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Non-trainee grade (NTG) junior doctors/other healthcare professionals

  • NTG basics

  • What is an "NTG"?
    • In the context of the Horus ePortfolio, an "NTG" is a non-trainee grade junior doctor/other healthcare professional working in a foundation-level (or similar) post but not a member of the UK Foundation Programme.

      NTGs

      • do not have a connection to Health Education England (HEE) and their responsible officer is not the local HEE postgraduate dean (instead, their responsible officer is usually the Medical Director of the employing organisation or their representative)
      • do not belong to a Foundation School
      • are not on a training programme


      Examples include

      • LAS: locum appointment for service (LAS) doctors covering F1 or F2 posts that have not been allocated to a foundation doctor
      • Trust grade: trust grade doctors working in posts that are at a similar level to F1 or F2 posts (eg "trust SHO") 
      • Pre-specialty:
        • junior doctors who have completed the Foundation Programme but have not yet commenced a specialty training programme, working in posts at a similar level to F2 posts (sometimes known as "pre-specialty" or "F3" junior doctors)
        • doctors on the Widening Access to Specialty Training (WAST) programme
      • Other: other types of NTGs may also be possible (give details in the free-text field in Horus)

       

      HEE foundation programme colleagues have produced generic guidance for NTG doctors working in England

      Learn more about

      - what NTGs can use Horus for

      - what NTGs can't use Horus for

      - how NTGs can register to use Horus

      who can use Horus

      paying to use Horus

      It is important to note that the above information is not intended as employment guidance and all doctors/other healthcare professionals should seek relevant guidance from for example their employer and/or the General Medical Council (GMC)/their relevant regulator. Additional information can be found by following the links on the Useful links page.

      The Horus ePortfolio team is not able to provide guidance regarding employment, assessment or training requirements.

  • What can NTGs use the Horus ePortfolio for?
    • NTGs can use the Horus ePortfolio to record

      • reflections and personal development plans
      • meetings with supervisors
      • supervised learning events (and have these validated by local trainers)
      • 360° feedback (TAB)
      • additional evidence of achievement of competences 
      • how their achieved competences map to the FP Curriculum (2016)

       

      Learn more about what NTGs cannot use Horus for.

      It is important to note that the above information is not intended as employment guidance and all doctors/other healthcare professionals should seek relevant guidance from for example their employer and/or the General Medical Council (GMC)/their relevant regulator.

      The Horus ePortfolio team is not able to provide guidance regarding employment, assessment or training requirements.

  • What can NTGs NOT use the Horus ePortfolio for?
    • NTGs cannot

      • use Horus as an assessment tool
      • sign any health or probity declarations on Horus (these should be provided instead by their employer)
      • complete their Form R (revalidation self-declaration) through Horus
      • have an annual review of competence progression (ARCP) recorded in Horus
      • receive a Foundation Year 1 Certificate of Completion (F1CC) or Foundation Programme Certificate of Completion (FPCC)
      • receive a Certificate of Readiness to Enter Specialty Training (CREST) (previously known as the Alternative Certificate of Foundation Competence) through Horus

       

      The contents of Horus is aimed at junior doctors in the UK foundation programme and those in equivalent/similar level posts (that is NTGs). Junior doctors in higher level posts/other healthcare professionals should, where possible, use the e-portfolio of their relevant medical royal college, system(s) provided by their employer or other commercial products to record their own continuing professional development, as the tools available in these will be more relevant to them. However, note "Can NTGs who are working at levels higher than F2-equivalent use Horus?"

      Learn more about

      - what NTGs can use Horus for

      what NTGs who are also trainers of foundation doctors can use Horus for


      It is important to note that the above information is not intended as employment guidance and all doctors/other healthcare professionals should seek relevant guidance from for example their employer and/or the General Medical Council (GMC)/their relevant regulator.

      The Horus ePortfolio team is not able to provide guidance regarding employment, assessment or training requirements.

  • How can NTGs register to use the Horus ePortfolio?
    • Allowing NTGs to access the Horus ePortfolio is a matter local discretion at the relevant employing NHS trust. Some employing trusts will have legitimate reasons for not allowing their NTGs to access Horus and NTGs should respect these. It is worth having a discussion with your local trust postgraduate centre administrator to understand the local policy.

      If your employing trust allows NTGs to access the Horus ePortfolio, you can learn more about registering for Horus or transferring your account if you are already registered on Horus ePortfolio.

      All NTG administration is managed by the employing trust. The Horus team will not add any new NTGs to the system or update rotations for NTGs.

      It is important to note that the above information is not intended as employment guidance and all doctors/other healthcare professionals should seek relevant guidance from for example their employer and/or the General Medical Council (GMC)/their relevant regulator.

      The Horus ePortfolio team is not able to provide guidance regarding employment, assessment or training requirements.

  • Can NTGs who are working at levels higher than F2-equivalent use Horus?
  • Who has access to view information in an NTG doctor's Horus account?
  • Can NTGs in any NHS trust in England use Horus?
  • NTG account management

  • How do I set an NTG doctor up on Horus?
    • 1. Admin menu (available to administrators only)

      2. Add new user > Add foundation doctor / NTG

      3. Enter the doctor's GMC number and select "Search" (or add manually if no GMC number).

      4. Horus will search the GMC register and if the number is correct, you will be able to "add user to Horus".

      5. Add their email address and medical school and save.

      6. Create their rotation and placement(s). 
      Learn more about what to do if you miss this step.

      When asked, select to create an "NTG doctor" rotation. 
      Learn more about how to create a new rotation.

      7. The process from this point onwards is the same as creating a standard F1 or F2 rotation, with just one extra step - you need to select what type of NTG the doctor is:

      LAS
      Trust grade
      Pre-specialty
      Other (specify in the free-text box)

      Learn more about what NTG types are.

      After making this selection, you should follow the process in the Placement Management pdf user guide. 

      Learn about what to do if the user is already on Horus as a trainer.

  • How do I add an NTG rotation to a former foundation doctor's portfolio?
    • If the doctor did not do their foundation training at your trust:

      Follow the guidance about account transfers

      How are foundation doctor/NTG accounts transferred from one organisation to another?

      If the doctor did their foundation training at your trust:

      1. Admin menu > Foundation Doctors

      2. Search for the doctor (remember to check the filters - maybe they were a foundation doctor with you last training year)

      3. Select "Rotations" next to their name

      4. Scroll to the end of the page. Under their existing rotation(s), select "Create new rotation" 

      5. When asked, select to create an "NTG doctor" rotation. 
      Learn more about how to create a new rotation. 

      6. The process from this point onwards is the same as creating a standard F1 or F2 rotation, with just one extra step - you need to select what type of NTG the doctor is:

      LAS
      Trust grade
      Pre-specialty
      Other (specify in the free-text box)

      Learn more about what NTG types are.

      Learn about what to do if the user is already on Horus as a trainer.

  • Can someone with an NTG account also be listed as a trainer for foundation doctors?
    • Yes - NTGs can be trainers and trainers can be NTGs on Horus. An administrator needs to add a "Trainer" permission to the NTG's account or add an NTG permission to the trainer's account.

      A user with both an NTG (or foundation doctor) account AND a trainer account will still only have one login to Horus. When they log in, they will have the option to "Switch mode" between NTG/foundation doctor and trainer. Switching mode will change the main menu options the user has access to.

      This image shows the menu options for an account with both FD/NTG permissions and trainer permissions

  • How do I give trainer permission to an NTG?
    • 1. Admin menu > Add new user > Add doctor
      (or Add other user if they're not a doctor - you will then need to enter their details manually and move on to step 4)

      2. Enter the doctor's GMC number and select "Search"

      3. If this user is already on Horus as an NTG, you will see the option to "Add trainer / other permissions to user" - select this option
      (If they aren't on Horus or already have trainer permissions, you will not have this option.) 

       

      4. Assign the required permission(s) in the usual way.

      Learn more about what an NTG is.

  • How do I give NTG permission to a trainer?
    • 1. Admin menu > Add new user > Add foundation doctor / NTG doctor’

      2. Enter the doctor's GMC number and select "Search" (or add manually if no GMC number)

      3. If this user is already on Horus as a trainer, you will see the option to "Add to Horus" - select this option
      (If they aren't on Horus or already have NTG permission(s), you will not have this option.) 

      4. Assign the required permission(s) in the usual way.

      Learn more about what an NTG is.

  • How do I identify if a Horus user is a foundation doctor or an NTG?
    • All users

      A doctor/other healthcare professional with a current non-training grade rotation (an "NTG") has "[NTG]" displayed after their name, in red, on all their portfolio pages. Any user with access to that user's portfolio (that is, an administrator in the relevant location, the user's assigned supervisor(s) and the user themselves) sees this label.

      This image shows the NTG tag on the horus overview page 

      Administrators

      Administrators also see the "[NTG]" label after relevant doctors' names on

      - all the admin list / report and overview pages
      This image shows the NTG tag against a doctor on the foundation doctors page

      - the doctor's rotation management page
      This image shows the NTG tag against a doctor rotation 

      Any user with a portfolio without this label is a foundation doctor (FD).

      Learn more about how to

      view a list of NTG doctors in your location

      - check that no NTGs have been listed as FDs

  • WAST doctors

  • What is a WAST doctor?
  • Who is responsible for the administration of WAST doctors on Horus?
  • How do I set a WAST doctor up on Horus?
  • My trust hosts WAST doctors but we don't have access to Horus - what should I do?
  • Medical Support Worker (MSW)

  • What is a Medical Support Worker (MSW)?
    • The Medical Support Worker (MSW) role was created as part of a national initiative during the Covid-19 pandemic. MSWs are medically qualified doctors who have either qualified abroad and are currently applying for their GMC registration in the UK or have been out of clinical practice for over a year.

      The MSW role requires clinical supervision and their practice to be aligned within the scope of the GMC guidance. MSW placements are between 6 months to a year duration. Once the MSW has gained their GMC registration, they can join the NHS doctor workforce or continue practicing as an MSW until their contract is completed.

      For more information visit the NHS England website or email msw.centralteam@nhs.net.

  • Which areas of Horus should MSWs use?
    • The Horus ePortfolio is an opportunity to record reflections, meetings with supervisors, any supervised learning events (SLEs) or 360 feedback.

      The MSW programme recommends the use of the following:

      1. Induction meeting with clinical supervisor
      2. Clinical supervisors end of placement reports
      3. Direct observation of procedural skills (DOPS)
      4. Case Based discussion (CBD)
      5. Mini clinical Evaluation Exercise (Mini-CEX)
      6. Learning encounter and reflection note (LEARN)
      7. TAB

       

      Other areas of Horus ePortfolio can be utilised (Personal development plans, the additional achievements forms, Other meetings forms) at the discretion of the clinical supervisor.

  • How can MSWs register on Horus?
    • If your employing organisation is able to facilitate Horus ePortfolio, please contact your local postgraduate centre administrator or medical education centre. 

      If your employing trust does not facilitate Horus please ask for local advice on an alternative to Horus ePortfolio.

      To learn more about access to Horus ePortfolio as an NTG please follow this guidance.

       

  • How can administrators register an MSW?
    • Horus ePortfolio administrators can create an account for an MSW by:

      1. Follow steps 1-6 of this guidance to create the MSWs account
      2. Follow steps 6-7 of this guidance to create the MSWs rotation and placement.

      Please note, when prompted to select what NTG type the user is, 'Other' should be selected and Medical Support Worker’ entered into the ’NTG Further Information’ field.

  • Can MSWs receive a CREST certificate through Horus?
    • The Certificate of Readiness to Enter Specialty Training (CREST) form is not available through Horus. The form and information about it is in the Specialty Training Resource Bank (under "Recruitment Documents").

      Medical Support Workers should not complete a CREST unless the MSW has received their GMC registration and the Clinical supervisor feels confident and competent to assess the MSW's practice in line with the CREST assessor information. 

  • Who has access to view an MSW's Horus account?