The Public Health Assessment Centre is 190 minutes in length and there are 3 component parts:

• A critical thinking paper (Watson Glaser).
• A numerical reasoning paper Rust Advanced Numerical Reasoning Appraisal (RANRA).
• Situational Judgement Test (SJT) paper.

What's in the Situational Judgement Test (SJT) Paper?

Aims of the Situational Judgement Test (SJT) paper

A Situational Judgement Test (SJT) is an assessment method which measures how a candidate believes they should behave when posed with a challenging professional dilemma.

The Situational Judgement Test (SJT) paper is not a test of knowledge of problem-solving ability, but rather aims to assess professional attributes (domains or competencies) which are considered to be important for successful progression through training and performance in one’s job role. There is no negative marking used.

Number of questions

The Situational Judgement Test (SJT) paper has 53 questions.

Context and setting

As the Situational Judgement Test (SJT) is a measure of aptitude for entry to specialty training, it is set within the context of the Specialty Training programme with the candidate assuming the role of a Public Health Specialty Registrar.

Although you are asked to assume the role of a Public Health Specialty Registrar, each scenario is reviewed by Subject Matter Experts (SMEs) to ensure that the scenario does not contain any knowledge of procedures or policies that would only be applicable in certain localities or that are very UK-specific, as this would disadvantage certain candidates (such as International Medical Graduates).

To ensure the Situational Judgement Test (SJT) paper is relevant to those applying from any relevant background, and to increase the overall face validity of the test, the blueprint also requires that items are based within a range of contexts and situations that a Public Health Specialty Registrar would realistically find themselves in. Therefore, there is a mixture of items based in a variety of placements.

Even where a setting is specified in the question, this has only been chosen to provide a context. The judgement required to answer the question is not specific to that setting.

Target domains

The Situational Judgement Test (SJT) covers 4 core competencies.

Professional integrity

Behavioural indicators linked to this competency.

  • Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality)
  • Capacity to take responsibility for own action
Coping with pressure

Behavioural indicators linked to this competency.

  • Capability to operate under pressure and awareness of own limitations
  • Demonstrates initiative and resilience to adapt and respond to changing circumstances, timescales, organisational structures and systems
Managing others and team involvement
  • Capacity to work effectively in partnership with others and demonstrate leadership where appropriate
  • Demonstrates a facilitative, collaborative approach and respects others’ views
  • Demonstrates capability and willingness to work in multi-disciplinary teams and respects multi-agency contribution to health
Communication Skills
  • Capability to communicate effectively in written and spoken English to a wide variety of audiences, adapting language to the situation as appropriate
  • Capability to listen, build rapport, persuade and negotiate with individuals and groups

Item types and formats

There are 53 scenarios in the Situational Judgement Test (SJT) paper. Around half of the questions ask candidates to rank options in order and the other half are multiple choice. There is no negative marking, so you should attempt to answer all questions.

Responses to scenarios are usually actions taken to address the situation. Response options will be realistic, and the "best response" will always be included. For scenarios where you are asked to consider the appropriateness of actions (whether ranking or multiple choice), there will be a mixture of good, acceptable and poor responses to the situation, as judged by the Subject Matter Experts (SMEs). Completely implausible responses are not included as options.

Glossary

Audit

A systematic process for obtaining evidence and evaluating it according to pre-determined criteria.

Board Members/Board of Directors

Senior individuals responsible for setting an organisation’s strategic aims, providing leadership, supervising the management of the organisation and reporting to shareholders.

Business Case

A justification for undertaking a project or programme, which evaluates the benefits, costs and risks of alternative options, and provides a rationale for the preferred solution.

Chief Operating Officer (COO)

A member of senior management responsible for overseeing and identifying the daily operational strategy of an organisation and its various departments.

Contact/identified contact

Individuals who have been identified as having contact with someone with an infectious illness within a designated time frame.

Coroner

An independent judicial office holder, appointed and paid for by the relevant Local Authority to hear evidence to determine the causes or circumstances of someone’s death.

Director of Public Health

 

 

The most senior member of the Public Health team, with overall responsibility for Public Health services and staff within an organisation.

Discharge arrangement

The plan created when a patient leaves hospital, identifying the services and support they may need.

Divisional Manager

A key position within a hospital’s senior leadership team structure. They are responsible for the management of a group of services.

Domestic violence

Any incident or patterns of incidents of controlling, coercive, threatening behaviour, violence or abuse between those aged 16 or over who are, or have been, intimate partners or family members.

Educational Supervisor

A trainer who is responsible for the overall supervision and management of a specified trainee's learning and educational progress.

ePortfolio

A digital collection of course or training related work.

Fuel Poverty

A household is considered to be in fuel poverty if it has above-average energy costs, and if paying those costs would push the household below the poverty line in terms of remaining income.

General Practitioner (GP)

Doctors who treat all common medical conditions and refer patients to hospitals and other medical services for urgent or specialist treatment.

Health Protection Policy

 

A document outlining guidance on outbreaks of infectious diseases and environmental incidents that may harm health.

Health Protection Team

Responsible for dealing with outbreaks of infectious diseases and environmental incidents that may harm health.

Hot desk/Hot desk policy

A set of shared desks in an office environment and the set of rules or guidelines that govern their use by enabling employees to book desks on a flexible basis.

Human Resources (HR)

The department of an organisation responsible for managing the employee life cycle, workforce planning, organisational policies and compliance with labour laws.

Information Governance Policy

An organisational policy that sets out how information can be securely stored, effectively managed and lawfully used.

Integrated Care System (ICS)/ ICS Board

An NHS organisation responsible for developing plans to support meeting the health needs of the population.

Learning outcomes

Statements that describe core elements of learning that a registrar will be required to obtain whilst in training.

Legal highs

Psychoactive drugs that contain various chemical ingredients, some of which may be legal.

Local Authority

An organisation that is officially responsible for all the public services and facilities in a particular area.

Local ethics committee

Groups that evaluate and provide guidance on ethical issues within specific communities or organisations.

Measles

A viral infection that spreads between people very easily, typically characterised by cold-like symptoms followed by a rash.

Meningitis/ Meningitis C

An infection of the protective membranes that surround the brain and spinal cord.

Multi-agency

Several different organisations working together towards a shared aim or goal.

Multidisciplinary team

A group of professionals from various disciplines who collaborate to provide comprehensive care for patients.

National Health Service (NHS)

The publicly funded healthcare system in the United Kingdom.

NHS Trust

An organisational unit within the NHS, generally serving either a geographical area or a specialised function.

On-call rota

A document that sets out responsibilities for responding and managing urgent enquiries / incidents both during business hours and out of hours (evenings and weekends). This may be clinical or managerial in nature.

 

Performance appraisal

An evaluation of an employee’s work performance over a designated period of time.

Primary Care Organisation

Organisation with responsibility for the planning and securing of health services (primary & secondary care) and improving the health of a local population.

Programme Manager

An experienced, middle-grade public health specialist, who would typically have two or three public health practitioners reporting to them, and who themselves would be line-managed by a public health consultant. 

Prophylaxis

The treatment given or action taken to prevent disease.

Providers

Organisations who have been commissioned under a contract to provide specific health and care support and/or interventions. This can be preventative or treatment. Examples might include a community group providing weight management services, a mental health helpline, a hospital, or care home.

Public Health Lead

The principal advisor on all health matters to elected members and officers of a Local Authority. Reports to Director/Consultant of Public Health.

Reasonable adjustment

Changes or modifications made by an employer to remove or reduce disadvantage related to someone’s experience of disability or neurodiversity.

Salmonella

A common bacterial disease that affects the intestinal tract, usually transmitted via contaminated water or food.

Sexual Health Needs Assessment

A systematic method for reviewing the sexual health needs of a population, this might include contraceptive services, treatment services for sexually transmitted infections and termination of pregnancy services.

Smoking cessation

A service which encourages users to stop smoking.

Split post

A working arrangement whereby an employee’s hours are split between two or more organisations or departments.

Steering Group

A group of individuals that use their experiences, skills and knowledge to share the decision making.

Tonsillectomy

Surgery to remove tonsils.

Training Programme Director

Individual who has an overall responsibility for the Public Health training programme in a region.

Tripartite meeting

A meeting between three parties.

Warm Spaces

Public places where people can spend their time to keep warm at no extra cost.

Wash regime

A specialised schedule of washing and personal hygiene aimed at treating and limiting the spread of infections.

UK Health Security Agency

A government organisation responsible for protecting the public’s health from infectious diseases and environmental hazards.

Item development

A team of item writers develop new content year on year. Some of this content is then piloted alongside the tests used live.

The development process is summarised below:

Item writing
  • Development of content by Subject Matter Expert (SME) item writers
Item review
  • Review of content by Work Psychology Group (WPG) item writing experts
  • Review of newly written items conducted by Subject Matter Experts (SMEs)
Concordance
  • Identification of levels of agreement between experts on the scoring key for each item, where Subject Matter Experts (SMEs) complete the items from a Public Health Specialty Registrar perspective
Piloting
  • Finalisation of content, including language review to ensure fairness for all candidates
  • Piloting of content alongside operational test
  • Psychometric review of item performance
Operational use
  • Scenarios which have performed well will be transferred to the operational bank
  • Psychometric analysis is conducted annually to ensure the robustness of the test

Scoring process

Situational Judgement Test (SJT) scenarios are scored against pre-determined keys that have been determined throughout the development process. This means the scoring of the test is standardised and fair to all candidates.

Scoring ranking scenarios

The items in the ranking section (Part 1) require you to rank a series of options in response to a given situation. Answers are marked by comparing your response to the pre-determined key. The closer your response is to the pre-determined key; the more marks are awarded. You do not need to get every option in the same order as the pre-determined key to obtain a good score on an Situational Judgement Test (SJT) item. Given that there is no negative marking, and the way the scoring convention works, it is strongly recommended that all questions are attempted.

Scoring multiple choice scenarios

The items in the multiple-choice section (Part 2) require you to select 3 response options from a minimum of 8 possible responses, which together are the most appropriate response to the given situation. As with ranking items, answers are marked by comparing a candidate’s response to the pre-determined key. There is no negative marking therefore it is recommended that all questions are attempted.