Sign Off and ARCP 

The following information relates to the Sign off process for 2022.

An Annual Review of Competence Progression (ARCP) is the process by which foundation trainees are signed off for Foundation Year 1 (F1) and Foundation Year 2 (F2).

The sign off checklist (accessible below) lists the criteria that will be considered by the ARCP panel. The list for F1 is slightly different from the one for F2.  These checklists and further guidance on Curriculum Evidence were sent to your postgrad teams in March 2022.

 

F1 ARCP evidence required 2022

F2 ARCP evidence required 2022

 

The Foundation Programme Curriculum Resource Guide provides weblinks to a number of online resources which may be used as additional evidence on the teaching mapping document to demonstrate learning where formal teaching sessions have been missed. 

Curriculum evidence and portfolio extras 

Essential linking requirements 

  • Please refer to the school guidance sent to your trust Post Grad team in March 2022. The same piece of evidence can only be linked a maximum of 3 times across the 13 FP capabilities 

    • ALS should be linked to FPC 2 (iLS in F1 if unable to do ALS).

    • PSA certificate should be linked to FPC 4 (F1s).

    • FPC 9 should have evidence of QI activity F1s (e.g. data collection) and a full QIP F2s (e.g. upload presentation given of QIP)

    • FPC 10 should have evidence of delivering a teaching session during FY1 and FY2 – e.g. DCT or LEADER assessment

Extra Evidence

  • Teaching log – minimum 30 hours core teaching; minimum 60 hours total.

  • Three summary narratives.

  • Evidence of regular reflection.

  • Evidence of contemporaneous portfolio activity.

  • Form R.

Local requirement

  • Study Leave record form.

Notes:

The following continue to be recommended as good professional practice but are no longer a mandatory requirement in the curriculum for ARCP evidence (HORUS has not yet been fully updated):

  • Initial CS and ES meeting records
  • PDPs (please remember, a PDP is required for study leave requests) 

Advice for Linking Evidence to the Foundation Curriculum 

  • The curriculum is divided into three sections: HLO 1, HLO 2 and HLO 3.

  • Each Foundation Programme Capability (FPC) can have a maximum of 10 pieces of linked evidence.
  • Each piece of evidence can only be linked 3 times.
  • Evidence must demonstrate competence in both physical and mental health.
  • The summary narrative for each HLO should be written to give an overview of how the links effectively evidence the required capabilities.
  • HLO 1 and FPC 1-5 cover the clinical parts of the curriculum.
  • HLO 1 is likely to contain the most links and needs to contain evidence to show the foundation doctor (FD) can “do” things in the main. This means it should consist mainly of the highest level of evidence – SLEs. Written reflections are also relevant to this section as well as evidence the FD can do things in a simulated environment. Knowing something, from completing an eLearning or attending teaching, is the lowest form of evidence and should be used sparingly in this HLO.
  • Evidence linked to FPC 1-5 must show that the FD is competent in the capabilities in 3 areas by ARCP: acute settings, non-acute settings and community.
  • To demonstrate sufficient competence to fulfil these criteria a range of SLEs will be required covering a number of different acute and non-acute presentations, mental and physical health.
  • Where experiential learning cannot be acquired from the foundation placements, if appropriate, simulation can be used as a substitute to “show” competence instead.

F1 expectation: demonstrate competence to a level where the FD can recognise an unwell patient and seek advice and support appropriately. They should be able to recognise and understand common presentations acute and non-acute. In all settings an F1 should be able to know how to investigate a patient appropriately.

F2 expectation: demonstrate competence to a level where the FD can manage both acute and non-acute presentations and is able to act on investigations, whilst also seeking appropriate advice and support. An F2 should demonstrate independent practice to a level that demonstrates readiness to progress to specialty training.

N.B.This guidance provides a framework to build curriculum links to effectively evidence the required capabilities and sets out the expectation of the Peninsula Foundation School. It is not complete or exclusive. For a full explanation, please refer to the UK Foundation Programme Curriculum 2021 document found on the UKFPO website.

All Foundation trainees: Enhanced Form R for Revalidation

The GMC introduced revalidation for all practising doctors who have full registration (includes all F2s and specialty trainees). Licensed doctors are required to demonstrate on a regular basis that they are up to date and fit to practise and will have to revalidate, usually every five years. The Postgraduate Dean is the Responsible Officer for making recommendations to the GMC that trainees should be revalidated.

Over each 5-year period, you need to collect supporting information to show you are meeting the GMC's professional standards. As a trainee, you will be gathering this information anyway in order to meet the requirements of your training programme. The Postgraduate Dean, as your Responsible Officer, will use the outcomes of your ARCP process to inform their recommendation to the GMC.

In addition, you are required to make a self-declaration of your scope of practice and whether you have been involved in any conduct, capability or formal Serious Untoward Incidents/Significant event investigations or named in complaints. This declaration is called an Enhanced Form R and you need to provide one for your ARCP panel. The Responsible Officer will use the information that you submit on your Form R, in conjunction with that declared to us by your employer, in the revalidation decision.

The Enhanced Form R will be available within your Horus e-portfolio under Forms.

For more information on Revalidation please see the GMC website.

ARCP Panel

Trainees who have been awarded an adverse outcome and a minimum random 10% of the cohort will be invited to attend a face-to-face post ARCP feedback meeting. 

2022 ARCP dates 

All trainee portfolios must be completed by 1st June 2022

ARCP Panel dates 6th -17th June 2022

  • North Devon- 8th and 9th June
  • Truro- 6th and 7th June
  • Exeter - TBC
  • Plymouth- 13th and 16th June
  • Torbay- 14th and 15th June

Final ARCP outcomes - by 1st July 2022

Appeals Deadline - 14th July 2022


ARCP outcomes

You will receive one of the following outcomes which will be recorded on an ARCP outcome form in your e-portfolio.

F1 ARCP review panel outcome: F2 ARCP review panel outcome:

Outcome 1:

Satisfactory completion of F1

Outcome 6:

Satisfactory completion of F2 - Recommendation for the award of the Foundation Achievement of Competence Document (FACD)

Outcome 3: Inadequate progress – additional training time required
Outcome 4: Released from training programme
Outcome 5: Incomplete evidence presented – additional training time may be required

Further documents designed to assist trainees with the sign-off process can be accessed below - we hope all these documents will help F1s (in particular) gain an idea of what will be required so that portfolios can be built throughout the year to satisfy requirements.

Foundation Trainee Supervision Help sheet - a useful guide of what you and your supervisor need to do and when.

The Foundation Programme is both time and outcome-based. Foundation Doctors must complete 12 months in approved Foundation Year 1 (F1) placements and 12 months in approved Foundation Year 2 (F2) placements as well as meeting the other requirements of the programme. The GMC guidance for absence states that if trainees miss any time they were due to be on duty this will count as an absence whether it was a weekday, weekend or night shift. The maximum number of days a trainee can be absent when they were due to be on duty is 20.

Should Foundation Doctors feel they need additional support, for example, because of problems in their personal life, health or performance as a doctor, Peninsula Postgraduate Medical Education has produced a help sheet to offer guidance for anyone experiencing difficulties and to help point them to where they can find help. A copy of this document is accessible below:

Trainee Support Foundation Helpsheet