ARCP advice for Panel Chairs
01
Drs. Ramesh Mehay, Paul Johnson & Mike Tomson
Help?
If you have any concerns about what outcome to give, want more ARCP advice or have
difficulty in making an ARCP outcome decision, please get in touch with your locality lead.
Get in touch with them AFTER the panel but BEFORE signing off the ARCP form.
LOCALITY LEADS:
We offer this help file “in
your best interests”. We
leave it for you to choose
and use and we hope it
makes your training life a
lot easier



WYLO: Dr. Simon Hall
SYLO: Dr. Sandra Brinkley
NEYNL: Dr. Paul Johnson
In addition Dr Rhiannon Davies (Lead for QA of ARCP) and Dr Mike Tomson (ARCP
lead APD) are available.
Believe it or not, this 10 page document is a lot shorter than the official DAL/EA guidance for
More ARCP resources
are available at:
ARCP panel chairs and (we hope) easier to read. 90% of what you need to know about local
www.bradfordvts.co.uk
panels is within this condensed document. [DAL/EA = Deanery Assessment Leads & RCGP External
Just click on the ‘Ed Sup’
Link.
Advisors group.]
The ARCP write-up
Bear this in mind:
The revalidation unit
only see the ARCP
forms - so the more
information provided on
these, the less likelihood
of
delay
to
the
assessment
of
the
request for a CCT.
Most of the time, the
responsibility of the
ARCP panel is to make
an educational judgment
on the evidence of
progress (or lack of it).
However, occasionally,
it may be appropriate of
the panel chair to ask the
employer whether they
have
considered
adopting a disciplinary
approach.

Before any ARCP write-up, start off by
1.
Reviewing the last ARCP form
2. Reviewing the last two ES reports
3.
Browsing through the Educator’s Notes.
Reviewing these 3 areas can give you an idea of whether the trainee is generally
performing okay, underperforming or whether they’re doing okay but need to get their
act together; in other words, helps you decide whether to give an Outcome 5
(unsatisfactory) or whether to delay ARCP sign off whilst the trainee gets things
together.


The wording of the ARCP outcome is very important because it
o
sets SMART objectives against which progress will be measured and
o
will be examined for clarity and reasonableness at appeal or in legal challenge.
Therefore, the ARCP outcome should be written up at the time of the panel and finalised
afterwards when pressure is off. It should be circulated to and confirmed by panel
members before sign off.

Panels should add as much information as necessary to ARCP forms, especially in cases
of an ‘Unsatisfactory’ Outcome. This must be duplicated in the Educator’s Notes.

In fact, we advise that all panel outcomes (whether good outcome given or not) & any
additional feedback should be duplicated in the Educator’s Notes. Inform the trainee,
their CS and ES once it has been pasted there.
ARCP advice for Panel Chairs
02
Drs. Ramesh Mehay, Paul Johnson & Mike Tomson
ARCP Outcomes
It is really important for panel chairs to get to grips with the different types of outcomes. We
know there are lots of them, but the main ones that local panels/panel chairs needs to get
familiar with are Outcomes 1, 5, 6 or 8. Out of these, only outcome 5 is an adverse outcome.

Outcome 1 – basically satisfactory, allow trainee to move to next stage of training.

Outcome 6 – satisfactory, allow trainee to finish training for CCT.

Outcome 8 – trainee is out of programme

Outcome 5 – adverse outcome, additional training time MAY be required.
If you think one of the other outcomes (2, 3, or 4) should apply, then simply refer to a central
Get to know outcomes 1,
5, 6 and 8 well. These
are the only ARCP
outcomes that can be
given when the trainee is
not present.
deanery panel for them to make that decision.
One important thing to remember when
considering an outcome which recommends additional training is whether any concerns are so
serious as to need say 6 months extra in training at a minimum cost of £40,000.
Outcomes 1 & 6 (GOOD)
□
Outcome 1 – satisfactory let the trainee move to the next ST stage (for ST1s and ST2s).
□
Outcome 6 – completed training, award CCT. (for ST3s)
There’s not much to say about these outcomes. If the trainee is doing just fine, is of no concern
and their ePortfolio looks good – give Outcome 1 or 6 and move on. Don’t dwell too much.
Outcome 5 should not
be used lightly because
1.Additional training time
costs money
2.It is an unsatisfactory
outcome that remains a
permanent part of the
trainee’s record.
Give it if you think the
trainee
is
generally
underperforming
or
there are significant
concerns.
Outcome 5 (NOT GOOD)
□
Outcome 5 – incomplete evidence presented – additional training time may be required.

It is given when there are missing WPBA elements (CBDs, COTs, DOPS, CSR, MSF,
PSQ), or when log entries or PDPs are deficient which in turn hinders the panel from
making a decision about progress.

In other words, it is used when missing evidence is a sign of trainee
underperformance. One place to go to is the Educator’s Notes section of the ePortfolio –
where the trainer or Educational Supervisor may have written something about whether
the trainee is underperforming or not.

If a trainee is missing evidence (and underperforming)….
o
Give Outcome 5, but be v clear about what evidence is missing.
o
The trainee will then be given time to rectify things
o
Another panel, 2-4 w later can then review and give another outcome.
o
If the evidence is now complete  give outcome 1 or 6
o
If not  refer to deanery panel  who will give adverse outcome (2, 3 or 4)
o
A new ESR is not required for an ARCP panel reviewing previous outcome 5
unless a significant amount of time has elapsed since the outcome 5 was given
(which should not normally be the case).
ARCP advice for Panel Chairs
03
Drs. Ramesh Mehay, Paul Johnson & Mike Tomson
BUT YOU DON’T ALWAYS HAVE TO USE AN OUTCOME 5
There are alternatives to
an
Outcome
5
–
especially in the case
where there is missing
evidence but the trainee
is not underperforming
in general.
In other
words, they just need a
bit of time to get their act
together.
i) ARCP panel chairs can use their discretion:
□
If they feel that the missing evidence is a simple oversight & easily remediable then
advice to the trainee (with an educator’s note) may be all that is needed.

In this case the panel would give the outcome that would be given if the evidence was
there, but not to complete and submit the ARCP form until the panel chair has
subsequently verified that the missing evidence has been submitted.

If it is not submitted by the required date then outcome 5 would be given.
ii) Consider referral to a central deanery panel:
□
Where the amount of missing evidence is too much to be made up in a short period.
□
Where the missing evidence is thought to be evidence of significant non-engagement
with the requirements of WPBA.

In these cases, refer to a central panel who will then decide whether one of the adverse
outcomes 2, 3 or 4 should be considered. More on these outcomes below. These are
appropriate where insufficient evidence is evidence of lack of progression rather than lack
of evidence of progression.
Outcome 8 (Out Of Programme/Maternity)
It is not appropriate for a
local panel to give an
adverse outcome 2, 3 or
4. You need to refer to a
central deanery panel if
you think one of these
should be awarded. The
deanery
will
then
interview the trainee
(which is a Gold Guide
requirement) before they
can be given.
If you are referring to a
central panel, remember
to include good detailed
reasons for the referral.
Duplicate this in the
Educator’s Notes.
To refer to a central
panel, email the Locality
Programme
Support
Coordinator.
□
Outcome 8i = OOP-Experience
□
Outcome 8ii = OOP-Research
□
Outcome 8iii = OOP-Career Break

Outcome 8 iii – Current practice is to use it for maternity or sick leave as well, but that
will change when GG 2013 is adopted and we will use non-assessment forms instead.

More specific points for maternity detailed under ‘Particular Circumstances’ below.
Outcomes 2, 3 and 4
□
Outcome 2 = specific competencies required – additional training time not required.
□
Outcome 3 = inadequate progress – additional training time required.
□
Outcome 4 = released from training – with or without specified competencies. (i.e. being
chucked out, but not for resignations)

These outcomes are given to trainees who are not progressing and NOT to trainees who
are doing okay but have missing evidence because of a lack of attention to due process.

Can only be given by central deanery panels – not local panels.

Otherwise, you don’t need to know much about them.
ARCP advice for Panel Chairs
04
Drs. Ramesh Mehay, Paul Johnson & Mike Tomson
But…. in terms of outcome 4, there are a few things you should know…

If they are being thrown off the scheme – an Outcome 4 can only be given if it has been
preceded by an Outcome 2, 3 or 5 at a previous ARCP panel. In other words, they have
to have had a ‘warning’ AND an opportunity to fix things.

Resignations – do not give an Outcome 4 for resignations. Outcome 4 is reserved for
trainees performing badly, not for resignations.
For resignations, see section
appropriate section below under ‘Particular Circumstances’.
Particular Points

ESR competency ratings: if an Educational Supervisor has rated the trainee BELOW
EXPECTATIONS on 3 or more competencies, the ESR should say ‘unsatisfactory progress’
Referral to central deanery
panels: is mainly for
significant things. Try and
sort out minor things
locally. Look at the bigger
picture rather than the
individual pixels!
For instance, if there is
some deficiency in the
curriculum
coverage
(providing no zero areas),
one might be reassured by
a decent AKT mark (the
curriculum being the base
for the exam syllabus).
However, remember that
early chapters are not as
well addressed as the later
ones in the AKT.
or ‘panel opinion requested’ and the local panel needs to decide whether the trainee is
making progress or not. If not, refer to a central deanery panel.

Curriculum Coverage:
You basically need to determine whether the trainee is making reasonable progress in
covering the curriculum for the ST stage they are at. However, by the end of ST3:
o
There cannot be zero entries for any one curriculum area.
o
But there is no set number of log entries for each curriculum heading.
o
However, for curriculum areas frequently encountered in GP - we would expect
double figures. Smaller numbers for those areas less frequently encountered.

What's also important is the quality of those entries - the level of reflection and learning
within them? It's not all about the numbers! Please use your judgement – if you find
slightly low numbers, look at the quality of those entries – is there enough there to make
you feel that there is enough learning in this particular area?

PDP: The ES report should generate action points of which 3 items can be converted into
a PDP item. The trainee should generate an extra ONE item based on their next post.
Non-engagement with the PDP or not auctioning? Explore why this is not happening rather
than given an adverse outcome. Is there a plan to help with this?

CSR: In community or innovative posts, there needs to be a CSR from each supervisor.
Particular Circumstances
If this is the final ARCP panel for an ST3

As well as doing the normal type of review for the final ST3 year, you must check the
whole 3 year training period for correct WPBA numbers. If there is a discrepancy (e.g.
missing CBD in ST1), this must be made up in a subsequent ST year. If it has not and
you get the impression it is a sign of the trainee underperforming, then give an Outcome
5 – incomplete evidence, additional training time required.
However, if this is just an
ARCP advice for Panel Chairs
05
Drs. Ramesh Mehay, Paul Johnson & Mike Tomson
oversight and the trainee is generally okay - use your discretion (award Outcome 1 or 6
[satisfactory] but delay signing of the ARCP form until the trainee has filled in the gaps).

Also check for child protection training. It is not an RCGP requirement but it is
considered
a
professional
http://tinyurl.com/childprot
obligation
by
the
GMC.
See
this
article:
Trainees will revalidate after CCT. If level 2 or 3
safeguarding has been achieved, great. If not, then it should be in the PDP (as a future
learning point) as it will be needed when the trainee starts independent practice.
There is missing evidence (like log entries, WPBA elements, or a poor PDP)

It depends whether this missing evidence is a sign of underperformance. If so, give
Outcome 5 – incomplete evidence, additional training time required.

If the trainee is generally okay, it then depends on how bad the deficit is.
o
Delay signing off the ARCP form and tell the trainee to ‘get their act together’
Missing evidence is often
a result of an oversight
and/or poor organisation
on the part of the trainee.
by specifying what they need to do. Give an outcome that would have been
given if the evidence was there. But do not complete and submit the ARCP form
until the panel chair has subsequently checked the gaps have been filled in (if
However, sometimes it
can indicate something
more serious.
For
instance, a significant
deficiency
in
one’s
organisational skills –in
practice, does the trainee
have outstanding referral
letters or blood results that
still need looking at? Is
this acceptable?
And occasionally, it may
represent an issue in
professionalism too.
If only a few things are missing
not, give outcome 5).
o
If the missing evidence is large
In other words, too much to be made up in a short period and/or the missing
evidence is thought to be evidence of significant non-engagement with the
requirements of WPBA, give Outcome 5 – incomplete evidence, additional may be
training time required and refer to central panel. The central panel may decide to
give an outcome 2, 3 or 4 where insufficient evidence is evidence of lack of
progression rather than lack of evidence of progression.

In both cases, detail exactly what evidence is missing in the ARCP form and paste a copy
to the Educator’s Notes.
Missing Naturally Occurring Evidence
Although NOE is not
compulsory, trainees are
strongly encouraged to do
them
because
engagement
indicates
one’s commitment to
improving the quality of
care one is giving (GMC
requirement although not
an RCGP one).

Trainees are strongly encouraged to do (i) one SEA every 6m, (ii) a case presentation
every 6m, (iii) a reflection towards the end of each post and (iv) one audit throughout
the entire 3 years. However, no one can force a trainee to do NOE. It is not a national
requirement and individual Deaneries cannot enforce it.

Therefore, a missing SEA, audit, or lack of a presentation does not mean that you can
automatically mark the trainee as unsatisfactory.

However, the trainee should be involved in some sort of Quality Improvement Activity
(QIA) activity – of which audit, SEA and a case presentation are great examples. Good
ARCP advice for Panel Chairs
06
If NOE is missing, you
cannot give trainees an
adverse outcome. You
must look for NOE or other
Quality
Improvement
Activities (QIA) elsewhere
- usually in log entries..
A comprehensive list of
QIA and NOE activities
can be found at:
http://tinyurl.com/qia-noe
Drs. Ramesh Mehay, Paul Johnson & Mike Tomson
Medical Practice states that such activity is expected of all doctors and an absence of QIA
activity should be noted and should raise concerns about satisfactory progress.

If missing, don’t jump to awarding an adverse outcome!
Look for evidence of it
elsewhere & see if its absence is a marker of a wider concern. An adverse outcome can
only be given if there’s a competency deficiency and NOT because of missing NOE

Where to look other QIA activity? Usually in the log entries bit; for instance, the presence
of an analysis of one’s prescribing or referral behaviour would be acceptable
alternatives. Panels cannot mandate what type of QIP activity is recorded.

There must be personal involvement in all QIA/NOE activities (i.e. not spectators!).
No Form R uploaded
The competencies NOE
and QIP are usually
related to…

Automatically give an outcome 5 (incomplete evidence) – no exceptions.

Completion of a Form R is a Gold Guide requirement to commence training and a Form
R is an annual requirement to remain in training (because it details things like probity,
i) Maintaining Teaching &
Learning
ii) Admin & IMT
iii) Working with Colleagues
iv) Fitness to Practise
health and involvement in significant untoward incidents – which are important things
to know about when making an ARCP recommendation). There is no excuse of it being
missing. Trainees should just do it!
Not passed AKT or CSA by the end of training but everything else is okay

In terms of competency rating scales – trainees can still be rated as Competent for
Licensing even if they have failed AKT/CSA.
The ES outcome will still need to be
‘unsatisfactory progress’ and be referred to a central deanery panel (because passing
AKT/CSA are mandatory).

An extension will be granted by the Deanery up to the date of the result and 2w after
(unless they have failed WPBA too).

If they then fail again - what happens next depends on their score compared to the
previous one (all decided by central deanery panels).
o
If there is a significant improvement in score AND their score is within 5 marks
of passing, the trainee is given Outcome 3 - extra training time required (no more
than a maximum of 6m).
o
If there is little improvement in score AND score greater than 5 marks away
from the pass mark, the trainee is given Outcome 4 - released from training.
Out of Hours Requirements
Look
at
‘The
ES
Workbook’
where
trainees will have detailed
their number of OOH
sessions. It should be
uploaded to their Learning
Log.

The simple thing to remember is that there must be 18 sessions of OOH by the time of
CCT (i.e. one session per month when in GP). Forget working out the number of hours.

By CCT, it’s okay to defer 2 of the 18 OOH session after their last ARCP panel – but
check to make sure the trainee has logged dates when these will be done and nominate
someone at the scheme to check completion (?scheme administrator).
Failure to
ARCP advice for Panel Chairs
07
Drs. Ramesh Mehay, Paul Johnson & Mike Tomson
complete these sessions should result in a phone call to the RCGP certification unit
asking them to halt the issuing of the CCT (Tel 020 3188 7656).

Prior to the final ST3 panels GPRs should be encouraged to include a log entry detailing
the evidence contained within the eP which demonstrates competency in OOH care.

Extended hours attendance is not OOH work.
Maternity

All
trainees
must
continue to have annual
ARCP assessments –
even if this falls during a
period when they are
away (e.g. on maternity,
extended sick leave etc).
An ESR must be done before someone goes off on maternity leave for four reasons
1.
To validate the evidence submitted so far so that it counts towards training
2.
To record progress
3.
To help formulate a development plan (i.e. what they need to do) upon their return.
4.
Because once it is created and accepted, it automatically generates and ARCP form
– in other words, we’re all set up for a future ARCP.

Alternatively an ESR giving an OOP outcome can be created by a Deanery administrator
when the trainee is out of programme so that the ARCP Panel can record the exact dates
Advice to trainees on
Mat leave is that they
should continue to make
some entries on eP and
gather evidence that
they are (or remain)
competent.
However
this cannot be mandated
and can only happen
with their consent. But
we
could
‘carefully‘(mindful
of
employment law) make
them aware that CCT
could be delayed if they
choose not to engage.
the trainee is out of programme and give an Out of Programme ARCP outcome
(Outcome 8). A further ESR should be undertaken when the trainee returns to the
programme to ensure the personal development plan is appropriate.

In terms of local panels give an Outcome 8 (career break) – but in the Additional Comments
section, add ‘Trainee on Maternity Leave’.

If a trainee is out of programme for more than 12 months, they need to have their
Professional Competences reassessed in training once back from leave.
Thus it is
recommended that they have an extension, usually lasting 3 months, but to be
determined by the Deanery on a case by case basis.

When the trainee is back on the scheme and due their next ARCP that ARCP will need
to review all the evidence since the previous ARCP not counting any Outcome 8 ARCPs.

If very little training time – i.e. less than 6 weeks - remains after the trainee returns from
planned leave then the penultimate ESR and ARCP should state that the trainee is fully
In
complex
cases
(before completing the
ARCP form) the Panel
chair may wish to
discuss and seek advice
from
1. Their locality ARCP
lead
2.
The
RCGP
certification unit
competent and the ES/Panel is happy to recommend them for CCT once the remainder
of their training time is completed (record in the Additional Comments section of the
ARCP form). Otherwise, there will not be enough time to get everything together for a
timely CCT. The final ESR and ARCP (done within the 6w) would then officially sign
everything off having made reference to the penultimate ARCP (again, in the Additional
Comments section). (Same applies if a trainee is coming back from extended sick leave).
Short Posts (<3m) – (can happened when a trainee goes on maternity)
In short, for posts <3 months W.T.E., the certification unit requires a CSR, at least one PDP entry
relevant to the post, learning log entries demonstrating learning (number not specified i.e. do
some) and the number of WPBAs (CbDs, mini-CEX etc.) pro-rata for the time in post.
ARCP advice for Panel Chairs
08
Drs. Ramesh Mehay, Paul Johnson & Mike Tomson
The Trainee is involved in a Significant Untoward Incident (SUI)

Review the SUI and see whether progress is being made on it.

If the SUI is minor and the trainee has learnt from it with a good reflective log entry,
make a note of it and approve if all else in the eP is okay.

If SUI is serious and is being investigated, again identify the nature of the problem. In
this case, the ARCP panel still judges the trainee based on the remaining evidence in
their ePortfolio and gives a grade as if the SUI wasn’t there. The reason is that it is not
the panel’s job to make a decision on the SUI. The panel decides whether the trainee is
educationally progressing well. The SUI will be dealt with by the dean (as Responsible
Officer for trainees) and certification unit – who will decide whether to involve the GMC.

In other words, the panel makes an assessment of the educational progress and
awarding an outcome 6 (award CCT) is appropriate if all the evidence in the eP is fine –
despite outstanding GMC investigations. The Dean decides whether information on the
Form R affects his/her revalidation recommendation to the GMC – this should be
separate from the ARCP outcome based on demonstrating educational progress.

As panel chair, double check to ensure deanery are aware of the major SUI though.

This is why we encourage the panel assessor to read the Form R – the place where an
SUI will be declared. And if it is, the panel is interested in the educational implications
- has the trainee reflected and learnt from the incident? Is there a Log Entry - there is
always a learning opportunity whether or not the trainee did anything wrong.
Conflicts of Interest – ‘I know the trainee’
It is best practice for
educators in this position
to leave the room until
after the trainee has had
their meeting with the
panel.

Where the panel includes a member who has been ES/CS for the trainee within the ARCP
review period or worked closely with the trainee, and especially where there are
possibilities of that trainee receiving an adverse outcome, the GP educator should not
take part in the discussion. It’s okay if they were their trainer say 2 years ago.

They should not be listed as a panel member to ensure that the trainee does not perceive
that there is hidden input which would cause problems at an appeal.
Retracting a CCT approval

If an Outcome 6 has already been awarded by a Panel and the CCT application is in
progress, and new evidence comes to light suggesting the trainee should not receive a
CCT (e.g. if the trainee fails to complete the rest of their training time, or if problems are
identified once back in practice), the RCGP Certification Unit should be contacted asap
(preferably by phone – 020 3188 7656).
ARCP advice for Panel Chairs
09
Drs. Ramesh Mehay, Paul Johnson & Mike Tomson
Resignations
Only trainees who have
received an Outcome 1
will be able to reapply to
GP
training
after
resignation. Any other
Outcome will mean
trainees will not be able
to
reapply,
which
emphasises
the
importance
of
the
correct Outcome being
awarded at point of
resignation.
This is what you should do if a trainee is resigning…

Get them to have an ES and CS meeting before they resign – resulting in ES & CS reports.

Do an ARCP meeting – and give an outcome that is fitting with the evidence so far (as
if the trainee was not resigning).
This will be an Outcome 1, 2 or 5 depending on
whether or not they have been making adequate progress up to the point of resignation.

Do not give them an Outcome 4 – which is reserved for those who are progressing so
badly that they need to exit the scheme. If you give them an Outcome 4 – that becomes
permanent, and they will not in the future be able to re-enter GP again! Besides, only
central deanery panels are allowed to give an Outcome 4.

A comment should be made on the ARCP form (Additional Notes section) - explain that
the trainee has resigned and provide the date when they left the programme.
Panel Organisation

Panel composition: 1 x TPD (who will be chair) + 2 x trainers

Lay panel members: optional for local panels but mandatory for central deanery ones.

The doctors should assess the ePorfolio. Final decisions regarding ARCP outcome
should be made by GP educators taking into account the views of the lay assessor.
All panels - whether held
at scheme level or
centrally - are deemed to
be ‘School’ panels. In
other
words,
local
panels are an official
representation of the GP
School.
Lay panel members are
particularly good for a
more
rounded
perspective
of
discussions on the day.
They are particularly
useful if you have
trainees in difficulty who
are not performing. But
their use in local panels
remains optional.

The scheme's administrator should not be recruited as a panel member - only as admin
support for panels.
The period for final ARCPs

Final ARCP panels (i.e. before CCT) must happen MORE than 6 weeks in advance of the
CCT date (to allow CCT processing) BUT cannot happen GREATER than 8 weeks before
the CCT date. Put another way, ARCP panels must happen in the 6-8 week period
before the CCT date – nothing more, nothing less.
ARCP Training:

Those who are NEW panel members from Dec 2012 onwards (doctors & lay people &
panel chairs) need to have undergone ARCP panel member training. Usually deanery
led course (Spring/Autumn schools). This lasts for 3 years.

If you’ve been an ARCP panel member before this date and have had continued
involvement, you don’t have to have training because you have ‘inherited rights’ as
experienced members of ARCP panels

In addition, all ARCP panel members (including lay) should have Equal Opportunities
training – renewed every 3 years – done online at doctors.net. You should also been on
some Equal Opportunities training in the last 3 years – if not, do some online training:
http://tinyurl.com/equalops
ARCP advice for Panel Chairs
10
Drs. Ramesh Mehay, Paul Johnson & Mike Tomson
Other Items

This is important. How can ESs improve if we don’t give them feedback? We all need
For ‘in-sync’ trainees,
we suggest splitting ST3
ARCPs from ST1/2.
• Do the ST1/2s as late
as possible – say 1st2nd week of July - to
give them more time to
get things in order.
Feedback to Educational Supervisors:
to invest time in writing/editing the feedback in a way that is more likely to be accepted
than rejected. Although it is not a requirement that panels will feedback on all ESRs, it
is good practice not to concentrate solely on those needing improvement. Feedback on
what ESs are doing well is important if we want to see positive behaviour being
maintained.

Mid-ST year adverse ESR outcomes
You need a system of picking up mid-ST year ESR outcomes which say unsatisfactory or
• Do the ST3s in the 3rd4th week of June (they
need to be done earlier
to
get
their
CCT
processed on time).
refer to panel (i.e. those ESR outcomes at 6m, 18m and 30m plus those for out of sync
LTFTTs). We advise that in such circumstances, the ES needs to inform the scheme
administrator and/or the TPD advisor for that trainee. The TPD then works out a 'care
plan' (which may involve a discussion with the Deanery locality lead for ARCP) - and
• In addition for ST3s,
their ARCP panel must
happen within 8 weeks
of their CCT date and
not any longer.
whether the trainee requires an early or out-of-sync central deanery ARCP. The normal
indication for holding an early/out of synch ARCP would be that there is a high
probability of the trainee receiving an outcome different to that given at the previous
ARCP review or if there are issues of patient safety. Whatever the decision an entry
should be made in Educator’s Notes explaining the plan after the adverse ESR and the
trainee should be considered for referral to the Doctors in Difficulty programme.

Moving away from panels every June
As more trainees become part-time, more trainees will become out of sync and schemes
may need to move to a monthly ARCP system. This need not mean TPDs committing
more of their personal time – try an ARCP system every 2 months to begin with and
remember sessions can run in parallel to HDR (with other Trainers or TPDs running
HDR instead).
Quick Links
LTFTT

www.yorksandhumberdeanery.nhs.uk/policies/less_than_full_time/
OOPE

http://tinyurl.com/outofprog
CEGPR

http://tinyurl.com/cegproute
Appeals

Health
http://specialtytraining.hee.nhs.uk/the-gold-guide/
ARCP advice for Panel Chairs
11
Drs. Ramesh Mehay, Paul Johnson & Mike Tomson

If there are health concerns, advise trainees to see their own GP. For counselling and
psychological support they can also self-refer to Take-Time (for WYLO and NEYNL) or
Workplace Wellbeing (in SYLO).
Suggestions to make this document better? Email: [email protected]
END – CREATED APRIL 2014, LAST UPDATE MAY 2014