Health Education England working across the South West
2017 GMC National Training Survey - Executive Summary Report
This report provides an overview of the 2017 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 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:
- Adequate Experience
- Clinical Supervision
- Clinical Supervision out of hours
- Curriculum Coverage
- Educational Governance
- Educational Supervision
- Feedback
- Handover
- Induction
- Local Teaching
- Overall Satisfaction
- Regional Teaching
- Reporting systems
- Study Leave
- Supportive environment
- Teamwork
- Work Load
In 2017 there are new indictors called Curriculum Coverage, Educational Governance and Teamwork
Trainer survey
The trainer survey comprises of about 50 questions. These are linked to the indicators of:
- Overall Satisfaction
- Work Load
- Handover
- Supportive environment
- Curriculum Coverage
- Educational Governance
- Time for training
- Rota Design
- Resources for trainers
- Support for trainers
- Trainer Development
In 2017 there are new indictors called Overall Satisfaction, Workload, Curriculum Coverage, Educational Governance, Time for Training, Rota Design, Recourses for trainers and Trainer Development.
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 53,338 / 54,381 trainees in the UK completed the NTS giving a national response rate of 98.1%. With 1491 /1514 trainees completing the survey in PPME, and 2018/2056 in SPME, the response rates were 98.5% and 98.2%, 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 seven of the seventeen indicators.
Both SPME and PPME ranked within the top 5 in the UK for: Adequate Experience, Educational Governance, Overall Satisfaction, Reporting Systems, Supportive Environment and Teamwork. In addition, PPME ranked first for Clinical Supervision and Clinical Supervision out of hours.
| Indicator | Region |
2017 Mean Score |
National UK mean | HEE Ranking |
| Adequate Experience | PPME | 80.4 | 79.02 | 2 |
| SPME | 79.70 | 3 | ||
| Clinical Supervision | PPME | 92.20 | 90.39 | 1 |
| SPME | 89.87 | 10 | ||
| Clinical Supervision Out of Hours | PPME | 91.07 | 89.20 | 1 |
| SPME | 89.31 | 6 | ||
| Curriculum Coverage | PPME | 77.42 | 75.99 | 2 |
| SPME | 75.81 | 6 | ||
| Educational Governance | PPME | 75.36 | 73.34 | 2 |
| SPME | 73.7 | 5 | ||
| Educational Supervision | PPME | 88.68 | 88.31 | 6 |
| SPME | 87.88 | 10 | ||
| Feedback | PPME | 79.15 | 76.76 | 3 |
| SPME | 75.33 | 12 | ||
| Handover | PPME | 70.19 | 70.15 | 4 |
| SPME | 69.52 | 10 | ||
| Induction | PPME | 82.16 | 81.92 | 5 |
| SPME | 81.43 | 10 | ||
| Local Teaching | PPME | 64.08 | 64.6 | 10 |
| SPME | 63.94 | 11 | ||
| Overall Satisfaction | PPME | 81.37 | 79.3 | 2 |
| SPME | 80.27 | 3 | ||
| Regional Teaching | PPME | 68.86 | 70.71 | 11 |
| SPME | 69.62 | 10 | ||
| Reporting systems | PPME | 76.91 | 75.37 | 2 |
| SPME | 75.93 | 3 | ||
| Study Leave | PPME | 59.13 | 61.48 | 10 |
| SPME | 56.19 | 12 | ||
| Supportive environment | PPME | 75.36 | 73.06 | 2 |
| SPME | 74.00 | 4 | ||
| Teamwork | PPME | 76.44 | 74.41 | 2 |
| SPME | 75.46 | 3 | ||
| Work Load | PPME | 48.44 | 47.2 | 3 |
| SPME | 47.08 | 8 |
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 (3rd) were ranked within the top three in England for Overall Satisfaction by Deanery (out of 13). Over the last six 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 | 2017 | ||||||
| Mean | HEE Rank | 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 | 79.9 | 4 |
| Peninsula Deanery | 81.2 | 4 | 82.2 | 2 | 82.6 | 2 | 83 | 2 | 82.72 | 2 | 81.4 | 2 |
| Northern Deanery | 81.8 | 1 | 82.4 | 1 | 82.9 | 1 | 83.5 | 1 | 82.71 | 3 | 81.6 | 1 |
| North Western Deanery | 80 | 9 | 80.9 | 5 | 81.5 | 5 | 81.7 | 8 | 81.91 | 4 | 78.2 | 12 |
| Mersey Deanery | 80.9 | 5 | 81 | 4 | 81.4 | 6 | 82 | 5 | 81.75 | 5 | 79.9 | 6 |
| Severn Deanery | 81.4 | 2 | 81 | 3 | 81.6 | 4 | 82.1 | 4 | 81.52 | 6 | 80.3 | 3 |
| London Deanery | 80.1 | 8 | 80.8 | 6 | 81.3 | 8 | 81.8 | 7 | 81.37 | 7 | 78.8 | 10 |
| NHS West Midlands Workforce Deanery | 80.4 | 7 | 80.7 | 8 | 81.3 | 7 | 81.4 | 9 | 81.34 | 8 | 78.8 | 9 |
| East of England Multi-Proessional Deanery | 79.7 | 11 | 79.9 | 11 | 80.6 | 11 | 81.2 | 11 | 80.9 | 9 | 79 | 8 |
| East Midlands Healthcare Workforce Deanery | 79.1 | 12 | 79.6 | 12 | 79.9 | 12 | 80.4 | 12 | 80.88 | 10 | 77.2 | 13 |
| Yorkshire and Humber Postgraduate Deanery | 79.8 | 10 | 80.5 | 9 | 80.8 | 9 | 81.4 | 10 | 80.87 | 11 | 78.3 | 11 |
| Oxford Deanery | 80.7 | 6 | 80.1 | 10 | 80.6 | 10 | 81.8 | 6 | 80.86 | 12 | 79.5 | 7 |
| Kent, Surrey and Sussex Deanery | 78.9 | 13 | 79.5 | 13 | 79.3 | 13 | 80.3 | 13 | 79.47 | 13 | 79.9 | 5 |
| National Mean | 80.4 | 80.8 | 81.2 | 81.7 | 81.6 | 79.3 | ||||||
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 2017 fifteen programmes (18%) in HEE SW are ranked 1st in England for Overall Satisfaction and 37% (31 of 83) are ranked in the top three
| Region | Programme | Overall Satisfaction Mean Score (%) | England Rank | Rank Denominator |
| PPME | Broad Based Training | 92 | 1 | 10 |
| SPME | Cardiology | 88 | 1 | 13 |
| SPME | Clinical Oncology | 91 | 1 | 13 |
| SPME | Core Medical Training | 75 | 1 | 13 |
| SPME | Core Surgical Training | 83 | 1 | 13 |
| PPME | Endocrinology & Diabetes Mellitus | 88 | 1 | 13 |
| PPME | General Practice (Primary Care Setting) | 93 | 1 | 13 |
| SPME | General Psychiatry | 92 | 1 | 13 |
| PPME | Geriatric Medicine | 90 | 1 | 13 |
| SPME | Intensive Care Medicine | 94 | 1 | 13 |
| SPME | Old Age Psychiatry | 89 | 1 | 13 |
| PPME | Otolaryngology | 95 | 1 | 13 |
| SPME | Public Health Medicine | 89 | 1 | 11 |
| PPME | Rheumatology | 98 | 1 | 13 |
| SPME | Trauma and Orthopaedic Surgery | 90 | 1 | 13 |
| PPME | Foundation | 78 | 2 | 12 |
| PPME | General Practice (Acute Care Setting) | 77 | 2 | 13 |
| SPME | Otolaryngology | 91 | 2 | 13 |
| PPME | Palliative Medicine | 99 | 2 | 13 |
| PPME | Urology (over-arching programme) | 87 | 2 | 12 |
| PPME | Vascular Surgery (over-arching programme) | 87 | 2 | 12 |
| SPME | Acute Care Common Stem | 83 | 3 | 13 |
| PPME | Clinical Radiology | 88 | 3 | 13 |
| PPME | Core Medical Training | 75 | 3 | 13 |
| SPME | Endocrinology and Diabetes Mellitus | 85 | 3 | 13 |
| PPME | Gastroenterology | 82 | 3 | 13 |
| SPME | General Practice (Primary Care Setting) | 89 | 3 | 13 |
| SPME | Obstetrics and Gynaecology | 81 | 3 | 13 |
| SPME | Paediatric Surgery | 83 | 3 | 11 |
| SPME | Psychiatry of Learning Disability | 90 | 3 | 12 |
| PPME | Respiratory Medicine (over-arching programme) | 81 | 3 | 13 |
NB. In this table, the ranking denominator is the number of Deaneries in England.
In contrast 17% (14 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 | Paediatric Cardiology | 74 | 7 | 8 |
| SPME | Neurosurgery (Over-arching programme) | 75 | 9 | 11 |
| SPME | Haematology | 75 | 10 | 12 |
| SPME | Acute Internal Medicine | 75 | 11 | 13 |
| SPME | Anaesthetics | 80 | 11 | 13 |
| SPME | Palliative Medicine | 82 | 11 | 13 |
| SPME | Child and Adolescent Psychiatry | 86 | 12 | 12 |
| PPME | Clinical Oncology | 80 | 12 | 13 |
| PPME | Core Psychiatry Training | 76 | 12 | 13 |
| PPME | Dermatology | 76 | 12 | 13 |
| SPME | Neurology | 77 | 12 | 13 |
| SPME | Oral and Maxilo-Facial Surgery (Over-arching programme) | 75 | 12 | 12 |
| PPME | Emergency Medicine | 73 | 13 | 13 |
| PPME | Paediatrics | 77 | 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 |
Ratio of Positive outliers to number of trainees |
Red Outliers |
Ratio of Negative outliers to number of trainees |
| 2gether NHS Foundation Trust | 0 | 0 | ||
| Avon and Wiltshire Mental Health Partnership NHS Trust | 2 | 1:51 | 1 | 1:10 |
| Cornwall Partnership NHS Foundation Trust | 2 | 1:9 | 0 | |
| Devon Partnership NHS Trust | 5 | 1:7 | 4 | 1:9 |
| Gloucestershire Hospitals NHS Foundation Trust | 8 | 1:33 | 31 | 1:9 |
| Great Western Hospitals NHS Foundation Trust | 8 | 1:19 | 21 | 1:7 |
| Livewell Southwest | 6 | 1:4 | 0 | |
| North Bristol NHS Trust | 24 | 1:13 | 18 | 1:18 |
| Northern Devon Healthcare NHS Trust | 9 | 1:9 | 3 | 1:26 |
| Plymouth Hospitals NHS Trust | 23 | 1:15 | 39 | 1:9 |
| Royal Cornwall Hospitals NHS Trust | 16 | 1:15 | 14 | 1:17 |
| Royal Devon and Exeter NHS Foundation Trust | 37 | 1:7 | 20 | 1:12 |
| Royal United Hospitals Bath NHS Foundation Trust | 15 | 1:14 | 13 | 1:16 |
| Sirona Care and Health | 3 | 1:2 | 0 | |
| Somerset Partnership NHS Foundation Trust | 4 | 1:5 | 0 | |
| Taunton and Somerset NHS Foundation Trust | 41 | 1:4 | 5 | 1:34 |
| Torbay and South Devon NHS Foundation Trust | 60 | 1:3 | 11 | 1:17 |
| University Hospitals Bristol NHS Foundation Trust | 27 | 1:15 | 19 | 1:21 |
| Weston Area Health NHS Trust | 0 | 31 | 1:2 | |
| Yeovil District Hospital NHS Foundation Trust | 2 | 1:33 | 15 | 1:4 |
| Grand Total | 292 | 245 |
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 24,593 / 45,889 trainers in the UK completed the NTS giving a national response rate of 53.6%. With 435 / 905 trainers completing the survey in PPME, and 875 / 1864 in SPME, the response rates were 48.1% and 46.9%, 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 | HEE-SW Mean Score | National UK Mean | HEE Ranking |
| Overall Satisfaction | 73.58 | 71.87 | 1 |
| Trainer Development | 73.41 | 70.3 | 1 |
| Resources for trainers | 73.73 | 70.59 | 2 |
| Support for trainers | 70.15 | 68.5 | 2 |
| Supportive environment | 70.67 | 68.93 | 3 |
| Time for training | 56.79 | 56.28 | 4 |
| Educational Goverance | 68.47 | 68.32 | 8 |
| Work load | 41.98 | 42.86 | 9 |
| Curriculum Coverage | 70.57 | 72.06 | 10 |
| Handover | 69.47 | 70.38 | 11 |
| Rota Design | 56.81 | 59.82 | 12 |
3. Outliers by Provider (trainer survey)
| Local Education Provider | Green Outliers | Red Outliers |
| 2gether NHS Foundation Trust | 12 | 0 |
| Avon and Wiltshire Mental Health Partnership NHS Trust | 2 | 0 |
| Cornwall Partnership NHS Foundation Trust | 4 | 0 |
| Devon Partnership NHS Trust | 1 | 0 |
| Gloucestershire Hospitals NHS Foundation Trust | 8 | 10 |
| Great Western Hospitals NHS Foundation Trust3 | 12 | 5 |
| NHS Bristol CCG | 1 | 0 |
| NHS Swindon CCG | 1 | 0 |
| North Bristol NHS Trust | 19 | 9 |
| Northern Devon Healthcare NHS Trust | 6 | 1 |
| Plymouth Hospitals NHS Trust | 8 | 16 |
| Public Health England (South of England) | 1 | 0 |
| Royal Cornwall Hospitals NHS Trust | 10 | 3 |
| Royal Devon and Exeter NHS Foundation Trust3 | 7 | 16 |
| Royal United Hospitals Bath NHS Foundation Trust1 | 16 | 0 |
| Sirona Care and Health | 2 | 0 |
| Taunton and Somerset NHS Foundation Trust | 11 | 4 |
| Torbay and South Devon NHS Foundation Trust | 11 | 6 |
| University Hospitals Bristol NHS Foundation Trust | 10 | 21 |
| University of Bristol | 8 | 0 |
| Weston Area Health NHS Trust | 3 | 1 |
| Yeovil District Hospital NHS Foundation Trust | 11 | 0 |
| Grand Total | 164 | 92 |
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 2017 NTS data is contained within the supplementary Trust/Programme Reports which will be sent out in July 2017. 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@hee.nhs.uk
Quality Manager: Jane Bunce
Jane.Bunce@hee.nhs.uk
Quality Support Manager: Gemma Agar
Gemma.Agar@hee.nhs.uk
Quality & Information Co-ordinator: Sophie Rose
Sophie.Rose@hee.nhs.uk
Severn Quality Team:
Associate Dean – Quality: Jon Francis
Jon.Francis@hee.nhs.uk
Quality Manager: Andy Gadsby
Andy.Gadsby@hee.nhs.uk
Quality Support Manager: Lyn Cox
Lynette.Cox@hee.nhs.uk
Prepared by:
Andy Gadsby, Quality Manager
July 2017