Skip to main content

Main menu

  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us

Future Healthcare Journal

  • FHJ Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About FHJ
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

User menu

  • Log in

Search

  • Advanced search
RCP Journals
Home
  • Log in
  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us
Advanced

Future Healthcare Journal

futurehosp Logo
  • FHJ Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About FHJ
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

Encouraging exception reports at an NHS foundation trust

Santhosh Prasad Jayanti and Nishita Padmanabhan
Download PDF
DOI: https://doi.org/10.7861/fhj.7.1.s98
Future Healthc J February 2020
Santhosh Prasad Jayanti
AJames Paget University Hospital, Great Yarmouth, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nishita Padmanabhan
BScunthorpe and Goole Hospital, Scunthorpe, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
Loading

Introduction

Exception reporting was introduced to allow trainees to flag up work that has varied from their agreed work schedule or did not meet their educational curriculum needs.1–4 At our foundation trust (FT), we saw that there were very few exception reports being made throughout the year despite many trainees either staying beyond scheduled hours or missing educational opportunities due to service pressures. We aimed to increase exception reporting by trainees by 20% at our FT by 1 October 2019.

Materials and methods

Junior doctors have an induction in two separate groups: one held for foundation year 1 (FY1) trainees and another held at a different time for all other trainees. We set about joining the induction programme for the trainees starting in the year 2019 to educate them about exception reporting and to encourage them to do so. We were able attend the programme for FY1 trainees but were prevented from doing the same for more senior trainees due to our service commitments, though they received the same from the guardian of safe working, without the voice of a fellow junior doctor. This ended up creating a divide in the form of an intervention and non-intervention group.

During the induction programme, we introduced the concept of exception reporting with the help of the guardian of safe working and its importance. We also engaged juniors regularly in informal settings to encourage exception reporting.

The success of interventions was measured by collating data from Guardian of Safe Working monthly exception report updates.

Results and discussion

Analysis of data showed for the same period, ie August and September: FY1 trainees exception reported 45 times in 2019, compared with four times in 2018, demonstrating a tenfold increase, whereas more senior trainees exception reported 25 times in 2019, compared with one time in 2018. The data for senior trainees is to be considered carefully, as this group also included the authors, who were more likely to exception report than others. If we consider the senior trainees' results without our figures included, it would be nine times in 2019, compared with one time in 2018 – though still impressive it is not as astonishing.

Conclusions

Exception reporting is an essential tool for both the NHS and trainees in highlighting service pressures as well as where educational objectives aren't met and are likely to lead to better long-term satisfaction with training when issues are highlighted and corrected. Our analysis showed that trainees are more likely to exception report if they are given the knowledge about exception reporting without the assumption that they already know something about it. Uptake is increased when other junior doctors champion exception reporting by leading by example.

Conflicts of interest

None declared.

  • © Royal College of Physicians 2020. All rights reserved.

References

  1. ↵
    1. Royal College of Physicians
    . Guidance on exception reporting. RCP: London, 2017. www.rcplondon.ac.uk/projects/outputs/exception-reporting [Accessed 31 October 2019].
  2. ↵
    1. General Medical Council
    . Exception reporting two years on. GMC, 2018. www.gmc-uk.org/education/how-we-quality-assure/sharing-good-practice/exception-reporting-two-years-on [Accessed 31 October 2019].
  3. ↵
    1. NHS Employers
    . Guidance on rostering and exception reporting. NHS. www.nhsemployers.org/pay-pensions-and-reward/medical-staff/doctors-and-dentists-in-training/rostering-and-exception-reporting [Accessed 31 October 2019].
  4. ↵
    1. British Medical Association
    . Exception reporting – guidance for junior doctors in England. BMA. www.bma.org.uk/advice/employment/contracts/junior-doctor-contract/exception-reporting [Accessed 31 October 2019].
Back to top
Previous articleNext article

Article Tools

Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
Encouraging exception reports at an NHS foundation trust
Santhosh Prasad Jayanti, Nishita Padmanabhan
Future Healthc J Feb 2020, 7 (Suppl 1) s98; DOI: 10.7861/fhj.7.1.s98

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Encouraging exception reports at an NHS foundation trust
Santhosh Prasad Jayanti, Nishita Padmanabhan
Future Healthc J Feb 2020, 7 (Suppl 1) s98; DOI: 10.7861/fhj.7.1.s98
del.icio.us logo Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Introduction
    • Materials and methods
    • Results and discussion
    • Conclusions
    • Conflicts of interest
    • References
  • Info & Metrics

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • A renal genetics clinic – model for our times
  • Addressing the burden of cancer and neurological disorders in east Africa: The Royal College of Physicians Medical Training and Fellowship programme
  • Pain management rehabilitation and medical acupuncture
Show more Education, training and medical professionalism

Similar Articles

FAQs

  • Difficulty logging in.

There is currently no login required to access the journals. Please go to the home page and simply click on the edition that you wish to read. If you are still unable to access the content you require, please let us know through the 'Contact us' page.

  • Can't find the CME questionnaire.

The read-only self-assessment questionnaire (SAQ) can be found after the CME section in each edition of Clinical Medicine. RCP members and fellows (using their login details for the main RCP website) are able to access the full SAQ with answers and are awarded 2 CPD points upon successful (8/10) completion from:  https://cme.rcplondon.ac.uk

Navigate this Journal

  • Journal Home
  • Current Issue
  • Ahead of Print
  • Archive

Related Links

  • ClinMed - Home
  • FHJ - Home

Other Services

  • Advertising
futurehosp Footer Logo
  • Home
  • Journals
  • Contact us
  • Advertise
HighWire Press, Inc.

Follow Us:

  • Follow HighWire Origins on Twitter
  • Visit HighWire Origins on Facebook

Copyright © 2021 by the Royal College of Physicians