Currently there are three aspects to the sign-off process:

Ensuring that the requirements for GMC Full Registration have been met

Universities still retain statutory responsibility for signing-off the F1 Year. UK graduates should liaise with the Medical School from which they graduated, or their ‘home’ deanery (see GMC website for list of contacts) and comply with arrangements for obtaining Full Registration. Non UK graduates should consult the GMC.

Provisionally registered doctors with a licence to practise must demonstrate that they meet the outcomes set by the GMC and have completed a programme of 12 months before being eligible to apply for full registration.

Satisfactory Completion of F1

Requirements for satisfactory completion of F1 (from the Foundation Programme Reference Guide)

10.1   The Foundation Programme is time and outcome-based. Provisionally registered doctors with a licence to practise must complete one year (full-time equivalent) in an approved foundation programme to be eligible to apply for full registration with the GMC.

10.2   The GMC has approved the Curriculum published by the Academy of Medical Royal Colleges Foundation Committee and the four UK health departments. The outcomes set out in The Trainee Doctor have been mapped to the Foundation Programme Curriculum (the Curriculum). F1 doctors must demonstrate the outcomes set out in the Curriculum on different occasions and in different clinical settings as a professional in the workplace, demonstrating a progression from the level of competence required of a medical student. F1 doctors are also encouraged to gain additional appropriate experience.

Requirements for satisfactory completion of F1

10.3   The requirements for satisfactory completion of F1, with guidance notes, are set out in Table 1 below. The deanery/foundation school should make the requirements clear at the beginning of the F1 year.

Section 10: Table 1 

Provisional registration and a licence to practise with the GMC.

To undertake the first year of the Foundation Programme doctors must be provisionally registered with the GMC and hold a licence to practise. In exceptional circumstances (e.g. refugees), a fully registered doctor with a licence to practise may be appointed to the first year of a foundation programme.

Completion of 12 months F1 training (taking account of allowable absence).

The maximum permitted absence from training, other than annual leave, during the F1 year is four weeks (see GMC guidance on sick leave for provisionally registered doctors).

A satisfactory educational supervisor’s end of year report.

The report should draw upon all required evidence listed below.

Satisfactory educational supervisor’s end of placement reports.

An educational supervisor’s end of placement report is not required for the last F1 placement, the educational supervisor’s end of year report replaces this.

Satisfactory clinical supervisor’s end of placement reports.

If the F1 doctor has not satisfactorily completed one placement but has been making good progress in other respects, it may still be appropriate to confirm that the F1 doctor has met the requirements for satisfactory completion of F1. The last end of placement review must be satisfactory.

Satisfactory completion of the required number of assessments.

The minimum requirements are set out in the Curriculum. The deanery/foundation school may set additional requirements.

Team assessment of behavior (TAB) (minimum of one per year).

Core procedures (all 15 GMC mandated procedures).

A valid Immediate Life Support (or equivalent) certificate.

If the certificate has expired, it may be appropriate to accept evidence that the doctor has booked to attend a refresher course.

Evidence of participation in systems of quality assurance and quality improvement projects.

Foundation doctors should take part in systems of quality assurance and quality improvement in their clinical work and training. This includes completion of the national trainee survey and any end of placement surveys.

Completion of the required number of Supervised Learning Events.

The minimum requirements are set out in the Curriculum. The deanery/foundation school may set additional requirements.

Direct observation of doctor/patient interaction:
•   Mini CEX
•   DOPS
(minimum of nine observations per year; at least six must be mini-CEX).

Case-based discussion (CBD)
(minimum of six per year / two per placement).

Developing the clinical teacher
(minimum of one per year).

An acceptable attendance record at generic foundation teaching sessions.

It is recommended that postgraduate centres (or equivalent) provide a record of attendance for each F1 doctor. It has been agreed that an acceptable attendance record should typically be 70%. However, if the F1 doctor has not attended 70% of teaching sessions for good reasons, it may still be appropriate to confirm that the F1 doctor has met the required standard. If there are concerns regarding engagement or if attendance is below 50%, the FTPD/T should discuss this with the FSD.

Signed probity and health declaration.

Separate forms must be signed for each year of foundation training (F1 and F2). This is in addition to the Declaration of Fitness to Practise required by the GMC when applying for full registration.

For detailed information regarding progression and sign-off in F1, please consult Section 10 of the Foundation Programme Reference Guide, available from the National Foundation Programme Website. (Link below)

For information regarding the ARCP process, please consult the guidance available from the National Foundation Programme website.

Transfer of Information (Severn F2 trainees only)

All Severn Foundation School trainees are required to complete a Transfer of Information questionnaire before the beginning of both F1 and F2. The TOI process is designed to allow trainees to highlight to their Trust Foundation Programme Director (FPD) issues that might be relevant to their training. The TOI process is a supportive process, aimed at allowing foundation doctors to highlight to their local educator issues that may be of relevance to their performance as a doctor, and is also one of the processes used to safeguard patient safety.

Transfer of Information webpage

Process

The ‘End of placement report’ should be completed on e-portfolio at the end of each 4 month placement within the F1 year. The ‘Transfer of Information form’ should be completed with the help and support of the trainee’s Educational or Clinical Supervisor(s). The trainee’s current Educational Supervisor should countersign the ToI form.

The above forms will need to be used when the 'Evidence required to sign off Attainment of F1 Competency' is completed at the end of the F1 year, and are part of the evidence considered by the ARCP Panel.

The ‘Attainment of F1 Competency Form’ (on e-portfolio) is automatically created once a satisfactory ARCP outcome is awarded, and both Trust and trainee have signed this.  The AF1C will then be signed and released by the Foundation School and sent to the trainee's 'home' deanery or medical school to inform their Full GMC Registration.

Severn is responsible for the Full GMC Registration of Bristol graduates and non UK qualified Severn F1 trainees. Graduates from other UK medical schools should consult their ‘home’ deanery or medical school for advice, if required (see contact list on GMC website).  The GMC will contact trainees by email with instructions on how to apply for Full Registration.

NB: Although trainees are signed-off in early July, this sign-off is provisional and subject to continued satisfactory performance and attendance until the end of their F1 programme.

Key Dates

19th May 2017

Deadline for completion of SLEs/assessments

30th June 2017                         

Deanery deadline for submission of:
      Attainment of F1 Competency Form (via e-Portfolio)
      Pre-F2 Transfer of Information Form

Mid July 2017

GMC deadline (in order to process by F2 start date)

2nd August 2017

F2 start date

 

 ARCP Timeline for Foundation Year 1 Doctors (2017).

Gloucestershire Hospitals NHS Foundation Trust 6th , 12th , 13th & 20th June
North Bristol NHS Trust 23th June
University Hospitals Bristol NHS Foundation Trust 8th, 15th June
Great Western Hospitals NHS Foundation Trust 13th June
Taunton and Somerset NHS Foundation Trust  8th June
Weston Area Health NHS Trust 26th May
Yeovil District Hospital NHS Foundation Trust 20th & 21th June
Royal United Hospitals Bath NHS Foundation Trust 23th June

Evidence required to sign off Attainment of F1 Competency form 

Trainee Timeline (F1)