Consultation in Scotland
This document is also available in pdf format (448k)
The following Report of the Chief Medical Officer in England, Sir Liam Donaldson, sets out proposals to reform the SHO grade. This Report has been informed by the deliberations of a working group that was tasked to advise UK Health Ministers on a modern structure for basic specialist training throughout the UK.
We have decided to consult on this Report separately in Scotland within the context of our ongoing activity in workforce planning and development, much of which is detailed in the August publication Working for Health - The Workforce Development Action Plan for NHSScotland. This Report is also clearly linked to the July 2002 Report Future Practice - A Review of the Scottish Medical Workforce, and to the working groups we have established as part of the Scottish Executive's Response to it.
The challenges facing the SHO grade are well recognised. We in Scotland wish to consider this Report within the unified context of the whole NHS workforce and for this consultation to also inform our ongoing work in the areas detailed above. You are therefore invited to submit your comments on this Report by 13 November 2002 to:
Mr Scott Miller
Directorate of Human Resources
Scottish Executive Health Department
St Andrew's House
Regent Road
EDINBURGH
e-mail: scott.miller@scotland.gsi.gov.uk
Scottish Executive Health Department
21 August 2002
Contents
Summary
Introduction
The Case for Change
Job structure
Planning training
Selection and appointment procedures
Supervision, assessment and appraisal
Tension between service and training needs
Flexible training
Career advice
Meeting the needs of non-UK graduates
Workforce planning
The role of Royal College examinations
Adapting higher specialist training to changing service demands
A New Framework for Training
Setting the scene
Lessons from the reform of higher specialist training
Five principles for reform for SHOs
A programme-based approach to training
Foundation programmes
Basic specialist training programmes
Individual training programmes
Time-capping programmes
Leaving training
Assessment and examination
Managing training
Recruitment and appointment to training programmes
Funding training
Specific training requirements
General Practice
Dentistry
Doctors qualifying outside the United Kingdom
A single training grade
Links to higher specialist training programmes
Implications for the consultant and non-consultant career grades
Implications for service provision
Impact of the European Working Time Directive
Implementation and timing
A Call for Views on the Proposals to Reform the SHO Grade
Annexes
A The SHO Modernisation Working Group - Membership
B The SHO Modernisation Technical Sub-Group - Membership
C The SHO Modernisation Technical Sub-Group - Contributors
D Bibliography
E Postgraduate Training Programmes - Principal Pathways Diagram
F Dentistry