The inquiry made the point that all organisations responsible for medical education and training have a role to play in protecting patients.
An unsafe, poor quality training environment is clearly one which will impact on the quality of training received by students within it.
Students and trainees need to be encouraged and empowered to speak out about concerns. And organisations should act on those concerns and share information across professional and system regulators.
The health and care system needs to work more collaboratively to share information about the quality of training placements. The new memoranda of understanding and information protocols have been developed between system and professional regulators will help.
At a local level, Quality Surveillance Groups will bring together bodies such as Health Education England and the Care Quality Commission, to share concerns about the quality and safety of care, and agree on appropriate actions.
There will also be a strengthened patient and clinical voice within the education and training system. Health Education England have appointed a medically qualified Director of Education and Quality, and a Non-Executive Director, to represent patients on its board.
The General Medical Council have accepted the spirit of all recommendations aimed at them, and will build these into their review of quality assurance of education, due to report by the end of 2013. They are also carrying out a fundamental review of approved practice settings, due to report in 2014, to determine if this is still fit for purpose.
Recommendation 206The role of the Chief Nursing Officer
Recommendation 207Uniform description of healthcare support workers
Recommendation 208Distinguishing between nurses and healthcare support workers
Recommendation 209Registration for healthcare support workers
Recommendation 210Code of conduct for healthcare support workers
Recommendation 211Training standards for healthcare support workers
Recommendation 212Developing standards for healthcare support workers
Recommendation 213Dismissing unsatisfactory staff following breach of code of conduct