Unfinished Business: Proposals for Reform of the Senior House Officer Grade
Annex A
SHO Modernisation Working Group - Membership
Chair | |
Sir Liam Donaldson | Chief Medical Officer |
Membership | |
Professor Sir George Alberti | President, Royal College of Physicians |
Dr Karen Bradley | Specialist Registrar, John Radcliffe Hospital |
Mrs Pat Cantrill | Director of Workforce Development,
Trent Regional Office |
Professor Sir Graeme Catto | Chair, General Medical Council
Education Committee |
Professor John Cox | President, Royal College of Psychiatrists |
Mr Carl Eley
replaced Mrs Kim Tester | National Assembly for Wales |
Dr David Ewing | Scottish Executive |
Dr Monica Gupta | Senior House Officer, Great Ormond Street Hospital |
Ms Judy Hargadon | Director, Changing Workforce Programme |
Professor Peter Hill | Chair, Conference of Postgraduate Medical Deans of the UK (COPMeD) |
Mrs Avril Imison | Head of Policy for Therapy Services and Physiotherapy and Allied Professions, Health Services Directorate, Department of Health |
Mr James Johnson | Chair, Joint Consultants Committee |
Dr Susanna Lawrence | General practitioner and chair of Leeds HA |
Ms Sue Page | Chief Executive, Northumbria Healthcare NHS Trust |
Dr Trevor Pickersgill | Chair, Junior Doctors Committee |
Professor Michael Pringle | Chairman of Council, Royal College of General Practitioners |
Dame Margaret Seward | Chief Dental Officer |
Dr Jenny Simpson | British Association of Medical Managers |
Mr Malcolm Stamp | Chief Executive, Norwich and Norfolk NHS Trust |
Professor Joan Stringer | Lay representative, Scottish Council for Postgraduate Medical and Dental Education and Principal, Queen Margaret University College, Edinburgh |
Professor John Temple | President, Royal College of Surgeons of Edinburgh and Chair of Technical Sub Group |
Dr Paddy Woods | Department of Health, Social Services and Public Safety, Northern Ireland |
Secretariat |
Dr Robin Cairncross | Education and Training Division, Department of Health |
Mr Paul Loveland
Mr Chris Bostock
Mr Andrew Matthewman |
Annex B
SHO Modernisation Technical Sub-Group - Membership
Chair |
Professor John Temple | President, Royal College of Surgeons of Edinburgh |
Membership |
Mr James Barbour | Chief Executive, Sheffield Health Authority |
Mr Chris Bostock | Medical Education Unit, Department of Health |
Dr Hugh Bradby | Medical Director, Sandwell Hospital NHS Trust |
Dr Graham Buckley | Chief Executive, Scottish Council for Postgraduate Medical and Dental Education (SCPMDE) |
Dr Shelley Heard | Postgraduate Dean, North Thames |
Professor Tim van Zwanenberg | Chair, Committee of General Practice Education Directors (COGPED) |
Mr Paul Williams | Chief Executive, Bro Morgannwg NHS Trust, Bridgend |
Annex C
SHO Modernisation Technical Group - Contributors
List of organisations that submitted written evidence
Royal College of Obstetricians and Gynaecologists
Royal College of Paediatrics and Child Health
Royal College of Physicians of London
Royal College of Psychiatrists
Royal College of Surgeons of England
Royal College of General Practitioners
Royal College of Physicians and Surgeons of Glasgow
Royal College of Physicians of Edinburgh
Royal College of Surgeons of Edinburgh
Faculty of Dental Surgery
Faculty of Accident & Emergency Medicine
Faculty of Occupational Medicine
The Intercollegiate Board for Training In Intensive Care Medicine
General Medical Council
Specialist Training Authority
Joint Committee on Postgraduate Training for General Practice
The Academy of Medical Sciences
The Association for the Study of Medical Education
Council of Heads of Medical Schools
The Centre for Education in Medicine at the Open University
British Medical Association
Junior Doctors Committee
Central Consultants and Specialists Committee
Locum Doctors Association
Conference of Postgraduate Medical Deans of the UK
Flexible Training Sub-Group of COPMeD
COPMeD Overseas Doctors Sub-Group
Committee of General Practice Education Directors
Conference of Postgraduate Dental Deans
Changing Workforce Programme, Human Resources Directorate, DoH
Workforce Planning, DoH
Scottish Council for PGMDE
National Association of Clinical Tutors
NHS Confederation
SHO Modernisation Workshops
Attendees
Dr Acquilla | Faculty of Public Health Medicine |
Dr Al-Jalili | Arab Medical Association |
Dr Baker | Royal College of General Practitioners |
Dr Beattie | Royal College of Physicians and Surgeons of Glasgow |
Dr Biggs | The Association for the Study of Medical Education |
Dr Cairncross | Medical Education Unit, DoH |
Ms Cass | NHS Confederation |
Dr Cassoni | Royal College of Radiologists |
Dr Chapman | JCPTGP |
Mr Cook | Royal College of Ophthalmologists |
Dr Currie | Junior Doctors Committee |
Dr Eaton | Flexible Training Sub-Group of COPMeD |
Dr Field | COGPED |
Mr Frenchi-Christopher | General Medical Council |
Dr Goodman | CCSC |
Dr Goodyear | Medical Womens Federation |
Dr Graham | COPMeD Overseas Doctors Sub-Group |
Professor Grant | Open University |
Professor Hall | Royal College of Paediatrics and Child Health |
Ms Hargadon | Changing Workforce Programme |
Dr Harling | Specialist Training Authority |
Mr Henderson | NHS Confederation |
Dr Ingram | Royal College of Anaesthetists |
Sir Barry Jackson | President, Royal College of Surgeons |
Dr Jarvis | BMA |
Dr Joshi | Royal College of General Practitioners |
Professor Katona | Royal College of Psychiatrists |
Professor Kopelman | Council of Heads of Medical Schools |
Professor Lingham | Overseas Doctors Association |
Mr Loveland | Medical Education Unit, DoH |
Mr Lowry | Faculty of Dental Surgery |
Dr Macdonald | COPMeD |
Mr Macleod | Royal College of Surgeons of Edinburgh |
Dr Moore | Workforce Development, DoH |
Dr Neville | Royal College of Physicians of London |
Dr Paice | COPMeD |
Dr Pickersgill | Junior Doctors Committee |
Professor Pringle | Royal College of General Practitioners |
Professor Quirke | Royal College of Pathologists |
Dr Seeley | COPMeD |
Professor Shaw | Royal College of Obstetricians and Gynaecologists |
Dr Short | The Intercollegiate Board for Training in Intensive Care Medicine |
Dr Sim | Junior Doctors Committee |
Mr Skinner | Faculty of A&E Medicine |
Mr Smith | COPDEND |
Miss Somjee | Locum Doctors Association |
Surgeon Captain Sykes | Faculty of Occupational Medicine |
Dr Thomson | National Association of Clinical Tutors |
Dr Toby | JCPTGP |
Dr Watson | Royal College of Physicians of Edinburgh |
Dr Zuckerman | Faculty of Pharmaceutical Medicine |
Annex D
Bibliography
1. Junior Doctors Committee. Discussion Paper on an Integrated Training System for Junior Doctors. London: British Medical Association; 2001.
2. General Medical Council. The Early Years - Recommendations for Senior House Officer Training. London: GMC; 1998.
3. Conference of Postgraduate Medical Deans of the United Kingdom. SHO Training: Tackling the Issues Raising the Standards. London: COPMeD; 1995.
4. Academy of Medical Royal Colleges. Recommendations for Training for Senior House Officers. London: AoMRC; 1996.
5. Career Progress of Doctors Committee. Senior House Officer Training - Impact of the Specialist Registrar Grade. London: British Medical Association; 1998.
6. Junior Doctors Committee. The Future of the SHO Grade. London: British Medical Association; 1998.
7. Dillner L. Senior House Officers: The Lost Tribes. British Medical Journal 1993;307:1549-51.
Annex E
Postgraduate Training Programmes: principal pathways
Annex F
Dentistry
The concept of general professional training within dentistry has been enthusiastically received provided it remains voluntary, flexible and broadly based. It is crucially important that there are adequate numbers of house officer and SHO posts in dental hospitals and district general hospitals to provide general professional training with an appropriate element of basic specialist training.
Many graduates undertaking general professional training eventually follow a career in general dental practice. Workforce planning is therefore more complex as SHO numbers are not directly linked to consultant numbers.
SHOs in dentistry provide a valuable infrastructure of dental expertise within hospitals thereby influencing the quality of patient care.
Proposals
1. House officer/SHO posts in dentistry should continue as a component of general professional training.
2. Formal programmes of general professional training with training in both primary and secondary care should remain with graduates having the opportunity of selecting posts matched to their individual requirements.
3. Standards should be set by the Dental Faculties and the Committee for Vocational Training with local programmes co-ordinated by Postgraduate Dental Deans.
4. Where training has been approved by the Faculty of Dental Surgery and the Postgraduate Dental Dean, additional posts should be established to improve availability of GPT.
5. Further work should be undertaken by the Chief Dental Officer to demonstrate how house officer/SHO posts in dentistry may be matched to the main recommendations of this Report.