ARCP

Please note that the ARCP (Annual Review of Competence Progression) process for specialty training is governed by the Gold Guide. Below is HEEM administrative guidance to assist trainee and educator interaction with this process; however it is advisable to consult the Gold Guide in addition to this advice.

ARCP panel Outcomes:

  • Outcome 1 : Satisfactory Progress
  • Outcome 2 : Development of specific competencies required - additional training time not required.
  • Outcome 3 : Inadequate Progress - additional training time required.
  • Outcome 4 : Released from training.
  • Outcome 5: Incomplete evidence presented.
  • Outcome 6: Gained all required competences - will be recommended as having completed the training programme and for award of a CCT
  • Outcome 8 : Out of Programme (career break, sick leave, maternity etc.) 
  • Interim Outcomes 10.1 and 10.2: to account for trainees who have had disruption to their training due to Covid and/or may need an extension to their training.

Please refer to the Gold Guide for a full explanation of the outcomes.

Educational Supervisor Reports (ESRs), determining Review Dates and ARCP preparation:

  • The RCGP (Royal College of General Practitioners) advises that Educational Supervisor Reports (ESR) should take place every six months. This is regardless if the training is full time or Less Than Full Time (LTFT). https://www.rcgp.org.uk/training-exams/training/mrcgp-workplace-based-as...
  • ESRs will either be interim (iESRs) or Full ESRs - the latter is needed for ESRs completed in the lead up to an upcoming ARCP panel. See further guidance here: https://support.fourteenfish.com/hc/en-gb/articles/360014165137-Interim-...
  • Trainees are required to have a Full ESR reviewed by an ARCP panel after completing 12 calendar months in training. This is regardless if the training is full time or less than full time.
  • The ESR cannot be more than two months before the date of the panel on which the ESR will be reviewed. The date of the ESR is taken as the date the Educational Supervisor (ES) has signed the ESR.
  • ESRs must be completed, signed and viewable to HEEM at least two weeks before the ARCP panel review.
  • If LTFT, trainees are required to be reviewed by a panel annually (12 calendar months in training).
  • If an ES requires a trainee to be reviewed by an ARCP panel earlier than their annual review, they should discuss this with the appropriate Programme Director. The Programme Director must make the referral to the ARCP panel. (see below)

Form R Part B and Time out of Training (TOOT) information:

  • As well as an up to date ESR the ARCP panel will require a completed Form R Part B where trainees must declare any significant events and any absence from training (Time out of Training or TOOT). TOOT can impact the CCT date therefore it is important that trainees keep a record of the exact dates of absence and include include this in the Form R.
  • There is a also a feature on the FourteenFish eportfolio where trainees should self-declare their absence dates and ensure this matches their Posts/Stages of Training. Any discrepancies on the Posts/Stages of Training should be flagged to the Programme Manager.

Finishing Training and CCT:

  • The earliest an ARCP panel can issue an Outcome 6 is the 34th month (FTE) of training. The ARCP panel can normally only recommend an Outcome 6 when ALL the training requirements have been met and the trainee has demonstrated that they have gained all the required competencies.
  • If LTFT, the final panel date needs to be determined in agreement with the Locality Programme and HEEM. Failure to notify HEEM Assessments of a projected end date of training may lead to a delay in attaining CCT.
  • Once an Outcome 6 has been issued by an ARCP panel and signed off, the RCGP will process the CCT application. This will involve detailed checks of the accuracy of the CCT date. 
  • Once a recommendation has been made by the RCGP to the GMC it may take between 2 – 4 weeks (off peak) or 4 – 6 weeks (summer peak) to receive the CCT.

E-portfolio:

  • Administrative changes: post details, ES/CS details can be made by your Local Programme Manager. 
  • Technical or account based issues with the portfolio are dealt with by the FourteenFish Helpdesk at support@fourteenfish.com

Revalidation:

Revalidation for trainees currently occurs around the time of CCT, but evidence for this process is gathered every year in conjunction with the ARCP process. Trainees must submit a Form R self-declaration (Parts A & B) upon request from HEEM prior to each ARCP. Failure to do so will incur an Outcome 5 at the ARCP panel.

If trainees are aware of any serious clinical or professional issues, complaints or investigations in which they have been involved since the submission of their previous Form R self-declaration, they must submit a new Form R part B to the Revalidation Team as soon as possible. This should be done before the next ARCP.

Please contact the Revalidation Team for further details.

See the following page for more information about Revalidation: here

Notes for Educators

Referral to ARCP because of concerns.

If a GPR is required to be reviewed by an ARCP panel because of concerns about educational progress then a Central Panel referral form must be completed by a Programme Director after discussion with the Educational Supervisor. A discussion must take place with the GPR explaining that they may get an unsatisfactory outcome from the ARCP panel, the summary of this discussion should be recorded in the Educator Notes.

Participating in a Panel (virtual attendance)

HEEM GP ARCP panels run on a monthly basis and rely on the support of local educators. There is a requirement to attend at least one ARCP panel in each reapproval cycle. This will contribute to Trainer CPD as well as enhance the integration of trainee ESRs. No formal training or preparation is required to sit on an ARCP panel – the Panel Chairs give a full briefing on the panel's remit and aims before the panel begins. To sit as a panel member you must be a GMC registered HEE-EM Trainer (Educational and/or Clinical Supervisor) and have up to date Equality and Diversity training.

Local panels tend to be held for those trainees who are on track with their progress. Central Panel tend to be held for the more complex trainee circumstances and some are highlighted below:

  • Trainees who have previously had what is called a ‘developmental’ ARCP outcome (i.e. outcome 2 or 3 or 10.2) 
  • Trainees who have had an unsatisfactory Educational Supervisor Report (ESR) and have been referred to Central Panel
  • Increasingly we get referrals due to trainees failing exams or not having the opportunity to sit due to Covid disruption
  • Any other complex trainees e.g. those who have had long term sick leave, breaks in their training or probity issues, for example
  • All academic trainees
  • All trainees who enter GP training through a shortened programme route (ATCF or CEGPR for example)

Please contact gpassessments.em@hee.nhs.uk if you are interested in attending a Local or Cental panel. The dates are provided below. Please note we are always seeking Panel Members for Central Panels to help achieve quoracy - any support from trainers attending Central panels would be welcomed.

Any issues

We appreciate that training and training programmes do not always progress as anticipated. If there any issues please contact the GP Assessment Team sooner rather than later.

2021 ARCP Panel dates - Local and Central panels

Local panel dates vary each month, please contact gpassessments.em@hee.nhs.uk who will put you in touch with the local teams for exact dates. 

2021 Central panel dates are below:

  • 25 May 2021
  • 15, 23, 24, 30 June 2021 
  • 21, 27, 28 July 2021 - panel members needed for 28 July only
  • 11, 25 August 2021 
  • 29 September 2021 - panel members needed
  • 13 October 2021 - panel members needed
  • 17 November 2021 - panel members needed
  • 8, 15 December 2021 - panel members needed
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