Enhancing the experience of doctors - new reports from HEE


Health Education England (HEE) has published two new reports setting out their commitment to improve the experience of doctors across the NHS through enhanced supervision and better support for transition in and out of foundation training.

We encourage employers to review both reports and understand the impact this will have on how they deliver training and support supervision.

Foundation programme review

The foundation programme review Supported from the start; ready for the future outlines the commitment from HEE and partners to improve the transition from medical school to foundation training and from foundation to specialty, as well as addressing geographical issues and widening access to undergraduate study in medicine.

The foundation review sets out 16 draft recommendations, some of which will impact the way that employers deliver training. Key recommendations that employers need to be aware of include the following.

  • HEE will work with NHS Employers to develop a foundation doctor charter defining how Local Education Providers (LEPs) will support foundation training, including best practice and minimum standards.
  • HEE will preferentially distribute the 1500 foundation doctor training places in the geographies where the NHS most needs them.
  • Senior trainees should be encouraged to take on the role of mentors. Trusts should develop this based on successful local ‘good practice’ schemes.
  • LEPs must ensure that foundation supervisors are valued and have appropriate training and skills and specific time allocated for their roles.
  • HEE will engage with key stakeholders to assess how foundation doctors can be given time in the working week for professional self-development.

NHS Employers looks forward to working with HEE to develop a charter and to further consider how foundation doctors can access time for professional self-development in their job plan, particularly for foundation year 2 trainees.

Download the full report and list of recommendations from the HEE website. Please get in touch with the medical pay and workforce team if you have any comments by emailing MedicalWorkforce@nhsemployers.org  

Enhancing supervision

The supervision report, developed by HEE in collaboration with the Care Quality Commission and NHS England and Improvement, highlights the importance of good supervision, what effective and ineffective supervision looks like and outlines the roles and responsibilities of all those involved.

The report is complemented by a suite of resources which demonstrate examples of good practice, including top tips and videos to ensure effective supervision is delivered to all doctors. These resources will be particularly helpful for trainees, trainers and supervisors as well as educational leads and those who oversee the supervision process.

Download the report and resources from the HEE website.

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