If Richard Branson was PGDME he might say……..

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A thought for all those preparing to welcome our new doctors in August. Train them so well that they want to stay here or come back as a consultant. It’s no small task and we are not an airline, but there is truth in those words. As DME it’s pretty clear to me that although there is clearly a link between workload and satisfaction there is a also a strong association between satisfaction and being valued. We need our trainees to feel part of a team, to feel valued and to feel they are learning here in a hospital with fantastic developmental opportunities.

One to think about in the last few weeks before the biggest induction of the year.

Look after your staff and they will look after your customers (patients)




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The Postgrad team is looking forward to welcoming you to our Trust in a few weeks if you are one of our new starters. Thank you for choosing us to work with. Its a great place to work and train and, if you are returning to us having been here before, a warm welcome back. Whether you are in a training post or one of our valued ‘Trust’ grade members of staff, the Postgrad team is responsible for making sure you are given all the training and information that you need to start work effectively and safely.

Take a look at our personal welcome to you here:

Emails are going out at the moment inviting you to induction, so keep an eye on your in-box.  Induction is vital to patient safety and we take it very seriously at CMFT.

We are introducing an Induction WebPortal this August for you to access everything you need to know about your first days and how to hit the ground running. We hope you find it useful and will be asking you how we can make it even better once you get here. We’ll send you details on how to access the website in our email to you.

Induction can be considered as comprising two main areas.

Firstly, there are elements that extend across the entire Trust. All new members of the hospital need to be familiarised with how we work. This includes how we work as an organisation (corporate induction) and specific information for clinical groups (clinical induction).

1. You can find the link to the e-learning modules on corporate and clinical induction http://www.elearning.cmft.nhs.uk/. We will be sending you your user name and password shortly

Secondly, all new starters need to be introduced into their local areas. Local induction is essential to safely welcome new starters into the Trust, orientating them to how things are done here so that they can work safely and efficiently from day one.

Local induction will usually be co-ordinated by a consultant in the department where you will be working. You should complete local induction as soon as possible after you start, and we’ll direct you to the right place after you have attended the Welcome Session (details in your forthcoming email).

Your Division and the Postgraduate department will task you to fill in a self-declaration form during your first month to let us know that you have completed all elements of your induction. You’ll be able to do this quickly and easily on the WebPortal.

Finally, we will be giving you a phone call in the days leading up to you starting here to say hello and make sure you are happy that you have all the information you need to get started on your first day.

Take a look here for an overview of what we stand for here at CMFT, our values and how we put our hearts into what we do.

You’ll see many of these faces on the shop floor when you get here!

We look forward to meeting you.

AKI Care app – helping identify and treat AKI

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By Dr Rachael Challiner, Consultant in Nephrology and Intensive Care Medicine CMFT & Chair of the AKI group for the Strategic Clinical Network for Greater Manchester, Lancashire and Cumbria


We are excited to announce the launch of the AKI Care app; a mobile application for iOS and Android that assists medical staff in the identification, treatment and real-time documentation of episodes of acute kidney injury (AKI).  


The app moves beyond working as a simple risk calculator and helps users assess for, and then treat, the life-threatening complications of AKI. 


Why should clinicians use the AKI Care app?

AKI complicates up to 20% of hospital admissions and is strongly associated with an increased risk of death. An NHS report last year suggested up to 40,000 people may be dying each year from this preventable condition. Key to improving these outcomes is early identification.


The AKI Care app is simple-to-use and analyses patient data to provide instant guidance. It follows NICE clinical guideline on acute kidney injury (CG 169) and immediately identifies whether a patient has suffered an AKI episode. This standardisation of care allows clinicians with differing levels of experience (and spread over a large geographical area) to manage AKI in the same, optimal manner.


In addition to the life-threatening complications of AKI, these patients have an increased risk of becoming systemically unwell often due to the underlying condition that is causing their AKI. The app recognises this and encourages users to consider the patient as a whole rather than focusing entirely on the AKI.


Referral to specialist kidney units is a vital step in managing AKI. If the patient needs referral the app uses the smartphone’s location to identify the appropriate local specialist unit and helps the clinician assess the patient’s suitability for transfer. It then provides contact details allowing the referral process to begin.


The app will email a summary of each assessment, allowing clinicians to append a summary to patient notes; and will anonymously records details of AKI cases in which the user has been involved. Providing evidence of this kind is a key aspect of medical training.


The AKI Care app is regulated by the MHRA in the UK and carries the CE mark.


Who has created the app?

The Greater Manchester, Lancashire and South Cumbria Strategic Clinical Network which includes the renal departments of Central Manchester University Hospitals NHS Foundation Trust, Lancashire Teaching Hospitals NHS Foundation Trust and Salford Royal NHS Foundation Trust. All information has been provided by consultant nephrologists from within these hospitals and follows NICE (National Institute for Health and Care Excellence) clinical guideline on acute kidney injury (CG 169).


How do I get it?

The app is free-to-use. Simply download and register your details.

Download the AKI Care app on the App Store
Get the AKI Care app on Google Play


Screenshot here….


DEMEC conference funding opportunities & CLOSING DATE FOR ABSTRACTS

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The Developing Excellence in Medical Education Conference takes place in Manchester this year. In medical education circles this is a big deal, bring together a whole host of key training organisations in the UK. It’s jointly organised by COPMeD, HEE, NACT UK, NES, COGPED, AOME, ASME and GMC. Now I know that’s a lot of acronyms but you will surely recognise most of them.

This will be a key conference for anyone involved in undergraduate or postgraduate education and since it’s just up the road we really want CMFT to have a presence there. If you have a healthy study leave budget then great – book and go. However, we recognise that there are pressures on training budgets and leave so the postgrad team may be able to support 2-3 trainees to attend.

So, if you……

  1. Are a trainee doctor here at CMFT
  2. Can get a poster together and submitted by the 6th June (not a lot of time I know)
  3. Can send your poster to postgrad with a one page explanation of
    1. why we should fund you.
    2. what you will get out of attending
    3. how it will help your personal development
    4. what the trust will get back from your attendance
    5. then send to dme.dme@cmft.nhs.uk

….then we will fund your registration fees.

If you want to know more then



Vocera messaging and the death of the SHO

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The term SHO is dead, defunct and in some people’s opinions dangerous. That’s the view of the deanery and the GMC so it’s something that we have been challenged to remove from day to day parlance here at CMFT.

However, much as it is rather tricky to stop people calling the department of emergency medicine…. ‘Casualty’ it’s tricky to stop people using the term SHO. So, in order to make a small step in the right direction you may notice something different when using the VOCERA badges recently introduced at MRI and soon to be used in other areas of the trust.

If, for example, you ask for ‘ED SHO’ the badge will reply ‘Calling ED Core Trainee’. Pretty clever stuff courtesy of infomatics and hopefully a step in the right direction.

Now this is all a bit Star Trek and no doubt you will have had plans

If you want to try out a few easter eggs, try commanding genie with these:
– good bye
– beam me up
– beam me down
– shut up

or if you’re brave command the badge with ‘turn funny genie on’ – remember to turn it off before entering a patient area though 🙂


The TRAINEE BOARD needs you (and your trainees)

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Screenshot 2015-04-27 18.25.38

Junior doctors are potentially our most powerful agents for change.”

Bruce Keogh

We, as junior doctors are perfectly placed to be these ‘agents for change’. We see things on the ground, first hand and often things that our seniors may not see. We are also perfectly placed to fix these problems; we know was works and what doesn’t; because we do this everyday. However, to be these ‘agents’ we need support and engagement from the Trust we work in.

When asked how engaged Junior Doctors within CMFT felt a wide range of responses were seen. However, Key barriers were highlighted. These related to the size of the trust, frequent rotations, a lack of knowledge and accessibility of who to contact within the organisation were identified. When asked what they would help these barriers be broken, clear themes emerged relating to face to face meetings, involvement and attendance on management meetings, better communication.

In order to attempt to bridge such a gap, the trainees board and the CMFT Junior Doctor online Hub has been created….

The CMFT Trainees’ Board is a group within the trust set up to act as a voice for Junior Doctors within the organisation. It aims to represent clinicians who are training in every part of the organisation, engaging with clinical governance, management and education committees. It is composed of Junior Doctors; members represent different areas of the trust by location and directorate.

The Trainee Board information is found on the CMFT Junior Doctor Online Hub (Under the ‘training’ tab on the ‘system links’ section on Staffnet)

This is a space on Staffnet which provides information for Junior Doctors. This information is made up of suggestions from Junior Doctors alongside key information aimed to improve Junior Doctor engagement in the Trust.

It currently comprises of:

  • Bleep and contact information
  • A who’s who of CMFT. A guide to understanding the structure of CMFT. Who do you need to approach with a particular problem?
  • An introduction to Quality Improvement and links to resources, conferences and potential projects within CMFT.
  • An introduction to Medical Leadership– links to the various health reports, information on the structure of the NHS, commissioning, the Urgent Care reforms, the integrated care system, finance structures etc.. all those messy bits we should know about……
  • List of meetings within CMFT that Junior Doctors are invited to. Some of these meetings are one-offs whilst others occur quite regularly. They provide management and leadership experience as well as opportunities for quality improvement projects. If you see problems in CMFT, this is a great way to raise them amongst the powers that be and to actually make a difference.

So, there is no excuse. We are agents for change and can facilitate improvements, and work towards changing culture. Start by signing up to attend a meeting and have your say… I think you would be surprised what may happen.

If you would like to get more involved, you can!!! Either become a committee member, or sign up to attend a managerial meeting. For more information or suggestions please email the Trainee.Board@cmft.nhs.uk.

Dickinson trust applications open!

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Please share widely.

Grants available for the Dickinson trust are now open.

Details here Info for Divisions Dickinson trust

More on the website here http://cmftpostgrad.com/dickinson-trust/

Get in contact with PGME if you want to know more