Workforce, training and education
East Midlands

Midlands Quality Team

The East and West Midlands Quality Teams work together to support the Midlands region, ensuring the quality of training and education. The Midlands Quality Team support the National NHSE WT&E strategic goal for Quality ‘to assure and deliver, with partners, quality education and training that is rigorous, highly sought after and future focussed. NHSE WT&E will listen to healthcare learners and work with partners to make lasting improvements to education and training’.

Quality Strategy and Framework

The Quality Framework applies to the quality of all healthcare education and training of all learners across all clinical learning environments within which they are placed. The Quality Framework underpins the Quality Strategy and clearly outlines the quality standards we expect of clinical learning environments, safeguarded through the NHS education contract.

You can find the full Quality Strategy and Framework, as well as wider details, on the NHSE WT&E National Quality website.

Quality Improvement

Emerging Concerns

The Midlands Quality team monitor and analyse intelligence received from a range of sources regarding the quality of clinical learning environments for healthcare learners. These sources include intelligence from internal and external stakeholders, the GMC National Training Survey (NTS) and National Education and Training Survey (NETS) data as well as by raising concerns directly to the Quality Team.

You can find out the process for raising a concern, including the contact details for the Quality Team here.

Where concerns are identified, these are risk assessed using the NHSE WT&E Intensive Support Framework. The Intensive Support Framework (ISF)  is designed to enable the categorisation of concerns and provide support to address them. The ISF facilitates a graded approach to reporting and support, with strong collaboration and partnership working between quality teams, providers, specialty schools, programme leads and other relevant stakeholders in line with the Quality Framework.

The framework underpins our policy on the suspension of postgraduate medical training in relation to serious concerns.

The Emerging Concerns protocol provides a process for health and social care organisations and regulators to share information that may indicate risks to people using services, their carers, families or professionals. The protocol strengthens existing arrangements, providing a clear mechanism for raising concerns and ensuring a collaborative approach to any proposed actions.

Good practice

As well as offering support where quality education and training is not meeting the requirements set out in the Quality Strategy and Framework the Midlands Quality Team is also committed to improving quality across the clinical learning environment. Identifying and sharing good practice is a fundamental element in achieving high quality education and training as well as safe patient care.

If you have any examples of good practice, then please do share them with us using The Midlands Good Practice Collection Tool. By sharing with us your examples of this will allow us to develop a repository of good practice which can be shared across the HEE network.

Quality Intervention Review Reports

Reports from our Quality Interventions are published on the National NHSE WT&E website and can be accessed here

Contact us

If you would like to get in touch with the Midlands Quality Team please email us at