Health Education South West
2016 GMC National Training Survey - Executive Summary Report
This report provides an overview of the 2016 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, in order to monitor the quality of medical education and training in the UK. In 2016 for the first time in a number of years, trainers were also surveyed.
Trainee survey
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:
1. Overall Satisfaction
2. Clinical Supervision
3. Clinical Supervision Out of Hours
4. Handover
5. Induction
6. Adequate Experience
7. Supportive Environment
8. Work Load
9. Educational Supervision
10. Access to Educational Resources
11. Feedback
12. Local Teaching
13. Regional Teaching
14. Study Leave
15. Reporting Systems
In 2016 there is a new indictor called reporting systems.
Trainer survey
The trainer survey comprises of about 50 questions. These are linked to the indicators of:
- Organisational Culture
- Supportive Environment
- Handover
- Time for Trainers
- Support for Trainers
- Supervisor Training
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
1. Response Rates
A total of 53,837 / 54,589 trainees in the UK completed the NTS giving a national response rate of 98.6%. With 1474 /1512 trainees completing the survey in PPME, and 2078/2078 in SPME, the response rates were 98% and 100%, respectively.
2. 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 6 of the fourteen indicators.
Both SPME and PPME ranked within the top 5 in the UK for: Clinical Supervision Out of Hours, Induction and Access to Educational Resources. In addition, PPME ranked first for Adequate Experience, Supportive Environment and Access to Educational Resources.
| Indicator | Region |
2016 Mean Score |
National UK mean | HEE Ranking |
| Overall Satisfaction | PPME | 82.72 | 81.63 | 2 |
| SPME | 81.52 | 6 | ||
| Clinical Supervision | PPME | 90.62 | 89.35 | 2 |
| SPME | 89.19 | 7 | ||
| Clinical Supervision Out of Hours | PPME | 90.04 | 88.57 | 2 |
| SPME | 88.78 | 5 | ||
| Reporting Systems | PPME | 75.87 | 74.49 | 2 |
| SPME | 74.54 | 7 | ||
| Handover | PPME | 70.88 | 71.43 | 8 |
| SPME | 70.64 | 9 | ||
| Induction | PPME | 86.25 | 85.61 | 4 |
| SPME | 86.75 | 3 | ||
| Adequate Experience | PPME | 82.85 | 81.51 | 1 |
| SPME | 81.54 | 6 | ||
| Supportive Environment | PPME | 78.01 | 76.38 | 1 |
| SPME | 76.74 | 6 | ||
| Workload | PPME | 46.01 | 44.53 | 4 |
| SPME | 43.45 | 9 | ||
| Educational Supervision | PPME | 91.43 | 91.53 | 8 |
| SPME | 90.94 | 10 | ||
| Access to Educational Resources | PPME | 71.22 | 69.16 | 1 |
| SPME | 69.42 | 5 | ||
| Feedback | PPME | 78.09 | 77.39 | 5 |
| SPME | 74.5 | 13 | ||
| Local Teaching | PPME | 63.41 | 64.35 | 10 |
| SPME | 63.15 | 12 | ||
| Regional Teaching | PPME | 69.95 | 70.82 | 9 |
| SPME | 68.88 | 12 | ||
| Study Leave | PPME | 66.77 | 70.37 | 10 |
| SPME | 65.09 | 12 |
3. 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?
3.1. Overall Satisfaction by Postgraduate Medical Education Department
PPME (2nd) and SPME (6th) were ranked within the top six 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/Deanery | 2012 | 2013 | 2014 | 2015 | 2016 | |||||
| Mean | HEE Rank | Mean | HEE Rank | Mean | HEE Rank | Mean | HEE Rank | Mean | HEE Rank | |
| Wessex Deanery | 81.3 | 3 | 80.7 | 7 | 81.9 | 3 | 82.8 | 3 | 82.98 | 1 |
| Peninsula Deanery | 81.2 | 4 | 82.2 | 2 | 82.6 | 2 | 83 | 2 | 82.72 | 2 |
| Northern Deanery | 81.8 | 1 | 82.4 | 1 | 82.9 | 1 | 83.5 | 1 | 82.71 | 3 |
| North Western Deanery | 80 | 9 | 80.9 | 5 | 81.5 | 5 | 81.7 | 8 | 81.91 | 4 |
| Mersey Deanery | 80.9 | 5 | 81 | 4 | 81.4 | 6 | 82 | 5 | 81.75 | 5 |
| Severn Deanery | 81.4 | 2 | 81 | 3 | 81.6 | 4 | 82.1 | 4 | 81.52 | 6 |
| London Deanery | 80.1 | 8 | 80.8 | 6 | 81.3 | 8 | 81.8 | 7 | 81.37 | 7 |
| NHS West Midlands Workforce Deanery | 80.4 | 7 | 80.7 | 8 | 81.3 | 7 | 81.4 | 9 | 81.34 | 8 |
| East of England Multi-Proessional Deanery | 79.7 | 11 | 79.9 | 11 | 80.6 | 11 | 81.2 | 11 | 80.9 | 9 |
| East Midlands Healthcare Workforce Deanery | 79.1 | 12 | 79.6 | 12 | 79.9 | 12 | 80.4 | 12 | 80.88 | 10 |
| Yorkshire and Humber Postgraduate Deanery | 79.8 | 10 | 80.5 | 9 | 80.8 | 9 | 81.4 | 10 | 80.87 | 11 |
| Oxford Deanery | 80.7 | 6 | 80.1 | 10 | 80.6 | 10 | 81.8 | 6 | 80.86 | 12 |
| Kent, Surrey and Sussex Deanery | 78.9 | 13 | 79.5 | 13 | 79.3 | 13 | 80.3 | 13 | 79.47 | 13 |
| National Mean | 80.4 | 80.8 | 81.2 | 81.7 | 81.6 | |||||
3.2. 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 PPME and SPME. This trend has been consistently observed since 2012.
In 2016 ten programmes (12%) in HEE SW are ranked 1st in England for Overall Satisfaction and 29% (24 of 83) are ranked in the top three.
| Region | Programme | Overall Satisfaction Mean Score (%) | England Rank | Rank Denominator |
| SPME | Cardiology | 89 | 1 | 13 |
| PPME | Clinical Oncology | 93 | 1 | 12 |
| PPME | Core Anaesthetics | 91 | 1 | 13 |
| SPME | Core Psychiatry Training | 87 | 1 | 13 |
| PPME | General Practice (Acute care setting) | 81 | 1 | 13 |
| PPME | General Practice (Primary care setting) | 94 | 1 | 113 |
| PPME | General Psychiatry | 95 | 1 | 13 |
| PPME | Geriatric Medicine | 91 | 1 | 13 |
| PPME | Old Age Psychiatry | 94 | 1 | 13 |
| PPME | Palliative Medicine | 94 | 1 | 12 |
| SPME | Core Surgical Training | 82 | 2 | 13 |
| PPME | Endocrinology and Diabetes Mellitus | 8 | 2 | 13 |
| SPME | General Practice (Acute setting) | 81 | 2 | 13 |
| SPME | Obstetrics and Gynaecology | 82 | 2 | 13 |
| SPME | Occupational Medicine (over-arching programme) | 89 | 2 | 7 |
| SPME | Otolaryngology | 93 | 2 | 213 |
| SPME | Trauma and Orthopaedic Surgery | 90 | 2 | 13 |
| SPME | Chemical Pathology | 88 | 3 | 3 |
| SPME | Child and Adolescent Psychiatry | 90 | 3 | 12 |
| SPME | Genito-urinary Medicine | 92 | 3 | 9 |
| PPME | Histopathology | 91 | 3 | 12 |
| SPME | Intensive Care Medicine | 87 | 3 | 11 |
| PPME | Otolaryngology | 92 | 3 | 13 |
| SPME | Paediatric Surgery | 86 | 3 | 8 |
In contrast 22% (18 out of 83) of programmes across HEE SW are ranked within the bottom three in England for Overall Satisfaction.
| Region | Programme | Overall Satisfaction Mean Score (%) | England Rank | Rank Denominator |
| SPME | Chemical Pathology | 88 | 3 | 3 |
| SPME | Broad Based Training | 77 | 7 | 8 |
| SPME | Paediatric Cardiology | 82 | 7 | 8 |
| PPME | Medical Microbiology | 80 | 8 | 9 |
| PPME | Intensive Care Medicine | 81 | 9 | 11 |
| PPME | Plastic Surgery (over-arching programme) | 81 | 9 | 10 |
| PPME | Vascular Surgery (over-arching programme) | 75 | 9 | 9 |
| SPME | Cardio-thoracic Surgery (over-arching programme) | 77 | 10 | 10 |
| PPME | Haematology | 80 | 10 | 12 |
| SPME | Neurosurgery (over-arching programme) | 74 | 10 | 11 |
| SPME | Public Health Medicine (over-arching programme) | 83 | 10 | 10 |
| PPME | Neurology | 81 | 11 | 13 |
| PPME | Acute Internal Medicine | 75 | 12 | 13 |
| SPME | Foundation | 76 | 12 | 13 |
| PPME | Gastroenterology | 77 | 12 | 13 |
| SPME | Clinical Radiology | 77 | 13 | 13 |
| PPME | Core Psychiatry Training | 81 | 13 | 13 |
| SPME | Neurology | 76 | 13 | 13 |
NB. In this table, the ranking denominator is the number of Deaneries in England.
3.3. Overall Satisfaction by Provider
The charts 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 National UK average.
4. Outliers by Provider (trainee survey)
N.B Benchmark group = post specialty groups
| Local Education Provider | Green Outliers | Red Outliers |
| 2gether NHS Foundation Trust | 4 | 0 |
| Avon and Wiltshire Mental Health Partnership NHS Trust | 4 | 1 |
| Cornwall Partnership NHS Foundation Trust | 0 | 2 |
| Devon Partnership NHS Trust | 3 | 0 |
| Gloucestershire Hospitals NHS Foundation Trust | 6 | 27 |
| Great Western Hospitals NHS Foundation Trust | 6 | 25 |
| Livewell Southwest | 4 | 0 |
| North Bristol NHS Trust | 28 | 20 |
| Northern Devon Healthcare NHS Trust | 7 | 6 |
| Plymouth Hospitals NHS Trust | 17 | 41 |
| Royal Cornwall Hospitals NHS Trust | 16 | 12 |
| Royal Devon and Exeter NHS Foundation Trust | 24 | 14 |
| Royal United Hospitals Bath NHS Foundation Trust | 18 | 11 |
| Somerset Partnership NHS Foundation Trust | 0 | 1 |
| Taunton and Somerset NHS Foundation Trust | 19 | 8 |
| Torbay and South Devon NHS Foundation Trust | 19 | 13 |
| University Hospitals Bristol NHS Foundation Trust | 35 | 36 |
| Weston Area Health NHS Trust | 1 | 22 |
| Yeovil District Hospital NHS Foundation Trust | 2 | 7 |
| Grand Total | 213 | 246 |
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.
Trainer Survey results
1. Response Rates
A total of 23,617 / 44,413 trainers in the UK completed the NTS giving a national response rate of 53.2%. With 450 /1002 trainers completing the survey in PPME, and 950/1847 in SPME, the response rates were 44.9% and 51.4%, respectively.
2. 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 | 2016 Mean Score | National UK Mean | HEE Ranking |
| Appraisals | 68.77 | 68.18 | 3rd |
| Educational governance | 75.24 | 72.39 | 2nd |
| Organisational culture | 79.65 | 75.61 | 1st |
| Supervisor training | 76.06 | 70.24 | 1st |
| Support for trainers |
74.27 |
67.15 | 1st |
3. Outliers by Provider (trainer survey)
| Local Education Provider | Green Outliers | Red Outliers |
| 2gether NHS Foundation Trust | 5 | 0 |
| Cornwall Partnership NHS Foundation Trust | 2 | 0 |
| Devon Partnership NHS Trust | 1 | 0 |
| Gloucestershire Hospitals NHS Foundation Trust | 4 | 3 |
| Great Western Hospitals NHS Foundation Trust3 | 1 | 3 |
| NHS Swindon CCG | 1 | 0 |
| North Bristol NHS Trust | 6 | 8 |
| Northern Devon Healthcare NHS Trust | 3 | 1 |
| Plymouth Hospitals NHS Trust | 5 | 5 |
| Royal Cornwall Hospitals NHS Trust | 7 | 2 |
| Royal Devon and Exeter NHS Foundation Trust3 | 3 | 3 |
| Royal United Hospitals Bath NHS Foundation Trust1 | 10 | 1 |
| Taunton and Somerset NHS Foundation Trust | 8 | 1 |
| Torbay and South Devon NHS Foundation Trust | 5 | 1 |
| University Hospitals Bristol NHS Foundation Trust | 8 | 13 |
| Weston Area Health NHS Trust | 3 | 0 |
| Yeovil District Hospital NHS Foundation Trust | 1 | 0 |
| Grand Total | 73 | 41 |
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 HEE SW, by identifying potential areas of good practice and development.
More detailed analysis of the 2016 NTS data is contained within the supplementary Trust/Programme Reports which will be sent out in July 2016. Should you require any further information on the content 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
Quality & Information Co-ordinator: Alice Brindle
Alice.Brindle@southwest.hee.nhs.uk
Quality & Information Co-ordinator: Sophie Rose
Sophie.Rose@southwest.hee.nhs.uk
Severn Quality Team:
Associate Dean – Quality: Jon Francis
Jon.Francis@southwest.hee.nhs.uk
Quality Manager: Allegra Stone
Allegra.Stone@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
Prepared by:
Andy Gadsby, Quality Data Specialist
July 2016