The Foundation Programme Reference Guide - Academy of Medical ...

7. Quality assurance, management and controlSite visits • follow a published procedure including feedback processesand actions on requirements and recommendations;• involve all stakeholders;• be carried out by visitors trained for the task;• provide opportunities for trainees to give their opinion.Quality Control7.12 Deaneries typically hold SLAs or similar contracts with LEPs. These agreements mustclearly describe the lines of accountability, the quality management and quality controlprocesses and any standards for learning environments and the educational facilitiesprovided. This is particularly important where there are joint appointments (e.g. FTPD/Ts). The actions to be taken if either party does not meet the terms of the agreementshould be transparent, as should the processes for monitoring them.7.13 LEPs are also the employers of the teaching faculty of clinical supervisors andeducational supervisors. They may also employ the FTPD/Ts. Quality control processesshould demonstrate compliance with the SLA or similar contract and will be subject todeanery quality management.7.14 Much of the learning experience for foundation doctors is from providing patient carein the workplace under appropriate clinical supervision and at appropriate intensity.This is supplemented by formal taught sessions provided at LEP level or possibly by thefoundation school itself. Some topics, such as Advance Life Support, may be providedexternally. By definition, workplace-based assessments are carried out at LEP level.7.15 LEP quality control should monitor all these activities, their uptake and quality toensure that foundation doctors receive education and training that meets deanery andnational standards, and that the terms of the SLA or other contract are also being met.Such monitoring might include:• course evaluation/feedback;• attendance rates;• investigation of poor attendance;• end of post questionnaires;• interviews of both foundation doctors and trainers.7.16 Many of these processes can also be used in deanery quality management and shouldnot be duplicated.Approval of Foundation Programmes (including supernumerary programmes)7.17 Deaneries in the UK are responsible for providing the Foundation Programme. They mustprospectively approve the rotations and monitor them as above, to ensure that theymeet the Standards for training for the Foundation Programme in The New Doctor.The UK Foundation Programme: Reference Guide26