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A proposed format for the investigation and documentation of concerns about a GPStRs performance.

  • Whilst it is rare occurrence dealing with training concerns and performance issues can become every weighty and take a large amount of time. It is important for all parties that the process is undertaken fairly and without discrimination or prejudice. In some cases legal action can be taken, this in itself can be distressing for all parties. Good clear documentation and processes are important as they reduce the possibility of legal challenge especially if they have been carried out openly and fairly.
  • Training is covered under employment law so that the process you have in place for your other employees will apply as for the trainee even if he was not a direct employee.
  • Good employment practice requires that you are currently trained in Equality and Diversity areas and that is also a criterion for being a trainer (within the last three years). A good practice would also ensure their management staff are also E&T trained. Many courses are available and a free online package is available for NHS staff.
  • If a meeting is held it should be minuted. If the trainee is not invited then the reason needs to be stated and the process of informing her or him detailed. It is good practice to invite the trainee if only to establish and clarify fact. It is possible to hold a meeting in two or three parts with the trainee attending only one of the parts. The purpose of the meeting and the role of the attendees should be described.
  • Whilst employment and training issues are often blurred it is helpful to try and define them. For instance punctuality is about employment and doesn’t readily lend itself to an accepted educational intervention. However, working with and respecting colleagues is both an employment and an educational issue. Remember some apparent attitudinal problems can be overcome when individuals have the appropriate skills.
  • At some stage you or others will need to make the decision, is this within the range of learning that will see the individual becoming competent? Will this happen within the minimum three month time frame, will she or he need longer, if so how much.
  • Concerns need to be documented and evidenced and ideally shared with the trainee before the meeting. They need to include:
  • Background
    • Assessment for suitability for training – were any issues identified at the time of selection
    • Any evidence of pre-existing concerns in previous attachments
    • Any evidence of a decline in performance – previous awards or positions not now reflected in practice.
    • Any mitigating circumstances.
    • Total cumulative extra time taken to date, since start of training programme.
  • Details of the issues(s) that have resulted in the event, meeting or concern
    • Supporting evidence and results of further investigations since placement in present training post.
    • Learners awareness of these concerns and transparency of the process i.e. methods of observation and assessment to date and in the future, is this the first time that previous concerns have been articulated?
    • Attempts to address concerns (educational support)
    • Progress or otherwise to date
    • Where there is failure to progress is there evidence of a cause (e.g. declining faculties! Is there evidence suggesting a need for a health or cognitive assessment?)
    • Outstanding educational issues
    • Proposed attempts to address these
    • Proposed methods to assess progress – including some estimation of any extra time or resources that might be required.

Whilst the e-portfolio will be the tool in which many assessments of competence or otherwise will be gathered it will only supplement a formal process such as this.

Arthur Hibble
10/1/08

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