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Scotland Deanery

Scotland - home of medical excellence

Trainer Information

Our Processes

Quality Review Panels

The annual Quality Management-Quality Improvement (QM-QI) cycle for each specialty grouping starts with a review in August/September of all new Quality Management data. This includes information & intelligence for training in each specialty for the training year ending in July. This event is the specialty Quality Review Panel (QRP). The QRP is organised by the Specialty Quailty Management Groups (sQMG).

QRPs are chaired by the Lead Dean Director (LDD) for the specialty grouping; membership includes that of the sQMG but also the chair of the associated Specialty Training Board (STB) and a Director of Medical Education (DME). Occasionally Training Programme Directors (TPDs) participate in sQMGs where it is unlikely that Associate Postgraduate Deans (APGDs) can bring the requisite intelligence around training in particular specialties. QRPs are tasked with:

  • identifying areas of potential good practice in education and training
  • identifying Local Education Providers (LEPs) where there are potential signals of concern around training environments that maybe failing to meet GMC standards and where a ‘triggered visit’ may be required.
  • gathering more information, typically from the TPD or from the DME, to inform the necessary response.

Sources of data, information & intelligence that are considered by sQMGs at their QRPs and throughout their annual quality cycle include but are not limited to: GMC National Trainee Survey (NTS), NES Scottish Trainee Survey (STS), DME Reports, TPD Reports and Notifications of Concern.

The action output resulting from QRPs are managed through the appropriate sQMGs.

QRP paperwork template (with example data set)

QRP output summary doc.

QRP Standard Operating Procedures doc.


Deanery QM-QI visits to LEPs

Why does the Deanery conduct visits?

  • NHS Education for Scotland and its postgraduate deans are accountable for managing the delivery of postgraduate training to standards required by the regulator - the General Medical Council (GMC). 
  • By conducting visits to Health Boards/LEPs the Deanery can assess the quality of the postgraduate medical education and training environment.
  • Conducting visits can help ensure a consistent delivery of national and NES policies and standards.

It is intended that all QM-QI visits that are conducted will be undertaken jointly with input from Medical Schools to provide an assessment of both undergraduate and postgraduate medical education and training at sites (where appropriate and relevant to do so). When joint visits are conducted there will be additional panel members supplied by Medical Schools to support the assessment of undergraduate training).

Deanery QM-QI visits can be broken down into four categories:

1. Schedule visit - Scotland Deanery is committed to undertaking a cycle of routine or scheduled visits whereby all posts within LEPs that deliver specialty training will be visited, to assess the quality of training they deliver, at least once per 5 years. The sQMG is responsible for determining the schedule for these routine visits.

2. Triggered visit - The sQMG will consider various sources of data and intelligence throughout the annual quality cycle. When potential concerns around the quality of training that is provided have been signalled by any of the sources of data, the sQMG may decide to undertake a “triggered” visit. Most of these decisions will be made at the QRP, but the need to undertake triggered visits can arise at any time in the training year.

3. Immediate Triggered visit - Conducted at shorter notice, typically, because of a patient or trainee safety concern.

4. Enhanced Monitoring visit - Enhanced monitoring is a GMC process, whereby the GMC provides support to Deaneries to improve the quality of training in a training environment through participation of 2 members of the GMC team in these visits that are managed by the Deanery. The enhanced monitoring process and the issues that necessitate escalation to enhanced monitoring are described here.