Do I need to do an Induction meeting?
All starters in the NHS should have an induction meeting. The host Trust should provide an induction course for F2 trainees, so they are familiar with local policies and procedures. Following this, trainees would then undergo a local departmental induction programme.
This applies to general practice, and is normally scheduled as part of an induction programme in the first week of the GP foundation placement. The format is subject to local procedures but a usual format is the practice manager, talking through the practice running, health and safety, fire procedures, computer training etc. The Educational supervisor completes and signs an induction meeting form, which is completed at the time of the personal development plan.
Do I have to provide travel expenses?
Travel cost re-imbursement can be applied for by the trainee. This would involve an application by the trainee to the host trust. All enquiries should be referred back to HR at the host trust for local agreement.
My trainee has asked for study leave, what do I do?
Foundation doctors in their second year of the Foundation programme need to refer to their contract of terms and conditions for entitlement to study leave but this is normally ten days. Leave is granted for attendance at appropriate courses, but can be used for private study leave. The GP Educational Supervisor should discuss any request for study leave with the trainee and negotiate time away from the practice. Trusts have their own study leave request forms, which should be used by the trainee and signed by the GP supervisor. This does not guarantee study leave approval, as the request then goes to the postgraduate clinical tutor at the Trust, for countersigning. The practice is not responsible for funding F2 study leave.
How many holidays do trainees get?
Again the trainee will need to refer to their contract and terms and conditions for holiday entitlement. Generally this is spread over the 3 triplets with an average of 2 weeks per triplet. Leave is a contractual issue managed by the employing Trust including during GP foundation placements. Annual leave forms for foundation should be countersigned and approved by the local host but returned to the employing Trust who manage and monitor leave amongst this group of employed staff.
My trainee turns up late and often rings in sick. What should I do?
The trainees have a contract of employment with a host Trust. The Trust will be responsible for the contract employment, salary payments, occupational health screening, disciplinary and grievance procedures to name a few. Absences must be noted early and flagged up to the Trust lead and educational supervisor as action should be co-ordinated through the Trust in line with the local procedures.
Do I need to check Medical Indemnity cover?
This should have been checked and provided by the Trust, which is responsible for trainees at this stage. Ensure that a copy of complaints policy for the practice is given to the trainee during the induction meeting.
Has a CRB check been performed?
Again, the host Trust will have ensured appropriate pre-employment checks, before a contract of employment is issued to a potential employee. Recent guidance issued nationally, excludes Foundation doctors from inclusion on the GP register, and eliminates the need for inclusion on the National Performers List.
What hours do F2 doctors work?
Normal working hours within the general practice setting is based on a 40 hour week, with 30 minutes set aside each day for a lunch break. This could be divided into a 10 session week, from Monday to Friday. However, each clinical supervisor should discuss with the trainee the benefits of understanding a typical GP working day, by experiencing early and late working. This involves a negotiation between the trainee and clinical supervisor using flexible working arrangements between the practice and the trainee. This may result in an early finish/later start as time-in-lieu.
Each F2 trainee must be released to attend protected teaching at the local Trust; most Trusts provide this on a half day basis. The day will vary depending on your local hospitals arrangements. Please check with the trainee which day is set aside for teaching, as this will apply to all the trainees on the rotation through your practice. If there is no formal teaching arranged then the trainee will stay in the practice. There are no out of hours work or on call, during the GP placement for F2 doctors.
What should a typical timetable for the week look like?
Typically 8 clinical sessions, which may include face to face consultations, joint surgeries, administration, blood result/x-ray review, sessions with the practice nurse, health visitor, midwife etc. An example: 1 session to attend protected teaching provided by the local Trust. 1 session audit experience or exposure to small project work based in primary care. 8 sessions clinical exposure e.g. surgeries, supervised and accompanied home visits, joint surgeries, meeting with other members of the team.
Does my Foundation doctor have a half day off per week?
Unfortunately no! Apart from protected teaching arranged through the Trust, which the trainee is released to attend, the trainee should spend their time in the practice. Remember a flexible working pattern may result in time-in-lieu for the trainee and an early finish on some days.
Should Foundation doctors at the practice do home visits?
There are no requirements for foundation doctors to do home visits as part of their foundation competencies. However, some foundation doctors may wish to discuss this aspect with their GP Education Supervisor to see if they would benefit from this experience.
Supervision is required at all times.
It would be expected that the Foundation doctor is accompanied at all times due to the concerns regarding lone working arrangements. Advice should be sought from the Host employer to ensure that trust defence cover applies in this situation.