Out of Hours

***NEWSFLASH – OOH Course for new GP trainees from August 2014***

The Deanery is providing an introduction to OOH training on Saturday 13th September 2014 from 13-00-17.00. (A pre-booked light lunch will be available from 12.20). Please see the full programme here: OOH training day Sept 2014.

The session will count towards 4 hours of your Out of Hours training requirements for the ST1/2 years. It will also enable you to book follow up sessions with the Ambulance Service, Operations Centre and 111 Service.  Application forms to Register for this will be available on the day.

You should only attend this course once, a second attendance is possible but will not count towards your OOH training requirements and spaces are reserved for trainees in their GP post and not in a Hospital post.  Another course will be held in February for Trainees in a GP post from February 2015. This course is specifically for Trainees in Hampshire and Wiltshire who will want to book a session with SCAS.  Others from Dorset and the IoW are also welcome if they want to attend and this will count towards their 36 hours training.

The session is being held at the Deanery at Southern House, Otterbourne, Winchester SO21 2RU.

Entry at the weekend is through a locked gate. There will be somebody there to let you in between the hours of 12.15-13.15, but after that you will have to park your car outside and walk in if you are late (please do not block peoples driveways!). Mobile for use on the day 07824 351550

There will be a light lunch from 12.20 for those who indicate that they wish to have it (you must tell us at the time of booking on the course, otherwise you will not have any lunch reserved for you)

Over the last few years, trainees have had difficulty organising and understanding how the Out of Hours sessions work, so please regard this as an essential session to attend as it will get you off to a satisfactory start with your training programme and experts will be there to advise you on what to do and where to go.

If you have any general queries please contact Jenny Gould: Jenny.Gould@wessex.hee.nhs.uk

You must use the online booking system please see the Guidance for Course Booking Management System attached to make a booking. You will only be able to book using the following link:

https://secure.intrepidonline.co.uk/CourseManager/NESC/sys_pages/Course/CourseEventInvitation.aspx?FilterCourseEventID=31543ab2-e580-4420-b89a-4f645b404141

If you require assistance with your online booking please contact Jane Carr: jane.carr@wessex.hee.nhs.uk, tel. 01962 718502

Out-of-Hours (OOH) Guidelines

Covering out of hours (OOH) remains an important part of GP training and is a challenging part of general practice.  Increasingly, out-of-hours work is a major source of income for newly qualified GPs.  Requirements for GPST3s remain at 72 hours and GPST1/GPST2s are required to complete 4 hours per month or 36 hours in a 6 month post.  GPSTs must complete a work sheet which should be signed by their Out of Hours Educational Supervisor at the end of their Out of Hours shift.  This should be uploaded onto the ePortfolio and subsequently checked by the GP Trainer. The GPST must also complete a Registration Form prior to commencing any OOH sessions which is to be forwarded to both their Clinical Supervisor and OOH provider, and scanned to their ePortfolio. For all these forms and other information visit the Wessex Deanery resources page and scroll down to Out of Hours.

For a general overview of OOH requirements in GP training, please see this document from the Deanery: Wessex GP OOH Guide Aug 2014

ST3 Specific Documents:

How much OOH do I need to do?

Currently, you are required to gain 72 hours OOH experience during your registrar year GPST3 and 36 hours during GPST1/2. This is not difficult but you will need to work steadily at it during your GP placement. Demand for sessions can be very high, so plan ahead.

What does it consist of?

GPST1/2 trainees are encouraged to gain out-of-hours experience in a variety of settings. This can include working with twilight district nursing services, paramedics, community mental health crisis teams, community palliative care teams and duty social workers. A maximum of 4 hours (outside of usual weekday working hours, 0800 – 1800) can be spent working in a Darzi walk-in centre.

GPST3 trainees must spend their (minimum) 72 hours of training with the GP Out-of-Hours service. This will include sessions in local OOH Treatment Centres, sessions in the visiting cars and telephone triage. A maximum of 6 hours (outside of usual weekday working hours, 0800 – 1800) can be spent in a Darzi walk-in centre.

How do I arrange it?

If your trainer or another GP in  your practice does OOH work, they will often be able to supervise your sessions. If not, then you will need to contact Dorset Unscheduled Care (your practice will have contact details) to arrange supervised sessions.

Download this Dorset GP Trainee Supervisors List of GP trainers/OOH supervisors who currently undertake OOH sessions and are willing to supervise trainees.

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Urgent Care Service

  • UCS Introduction - explains the philosophy and context of the Urgent Care Service locally.
  • UCS Honorary Contract - this contract must be completed before work with the UCS is started.
OOH – Urgent Care Service

In Dorset, the trainee will need to contact Ellenor Peaty at SW Ambulance Service who will co-ordinate your OOH sessions with the Urgent Care Service.  Email or phone 01202 851332 (Monday to Thursday 8.30am – 5pm), in Ellenor’s absence contact Pat Hyde on the same number.

Arranging Out Of Hours Work at ST1 and ST2

OOH option contact details:

  • OOH – Ambulance Service: Please contact Lizzie Ryan at SW Ambulance Service who will co-ordinate your OOH sessions with the Ambulance Service.
  • Darzi Centre: Please contact Dr Mufeed Ni’man at Providence Surgery on 01202 395195 or 07719 676464
  • Twilight Nursing Team: Please email Clare Head or phone 07789 271903.
  • Psychiatry Crisis Team: Please email Odette Chandler.
  • Acute Paediatric Assessment Ward Poole Hospital: Contact Dr Sumit Bokhandi via his secretary, Wendy Edwards, on 01202 442177.
  • OOH Social Services – Dorset wide: phone 01202 657279 (Mon-Thur after 5pm or Fri after 4pm).
  • Macmillan Unit Community Nurses – Contact Heather Rogers.

Booking Paid (Post CCT) Shifts Whilst Still an ST3

ST3′s are allowed to book OOH sessions following the rules as set out below:

  1. ST3 contacts Ellenor Peaty or the rota admin team requesting permission to book shifts.
  2. They are able to do this but not under their own name, rota admin team will book the shifts under “DoctorDoctor” but making a note of the ST3 who has booked the shift.
  3. The ST3 fills out an application form, having got all their paperwork together, including their final certificate.
  4. When this is approved, they can then have the shift put into their own name as a sessional GP.

They are not paid to do any shifts whilst they are still in training.  For further information please contact Ellenor Peaty.

Our Employment Guidelines and Documents sections may also be of some use.

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Last Minute Sickness

In the event that a GP clinical supervisor goes off sick at the last minute:

  • OOHs service identifies this at the earliest stage and endeavours to contact the trainee concerned preferably before they arrive at the treatment centre
  • A senior manager/supervisor discusses the options with the trainee namely: cancel their shift and go home, go to an alternative treatment centre where there is a GP clinical supervisor, work remotely with a clinical supervisor on the telephone, spend a shadow shift with another UCS employee
  • If the trainee wishes to stay on for the shift then a GP clinical supervisor is identified
  • Reassure the trainee that we are a large multidisciplinary organisation with paramedics, emergency care practitioners, nurse practitioners and GPs who they can contact at any time to seek advice or hands on face to face assistance

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