Public BoD papers 26.5.22

3.1 Current activity focuses on the development of CPEP activity for nursing and allied health professional activity, across the School of Oncology and Radiotherapy. Two programmes are on track and are expected to meet expansion targets, but a broader GM nursing expansion is challenged by concurrent issues including recruitment/retention of staff and the resource needed for collaborative learning/coaching models at scale. Alison Sanneh has undertaken exemplary work in both design/delivery of these CPEP placements, and scholarly activity with growth in impactful academic dissemination. 3.2 Exploration of undergraduate medicine capacity (as we forecast the impact of growth in the University of Manchester’s MBChB programme) centres on the use of Christie Satellite facilities for stand-alone Year 4 placements. This presents real opportunities to demonstrate innovation and educational excellence within these sites. Dan Anderson, Lubna Bhatt and junior doctor colleagues have undertaken related scholarship which has been presented at national and international meetings. 3.3 The Christie has been awarded the Royal College of Radiologists undergraduate education innovation and excellence award for the second year running. 4. Postgraduate medical education activity In Q4 2021, we agreed to review/explore IMT/F2 PGME activity within the Christie on the background of a number of indicators – the National Training Survey, concerns raised directly by F2/IMT colleagues with the PGME Director and discussions with HEE NW colleagues. These indicators pointed to variability in training experiences, increasing levels of concern/dissatisfaction around service issues and a multifactorial causation. The risk of either a ‘red’ outcome in the National Training Survey or escalation within HEENW of trainee issues remains high. It is important to note that concerns and issues are not evident in all groups (e.g., SpR colleagues remain largely positive about their training) or in all elements of service (e.g., haematology is seen as working extremely well), whereas concerns are more prevalent in combined oncology. Of note, IMT and F2 doctors routinely report in conversation that the decision to choose rotations involving the Christie was a positive choice. The broader training landscape merits comment at this time, reflecting that many of our junior medical colleagues (a) have spent a larger proportion of time working in very focused clinical practice (Covid), (b) may have graduated from medical school early or had a very different senior MBChB training experience compared to pre-Covid and (c) been in practice with much higher than usual levels of supervision (e.g., as outpatient/procedural services ceased/slowed, senior trainees and Consultants/SAS doctors were more active in inpatient care settings). This review encompassed a tripartite focus: local (Christie) practice, incoming changes to PGME training curricula and scoping of other specialist providers’ PGME practices (e.g., Leeds and Marsden). We have identified several contributory factors to the current position and identified/suggested possible mitigations. 4.1. A comprehensive action plan focusing on local Christie (education and service development), regional (HEENW – rotas) and national (new training curricula) has been developed. Responses from the current rotation of junior doctors have given strongly positive feedback on new education initiatives. The development of clinical leadership and service plans (via the Medical Director’s office) present real opportunities to demonstrate innovative educational impact in a specialist Trust. 4.2 The Christie has successfully bid on a substantial expansion in middle grade (speciality registrar level) posts in medical and clinical oncology. This expansion provides the potential to realise improved ways of inpatient and ambulatory focused care delivery

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