Health Education South West

2019 GMC National Training Survey Executive Summary


Purpose

This report provides an overview of the 2019 GMC National Training Survey (NTS) outcomes for Trainees and Trainers for Health Education England working across the South West (HEE SW) which includes Peninsula Postgraduate Medical Education (PPME – formerly Peninsula Deanery) and Severn Postgraduate Medical Education (SPME – formerly Severn Deanery).


Background

Conducted annually, the GMC NTS gathers feedback from trainees undertaking postgraduate medical training, and trainers, in order to monitor the quality of medical education and training in the UK.


Trainee survey

The trainee survey comprises of a core set of approximately 90 questions, with additional questions being included from relevant educational bodies for specific programmes.


Trainer survey

The trainer survey comprises of approximately 55 questions.


Questions within the NTS are linked to the indicators, for each survey, as follows:

Indicator

Trainee Survey

Trainer Survey

Adequate experience Y  
Clinical supervision Y  
Clinical supervision (Out of hours) Y  
Curriculum coverage Y Y
Educational governance Y Y
Educational supervision Y  
Feedback Y  
Induction Y  
Handover Y Y
Local teaching Y  
Overall satisfaction Y Y
Regional teaching Y  
Reporting systems Y  
Rota design Y Y
Study leave Y  
Supportive environment Y Y
Teamwork Y  
Work load Y Y
Time for training   Y
Resources for trainers   Y
Support for trainers   Y
Trainer Development   Y

Since 1st April 2013 Local Education and Training Boards (LETBs) have replaced Deaneries in England, however to provide comparative results over time reporting structures prior to April 2013 are still used for the GMC NTS.


Trainee Survey results


Response Rates

A total of 53,477 / 56,399 trainees in the UK completed the NTS giving a national response rate of 94.8%. With 1,264 / 1,518 trainees completing the survey in PPME, and 1,802 / 2,155 in SPME, the response rates were 83.3% and 83.6% respectively.


Indicator Summary

This section provides a brief summary of each indicator for both PPME and SPME.


PPME and SPME achieved means above the national UK average on ten of the eighteen indicators.


Both SPME and PPME ranked within the top 5 in England for: Adequate Experience, Educational Governance, Induction, Local Teaching, Overall Satisfaction, Supportive Environment, and Teamwork. In addition, PPME ranked first for Adequate Experience, Clinical Supervision, Curriculum Coverage, Education Supervision, Overall Satisfaction, and Supportive Environment. SPME ranked first for Local Teaching.

Indicator

Region

2019 Mean Score

National UK mean

HEE Ranking

Adequate Experience  PPME 82.20  79.72   1
SPME 80.10  4
Clinical Supervision PPME 92.58  90.13 1
SPME  89.41  9
Clinical Supervision out of hours PPME 89.79  87.56   2
SPME  87.15  7
Curriculum Coverage  PPME 79.45  77.53 1
SPME  77.08  9
Educational Governance   PPME 75.75  72.85   2
SPME  73.64  3
Educational Supervision   PPME 87.01  84.69   1
SPME  84.47  7
Feedback   PPME 78.38 75   2
SPME  71.50  13
Handover   PPME 66.33  65.82   4
SPME  64.78  12
Induction   PPME 81.29  79.15  
SPME  79.67 
Local Teaching   PPME 72.38  71.78  
SPME  74.00 
Overall Satisfaction   PPME 82.06  79.45  
SPME  79.59 
Regional Teaching   PPME 70.26  67.31  
SPME  68.71 
Reporting systems   PPME 76.98  74.61  
SPME  74.70
Rota Design   PPME 60.56  58.42  
SPME  57.46 
Study Leave   PPME 66.75  63.73  
SPME  64.43 
Supportive environment   PPME 75.71  72.36  
SPME 73.87 
Teamwork PPME 77.08  74.2 
SPME 75.73 
Work Load PPME 50.13  49.22 
SPME 49.04 

 

Overall Satisfaction

This section of the report will focus on the Overall Satisfaction indicator which combines general questions about the quality and usefulness of the training post, to provide a global satisfaction score.
The questions which form the Overall Satisfaction indicator are:


• How would you rate the quality of teaching (informal and bedside teaching as well as formal and organised sessions) in this post?
• How would you rate the quality of clinical supervision in this post?
• How would you rate the quality of experience in this post?
• How would you describe this post to a friend who was thinking of applying for it?
• How useful do you feel this post will be for your future career?

 

Overall Satisfaction by Postgraduate Medical Education Department

PPME (1st) and SPME (5th) were ranked within the top five in England for Overall Satisfaction by Deanery (out of 13). Over the last five years PPME and SPME have both ranked within the top half of Deaneries in England, demonstrating a consistently high level of performance.

Postgraduate Medical Education Departments 2015 2016 2017 2018 2019
Deanery Mean

HEE Rank

Mean HEE Rank Mean HEE Rank Mean HEE Rank Mean HEE Rank
Peninsula Deanery 83  82.7  81.4  81.87  82.06 
Northern Deanery  83.5  82.7  81.6  81.27  81.64 
Wessex Deanery  82.8  83  79.9  80.24  80.95 
London Deanery  81.8  81.4  78.8  10  78.74  80.06 
Severn Deanery  82.1  81.5  80.3  79.66  79.59 
North Western Deanery  81.7  81.9  78.2  12  78.01  10  79.2 
Oxford Deanery  81.8  80.9  12  79.5  79.03  79.11 
Mersey Deanery  82  81.8  79.5 78.88  79.07 
NHS West Midlands Workforce Deanery  81.4  81.3  78.8   79.17  78.83 
Kent, Surrey and Sussex Deanery  80.3  13  79.5  13  79.9 80.07  78.78  10 
Yorkshire and the Humber Postgraduate Deanery  81.4  10  80.9  11  78.3   11  77.46  12  78.07  11 
East of England Multi-Professional Deanery  81.2  11  80.9  79  77.86  11  77.98  12 
East Midlands Healthcare Workforce Deanery  80.4  12  80.9  10  77.2  13  77.06  13  77.38  13 
National Mean  81.7   81.6   79.3   79.01   79.45  

 

Overall Satisfaction by Programme

The proportion of programmes ranked within the top three in England in 2019 is substantially higher than the proportion of programmes falling within the bottom three for both PPME and SPME. This trend has been consistently observed since 2012.

In 2019 twelve programmes (15%) in HEE SW are ranked 1st in England for Overall Satisfaction and 46% (37 of 81) are ranked in the top three.

NB. In these tables, the ranking denominator is the number of Programmes in England.

 

England Rank: 1st
Region Programme Mean Rank Denominator
PPME Core Medical Training 77 13
PPME GP in Secondary Care 78 13
PPME F1 78 13
SPME Emergency Medicine 83 13
PPME Ophthalmology 88 13
SPME Rheumatology 89 13
SPME Trauma and Orthopaedic Surgery 91 13
SPME Otolaryngology 92 13
PPME GP Prog - in a GP Practice 92 13
PPME Palliative medicine 93 12
SPME Endocrinology and Diabetes Mellitus 93 13
SPME Public Health Medicine 94 10
SPME Core Surgery Training 82 13

 

England Rank: 2nd
Region Programme Mean Rank Denominator
PPME Obstetrics and gynaecology 80 13
SPME Acute Internal Medicine 80 13
SPME Acute Care Common Stem 81 13
PPME Geriatric medicine 82 13
PPME Respiratory Medicine 83 12
SPME Gastroenterology 85 13
SPME Intensive care medicine 87 11
PPME Clinical oncology 88 12
SPME Combined Infection Training 89 12
PPME Dermatology 90 13
PPME Otolaryngology 91 13
PPME General psychiatry 91 13
PPME Endocrinology and diabetes mellitus 92 13
PPME Histopathology 92 12

 

England Rank: 3rd
Region Programme Mean Rank Denominator
SPME Renal medicine 79 12
PPME Acute Internal Medicine 80 13
PPME Cardiology 81 13
PPME Anaesthetics 85 13
PPME Intensive care medicine 86 11
SPME Medical microbiology 87 8
SPME Psychiatry of learning disability 89 7
SPME Old age psychiatry 90 11
SPME Histopathology 92 12
SPME Paediatric cardiology 92 7

 

In contrast 10% (8 out of 81) of programmes across HEE SW are ranked within the bottom three in England for Overall Satisfaction.

Region Programme Mean England Rank Rank Denominator
SPME Occupational medicine 76 7 7
SPME Cardio-thoracic surgery 79 8 10
SPME Haematology 79 10 12
SPME Anaesthetics 80 11 13
SPME Core Anaesthetics Training 85 11 13
SPME Geriatric medicine 74 12 13
SPME Palliative medicine 80 12 12
SPME Dermatology 76 13 13

 

Overall Satisfaction by Provider

The charts below, and on the next page, depict Overall Satisfaction for Local Educational Providers (LEP), split by Acute Providers in PPME and SPME and Mental Health Providers across HEE SW compared to the UK National Mean.

 

Chart 1

 

Chart 2

 

Chart 3

 

Outliers by Provider (Trainee Survey)

An Outlier is where the survey score falls into the bottom (negative outlier) or top (positive outlier) quartile and with a mean outside the 95% confidence intervals of the national mean.
N.B Benchmark group = post specialty groups

 

Local Education Providers (SPME) Positive Outliers Negative Outliers
2gether NHS Foundation Trust 2 0
Avon and Wiltshire Mental Health Partnership NHS Trust 6 2
Gloucestershire Hospitals NHS Foundation Trust 11 14
Great Western Hospitals NHS Foundation Trust 11 22
North Bristol NHS Trust 32 20
Royal United Hospitals Bath NHS Foundation Trust 28 11
Sirona Care & Health 1 1
Somerset Partnership NHS Foundation Trust 0 1
Taunton and Somerset NHS Foundation Trust 31 9
University Hospitals Bristol NHS Foundation Trust 32 19
Weston Area Health NHS Trust 6 29
Yeovil District Hospital NHS Foundation Trust 14 10
Subtotal 174 138

 

Local Education Providers (PPME) Positive Outliers Negative Outliers
Cornwall Partnership NHS Foundation Trust 3 0
Devon Partnership NHS Trust 0 0
Livewell Southwest 6 0
Northern Devon Healthcare NHS Trust 18 3
Royal Cornwall Hospitals NHS Trust 55 0
Royal Devon and Exeter NHS Foundation Trust 36 9
Torbay and South Devon NHS Foundation Trust 14 17
University Hospitals Plymouth NHS Trust 11 20
Subtotal 143 49
Grand Total 317 187

 

Trainer Survey results


Response Rates

A total of 21,812 / 48,676 trainers in the UK completed the NTS giving a national response rate of 44.8%. With 268 / 991 trainers completing the survey in PPME, and 596 / 1978 in SPME, the response rates were 27% and 30.1%, respectively.


Indicator Summary

This section provides a brief summary of each indicator. This is only reported at a Local Education Training Board (LETB) level by the GMC. Therefore, all results in this section combine PPME and SPME into HEE SW.

 

Indicator HEE SW Mean Score National Mean HEE Ranking
Curriculum Coverage 70.96 72.43 11
Educational Governance 68.70 67.34 4
Handover 68.21 68.50 10
Overall Satisfaction 74.43 71.88 2
Resources for trainers 74.16 69.47 1
Rota Design 60.30 62.18 10
Support for trainers 70.54 68.52 2
Supportive environment 68.29 66.73 3
Time for training 55.93 57.12 10
Trainer Development 75.16 71.36 1
Work Load 42.89 43.62 8

 

Outliers by Provider (Trainer Survey)

An Outlier is where the survey score falls into the bottom (negative outlier) or top (positive outlier) quartile and with a mean outside the 95% confidence intervals of the national mean.
N.B Benchmark group = Trust/Board

 

Local Education Providers Positive Outliers Negative Outliers
2gether NHS Foundation Trust 3 0
Avon and Wiltshire Mental Health Partnership NHS Trust 1 0
Cornwall Partnership NHS Foundation Trust 0 0
Devon Partnership NHS Trust 2 0
Gloucestershire Hospitals NHS Foundation Trust 1 0
Great Western Hospitals NHS Foundation Trust 0 0
Livewell Southwest 2 0
North Bristol NHS Trust 0 0
Northern Devon Healthcare NHS Trust 0 0
Royal Cornwall Hospitals NHS Trust 1 0
Royal Devon and Exeter NHS Foundation Trust 0 1
Royal United Hospitals Bath NHS Foundation Trust 2 0
Sirona Care & Health 0 0
Somerset Partnership NHS Foundation Trust 0 0
Taunton and Somerset NHS Foundation Trust 1 0
Torbay and South Devon NHS Foundation Trust 0 0
University Hospitals Bristol NHS Foundation Trust 0 0
University Hospitals Plymouth NHS Trust 0 0
Weston Area Health NHS Trust 0 0
Yeovil District Hospital NHS Foundation Trust 1 0
Grand Total 14 1

 

Further Information

The data contained within this report will be triangulated with other information, to enable the quality management of the training programmes across HEE SW, by identifying potential areas of good practice and development.

More detailed analysis of the 2019 NTS data is contained within the supplementary Trust/Programme Reports which will be sent out in July 2019. Should you require any further information on the content of this report please approach your local Quality Team.


Peninsula Quality Team:
Associate Dean – Quality: Martin Davis Martin.Davis@hee.nhs.uk

Quality Lead: Jane Bunce Jane.Bunce@hee.nhs.uk

Quality Support Administrator: Sophie Rose Sophie.Rose@hee.nhs.uk

 

Severn Quality Team:
Associate Dean – Quality: Jon Francis Jon.Francis@hee.nhs.uk

Quality Lead: Andy Gadsby Andy.Gadsby@hee.nhs.uk

Quality Manager: Lynette Cox Lynette.Cox@hee.nhs.uk

Quality Support Administrator: Helena Hogan Helena.Hogan@hee.nhs.uk

 

Prepared by:
Lynette Cox, Quality Manager
July 2019