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 | 2 |
| SPME | 79.67 | 5 | ||
| Local Teaching | PPME | 72.38 | 71.78 | 4 |
| SPME | 74.00 | 1 | ||
| Overall Satisfaction | PPME | 82.06 | 79.45 | 1 |
| SPME | 79.59 | 5 | ||
| Regional Teaching | PPME | 70.26 | 67.31 | 3 |
| SPME | 68.71 | 7 | ||
| Reporting systems | PPME | 76.98 | 74.61 | 2 |
| SPME | 74.70 | 7 | ||
| Rota Design | PPME | 60.56 | 58.42 | 2 |
| SPME | 57.46 | 9 | ||
| Study Leave | PPME | 66.75 | 63.73 | 2 |
| SPME | 64.43 | 7 | ||
| Supportive environment | PPME | 75.71 | 72.36 | 1 |
| SPME | 73.87 | 3 | ||
| Teamwork | PPME | 77.08 | 74.2 | 2 |
| SPME | 75.73 | 3 | ||
| Work Load | PPME | 50.13 | 49.22 | 3 |
| SPME | 49.04 | 9 |
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 | 2 | 82.7 | 2 | 81.4 | 2 | 81.87 | 1 | 82.06 | 1 |
| Northern Deanery | 83.5 | 1 | 82.7 | 3 | 81.6 | 1 | 81.27 | 2 | 81.64 | 2 |
| Wessex Deanery | 82.8 | 3 | 83 | 1 | 79.9 | 4 | 80.24 | 3 | 80.95 | 3 |
| London Deanery | 81.8 | 7 | 81.4 | 7 | 78.8 | 10 | 78.74 | 9 | 80.06 | 4 |
| Severn Deanery | 82.1 | 4 | 81.5 | 6 | 80.3 | 3 | 79.66 | 5 | 79.59 | 5 |
| North Western Deanery | 81.7 | 8 | 81.9 | 4 | 78.2 | 12 | 78.01 | 10 | 79.2 | 6 |
| Oxford Deanery | 81.8 | 6 | 80.9 | 12 | 79.5 | 7 | 79.03 | 7 | 79.11 | 7 |
| Mersey Deanery | 82 | 5 | 81.8 | 5 | 79.5 | 6 | 78.88 | 8 | 79.07 | 8 |
| NHS West Midlands Workforce Deanery | 81.4 | 9 | 81.3 | 8 | 78.8 | 9 | 79.17 | 6 | 78.83 | 9 |
| Kent, Surrey and Sussex Deanery | 80.3 | 13 | 79.5 | 13 | 79.9 | 5 | 80.07 | 4 | 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 | 9 | 79 | 8 | 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.
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