Types of Interventions
The Quality Team aims to support the management of Education and Training concerns in a number of ways. Should a concern be deemed high risk through the risk management process outlined above, there are a number of interventions available to support improvements:
To provide an urgent response to suspected significant concerns.
To focus on the quality of a clinical learning environment; usually involves face-to-face or virtual meetings with learners and supervisors (and members of an organisation’s senior team where appropriate).
Senior panel members; subjects experts; external input; other input as appropriate.
Rapid action; raise awareness of concerns, usually at the provider’s executive/board level.
To explore an education and training programme at a local / regional level.
Meeting(s) covering the whole ‘geography’ of a programme; face-to-face ‘focus group’ approach with learners (and sometimes supervisors).
Small team with clinical input led by senior clinical faculty (managing potential conflicts of interest where the programme faculty is involved).
Understanding of common concerns across multiple sites and where there are site-specific issues; allows comparison of quality across a local / regional patch.
To clarify concerns from learners’ and/or supervisors’ perspectives within a specific, clinical learning environment, especially if concerns may be contentious.
One-to-one as a ‘drop in’ clinic; group meeting(s); virtual or face-to-face.
Engagement with learners and/or supervisors. Identifies and clarifies concerns (and good practice where appropriate)
To escalate concerns and seek senior support and engagement for resolution.
Engagement meeting between placement provider leads and senior HEE education and quality leads.
Improve Senior Leader engagement with education and training where there is evidence that this is at risk; improves relationships and educational outcomes.
Varies in approach but expert/specialty advice; externality and objectivity and often involves sharing best practice.
Engagement with placement providers; demonstrates HEE’s commitment to quality; improves relationships; allows for regional and local flexibility
Sharing Good Practice/Peer Review
Identification and dissemination of good practice via networks/events; establishing links and networks to allow providers to learn from one another.
Engagement with clinical placement providers; demonstrates HEE’s commitment to quality; improves relationships.