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2017 NATIONAL TRAINEE

SURVEY RESULTS

CORE MEDICAL TRAINING

SPECIALTY SPECIFIC QUESTIONS

(QUALITY CRITERIA)

JULY 2017

Warren Lynch Quality Management Officer Joint Royal Colleges of Physicians Training Board

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Introduction The Core Medical Training (CMT) Quality Criteria has been developed with the purpose of driving up the quality of training environments for Core Medical Training to enhance the educational experience of trainees and ultimately to improve patient safety and experience. The criteria have been grouped into four domains and are classified as either ‘core’ or ‘best practice’ and are expected to be met over the course of the two year programme. The four domains are:

A - Structure of the programme

B - Delivery and flexibility of the programme

C - Supervision and other ongoing support available to trainees

D - Communication with trainees

Questions relating to each of the domains have been developed and these were included in the 2016 GMC Trainee Survey as Programme Specific Questions. The details of these questions and the trainee responses can be found within this report. 2780 CMT trainees (1412 CMT1s and 1368 CMT2s) completed the survey. This was a decline of 4.6% (132 CMT trainees) on the number of trainees completing the 2016 survey. The numbers of trainees in each Deanery / LETB completing the survey were as follows:

Deanery / LETB CMT1 CMT2 Defence Postgraduate Medical Deanery 1 2

Health Education East Midlands 74 62

Health Education East of England 120 107

Health Education Kent, Surrey and Sussex 103 91

Health Education N, C & E London 104 96

Health Education North East 62 65

Health Education North West 164 180

Health Education NW London 79 54

Health Education South London 100 105

Health Education South West 84 78

Health Education Thames Valley 31 49

Health Education Wessex 50 61

Health Education West Midlands 104 99

Health Education Yorkshire and the Humber 106 120

NHS Education for Scotland 115 87

Northern Ireland Medical & Dental Training Agency 41 52

Wales Deanery 74 60

Total 1412 1368

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Executive Summary

Core Medical Trainees surveyed reported an increase in the Quality Criteria being met in 12 of 17

criteria, however there was a 4.6% decline (132 trainees) in the number of trainees completing the

2017 National Trainee Survey, compared to 2016. This was particularly noticeable in CMT2, down

7% (104 trainees). Significant regional differences in terms of trainees agreeing that Trusts were

meeting the CMT Quality Criteria standards were also noted. Differences varied from region to

region across the breadth of the criteria with regions rating highly in some areas but poorly in

others. Wessex was most improved, rising from quartile 1 in 2016 to quartile 4 in 2017.

High levels of agreement nationally that the criteria were being met were in the following areas:

94% of trainees agreed they have a single, named Educational Supervisor appointed to oversee

CMT training for an minimum of 12 months, although Northern Ireland was an outlier in this

criteria with only 34% of trainees in agreement*. More than 90% of trainees in 14/17 regions

have reported this criteria being met in each of the last two years.

90% of trainees agreed they received one hour or more curriculum relevant teaching on

average each week. More than 90% of trainees in 7/17 regions have reported this criteria being

met in each of the last two years.

86% of trainees agreed they had on-call rotas that covered 4 or more months in length

82% of trainees had the opportunity to attend skills laboratory or simulation training (using

scenario) at least once a year

80% of trainees agreed they had had, or will have a formal interim (pre-ARCP) review

The lowest levels of agreement nationally were recorded in the following areas:

21% of trainees overall expected to have attended 40 or more outpatient clinics by the end of

their CMT programme

24% of CMTs overall agreed they normally have protected teaching time at outpatients clinics,

where their attendance is bleep-free

27% of trainees overall agreed they normally have protected teaching for formal training (eg.

PACES) where their attendance is bleep-free

The widest range between the regions with highest and lowest percentages of trainees reporting the

standard was being met were in the following indicators:

C4: Single named Educational Supervisor for minimum of 12 months 66 [34-100]

B2: Expected to have attended 40 or more outpatient clinics by the end of their CMT

programme 53 [4-57]

A1: Expected to have spent 16 months or more in placements contributing to the acute take by

the end of their CMT programme 52 [19-71]

* CMT posts are all for six months, often in sites which are a significant distance apart. Northern

Ireland have made a decision within the School to continue to allocate locally based supervisors for

each six months.

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In terms of overall improvements, greatest improvement was seen in Delivery of the programme

(Domain B) with increases in 6/8 indicators. The biggest increase in this domain was in the

opportunity to attend skills laboratory or simulation training, up 9% on 2016 and 19% over the last

two years with increases seen in many regions including: Wessex (+30% to 60%) Wales (+24% to

88%), North East (+22% to 70%), Kent, Surrey and Sussex (+17% to 82%), North West (+16% to 82%),

Scotland (+13% to 81%), Thames Valley (+10% to 87%), Northern Ireland (+8% to 63%), East

Midlands (+7% to 98%) and West Midlands (+7% to 58%).

54% of trainees overall agreed they had the opportunity to ‘act up’ as a medical registrar, up 7% on

2016. 72% of trainees were in agreement in Scotland, however less than 33% of trainees agreed

they had had the opportunity in Thames Valley, 35% in the North East, and 40% in East Midlands. Of

the trainees who had had the opportunity, 39% had done so after MRCP(UK), up 8% on 2016. The

highest numbers having the opportunity prior to MRCP(UK) were in Scotland (31%), Kent, Surrey

and Sussex (22%) and Northern Ireland (17%).

24% of trainees overall agreed they normally had protected bleep-free teaching at outpatient clinics,

up 5% on 2016 with 27% of trainees overall agreeing they had protected time for formal training (eg.

PACES). Some regions rated highly for providing bleep free protected time at formal training but

rated poorly for the provision of teaching at outpatient clinics and vice versa. Examples of this

include:

West Midlands: Formal Training (eg. PACES) 49% Outpatients Clinics: 16%

East Midlands: Formal Training (eg. PACES) 47% Outpatients Clinics: 26%

South West: Formal Training (eg. PACES) 31% Outpatients Clinics: 10%

The number of trainees agreeing they expected to have attended 40 or more outpatient clinics by

the end of their CMT programme was low with only 21% of trainees overall but this was an increase

of 4% on 2016. This was highest in Wessex with 57% of trainees (+54% on 2016), West Midlands

with 47%% (-10%) and London (NW with 44% (+12%) of trainees expecting to meet the criteria, but

particularly low in Kent, Surrey and Sussex (4% and -8% on 2016), East of England (5%, +2% on 2016)

and North East (6%, -2% on 2016).

Increases of 5% or more were recorded in other domains as follows:

69% of trainees overall agreed they had the opportunity to attend a departmental induction to

training assessment and review within one month of starting the CMT programme. This was a 5%

improvement on responses to this question in 2016 with notable improvements seen in London

(NW) (17%) and East Midlands (12%).

69% of trainees overall agreed that they were given enough information about possible rotations

within their CMT programme. This was a 5% increase on the 2016 results with an increased

percentage of trainees in 14/17 regions reporting the criteria was being met on this indicator.

57% of trainees overall agreed CMT trainees were appropriately represented on

professional/education committees. This was a 7% overall increase on the 2016 results. There

were notable increases in the following regions: North East (+33%), Wessex (+21%), West Midlands

(+19%), South West (+18%), Scotland (+15%), and Wales (+12%).

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Specialty Specific Questions (Quality Criteria) Quality Criteria % trainees

agreeing overall 2016/2017 Difference

Agreement Highest Agreement Lowest % difference [Range]

A1: Expected to have spent 16 months or more in placements contributing to the acute take by the end of their CMT programme

2016: 49% (717/1472) 2017: 48% (655/1368)

-1%

KSS (71%) North West (67%) Northern Ireland (62%)

London (NW) (19%) North East (20%) London (South) (24%)

52 [19-71]

B1: Shift patterns allowed them to attend relevant post-take ward rounds and or handovers

2016: 67% (1948/2912)

2017: 69% (1924/2780)

+2%

Wales (87%) South West (84%) Thames Valley (79%)

North West (53%) Scotland (56%) KSS (62%)

34 [53-87]

B2: Expected to have attended 40 or more outpatient clinics by the end of their CMT programme

2016: 17% (251/1472) 2017: 21% (284/1368)

+4%

Wessex (57%) West Midlands (47%) London (NW) (44%)

KSS (4%) East of England (5%) North East (6%)

53 [4-57]

B3.1: CMTs normally have protected teaching time, for formal training (eg. PACES), where their attendance is bleep –free

2016: 26% (761/2912)

2017: 27% (751/2780)

+1%

West Midlands (49%) East Midlands (47%) South West (31%)

Scotland (15%) Northern Ireland (19%) Wessex (19%)

34 [15-49]

B3.2: CMTs normally have protected teaching time at outpatient clinics, where their attendance is bleep –free

2016: 19% (557/2912)

2017: 24% (655/2780)

+5%

Northern Ireland (42%) London (NW) (38%) Scotland (29%)

South West (10%) West Midlands (16%) Wessex (17%)

32 [10-42]

B4: Opportunity to attend skills laboratory or simulation training (using scenarios) at least once a year

2016: 73% (2118/2912)

2017: 82% (2278/2780)

+9%

East Midlands (98%) London (N, C & E) (98%) London (South) (94%)

West Midlands (59%) Wessex (60%) Northern Ireland (63%)

39 [59-98]

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Quality Criteria % trainees agreeing overall

2016/2017 Difference

Agreement Highest Agreement Lowest % difference [Range]

B5.1: Receive one hour or more curriculum-relevant teaching on average a week

2016: 88% (2560/2912)

2017: 90% (2500/2780)

+2%

East Midlands (97%) North East (97%) Thames Valley (97%)

Scotland (69%) Wessex (79%) London (NW) (83%)

34 [69-97]

B5.2: In the run up to PACES, received or expect to receive regular teaching including DOPs of clinical skills

2016: 42% (1216/2912)

2017: 40% (1122/2780)

-2%

Thames Valley (59%) Wales (50%) London (N, C & E) (49%)

East Midlands (28%) Yorks & Humber (28%) London (South) (33%)

31 [28-59)

B6.1: Opportunity to ‘act up’ as a medical registrar

2016: 47% (685/1472) 2017: 54% (734/1368)

+7%

Scotland (72%) KSS (67%) London (NW) (67%)

Thames Valley (33%) North East (35%) East Midlands (40%)

39 [33-72]

B6.2: At what stage did you have the opportunity to ‘act up’?

Before passing MRCP(UK)

After passing MRCP(UK)

Both of the above

No opportunity

2017: 2016: 11% 12% 39% 31% 7% 7% 43% 50%

-1% +8% +0% -7%

Highest (Each category) Scotland (31%) London (NW) (61%) Scotland (18%) Thames Valley (63%)

Lowest (Each category) South West (1%) Scotland (24%) Thames Valley (2%) Scotland (26%)

30 37 16 37

C1. Representation on appropriate professional /educational committees

2016: 50% (1443/2912)

2017: 57% (1593/2780)

+7%

KSS (84%) North East (74%) Thames Valley (70%)

North West (35%) Yorks & Humber (40%) Northern Ireland (48%)

49 [35-84]

C2: Opportunity to attend departmental induction within one month of CMT start

2016: 64% (1876/2912)

2017: 69% (1905/2780)

+5%

KSS (75%) Northern Ireland (74%) London (South) (74%)

East of England (59%) East Midlands (61%) South West (62%)

16 [59-75]

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Quality Criteria % trainees agreeing overall

2016/2017 Difference

Agreement Highest Agreement Lowest % difference [Range]

C4: Single named Educational Supervisor for minimum of 12 months

2016: 91% (2663/2912)

2017: 94% (2609/2780)

+3%

Thames Valley (100%) KSS (99%) Yorks & Humber (99%)

*Northern Ireland (34%) Scotland (84%) East of England (91%)

66 [34-100]

C5: Had or will have had a formal interim review (also known as a 'pre ARCP review') in preparation for your formal ARCP

2016: 76% (2205/2912)

2017: 80% (2213/2780)

+4%

North East (95%) London (South) (94%) London (N, C & E) (93%)

East Midlands (60%) Northern Ireland (61%) South West (67%)

28 [67-95]

C6: Agreed, or did agree, a plan for attempting each part of the MRCP(UK) examination with your Educational Supervisor

2016: 69% (1998/2912)

2017: 71% (1973/2780)

+2%

Yorks & Humber (76%) Wales (75%) Wessex (75%)

Northern Ireland (58%) London (N, C & E) (66%) London (South) (66%)

18 [58-76]

D1: At the time of my job offer, I was given enough information about the possible rotations within the CMT programme

2016: 64% (1859/2912)

2017: 69% (1925/2780)

+5%

Wales (80%) KSS (78%) East of England (77%)

South West (55%) Thames Valley (59%) Scotland (60%)

25 [55-80]

D2.1: On call rotas to be published at least 6 weeks in advance

2016: 52% (1503/2912)

2017: 48% (1339/2780)

-4%

East of England (67%) Wales (67%) Wessex (67%)

Scotland (30%) South West (35%) North West (39%)

37 [30-67]

D2.2: On call rotas to cover 4 months in length

2016: 88% (2555/2912)

2017: 86% (2382/2780)

-2%

Northern Ireland (96%) KSS (94%) Wales (93%)

Scotland (72%) North West (75%) London (NW) (81%)

15 [81-96]

* CMT posts are all for 6 months, often in sites which are a significant distance apart. Northern Ireland have made a decision within the School to continue

to allocate locally based supervisors for each 6 months.

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Deaneries / LETBs are listed alphabetically by quartile in the table below with ‘quartile four’ containing the highest ranked and ‘quartile one’ the lowest. The data was produced by taking an average of all quality criteria percentages. B6.2 has not been included.

Quartile Deanery / LETB Year N= A1 B1 B2 B3.1 B3.2 B4 B5.1 B5.2 B6.1 C1 C2 C4 C5 C6 D1 D2.1

D2.2

3 4

Health Education Kent, Surrey and Sussex

2016 2017

187 194

72 71

71 62

12 4

19 25

17 20

66 82

93 91

41 34

53 67

81 84

68 75

98 99

90 91

66 71

62 78

38 48

93 94

4 4

Health Education London (North, Central & East)

2016 2017

209 200

30 35

71 75

20 32

20 22

27 28

96 97

89 94

50 49

54 67

60 57

68 67

97 96

83 93

60 66

64 68

50 51

88 89

1 4

Health Education Wessex 2016 2017

115 111

43 52

69 74

4 57

20 19

10 17

30 60

73 79

52 45

43 61

35 56

59 73

100 98

66 71

73 75

78 75

63 67

93 92

2 4

Wales Deanery 2016 2017

142 134

61 57

62 87

15 27

26 27

20 22

64 88

80 85

47 50

44 42

45 57

50 74

97 99

75 75

82 75

80 80

71 67

89 93

4 3

Health Education East of England

2016 2017

235 227

44 50

64 67

3 5

25 26

17 27

90 88

94 95

40 47

50 64

57 65

62 59

90 91

67 69

68 72

68 77

67 67

88 91

3 3

Health Education London (North West)

2016 2017

165 133

10 19

75 77

33 44

22 22

35 38

79 84

88 83

57 44

49 67

65 57

73 65

93 97

92 80

61 68

62 67

47 51

76 81

3 3

Health Education Thames Valley

2016 2017

97 80

40 31

76 82

33 31

41 25

30 20

77 87

97 97

52 59

51 33

72 70

77 71

97 100

94 89

74 72

56 59

69 54

90 87

2 3

Health Education West Midlands

2016 2017

196 203

61 60

66 70

57 47

42 49

12 16

51 59

95 94

40 41

36 41

34 53

67 68

97 97

71 71

72 74

42 66

50 45

89 89

2 2

Health Education East Midlands

2016 2017

143 136

56 44

63 65

10 16

38 47

27 26

91 98

93 97

36 28

28 40

56 67

66 61

99 98

73 60

67 69

75 76

46 40

87 87

3 2

Health Education London (South)

2016 2017

175 205

17 24

73 73

17 19

23 27

23 21

95 94

95 97

34 33

49 57

70 66

75 74

95 97

91 94

64 66

65 64

41 39

88 83

1 2

Health Education North East 2016 2017

131 127

34 20

59 81

8 6

20 24

11 22

48 70

88 97

44 43

31 35

41 74

61 69

98 98

94 95

78 74

63 72

36 49

82 80

2 2

Health Education South West 2016 2017

182 162

57 60

79 84

2 14

33 31

5 10

75 77

91 93

50 46

52 60

42 60

62 62

100 98

63 67

72 69

54 55

44 35

93 86

1 1

Defence Postgraduate Medical Deanery

2016 2017

5 3

33 0

100 67

33 0

20 33

20 0

80 67

60 100

20 33

67 50

20 67

40 0

100 100

80 100

60 67

20 0

80 100

80 100

4 1

Health Education North West 2016 2017

340 244

67 67

80 53

14 12

29 28

19 20

66 82

87 91

39 40

50 47

32 35

61 66

80 95

68 86

66 71

66 66

48 39

83 75

4 1

Health Education Yorkshire and the Humber

2016 2017

274 226

53 39

56 64

5 10

25 23

15 27

82 85

87 85

28 23

32 50

38 40

64 70

98 99

69 72

76 76

74 76

61 53

93 90

1 1

NHS Education for Scotland 2016 2017

204 202

46 48

79 56

16 9

22 15

20 29

68 82

71 69

49 43

80 72

41 56

54 73

83 84

76 84

64 73

50 60

41 30

82 72

1 1

Northern Ireland Medical & Dental Training Agency

2016 2017

112 93

72 62

55 78

33 38

12 19

24 42

55 63

84 92

20 34

36 44

48 48

71 74

36 34

52 61

63 58

67 73

63 56

97 96

% Improvement in overall agreement % decrease in overall agreement 2016/17 >89% agreement in 2016/17

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Quality Criteria A.1 Minimum of two-thirds of placements (usually 16 months) spent contributing to the acute medical take, including the acute medical unit. Q. By the end of your CMT programme, how many months do you expect to have spent in placements contributing to the acute take?

A1. 48% of CMT2 trainees (655/1368 trainees) said the quality criteria was met by CMT trainees spending 16 months or more in placements contributing to the acute take. CMT1 trainees were not asked this question. Overall, there was a 1% decline in agreement in 2017 compared to 2016.

33.33

18.52

10.47

20

33.87

23.81

16.84

30.61

40

35.42

30

39.17

52.98

43.55

55.56

48.28

46

49.53

44.35

52.46

43.40

56.67

60.92

59.6

60.75

60.26

57.45

61.54

72.13

66.67

67.50

71.43

71.60

50

66.67

0

39.53

27.69

22.58

47.62

48.42

44.9

24.44

41.67

44

31.67

31.13

32.26

23.61

33.33

34

28.04

30.43

14.75

22.64

31.67

26.44

27.27

28.97

20.51

30.85

21.15

21.31

21.11

21.25

21.98

25.93

50

46.3

50

52.31

43.55

28.57

34.74

24.49

35.56

22.92

26

29.17

15.89

24.19

20.83

18.39

20

22.43

25.22

32.79

33.96

11.67

12.64

13.13

10.28

19.23

11.70

17.31

6.56

12.22

11.25

6.59

2.47

0% 20% 40% 60% 80% 100%

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

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Quality Criteria B.1 Shift patterns to be structured to ensure trainee attendance at relevant post-take ward rounds and handovers. Q. My shift patterns allow me to attend relevant post-take ward rounds and handovers.

B1. 69% of all CMT trainees (1924/2780 trainees) with 72% of CMT1s and 66% of CMT2s strongly agreeing or agreeing that shift patterns allowed CMTs to attend relevant post-take ward rounds and handovers. Overall, there was a 2% improvement in agreement in 2017 compared to 2016.

7.56 15.49

8.23 11.88 12.37

5.61 7.22

12.64 7.45 10.62 10.29 8.30

6.62 8.02 8.78

80 25

11.01 6.20

9.61 13.3

9.18 9.95 11.71

15.43 18.58

9.01 8.40 11.01

12 7.66 10.31

16.54 6.96 10.43 11.83 10.78

12.1 12.60

8.39 9.85 13.75

17.86 16.22

12.96 17.58

9.90 14.93

11.06 11.76

45.06 64.79

44.30 44.06

67.01 42.52

55.15 58.24

51.55 53.54

45.88 50.87

58.09 55.08

56.76 66.67

20 25 55.95

57.3 52.84

56.65 56.63 55.92

61.46 57.71 52.46

64.86 61.07

58.72 63.5

63.16 51.03

60.9 67.83

50.92 66.67

44.61 54.84

68.5 51.05

58.33 68.75

58.04 60.81

70.99 61.82

52.08 71.64

50.64 54.90

15.7 11.27

19.94 13.37

9.28 15.89

12.89 12.09

20.5 14.6

15.59 18.69

16.91 17.11

15.54

15.42 16.42 19.65

13.3 14.29

11.85 12.2

10.29 13.11

9.91 11.45

15.60 10.00

13.88 17.53

11.28 7.83

17.79 13.98

17.16 12.9

9.45 15.38

13.64 6.25

8.93 8.11

9.88 11.52

17.19 5.97

16.6 14.22

19.19 3.52

17.41 21.78

8.25 19.16

17.53 14.84

19.25 13.72

16.47 13.84

12.5 13.9

14.86 33.33

25 9.69

13.5 11.79

9.85

11.73 14.69

8.29 9.14 3.83 10.81

12.21 7.34 11.5

8.13 11.34

8.27 13.04

7.36 4.30

17.16 12.9

5.51 13.99

8.33 7.5

7.14 1.35

4.94 4.85

12.5 5.22

15.74 11.76

11.63 1.41

8.23 6.93

1.03 14.95

6.19 2.2

6.64 10.88

5.88 5.88 5.35

4.05

6.17 5.11

3.93 4.43

7.17 3.79 2.93

2.86 2.73

3.60 6.11

2.75 1

2.39 2.06

1.5 0.87

1.23 3.23

9.31 4.03

3.15 6.99 6.82

2.5 4.46

2.7

1.21 4.69

2.98 1.47

0.87 3.52

1.90 1.98 2.06 1.87 1.03

1.24 0.88 0.88

2.42

0.53

25 1.76 1.46

2.18 2.46

1.02 3.79 3.41

4.57 9.29

1.80 0.76

4.59 2

4.78 7.73

1.5 3.48

12.27

0.98 3.23

0.79 4.2 3.03

1.25 3.57

10.81 1.23

3.03 3.65 2.24

2.98 5.88

0% 20% 40% 60% 80% 100%

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N/A

Page | 11

Quality Criteria B.2 Minimum of 40 outpatient clinics over the course of the programme. Q. By the end of your CMT programme, how many outpatient clinics do you expect to have attended?

B2. 21% of all CMT2 trainees (284/1368 trainees) expect to attend 40 or more outpatient clinics by the end of their CMT programme. CMT1 trainees were not asked this question. Overall, there was a 4% improvement in agreement in 2017 compared to 2016.

33.33

4.4

12.35

4.67

3.48

6.15

8.06

9.2

16

10

5.3

12.22

14.38

14.1

2.13

16.13

9.72

19.05

16.84

26.67

14.94

32.29

20

30.61

33.33

38.46

32.79

44.44

32.56

47.47

57.01

57.38

3.77

66.67

39.56

56.79

56.07

60

50.77

54.84

50.57

51

51.67

51.66

47.78

60

51.28

59.57

32.26

48.61

57.14

63.16

46.67

52.87

51.04

54

44.9

35.56

46.15

47.54

46.3

54.65

37.37

34.58

31.15

67.92

100

56.04

30.86

39.25

36.52

43.08

37.1

40.23

33

38.33

43.05

40

25.63

34.62

38.3

51.61

41.67

23.81

20

26.67

32.18

16.67

26

24.49

31.11

15.38

19.67

9.26

12.79

15.15

8.41

11.48

28.3

0% 20% 40% 60% 80% 100%

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

Def

ence

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40 or more

25 - 39

Less than 24

Page | 12

Quality Criteria B.3.1 Bleep-free cover arrangements to facilitate attendance at outpatient clinics and other learning events, e.g. PACES training, as protected learning time. Q. I normally have protected teaching time, for formal training (eg. PACES) where my attendance is bleep-free.

B3. 1 27% of all CMT trainees (751/2780 trainees) with 30% of CMT1s and 24% of CMT2s strongly agreeing or agreeing that CMTs normally have protected learning time, for formal training eg. PACES, where their attendance is bleep -free. Overall, there was a 1% improvement in agreement in 2017 compared to 2016.

1.49

3.43

0.9

0.87

2.15

0.89

1.5

2.42

2.5

2.39

1.77

2.19

2.36

4.58

3.61

3.74

3.75

7.22

1.76

3.4

4.39

4

4.48

5.63

3.2

6.18

2.47

5.49

5.88

2.8

6.4

8.67

13.37

18.14

18.02

19.13

17.2

11.61

20.3

19.39

19.5

17.7

20.8

22.99

21.26

15.27

21.13

14.97

21.25

34.02

23.79

21.7

22.44

19.43

22.39

20.42

24.42

22.35

29.01

27.47

33.33

20

41.18

34.97

42.86

33.67

16.34

14.71

17.12

12.17

15.05

16.96

17.29

15.76

19.5

14.35

15.93

19.71

19.69

14.5

19.59

15.51

17.5

16.49

20.7

21.7

19.51

20.57

20.15

16.9

14.73

14.71

17.9

17.58

20

13.97

19.58

18.23

22.96

40.59

34.8

33.33

38.26

36.56

30.36

36.09

36.36

39

39.71

31.86

31.75

35.43

35.88

31.44

37.97

31.25

24.74

31.28

30.64

28.29

33.71

38.81

32.39

31.69

33.53

29.63

34.07

20

22.79

23.08

20.69

17.86

25.74

23.04

28.83

28.7

17.2

29.46

21.8

21.21

16.5

20.1

26.99

17.88

18.11

27.48

22.68

25.13

23.75

15.46

20.26

20

23.41

18.29

13.43

19.72

22.67

19.71

17.9

14.84

66.67

20

12.5

14.69

9.85

12.76

2.48

5.88

1.8

0.87

11.83

10.71

3.01

4.85

3

5.74

2.65

5.47

3.15

2.29

1.55

2.67

2.5

2.06

2.2

2.55

1.95

4

0.75

4.93

3.2

3.53

3.09

0.55

20

3.68

4.9

1.97

4.08

0% 20% 40% 60% 80% 100%

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

Sco

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No

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Def

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Strongly agree

Agree

Neither agreenor disagree

Disagree

Stronglydisagree

N/A

Page | 13

Quality Criteria B.3.2 Bleep-free cover arrangements to facilitate attendance at outpatient clinics and other learning events, e.g. PACES training, as protected learning time. Q. I normally have protected teaching time at outpatient clinics where my attendance is bleep-free.

B3. 2 24% of all CMT trainees (655/2780 trainees) with 25% of CMT1s and 23% of CMT2s strongly agreeing or agreeing that CMTs normally have protected teaching time at outpatient clinics, where their attendance is bleep -free. Overall, there was a 5% improvement in agreement in 2017 compared to 2016.

20

1.1

2.96

4.08

3.6

1.74

4.12

2.14

1.25

5.15

3.2

2.65

1.95

2.86

3.15

1.53

1.49

3.52

5.88

5.59

4.85

3.4

6.19

1.09

5.5

4.31

5.94

4.9

10.53

9.09

5.38

4.46

9.88

4.4

12.81

7.65

13.51

7.83

15.46

14.44

18.75

24.74

16.86

16.18

19.02

20.57

18.9

9.92

20.9

16.9

20.59

21.68

22.03

14.04

21.24

14.23

23

22.49

23.27

15.2

27.07

25.45

36.56

19.64

40

5.56

5.49

10.84

11.73

10.81

3.48

9.28

10.16

10

5.15

13.08

9.12

10.73

15.43

11.81

11.45

14.93

16.2

16.18

10.49

9.25

12.34

10.18

12.41

8

8.13

10.89

14.22

14.29

12.73

16.13

13.39

33.33

35.8

39.01

33.5

30.1

33.33

40.87

32.99

34.76

38.75

34.02

36.63

38.53

34.15

30.86

40.94

35.11

35.82

39.44

21.32

28.67

32.6

27.23

28.76

36.13

30

33.97

33.17

36.76

29.32

28.48

25.81

33.04

66.67

40

48.15

48.35

38.42

43.88

38.74

43.48

38.14

37.43

31.25

29.9

29.94

33.24

32.2

27.43

24.41

41.22

26.87

21.83

35.29

29.37

29.96

42.98

33.19

34.31

31

29.19

26.73

25.98

15.79

23.03

11.83

21.43

1.65

1.48

2.55

2.61

1.07

1.03

0.29

0.29

1.95

2.86

0.79

0.76

2.11

0.74

4.2

1.32

1.82

2.5

1.91

2.94

3.01

1.21

4.3

8.04

0% 20% 40% 60% 80% 100%

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

Def

ence

Sou

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No

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Strongly agree

Agree

Neither agreenor disagree

Disagree

Stronglydisagree

N/A

Page | 14

B.4 Skills laboratory and / or simulation training (using scenarios) for all mandatory procedural skills to

be provided at least once a year to supplement clinical training

Q. In this CMT programme, have you had the opportunity to attend skills laboratory or simulation training (using scenarios) at least once a year?

B4 82% of all CMT trainees (2278/2780 trainees) with 84% of CMT1s and 79% of CMT2s agreeing CMTs have had the opportunity to attend skills laboratory or simulation training (using scenarios) at least once a year. Overall, there was a 9% improvement in agreement in 2017 compared to 2016.

58.62 51.02

36.97 60.36

30.43 29.36

63.44 55.36

44.35 66.67

80 75

70.08 48.09

43.94 76.54

74.73 61.46

81.68 68.14

71.96 81.69

65.88 63.61

82.47 65.78 68.32

84.21 79.39

74.23 84.96

82.48 74.05

87.5 77.32

31.08 87.67 90.21

79.91 88.06

64.08 43.63

94.15 95.43

93.44 97.5

95.69 87.11

97.79 90.91

60.81

22.66 35.20

57.82 28.83

53.04 66.97

17.2 30.36 50

33.33 20

25 22.05

36.64 51.52

14.2 15.93

37.5 6.93

19.12 26.17

11.34 21.47

33.23 13.4

22.99 29.19

7.52 15.15

23.31 8.85

10.22 23.53

7.5 17.53

67.57 5.73

4.68 17.47

6.72 23.94

51.47 3.9 2.86 6.01

1.5 2.87

11.86 1.47

4.20 35.81

15.76 12.76

10.81 14.78

17.2 13.39

6.3 14.5

9.26 7.14

10.89 11.76

6.4 12.06

4.12 10.16

8.27 5.45

5.75 6.93

5 5.15

5.73 4.68

5.22 11.27

1.46 1.71

0.5 0.96

0.74 2.8

0% 20% 40% 60% 80% 100%

201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015

Wes

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Yes

No

Don't know

N/A

Page | 15

B5.1 A minimum of one hour curriculum-relevant teaching per week on average, to include a regular

rolling programme of direct observation of clinical skills around the PACES diet.

Q. How many hours of curriculum-relevant teaching do you receive on average each week?

B5.1 89% of all CMT trainees (2500/2780 trainees) 89% of both CMT1s and CMT2s agreed CMTs normally receive one hour or more curriculum-relevant teaching on average a week. Overall, there was a 1% improvement in agreement in 2017 compared to 2016.

0.5

0.49

0.9

1.5 1.82

0.88

1.09

2.11

1.03

0.53

5.52

5

2.15

0.89

0.62

2.2

2.46

2.55

1

3.83

2.2

0.43

0.49

0.57

1.57

0.76

1.47

2.10

0.99

0.98

2.7 2.61

3.01

3.64 1.33

4.38

5.22

3.52

1.03

1.6 10.17

9.41

2.15

4.46

4.94

3.3

18.23

13.78

9.5

4.31

2.64

2.98

2.44

2.29

3.94 3.05

27.21

17.48

3.75

2.06

40

8.91

12.75

20.72

16.52

23.31

21.21

14.16

18.98

20.15

24.65 14.95

12.83

26.45

27.35

32.26

30.36

41.36

40.11

49.75

47.45

29

25.36

29.96

28.94

20

17.71

40.94

48.09

37.5

49.64

35

30.93

58.91

56.37

54.95

53.91

54.89

61.21

68.58

62.77

59.7

50

74.23

78.07

49.13

45.29

55.91

48.21

46.3

45.05

23.15

31.63

54.5

55.02

60.35

62.13

73.66

74.29

50.39

35.88

30.88

23.78

58.75

63.92

100

20

30.69

29.41

20.72

26.96

17.29

12.12

15.04

12.77

14.93

19.72

8.76

6.95

8.72

12.94

7.53

16.07

6.79

9.34

6.4

4.59

6

11.48

4.85

5.53

3.41

5.14

3.15

12.21

2.94

6.99

2.5

3.09

40

0% 20% 40% 60% 80% 100%

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

Sco

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(NW

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No

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4 or more

3

2

1

0

Page | 16

B.5.2 A minimum of one hour curriculum-relevant teaching per week on average, to include a regular rolling programme of direct observation of clinical skills around the PACES diet.

Q. In the run-up to PACES have you received or do you expect to receive regular teaching, including direct

observation of clinical skills?

B5.2 40% of all CMT trainees (1122/2780 trainees) with 35% of CMT1s and 46% of CMT2s agreeing that in the run up to PACES, they had regular teaching, including direct observation of clinical skills. Overall, there was a 2% decline in agreement in 2017 compared to 2016.

23.01

28.47

27.94

36.36

32.68

34.29

33.33

20

34.02

40.64

34.41

19.64

40.12

39.12

41.38

39.8

42.52

43.51

43.07

49.02

44.36

56.97

45.05

52.17

46.3

50

46.7

39.57

49.5

49.76

50

47.18

58.75

51.55

40.27

34.31

41.18

31.47

44.39

39.43

33.33

20

39.18

32.62

25.81

38.39

31.4

25.29

32.51

27.55

26.77

26.72

33.17

24.02

33.83

24.24

25.23

26.09

26.54

25.27

21.15

30.64

26

22.97

18.66

28.17

27.5

25.77

17.7

18.25

14.71

18.18

8.78

9.71

20

13.92

13.9

12.9

15.18

12.79

14.41

13.79

13.78

8.66

10.69

11.39

10.29

11.28

3.03

11.71

8.70

12.96

9.34

14.54

11.49

11

5.74

13.43

11.97

7.5

11.34

19.03

18.98

16.18

13.99

14.15

16.57

33.33

40

12.89

12.83

26.88

26.79

15.7

21.18

12.32

18.88

22.05

19.08

12.38

16.67

10.53

15.76

18.02

13.04

14.2

15.38

17.62

18.3

13.5

21.53

17.91

12.68

6.25

11.34

0% 20% 40% 60% 80% 100%

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

York

shir

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Hu

mb

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East

Mid

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do

n(S

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Def

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Ken

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Yes

No

Don't know

N/A

Page | 17

B.6.1 Opportunity to ‘act up’ as a medical registrar Q. Have you had the opportunity to 'act up' as a medical registrar?

B6.1 54% of all CMT2 trainees (734/1368 trainees) agreed that they had had the opportunity to ‘act up’ as a medical registrar. Overall, there was a 7% improvement in agreement in 2017 compared to 2016.

32.65

51.11

35.38

30.65

40.32

27.78

41.41

35.51

41.67

43.68

44.23

36.07

46.67

50

50

66.67

50

31.79

57.14

49.47

60.26

52.13

60.66

43.40

63.55

49.57

66.67

54

66.67

48.84

67.03

53.09

72.41

80

44.9

44.44

47.69

64.52

43.55

66.67

40.4

59.81

46.67

45.98

46.15

55.74

38.89

44.38

33.33

30.83

62.25

38.1

46.32

26.92

41.49

21.31

49.06

27.1

43.48

31.25

44

29.63

50

25.27

45.68

19.54

18

20.41

2.22

10.77

4.84

8.06

5.56

8.08

5

4.60

3.85

4.92

9.44

1.25

50

12.5

1.99

2.86

3.16

7.69

2.13

11.48

3.77

2.8

2.61

1.04

1.85

4.4

1.23

5.75

2

2.04

2.22

6.15

8.06

10.1

4.67

6.67

5.75

5.77

3.28

5

4.38

6.67

3.97

1.9

1.05

5.13

4.26

6.56

3.77

6.54

4.35

1.04

2

1.85

1.16

3.3

2.3

0% 20% 40% 60% 80% 100%

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

Tham

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stEa

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Yes

No

Don't know

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Page | 18

B.6.2 Stage of MRCP(UK) when given the opportunity to ‘act up’ as a medical registrar Q. What stage did you have the opportunity to 'act up' as a medical registrar?

B6.1 57% of all CMT2 trainees (773/1368 trainees) agreed that they had had the opportunity to ‘act up’ as a medical registrar. Two thirds of these trainees had the opportunity after passing MRCP(UK). Overall, there was a 7% improvement in agreement in 2017 compared to 2016.

17.31

24.59

6.67

9.2

7.07

6.54

15.56

10

8.33

8.61

6.67

10.53

1.28

12.77

4.92

5.66

13.08

14.78

6.25

4

21.98

12.35

5.56

6.98

31.03

41

28.85

6.56

40

34.48

35.35

33.64

50

66.67

30

34.38

40.83

21.85

44.76

31.58

57.69

40.43

50.82

37.74

44.86

31.3

54.17

44

32.97

35.8

61.11

37.21

24.14

19

4.92

3.45

5.05

2.8

6.11

7.5

4.17

7.28

4.76

9.47

3.85

4.26

6.56

3.77

8.41

5.22

7.29

6

13.19

7.41

3.7

4.65

18.39

22

53.85

63.93

53.33

52.87

52.53

57.01

50

33.33

48.33

48.13

46.67

62.25

43.81

48.42

37.18

42.55

37.7

52.83

33.64

48.7

32.29

46

31.87

44.44

29.63

51.16

26.44

18

0% 20% 40% 60% 80% 100%

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

No

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and

Wal

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Def

ence

No

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Before passing theMRCP (UK)

After passing theMRCP (UK)

Both of the above

N/A (not had theopportunity to 'actup')

Page | 19

C.1 Evidence of trainee representation and engagement in appropriate local professional and education committees, e.g. Trust education committee.

Q. In your current Trust or Board, are CMT trainees represented on appropriate professional or education

committees?

C1. 57% of all CMT trainees (1593/2780 trainees) with 54% of CMT1s and 61% of CMT2s agreeing that in their current Trust, CMT trainees are represented on appropriate professional or education committees. Overall, there was a 7% improvement in agreement in 2017 compared to 2016.

34.88 31.76

45.89 40.27

37.96 46.37 48.39 48.21

50 52.71

33.67 42.66

55.86 34.78

54.12 56.44

41.18 51.4

57.14 64.85

57.05 57.46

45.07 49.51

57.5 60.29

56.7 59.88

42.31 68.23 65.2

57.02 64.63 65.85

69.71 76.51

66.67 20

25 66.91

55.94 49.33

70 72.16

85.14 74.02

41.22 56.82

84.02 81.28

77.64

6.98 9.12

11.39 6.19

6.57 13.5

5.38 1.79

4.84 2.96

8.16 10.43

2.7 6.09

10.09 2.97

2.45 7.94

1.82 12.27

4.48 11.27

12.74 1

2.87 11.34 2.47

3.85 4.69

3.96 5.53

4.8 0.98

3.43 1.09

33.33 80

25 4.41

2.1 10.81

2.5 1.03

1.35 3.15

4.58 12.88

2.58 0.53

1.24

57.85 58.24

36.08 51.33 54.38

32.87 45.16 50

32.26 43.84

55.61 41.71

40.54 59.13

33.03 40.59

55.88 33.18

42.86 33.33 28.22

35.82 43.66 32.35

40 36.36 28.87

37.65 53.85

24.48 30.84

37.02 27.51 32.68

26.86 19.67

50 27.21

41.26 35.81

27.5 26.8

13.51 22.05

51.91 22.73

13.4 18.18

20.50

0.29 0.88

6.65 2.21 1.09

7.27 1.08

12.9 0.49

2.55 5.21

0.9

2.75

0.49 7.48

2.45 2.24

5.39 1.5 0.48

3.09

2.6

0.43 3.06 0.49

2.73

1.47 0.7

4.05

0.79 2.29

7.58

0.62

0% 20% 40% 60% 80% 100%

201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015

No

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Yes

No

Don't know

N/A

Page | 20

C.2 An introduction to the system of review and assessment at a departmental level (to include ePortfolio use) to be provided within one month of starting.

Q. Did you have the opportunity to attend a departmental induction to the system of training assessment

and review within one month of starting the CMT programme?

69% of all CMT trainees (1905/2780 trainees) with 69% of CMT1s and 68% of CMT2s agreeing that CMTs had the opportunity to attend a department induction to the system of training assessment and review within one month of starting the CMT programme. Overall, there was a 5% improvement in agreement in 2017 compared to 2016.

40 50

59.47 61.7

50.66 61.03

65.73 54.05

62.35 62.09

54.69 64.66

72.73 56.44

66.28 61.47 61.08

67.5 67.94

59.79 68.47

66.84 69.19 69.29

61.07 64.39

70.35 64.23

57.79 71.25

77.32 70.27

72.97 59.13

62.39 73.27

54.41 57.01

73.88 50

44.12 74.15 75.43

68.85

100 60

50 31.28

32.77 37.55

30.15 27.97

34.46 30.25

28.02 35.42

27.82 19.39

33.74 28.2

28.82 29.11

27 26.79

32.99 22.17 25.51 23.22 22.05

32.82 24.24

23.45 28.83

32.18 23.75

20.62 24.32

22.52 32.17

30.28 20.79

35.78 33.18

18.66 39.44

45.1 20 20

24.04

9.25 5.53

11.79 8.82 6.29

11.49 7.41

9.89 9.9 7.52 7.88

9.82 5.52

9.71 9.81

5.5 5.26

7.22 9.36 7.65 7.58 8.66 6.11

11.36 6.19 6.93

10.03 5 2.06

5.41 4.5

8.7 7.34 5.94

9.8 9.81 7.46

10.56 10.78

5.85 4.57 7.1

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

Def

ence

East

of

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No

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Yes

No

N/A

Page | 21

C4 Each trainee to have a single, named educational supervisor for a minimum of 12 months, who has been selected trained and assessed as per national guidance. The supervisor’s duties and training time will be specified in their job plan according to national guidance. Q. Do you have a single, named Educational Supervisor appointed to oversee your CMT training for a minimum of 12 months?

94% of all CMT trainees (2609/2780 trainees) with 94% of CMT1s and 94% of CMT2s agreeing that they have a single named educational supervisor appointed to oversee their training for a minimum of 12 months. Overall, there was a 3% improvement in agreement in 2017 compared to 2016.

34.41

35.71

84.16

83.33

90.75

90.21

95.35

80

96

97.13

96.59

95.43

96.99

92.73

97.04

96.94

97.79

98.6

98.15

100

98.2

100

98.43

98.47

98.51

97.18

98.97

98.4

99.12

97.81

100

96.91

100

100

62.37

57.14

11.88

11.27

8.37

8.51

3.49

13.82

3

1.91

2.44

3.43

3.01

6.67

1.97

2.04

2.21

1.4

1.23

0.79

0.76

1.41

0.52

1.07

0.88

1.46

3.09

0% 20% 40% 60% 80% 100%

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

No

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Yes

No

Don't know

N/A

Page | 22

C.5 Formal interim reviews (also known as a ‘pre-ARCP appraisal’) involving a TPD (or equivalent) to be provided to all CMT trainee’s pre-ARCP and the outcome recorded in ePortfolio.

Q. Have you had or will you have had a formal interim review (also known as a 'pre ARCP review') in

preparation for your formal ARCP?

80% of all CMT trainees (2213/2780 trainees) with 74% of CMT1s and 85% of CMT2s agreeing that CMTs

had had, or will have, a formal interim review (also known as a 'pre-ARCP appraisal') before their ARCP.

Overall, there was a 4% improvement in agreement in 2017 compared to 2016.

66.67 63.19

66.15 68.72

67.23 38.86

71.17 66.09

61.47 71.43 71.43

63.98 71.68

69.34 72.66 75.37 74.65 75.49

80.45 91.52

78.53 84.16

76.47 84.11 86.34

67.94 78.48

88.75 93.81

77.03 90.72 89.84 89.44

93 83.25 81.96

93.66 91.43

89.07 95.28 93.89

9.26 8.24

6.77 8.81

8.94 19.21

9.91 17.39

17.43 7.39 8.67

12.8 7.52

5.11 9

3.73 5.63

7.35 6.02

4.85 7.36

5.45 7.35

5.61 4.07

8.53 5.38

1.25 4.12

6.76 2.06

1.6 4.97 2

9.57 7.73

1.95 5.14

4.37 0.79 2.29

23.46 26.92

25 21.59 21.7

39.74 13.51

15.65 20.18 21.18 18.88

21.33 19.91

24.09 17.99

18.66 18.31

15.2 12.78

3.64 13.5

9.9 14.71

9.35 9.01

22.94 14.87

10 1.03

16.22 7.22

7.49 4.35 3.5

7.18 10.31

3.41 2.29

6.01 3.15 3.05

0% 20% 40% 60% 80% 100%

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

Sou

thW

est

East

of

Engl

and

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sex

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& H

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&Su

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Lon

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n(N

, C &

E)

Lon

do

n(S

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th)

No

rth

East

Yes

No

Don't know

N/A

Page | 23

C.6 ES and trainee to discuss and agree a plan for MRCP (UK) training, to include ‘before and after’ meetings around the examination. Trainees requiring more support should receive enhanced training and / or supervision. Q. Have you agreed, or did you agree, a plan for attempting each part of the MRCP(UK) examination with your Educational Supervisor?

71% of all CMT trainees (1973/2780 trainees) with 78% of CMT1s and 64% of CMT2s agreeing that CMTs have agreed, or will agree, a plan for MRCP(UK) training with their Educational Supervisor before attempting the examinations. Overall, there was a 2% improvement in agreement in 2017 compared to 2016.

58.06

62.5

66

60.29

66.34

64

66.67

60

68.42

61.21

69.12

67.13

69.14

71.98

71.13

65.78

71.22

65.88

72.25

67.66

72.5

74.23

73.27

64.22

73.89

71.94

74.02

77.86

74.63

81.69

74.77

73.04

76.11

75.55

25.81

25.89

21.5

23.44

22.44

20

33.33

20

21.8

20

22.79

22.38

20.99

19.23

20.62

27.27

21.51

24.41

18.06

19.57

21.25

19.59

18.81

27.45

18.72

17.35

16.54

12.21

19.4

11.27

18.92

21.74

15.49

13.5

1.08

2.68

1

0.48

0.98

1.71

0.75

0.61

2.21

2.1

3.09

0.55

2.06

0.53

1.16

2.06

0.88

2.55

1.25

0.99

0.49

0.99

1.53

0.79

0.76

2.24

1.41

1.8

2.61

0.88

1.82

15.05

8.93

11.5

15.79

10.24

14.29

20

9.02

18.18

5.88

8.39

6.79

8.24

6.19

6.42

6.1

7.65

8.81

10.21

5

6.19

6.93

7.84

6.4

9.18

8.66

9.16

3.73

5.63

4.5

2.61

7.52

9.12

0% 20% 40% 60% 80% 100%

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

2017

2016

No

rth

ern

Irel

and

Lon

do

n(N

, C &

E)Lo

nd

on

(So

uth

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(NW

)

East

Mid

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Sou

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Ken

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&Su

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No

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Wes

tern

East

of

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and

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York

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er

Yes

No

Don't know

N/A

Page | 24

D1. Information on expected CMT rotations to be published at the time of job offers.

Q. At the time of my job offer, I was given enough information about the possible rotations within the

CMT programme.

69% of all CMT trainees (2925/2780 trainees) with 72% of CMT1s and 66% of CMT2s agreeing or strongly agreeing that, at the time of their job offer, CMTs were given enough information about the possible rotations within the CMT programme. Overall, there was a 5% improvement in agreement in 2017 compared to 2016.

20 25

11.11 10.44 11.46 13.75

9.28 22.97 21.29

10.29 7.48 12.68 14.86 13.11 14.29

6.12 7.58 12.79 13.24 14.56 15.79 14.55

11.04 20.5

12.92 13.4

28.35 15.27

22.73 11.83 14.29 14.52

22.52 20.87 20.18 20.59 19.58 22.97

18.14 17.88

15.92 19.82 18.3 20.09 21.65

13.37 13.66

24.63 25.35

75 43.83 43.96 43.23

45 46.39

48.65 38.61

40.2 46.26

51.22 50.29

46.45 51.72

35.71 42.18

53.49 52.65

60.44 51.13

47.27 44.17

47.5 50.72 51.03

43.31 47.33

37.88 61.29

52.68 56.45

52.25 57.39 59.63

55.15 55.24

56.08 57.96

56.57 58.13

57.27 49.79 46.29

56.19 48.66

44.1 55.22 54.23

11.73 15.38 14.58

10 13.4

13.51 13.86

13.73 16.36

17.07 14.29

12.57 12.81

20.92 20.38

14.24 14.12

9.81 6.02

9.7 14.72

11 14.83

10.82 9.45

12.98 13.64

13.98 16.96

12.1 13.51

11.3 10.09

10.29 13.29

13.51 10.18 9.85 9.34

9.69 14.89

15.72 11.34

13.9 15.53

8.96 11.27

23.46 18.13 19.79 17.5

24.74 8.11

17.33 21.08

23.36 15.12

14.29 19.67

11.33 19.39

18.01 12.79

12.06 12.03

18.8 16.36 18.4

12.5 12.92

17.01 15.75

14.5 15.91

7.53 11.61 13.71

9.01 6.96 8.26

11.76 8.39

4.73 9.29

9.85 13.15 7.05

11.06 10.92

5.67 19.79

22.36 7.46 6.34

66.67 40

9.88 11.54 10.94

12.5 6.19 6.76

6.93 11.27

6.54 2.93

5.71 8.2

7.88 16.84

11.85 5.52

6.47 3.16

7.52 11.52 11.66

8 7.66 7.73

3.15 9.16 9.85

5.38 3.57 3.23 2.7 3.48 1.83 1.47

3.5 2.7

2.21 4.74

3.46 4.41 5.53

6.99 4.64 3.21 4.35 1.49 1.41

0% 20% 40% 60% 80% 100%

20172016201520172016201520172016201520172016201520172016201520172016201520172016201520172016201520172016201520172016201520172016201520172016201520172016201520172016201520172016201520172016201520172016

Def

ence

Sou

thW

est

Tham

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Lon

do

n(S

ou

th)

Wes

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on

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n(N

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E)N

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n Ir

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East

Mid

lan

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York

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Hu

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Ken

t,Su

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Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

N/A

Page | 25

D2.1 On-call rotas to normally be published at least six weeks in advance and cover four months in length.

Q. How much notice are you usually given for your on-call rotas?

48% of all CMT trainees (1339/2780 trainees) with 50% of CMT1s and 46% of CMT2s saying that CMTs were

given at least six weeks’ notice of their on-call rotas. Overall, there was a 4% decline in agreement in

2017compared to 2016.

29.7 41.18

31.78 35.19

43.96 47.92

38.95 47.94 50.32

39.02 40.57

47.54 40.44

46.15 31.08

45.32 50 54.03

48.45 37.97 36.65

48.82 35.88

50 51

50.24 48.97 51.13

46.67 32.52

53.1 61.31

67.12 53.75

69.07 56.76 55.91

62.5 58.06

66.67 63.48

69.72 67.16

71.13 69.12 67.4

67.23 60.26

100 80

75

66.34 52.94

68.23 61.11

53.85 52.08

56.1 47.35

49.69 56.59

57.71 52.46

52.21 48.25

68.92 48.77

49.49 45.97

47.94 59.36 63.35

45.67 58.02

50 45

46.89 51.03

44.36 52.12

67.49 42.48

31.39 32.87

42.5 25.77

43.24 39.78

33.04 41.94 26.13

30.43 30.28

26.87 23.24

30.88 25.11 27.66

39.73

20 25

3.47 3.92

3.7 2.2

4.65 4.12

3.9 1.71

4.41 4.9

4.93

3.09 1.6

5.51 3.05

3 1.91

4.51 0.61

3.98 4.74

3.75 4.12

2.15 3.57

5.41 4.35

4.48 2.82

5.73 4.26

0% 20% 40% 60% 80% 100%

201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015201720162015

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6 weeks or more

less than 6 weeks

Don't know

N/A

Page | 26

D2.2 Rotas cover minimum 4 months in length

Q. How many months does a rota normally cover?

86% of all CMT trainees (2382/2780 trainees) with 84% of CMT1s and 87% of CMT2s saying that CMTs on-call rotas covered four months or more in length. Overall, there was a 2% decline in agreement in 2017 compared to 2016.

71.78 82.35

9.35 75

82.94 17.4

79.53 81.68

4.55 81.2

75.76 15.95

82.93 88

24.04 86.42

93.41 10.94

87.5 89.69

20.27 87.5

87.41 3.38

89.16 88.78

16.12 89.5

87.56 40.72

90.27 92.70

51.21 91.19

87.66 55.46

91.89 93.04

41.29 92.54

88.73 79.9

93.81 93.05

21.74 95.7 97.32

93.55 100

80 25

28.22 15.69

90.19 22.97

15.59 82.27

19.69 16.03

94.7 18.05

23.03 83.44

15.12 11.43

73.77 13.58

6.59 88.54

12.5 10.31

78.37 12.5 11.19

96.62 10.34 10.2

83.41 9

10.53 59.28

9.29 6.57

47.4 7.05

11.06 44.54

8.11 6.96

58.72 4.48

7.04 18.14

6.19 3.74

77.64 2.15

2.68 6.45

20 75

1.47

2.03 1.47

0.79 1.53

0.75 1.21

1.46

1.40

0.5 0.51

1 0.96

1.32 0.85

2.24 2.82

3.21

2.15

0

0% 20% 40% 60% 80% 100%

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

2017

2016

2015

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Def

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4 months or more

Less than 4 months

Don't know

N/A