*
In all programmes, doctors in postgraduate surgical training in the north west should complete two, six-month Learning Agreements on ISCP each year*. All parts of both the Learning Agreements (Objective setting, Mid-Point Meeting, and Final Meeting and AES Report) for the year must be signed off by the doctor and their AES before the ARCP Assessment Panel.
LTFT doctors must still complete the same number of Learning Agreement meetings and MCRs per six-calendar month placement, as a full time doctor.
The Multi Consultant Report (MCR) must be fully completed before the Learning Agreement meetings can be signed off. Due to the two-week lock out for the MCR, doctors will need to adequately plan when the various parts of the Learning Agreement and MCR are signed off.
Learning Agreement (LA) and Multi Consultant Report (MCR) timeline
*Except doctors doing four-month placements, in which case they should do three - one for each four month block. For four-month placements, the Mid-Point MCR can be skipped.
Letters to Patients
The Out of Programme (OOP) application form and information on the OOP process for HEE North West can be found on the Out of Programme pages of our website.
Once your OOP application form has been signed by you, your AES and your TPD, please send the form and the supporting information to the HEE North West School of Surgery Admin Team who will seek approval from the Associate Postgraduate Dean.
Please be aware you will also need to apply to the JCST for them to approve your OOP, details of what they require can be found on the OOP pages of the JCST website.
If your post requires GMC approval, this will be applied for by the HEE NW admin team once your application has been approved by Associate Postgraduate Dean and the JCST.
Cancellation or Curtailment of OOP
If you want to cancel your OOP after it has been approved, or if you want to shorten your OOP, please complete the "OOP Cancellation and Curtailment form" available on the Out of Programme pages of our website.
Extending your OOP
If you would like to extend your OOP, you should complete the main OOP for the extension period (start date should be the day after the currently approved start date) and you should submit documentation explaining the reason you want your extension. Please note that an Educational Supervisors signature is not required for an OOP extension application.
A six-month Period of Grace (sometimes referred to as POG) is available to all postgraduate doctors on a higher training programme (ST3+) or run-through training programme. Doctors in Core Surgical Training do not have access to a period of grace.
From August 2020 the way in which HEE North West manages Period of Grace changes to be in line with the HEE's National policy. Doctors in run-through or higher training programmes with a CCT date is after 1 February 2021 must give six-months notice of whether they would like their period of grace. Doctors will be contacted approximately seven months before their CCT date to complete a Period of Grace Request form. If no form is received, it will be assumed that the period of grace is not required and their employment will finish on their CCT date. If a doctor who indicate they would like a period of grace but subsequently changes their mind, they will need to ;give the standard three months notice of resignation.
The period of grace policy can be found on the policies and procedures page of this website.
Please see the Resignation section below for further details on resigning.
Personal Development Plans (PDP)
"Professional development plans for surgeons" by Mr Vijay Bhalaik
You must ensure that all reflections in the portfolio, and used as evidence for appraisal and revalidation, must have any personal information that can identify individuals (including patient identifiers) or organisations removed prior to loading.
Recording of reflective practice - letter from Academy of Medical Royal Colleges
Academy of Medical Royal Colleges and COPMeD Reflective Practice Toolkit
GMC - Reflective practice guidance
Resigning from a Training Programme
Upon resigning from a Training post, the following notice of resignation is required from a doctor in postgraduate training:
| Type | Notice Period |
|---|---|
| Core Training (CT) | 1 month |
| Specialty Training (ST) - including run-through doctors at grade ST1 or ST2 | 3 months |
Doctors resigning from their training programme must advise Lead Employer of their resignation by emailing lead.employer@sthk.nhs.uk within the above timescales.
Where a doctor wants to leave the training programme before completion of the required notice period, they must complete an Early Resignation Form and obtain signatures of approval from the Host Trust they will be based at on the date of leaving.
Please visit the Lead Employer's Policies and Forms page on their website to download the Early Resignation Form.
If you have any queries about resigning, please contact the Lead Employer Team at Mersey and West Lancashire Teaching Hospitals NHS Trust (formerly St Helens and Knowsley Teahcing Hospitals NHS Trust).
Please visit the North West School of Surgery SuppoRTT page and HEE North West's Supported Return to Training page.
Revalidation
Please see the HEE NW Revalidation pages for information.
The Revalidation team can be contacted by email on england.revalidation.nw@nhs.net
Study Leave
Please see the HEE NW Study Leave pages for guidance, application forms etc.
The Study Leave team can be contacted by email on england.studyleave.nw@nhs.net
Support for Doctors
Support for doctors - Academy of Medical Royal Colleges
Support for Doctors with Mental Health or Addiction Concerns
NHS Practitioner Health is a free and confidential NHS service for doctors and dentists with issues relating to a mental health concern or addiction problem, especially where these may affect their work.
The service is open to any medical or dental practitioners in England, who are GMC or GDC registered, or those looking to return to clinical practice.
NHS Practitioner Health Leaflet
Opening Hours: Monday to Friday 8am-8pm, Saturday 8am-2pm
Telephone: 0300 030 3300
Email: prac.health@nhs.net
Website: www.practitionerhealth.nhs.uk
Supported Return to Training (SuppoRTT)
Please visit the North West School of Surgery SuppoRTT page and HEE North West's Supported Return to Training page.
Time Out of Training - GMC position statement - November 2012
Doctor in Postgraduate Training Representatives
The Doctor in Postgraduate Training Representatives attend and provide feedback at each specialty's Training Committee and the North West School of Surgery Doctor in Postgraduate Training Representatives meeting.
| Specialty | Sector | Representative |
|---|---|---|
| Cardio-thoracic Surgery | Both | Marcus Taylor |
| Core Surgical Training CT1 | Both | Ruby Sekhon |
| Jason Mavrotas (Deputy) | ||
| Core Surgical Training CT2 | Both | Yamen Jabr |
| Mohammed El Bahnasawi (Deputy) | ||
| General Surgery |
East (Greater Manchester, Lancashire and South Cumbria) | Hud Shaker |
| Shahrukh Ahmad (Deputy) | ||
| West (Cheshire and Merseyside) | Robert Young | |
| Harriett Reader | ||
| Neurosurgery | East (Greater Manchester, Lancashire and South Cumbria) | Catherine Pringle |
| West (Cheshire and Merseyside) | Giannis Sokratous | |
| Oral and Maxillo-facial Surgery |
East (Greater Manchester, Lancashire and South Cumbria) - South/Central | Jesuloba Abiola |
| East (Greater Manchester, Lancashire and South Cumbria) - North | Andrew Goodall | |
| West (Cheshire, Merseyside and North Wales) | Farhan Khalid | |
| Otolaryngology (ENT) |
East (Greater Manchester, Lancashire and South Cumbria) | Rajesh Anmolsingh |
| West (Cheshire and Merseyside) | Hannah Emerson | |
| Paediatric Surgery | Both | Jonathan Ducey |
| Keerthika Sampat | ||
| Plastic Surgery |
East (Greater Manchester, Lancashire and South Cumbria) |
Mohamed Hereika |
| Grant Nolan | ||
| West (Cheshire and Merseyside) | Deniz Hassan | |
| Trauma and Orthopaedic Surgery |
East (Greater Manchester, Lancashire and South Cumbria) | Saleem Mastan |
| Sophie Rogers | ||
| West (Cheshire and Merseyside) | Tom Cash | |
| Marieta Franklin | ||
| Urology | East (Greater Manchester, Lancashire and South Cumbria) | Zoe Panayi |
| West (Cheshire, Merseyside and North Wales) | Omer Abdalla | |
| Vascular Surgery | Both | Martin Hossack |
Training Programme Directors (TPDs)
For details of who your TPD is, please see the TPD page.
Training Support Network
Information on specialist support services for doctors in postgraduate training who are experiencing difficulties which may affect their ability to train.
HEE North West Training Support Network
Meetings and Events
North West School of Surgery Induction for New Starters (ST3+)
2 February 2023 *NEW* - added 30 January 2023
Venue: online, virtual meeting
North West School of Surgery Induction for New Starters (CT1/ST1)
9 August 2023 *NEW* - added 30 January 2023
Venue: Education Centre, Wythenshawe Hospital
North West School of Surgery Induction for New Starters (ST3+)
10 August 2023 *NEW* - added 30 January 2023
Venue: expected to be an online, virtual meeting
HEE North West Links
SuppoRTT (Supported Return to Training)
Study Leave | Email: england.studyleave.nw@nhs.net
Out of Programme (OOP) information
Less Than Full Time (LTFT) Training | Email: england.ltft.nw@nhs.net
Revalidation | Form R | Email: england.revalidation.nw@nhs.net
Leadership courses (Medical Leadership Fellowships, Postgraduate Module in Medical Leadership)
Education courses (PG Certificate in Workplace Based Postgraduate Medical Education Fellowship) | Email: england.facultydevelopment.nw@nhs.net
Page Last Updated 30 June 2023