Primary Care Quality Management and Assurance

Health Education England (HEE) is responsible for the quality assurance of education and training of healthcare learners in England. Training Hubs are accountable to the Primary Care Dean for quality assurance, which is included in the Training Hub Operating Guidance as a core function. In Kent, Surrey and Sussex, the GP School is responsible for the approval and quality assurance of GP Supervisors. The Primary Care Quality Team coordinate quality processes. Information about Clinical Learning Environments and regulator statements can be found at the bottom of this webpage.


In Kent, Surrey and Sussex Primary Care, the quality of education and training is governed according to the following guidance.

Primary Care Quality Governance
Governance of Clinical Supervisor approvals

Quality Management

In Kent, Surrey and Sussex Primary Care, quality is managed with the use of these processes.

Quality Management Toolkit
Quality Management Flowchart
Quality Management Forum Terms of Reference

Triggered Quality Assessments

Triggered quality assessments (TQA) are done when a threshold has been reached, as explained in the Quality Management Toolkit. Examples of triggers are an ‘inadequate’ or ‘requires improvement’ overall CQC rating, or a breakdown in supervisor/learner relationship. The documents below explain the process and the form.

Quality Management Flowchart
Triggered Quality Assessment Form Guidance
Triggered Quality Assessment Form
Intensive Support Framework Guidance

Clinical Learning Environments

In Kent, Surrey and Sussex, Clinical Learning Environments (CLE) in primary and community care are approved by the Training Hubs in collaboration with Higher Education Institutions and coordinated by the Primary Care Quality Team. The documents below explain the process and the form.

Clinical Learning Environment Approval Process
Clinical Learning Environment Form

GMC Regulator Statement
NMC and HCPC Regulator Statement
Council of Deans Statement

GP Integrated Training Posts

GP Integrated Training Posts are planned by GP Training Programme Directors, who can download an ITP approval form the following webpage: GP Integrated Training Posts.

Please email for questions.