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The aim of this site is to state explicitly the requirements for a satisfactory outcome at ARCP. This benefits trainees, who have a clear blueprint of their requirements; educational supervisors, who are able to offer consistent guidance; and the ARCP panel, who are presented evidence in a consistent format. As a reference, the ARCP Panel A use this proforma to guide outcome at:
ARCP panels will reviewing evidence within the Lifelong Learning Platform ten working days (two weeks) prior to the advised date of your ARCP. Any evidence added after this cut-off date will not be considered as part of your ARCP outcome. It is strongly recommended that trainees keep their LLP up-to-date and stay on top of these requirements.
Specific guidance for those training less than full time is available.
A summary of training is required at ARCP for those training less than full time. Additional LTFT guidance will be shown in green boxes below.
ItemLTFT summary document: .doc .pdfFrequency
One summary per ARCP.Format
Uploaded to the LLP document store.Title
It is recommended that all documentation uploaded to the LLP is done by adding a 'Personal Activity'. Using the 'Document Store' does not link to units of training and may mean the files are unavailable at ARCP.
Named with the month and year of your ARCP in the format:Evidence - LTFT Summary - July 2018
Choose your year of training.
Trainer feedback is required for the Completion of Unit of Training form to be signed on the LLP. It is the trainer/educational supervisor's responsibility to seek this and the trainee's responsibility to ensure this is uploaded to the LLP (see next tab).
The assessment guidance for trainees and trainers is available at the RCoA website here.
The number accrued should show adequate progression reflecting the proportion of the training year (not calendar year) which has been completed since the last ARCP.
Only via LLP
CT1
IAC
Successful completion of the Initial Assessment of Competency (IAC) requires the completion of the following Workplace Based Assessments (WBAs) from page B-94 of CCT in Anaesthetics - Annex B:- 5 x A-CEX
Code Number IAC_A01 Preoperative assessment of a patient who is scheduled for a routine operating list [not urgent or emergency] IAC_A02 Manage anaesthesia for a patient who is not intubated and is breathing spontaneously IAC_A03 Administer anaesthesia for acute abdominal surgery IAC_A04 Demonstrate Rapid Sequence Induction IAC_A05 Recover a patient from anaesthesia - 8 x CBD
Code Number IAC_C01 Discuss the steps taken to ensure correct identification of the patient, the operation and the side of operation IAC_C02 Discuss how the need to minimise postoperative nausea and vomiting influenced the conduct of the anaesthetic IAC_C03 Discuss how the airway was assessed and how difficult intubation can be predicted IAC_C04 Discuss how the choice of muscle relaxants and induction agents was made IAC_C05 Discuss how the trainee’s choice of post-operative analgesics was made IAC_C06 Discuss how the trainee’s choice of post-operative oxygen therapy was made IAC_C07 Discuss the problems emergency intra-abdominal surgery causes for the anaesthetist and how the trainee dealt with these IAC_C08 Discuss the routine to be followed in the case of failed intubation - 6 x DOPS
Code Number IAC_D01 Demonstrate functions of the anaesthetic machine IAC_D02 Transfer a patient onto the operating table and position them for surgery [lateral, Lloyd Davis or lithotomy position] IAC_D03 Demonstrate cardio-pulmonary resuscitation on a manikin IAC_D04 Demonstrates technique of scrubbing up and donning gown and gloves IAC_D05 Basic Competencies for Pain Management – manages PCA including prescription and adjustment of machinery IAC_D06 Demonstrates the routine for dealing with failed intubation on a manikin
Introduction to Anaesthetic Practice
In addition to the IAC, Introduction to anaesthetic practice portion of the curriculum should be completed during CT1. This requires 8 Completion of Unit of Training (CUT) forms in:- Pre-operative assessment
- Premedication
- Induction of general anaesthesia
- Intra-operative care
- Post-operative and recovery room care
- Perioperative management of emergency patients
- Management of cardiac arrest in adults and children
- Infection control
CT1
CT2
CT2+
Core Anaesthesia
Over the course of core training (CT1, CT2 and CT2+ if necessary), a total of 16 Completion of Unit of Training (CUT) forms are needed in:- Airway management
- Critical incidents
- Day surgery
- General, urological and gynaecological surgery
- Head, neck, maxillo-facial and dental surgery
- Intensive care medicine
- Non-theatre
- Obstetrics
- Orthopaedic surgery
- Paediatrics (including Child Protection)
- Pain medicine
- Perioperative medicine
- Regional
- Sedation
- Transfer medicine
- Trauma and stabilisation
Intensive care medicine
CCT in Anaesthetics - Annex F states that for ARCP, trainees should submit:
- WBAs
- Evidence of number of procedures performed
- Evidence to demonstrate that the unit can provide and trainee has been exposed to a suitable variety of experience, including details of patients trainee has played a significant part in managing (similar to anaesthetic logbook data)
- Information from unit data collection (eg ICNARC)
- Evidence of attendance at at least 1 Morbidity and Mortality meeting and 1 journal club.
- A satisfactory educational supervisor/faculty tutors report
ST3
ST4
Items
Over the course of intermediate training (ST3 and ST4), a total of 19 Completion of Unit of Training (CUT) forms are needed in:CUT form Format
- Airway Management
- Anaesthesia for neurosurgery, neuroradiology and neurocritical care
- Cardiothoracic anaesthesia and cardiothoracic critical care
- Critical incidents
- Day surgery
- General, urological and gynaecological surgery
- Head, neck, maxillo-facial and dental surgery
- Intensive care medicine
- Management of respiratory and cardiac arrest
- Non-theatre
- Obstetrics
- Orthopaedic surgery
- Paediatric
- Pain medicine
- Perioperative medicine
- Regional
- Sedation
- Trauma and stabilisation
- Transfer medicine
Only via LLPWBA Guidance
CCT in Anaesthesia: Annex C, page C-76 details the WBA requirements for each of these modules:These modules form General Duties. For the whole of General Duties, a minimum of 3 x CBD are required.
Module WBAs Airway Management 1 x CBD, 1 x DOPS and [either 1 x A-CEX or 1 x ALMAT] Anaesthesia for neurosurgery, neuroradiology and neurocritical care 1 x A-CEX, 1 x DOPS and 1 x CBD Cardiothoracic anaesthesia and cardiothoracic critical care 1 x A-CEX, 1 x DOPS and 1 x CBD Critical incidents 1 x CBD Day surgery 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] General, urological and gynaecological surgery 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Head, neck, maxillo-facial and dental surgery 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Intensive Care Medicine As determined by your module supervisor. See below. Management of respiratory and cardiac arrest [either 1 x DOPS or current ALS/ATLS/APLS] Non-theatre 1 x CBD and 1 x A-CEX Obstetrics 1 x A-CEX, 1 x DOPS and 1 x CBD Orthopaedic surgery 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Paediatric 1 x A-CEX, 1 x DOPS and 1 x CBD Pain medicine 1 x A-CEX, 1 x DOPS and 1 x CBD Perioperative medicine 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Regional 1 x CBD, 1 x DOPS and [either 1 x A-CEX or 1 x ALMAT] Sedation 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Transfer medicine 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Trauma and stabilisation 1 x CBD and [either 1 x A-CEX or 1 x ALMAT]
ST5
ST6
ST7
Items
One electronic Completion of Unit of Training (CUT) form for each module undertaken in period since last ARCP. Over the course of higher training (ST5 to ST7), mandatory CUT forms are required for:CUT form FormatIn addition, then a minimum of six of the following General duties modules must be completed:
- Airway Management (part of General duties)
- Anaesthesia for neurosurgery, neuroradiology and neurocritical care
- Cardiothoracic anaesthesia and cardiothoracic critical care
- Intensive care medicine
- Management of respiratory and cardiac arrest (part of General duties)
- Paediatric
- Perioperative medicine (part of General duties)
Also, the following units of training (found in the ‘Advanced’ section of the LLP) covering the Annexe E advanced training domains of the Curriculum are expected to be completed over the course of higher and advanced training and a CUT form is required for each:
- Day surgery
- General, urological and gynaecological surgery
- Head, neck, maxillo-facial and dental surgery
- Non-theatre
- Obstetrics
- Orthopaedic surgery
- Sedation
- Transfer medicine
- Trauma and stabilisation
- Vascular surgery
- Regional
- Domain 1 - Clinical Practice
- Domain 2 - Team working
- Domain 3 - Leadership
- Domain 4 - Innovation
- Domain 5 - Management
- Domain 6 - Education
Only via LLPWBA Guidance
CCT in Anaesthesia: Annex D, page D-62 details the WBA requirements for each of these modules:These modules form General Duties. For the whole of General Duties, a minimum of 3 x CBD are required.
Module WBAs Airway Management 1 x DOPS and [either 1 x A-CEX or 1 x ALMAT] Anaesthesia for neurosurgery, neuroradiology and neurocritical care 1 x A-CEX and 1 x CBD Cardiothoracic anaesthesia and cardiothoracic critical care 1 x A-CEX, 1 x CBD and 1 x DOPS Day surgery 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] General, urological and gynaecological surgery 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Head, neck, maxillo-facial and dental surgery 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Intensive care medicine As determined by your module supervisor. See below. Management of respiratory and cardiac arrest 1 x A-CEX and 1 x CBD Non-theatre 1 x A-CEX and 1 x CBD Obstetrics 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Orthopaedic surgery 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Paediatric 1 x A-CEX, 1 x CBD and 1 x DOPS Perioperative medicine 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Regional 1 x CBD, 1 x DOPS and [either 1 x A-CEX or 1 x ALMAT] Sedation 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Transfer medicine 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Trauma and stabilisation 1 x CBD and [either 1 x A-CEX or 1 x ALMAT] Vascular surgery 1 x CBD and [either 1 x A-CEX or 1 x ALMAT]
CCT in Anaesthetics - Annex F states that for ARCP, trainees should submit:
- WBAs
- Evidence of number of procedures performed
- Evidence to demonstrate that the unit can provide and trainee has been exposed to a suitable variety of experience, including details of patients trainee has played a significant part in managing (similar to anaesthetic logbook data)
- Information from unit data collection (eg ICNARC)
- Evidence of attendance at at least 1 Morbidity and Mortality meeting and 1 journal club.
- A satisfactory educational supervisor/faculty tutors report
Same requirements as full-time colleagues.
CT1
CT2
CT2+
ST3
ST4
ST5
ST6
ST7
It is the educational supervisor's responsibility to co-ordinate this feedback and the trainee's responsibility to ensure it is uploaded to the LLP for ARCP.
Feedback form .docx .pdf
Summary of feedback proforma .docx .pdf
Feedback summary document from educational supervisorFormat
Uploaded as .pdf or .doc to LLPFrequency
It is recommended that all documentation uploaded to the LLP is done by adding a 'Personal Activity'. Using the 'Document Store' does not link to units of training and may mean the files are unavailable at ARCP.
Minimum of one feedback summary per hospital placement since last ARCP. Total number will depend on module supervisors' requirements for Completion of Unit of Training: all summary documents should be uploaded to the LLP for review by the ARCP panel.
One ESSR or interim training report per calendar year immediately prior to ARCP. College Tutors may elect to submit an interim progress report rather than an ESSR depending on the progress in training made by the trainee since the previous ARCP e.g. an interim training report may be more appropriate for trainees attending ARCP whilst on maternity/ sickness leave.
CT1
CT2
CT2+
ST3
ST4
ST5
ST6
ST7
Item
Educational Supervisor's Structured Report (ESSR) document via the LLP systemFormat
Only via LLPTitle
The ESSR prior to your ARCP should be labelled with the dates covered and the year of training assessed:ESSR August 2018 - August 2019 ST5
For LTFT, please note this along with the WTE in the title (e.g. for 60% in ST4):FrequencyESSR August 2018 - August 2019 LTFT 0.6 ST4
Always immediately prior to ARCP
and
Always immediately prior to leaving a Trust.
and
Sometimes on completion of a training module, depending on how training is set up in your hospital (check with College Tutor).
ARCP panels will be involved in making recommendations for revalidation.
In order to make these annual recommendations, the ARCP panel will be specifically reviewing the ESSR and Enhanced Form R along with reports from the Lead Employing Organisation and Trust HR departments.
It is therefore important that Educational Supervisors are recording the following in the Other Outcomes section of the ESSR:
- Any conduct or capability issues
- Whether the trainee has been involved in any Serious Untoward Incidents or Significant Event Investigations
- If the trainee has been named in any complaint.
- Whether they have been resolved satisfactorily
- If any unresolved concerns about a trainee's conduct or fitness to practice persist
There must be evidence in your LLP that you have actively participated and significantly contributed to one of the activities listed below per training year (not calendar year).
It is sensible to produce an audit/clinical governance summary once per ARCP to easily describe your audit/clinical governance activity within that training year, even if the work was done in a previous calendar year.
CT1
CT2
CT2+
ST3
ST4
ST5
ST6
ST7
Items
There must be evidence in your LLP that you have actively participated and significantly contributed to one of the following per year:FrequencyActing as a local data collector for a regional/national audit (eg. SNAP) does not class as a significant contribution to audit as this only entails a small portion of the audit cycle.
- Audit with recognisable standards (eg. audit recipe book)
- Re-audit to close the audit loop
- Contribution to development of new clinical guidelines
- Contribution to quality assurance/improvement programs
- Major reviews of clinical effectiveness/outcomes in a local Trust
One summary per year.Format
Summary of Audit and Clinical Governance activity as a Word or PDF document uploaded to LLP.Template
It is recommended that all documentation uploaded to the LLP is done by adding a 'Personal Activity'. Using the 'Document Store' does not link to units of training and may mean the files are unavailable at ARCP.
Audit and Clinical Governance: .doc .pdfTitle
Document should be named with the month and year of the ARCP in the format:Notes
Evidence - Audit and Governance - July 2012
It is recommended that you upload the individual projects (or summaries) to the LLP as evidence. For example, audit presentations or guidelines you contribute to developing. The ARCP panel may ask to see projects referenced in your Summary document.
One to be completed annually.
CT1
CT2
CT2+
ST3
ST4
ST5
ST6
ST7
Item
Annual GMC Survey certificate of completion - can be re-issued and downloaded from your GMC account. Copy of email confirming participation also acceptable.Format
PDF or Word document uploaded to LLP
It is recommended that all documentation uploaded to the LLP is done by adding a 'Personal Activity'. Using the 'Document Store' does not link to units of training and may mean the files are unavailable at ARCP. Title
Named in the format:FrequencyEvidence - GMC Survey - 2012
One per year.
Your up-to-date CV must be uploaded prior to each ARCP.
CT1
CT2
CT2+
ST3
ST4
ST5
ST6
ST7
Item
Your up-to-date CVFormat
PDF or Word document uploaded to the LLP.Title
It is recommended that all documentation uploaded to the LLP is done by adding a 'Personal Activity'. Using the 'Document Store' does not link to units of training and may mean the files are unavailable at ARCP.
For your final ARCP, it is strongly advised that you bring a paper copy of your CV in order to fill in the Completion of Training form.
Named with the year of update in the format: Evidence - CV - 2012
Frequency
Once per year.
One per ARCP (this will enable the panel to ensure that your training is comparable to the full-time trainees in all ways except the number of hours worked/proportion of training achieved per week).
CT1
CT2
CT2+
ST3
ST4
ST5
ST6
ST7
Item
Summary from your logbook software in RCOA-approved formatFormat
PDF or Word documentTitle
Named with the year & month of your ARCP in the format:FrequencyEvidence - Logbook - 2012 August
One summary per ARCP period.Note
The summary needs to cover the whole year, not the individual modules. Ensure your summary is in the correct format as per Appendix 4 (pp. 87-89) of the CCT Curriculum
LTFT trainees should accumulate CME points pro rata as follows:
Proportion of full time training | Internal CME/CPD points per ARCP | External CME/CPD points per ARCP |
---|---|---|
1.0 | 25 | 25 |
0.9 | 23 | 23 |
0.8 | 20 | 20 |
0.7 | 18 | 18 |
0.6 | 15 | 15 |
0.5 | 13 | 13 |
CT1
CT2
CT2+
ST3
ST4
ST5
ST6
ST7
Items
Format
PDFs, Word documents or SpreadsheetTitles
Frequency
- Summary: Named with the year & month of your ARCP in the format:
Evidence - CME Summary - 2012 August
- Individual documents: Named with year & month activity undertaken in the format:
Evidence - Certificate - 2012 June - Title of Course
One summary per ARCP period.CPD Point Requirement
25 internal and 25 external CPD/CME points per year.Guidance
Internal CME is anything undertaken within your base hospital: eg. attending teaching & audit meetings, formal teaching sessions of junior trainees/medical students (note this does not include informal theatre or ward-based teaching). It also includes any online learning activity with accredited CME/CPD points.
External CME is any regional or national teaching or course undertaken away from your base hospital.
Points are awarded as follows:For consultants, the RCoA used to recommend limits on the number of points claimed for attending or teaching courses. This has now been replaced by a recommendation of a "balanced CPD programme" (for more details see this RCOA CPD document). There are no limitations on CPD points applied to North West trainees and external points for ALS, APLS and ATLS can be listed in the same year.
- 1 point per hour of activity
- Maximum of 5 points per whole day
- Maximum of 3 points per half day
Same requirements as full-time colleagues.
CT1
Item
Initial Assessment of CompetenceFormat
Only via LLPAssociated WBAs
To pass the IAC, trainees must successfully complete the following workplace based assessments:
- 5 x A-CEX
- 8 x CBD
- 6 x DOPS
CT2
CT2+
Items
Format
Downloaded from college website at the links above. Once completed (which may be at your ARCP) one copy should be uploaded to the LLP and another copy sent to the RCoA.
It is recommended that all documentation uploaded to the LLP is done by adding a 'Personal Activity'. Using the 'Document Store' does not link to units of training and may mean the files are unavailable at ARCP.
ST3
An intermediate training certificate is not required until the end of ST4.
ST4
Item
Intermediate Training Certificate RCOAFormat
Downloaded from college website at the link above. Once completed (which may be at your ARCP) one copy should be uploaded to the LLP and another copy sent to the RCOA.
It is recommended that all documentation uploaded to the LLP is done by adding a 'Personal Activity'. Using the 'Document Store' does not link to units of training and may mean the files are unavailable at ARCP.
ST5
ST6
A higher training certificate (Completion of Training Certificate) is not required until the end of ST7.
ST7
Item
Your Completion of Training Certificate will be provided at your ARCP. Please ensure you have a paper copy of your CV with you to facilitate filling in this form correctly. Even better, save time by completing two copies of the form in advance of your ARCP. It is available for download on the RCOA website: RCOA
Same requirements as full-time colleagues.
CT1
CT2
CT2+
ST3
ST4
ST5
ST6
ST7
This section is only applicable if you are being given research days. You do not have to submit a research summary if you are required to submit an Academic Progress Report and ARCP Panel Feedback Form (see below).
Item
Research summary, containing:Frequency
- List of projects and their current status
- Narrative summary of research activity since the last ARCP.
One summary per year, updated prior to your ARCP.Format
Template document: .doc .pdfTitle
Named with the month and year of your ARCP in the format:Evidence - Research Summary - July 2012
Academic Progress Report and ARCP Panel Feedback Form
An Academic Progress Report and ARCP Panel Feedback Form should be submitted to the ARCP panel by any trainee who at any time since their previous ARCP has been:- in an Academic Clinical Fellowship or Clinical Lecturer post; or
- registered for MD(res), MPhil or PhD; or
- undertaking any training, trust grade or fellowship post with ≥25% WTE (usually 12 hours per week) dedicated to research; or
- out of programme for research (OOPR) or OOPE with ≥25% WTE research
Item
NIAA Academic Progress Report and ARCP Panel Feedback FormFrequency
One summary per year, updated prior to your ARCP.Format
NIAA ARCP Academic Progress Report .doc uploaded as evidence to LLP.Title
It is recommended that all documentation uploaded to the LLP is done by adding a 'Personal Activity'. Using the 'Document Store' does not link to units of training and may mean the files are unavailable at ARCP.
Named with the month and year of your ARCP in the format:ImportantEvidence - Academic Progress Report - July 2017
A copy should also be emailed to Emma.Woods@hee.nhs.uk
to allow a copy to be printed and signed by the ARCP panel.
Same requirements as full-time colleagues.
CT1
CT2
CT2+
ST3
ST4
ST5
ST6
ST7
This section is only applicable if you are being given time out of programme
Remember that as Revalidation is GMC-driven, you will still need to complete a Form R if you have been engaged in Out of Programme activity since your last ARCP: see the Revalidation section below.
Item
Out-of-programme (OOP) summary, containing a brief description of work undertaken. This should include level of supervision, number of patients and case mix.Frequency
NB. If your OOP time has been approved for training by the RCOA, it is acceptable to upload a copy of the report sent to the college as evidence.
One summary per period out of programme.Format
Word or PDF Document uploaded to LLP.Title
It is recommended that all documentation uploaded to the LLP is done by adding a 'Personal Activity'. Using the 'Document Store' does not link to units of training and may mean the files are unavailable at ARCP.
Named with the year of your OOPE activity in the format:Evidence - OOPE - 2012
Reflective practice evidenced for ARCP should be pro rata as follows:
Proportion of full time training | Minimum number of reflections per ARCP |
---|---|
1.0 | 6 |
0.9 | 6 |
0.8 | 5 |
0.7 | 5 |
0.6 | 4 |
0.5 | 3 |
CT1
CT2
CT2+
ST3
ST4
ST5
ST6
ST7
Frequency
Minimum of 6 reflections per 12 months.Format
Via LLP only.Note
It is recommended that you follow a recognised framework for reflection in entering your items. eg:
- Situation
- Task
- Action
- Results
One per training year (not calendar year) or more frequently at your College Tutor's request. In addition a seperate MSF must be completed for each ICM module.
CT1
CT2
CT2+
ST3
ST4
ST5
ST6
ST7
Frequency
Minimum of once per year plus once per ICU placement. ie. if you do 3 months ICU and 9 months anaesthetics in a year, you will need to undertake two MSFs in this period.Format
This is a minimum and the School or your educational supervisor may require you to undertake more.
Via LLP.Number of responders
Please send requests from the LLP system to 15 people. A minimum number of 10 replies are required. It is advised that an MSF is undertaken early to ensure it is completed in time for your ARCP.
One Enhanced Form R for Doctors In Training (Self-Declaration) per ARCP. See below for further details.
CT1
CT2
CT2+
ST3
ST4
ST5
ST6
ST7
All trainees attending an ARCP will need to complete an Enhanced Form R for Doctors In Training (Self-Declaration) form as part of the revalidation process. This is now available as an online form at the Deanery website.
Item
Part A and Part B at the Deanery website.Frequency
One per ARCPFormat
Remember that as Revalidation is GMC-driven, you will still need to complete this Form R if you have been engaged in Out of Programme activity since your last ARCP.
Proof of completion (downloaded form, email confirmation or screenshot) uploaded to LLP as PDF, Word document or image.Title
It is recommended that all documentation uploaded to the LLP is done by adding a 'Personal Activity'. Using the 'Document Store' does not link to units of training and may mean the files are unavailable at ARCP.
Named with the year of your ARCP in the format:Notes for CompletionRevalidation - 2014 - Form R
The Form R must cover your most recent placement and have been completed no earlier than one month prior to your ARCP.
One per hospital placement since your last ARCP.
CT1
CT2
CT2+
ST3
ST4
ST5
ST6
ST7
Item
Placement FeedbackFrequency
One per hospital placement since your last ARCP.Format
Completed online here with evidence of completion uploaded to LLP (pdf or screenshot).Title
It is recommended that all documentation uploaded to the LLP is done by adding a 'Personal Activity'. Using the 'Document Store' does not link to units of training and may mean the files are unavailable at ARCP.The feedback system may not run on some Trust computers and networks. If you need technical support with using the system email jp.lomas@gmail.com
Named with the name of the Trust and the year of your ARCP in the format:NoteEvidence - Feedback - UHSM - 2015
All placement feedback is confidential and will be used to improve the quality of training in the North West.