Health Education England, working across the south west

2015 GMC National Training Survey Executive Summary

Purpose

This report provides an overview of the 2015 GMC National Training Survey (NTS) outcomes for Health Education England (HEE), working across the south west, which includes Peninsula Postgraduate Medical Education (Peninsula PGME – formerly Peninsula Deanery) and Severn Postgraduate Medical Education (Severn PGME – formerly Severn Deanery).

Background

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

The NTS comprises of a core set of approximately 85 questions, with additional questions being included from relevant educational bodies for specific programmes.

Questions within the NTS are linked to the indicators of: 

  • Overall Satisfaction
  • Clinical Supervision
  • Clinical Supervision Out of Hours
  • Handover
  • Induction
  • Adequate Experience
  • Supportive Environment
  • Work Load
  • Educational Supervision
  • Access to Educational Resources
  • Feedback
  • Local Teaching
  • Regional Teaching
  • Study Leave

In 2015 there are two new indictors, Clinical Supervision out of hours and Supportive Environment.

Since 1st April 2013 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.

Response Rates 

A total of 53,138 / 53,874 trainees in the UK completed the NTS giving a national response rate of 98.6%. With 1457 /1489 trainees completing the survey in Peninsula PGME, and 2021/2026 in Severn PGME, the response rates were 97.9% and 99.8%, respectively.

Indicator Summary

This section provides a brief summary of each indicator for both Severn PGME and Peninsula PGME.

Severn PGME and Peninsula PGME achieved means above the national UK average on 6 of the fourteen indicators.

Both Severn PGME and Peninsula PGME ranked within the top 5 in the UK for: Access to Educational Resources, Adequate Experience, Overall Satisfaction and Supportive Environment. In addition, Peninsula PGME ranked favourably for Clinical Supervision (2nd), Feedback (3rd) and Induction (2nd).

Indicator

Region

2015

National UK mean

HEE Ranking

Access to Educational Resources

Peninsula PGME

71.48

69.24

1

Severn PGME

70.19

4

Adequate Experience

Peninsula PGME

83.70

82.14

2

Severn PGME

82.63

4

Clinical Supervision

Peninsula PGME

90.55

89.19

2

Severn PGME

89.07

6

Clinical Supervision Out of Hours

Peninsula PGME

89.66

88.44

2

Severn PGME

88.69

6

Educational Supervision

Peninsula PGME

89.95

89.82

7

Severn PGME

89.15

10

Feedback

Peninsula PGME

78.52

77.01

3

Severn PGME

74.90

12

Handover

Peninsula PGME

67.98

69.67

9

Severn PGME

68.99

12

Induction

Peninsula PGME

87.07

85.33

2

Severn PGME

85.28

6

Local Teaching

Peninsula PGME

63.16

63.90

11

Severn PGME

62.92

13

Overall Satisfaction

Peninsula PGME

83.03

81.74

2

Severn PGME

82.07

4

Regional Teaching

Peninsula PGME

69.09

70.98

11

Severn PGME

69.89

9

Study Leave

Peninsula PGME

65.56

70.17

11

Severn PGME

64.34

12

Supportive Environment

Peninsula PGME

78.00

76.14

3

Severn PGME

77.15

4

Work Load

Peninsula PGME

47.51

47.25

6

Severn PGME

47.41

8

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 Nationally

Peninsula PGME (2nd) and Severn PGME (4th) were ranked within the top four in England for Overall Satisfaction Nationally (out of 13). Over the last four years Peninsula PGME and Severn PGME have both ranked within the top four organisations in England, demonstrating a consistently high level of performance.

Postgraduate Medical Education Departments

2012

2013

2014

2015

Mean

HEE Rank

Mean

HEE Rank

Mean

HEE Rank

Mean

HEE Rank

Northern

81.8

1

82.4

1

82.9

1

83.5

1

Peninsula PGME

81.2

4

82.2

2

82.6

2

83

2

Wessex

81.3

3

80.7

7

81.9

3

82.8

3

Severn PGME

81.4

2

81

3

81.6

4

82.1

4

Mersey

80.9

5

81

4

81.4

6

82

5

Oxford

80.7

6

80.1

10

80.6

10

81.8

6

London

80.1

8

80.8

6

81.3

8

81.8

7

North Western

80

9

80.9

5

81.5

5

81.7

8

NHS West Midlands

80.4

7

80.7

8

81.3

7

81.4

9

Yorkshire and the Humber

79.8

10

80.5

9

80.8

9

81.4

10

East of England

79.7

11

79.9

11

80.6

11

81.2

11

East Midlands

79.1

12

79.6

12

79.9

12

80.4

12

Kent, Surrey and Sussex

78.9

13

79.5

13

79.3

13

80.3

13

 

National Mean 80.4 2012
80.8 2013
81.2 2014
81.7 2015

Overall Satisfaction by Programme  

The proportion of programmes ranked within the top three in England in 2015 is substantially higher than the proportion of programmes falling within the bottom three for both Peninsula PGME and Severn PGME. This trend has been consistently observed since 2012.

NTS 2015 Percentage of Progs in top three OS  NTS 2015 Percentage of Progs in bottom three OS 

 

In 2015 thirteen programmes were ranked 1st in England for Overall Satisfaction and 28% (24 of 85) are ranked in the top three.

Region

Programme

Overall Satisfaction Mean Score (%)

England rank

Rank Denominator

Peninsula PGME

Acute Care Common Stem

86

1

13

Severn PGME

Broad Based Training

88

1

7

Severn PGME

Child and Adolescent Psychiatry

95

1

12

Peninsula PGME

Clinical Oncology

93

1

12

Severn PGME

Core Psychiatry Training

88

1

13

Peninsula PGME

Endocrinology and Diabetes Mellitus

91

1

13

Peninsula PGME

General Practice (Acute care setting)

81

1

13

Peninsula PGME

General Practice (Primary care setting)

94

1

13

Severn PGME

General Psychiatry

90

1

13

Peninsula PGME

Obstetrics and Gynaecology

84

1

13

Severn PGME

Ophthalmology

90

1

13

Peninsula PGME

Rheumatology

91

1

13

Severn PGME

Trauma and Orthopaedic Surgery

92

1

13

Severn PGME

Clinical Genetics

87

2

6

Severn PGME

Clinical Oncology

89

2

12

Peninsula PGME

Core Psychiatry Training

86

2

13

Severn PGME

Core Surgical Training

81

2

13

Severn PGME

General Practice (Acute setting)

80

2

13

Severn PGME

Histopathology

90

2

12

Severn PGME

Medical Microbiology and Virology

90

2

9

Severn PGME

Oral and maxillo-facial surgery (Over-arching programme)

90

2

12

Peninsula PGME

Otolaryngology

95

2

13

Peninsula PGME

Clinical Radiology

88

3

13

Peninsula PGME

Foundation

80

3

13

In contrast 15% (13 out of 85) of programmes were ranked within the bottom three in England for Overall Satisfaction.

Region

Programme

Overall Satisfaction Mean Score (%)

England Rank

Rank Denominator

Severn PGME

Paediatric Cardiology

75

4

4

Peninsula PGME

Child and Adolescent Psychiatry

84

10

12

Severn PGME

Haematology

81

10

12

Severn PGME

Acute Care Common Stem

79

11

13

Peninsula PGME

Emergency Medicine

78

11

13

Severn PGME

Foundation

78

11

13

Peninsula PGME

Histopathology

79

12

12

Peninsula PGME

Urology (over-arching programme)

80

12

12

Peninsula PGME

Paediatrics

80

12

13

Peninsula PGME

Acute Internal Medicine

68

13

13

Severn PGME

Clinical Radiology

76

13

13

Peninsula PGME

Core Surgical Training

74

13

13

Peninsula PGME

Ophthalmology

81

13

13

 

Overall Satisfaction by Provider

The chart on the next page depicts Overall Satisfaction for Local Educational Providers (LEP) split by Acute Providers in Peninsula PGME and Severn PGME and Mental Health Providers across HEE - South West compared to the National UK average.

Graph 2

Graph 3

Graph 4

Outliers by Provider

graph 5 copy

N.B Benchmark group = post specialty groups

An Outlier is where the survey score falls into the bottom or top quartile and with a mean outside the 95% confidence intervals of the national mean.

Further Information 

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

More detailed analysis of the 2015 NTS data is contained within the supplementary Trust/Programme Reports which will be sent out by July 2015. Should you require any further information on the contents of this report please approach your local Quality Team contact.

Peninsula Quality Team:

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

Quality Manager: Jane Bunce
Jane.Bunce@southwest.hee.nhs.uk

 

Severn Quality Team:

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

Quality Manager: Allegra Etheridge
Allegra.Etheridge@southwest.hee.nhs.uk

Quality Data Specialist: Andy Gadsby
Andy.Gadsby@southwest.hee.nhs.uk

Quality Support Manager: Lyn Cox
Lynette.Cox@southwest.hee.nhs.uk