Monitoring mandatory requirements should be specific, measurable, achievable, realistic and timebound (SMART). They must only include the core items needed to meet the standard. Anything else should be written as a recommendation.
Any mandatory requirements made by the approval panel will be monitored by the primary care Training Hubs (PCTH). They should follow up any actions and notify the NHSE WT&E primary care department quality team of any completed requirements through the clinical learning environment (CLE) spreadsheet.
Annual self-assessment CLEs are approved following ratification by the KSS primary care school as part of the wider NHS England education quality governance.
Clinical learning environments have a responsibility to report any significant changes or learning environment concerns to the PCTH, in a timely manner. The approval is subject to an annual self-assessment which involves the completion of the annual self-assessment CLE and supervisors form.
The purpose of the annual self-assessment is part of NHSE’s ongoing educational quality monitoring processes, and should include:
- clinical learning environment information, for example educational lead contact, sites and addresses, remain up to date
- any changes to the learning environment or any quality concerns of the organisation and/or supervisors in the past year are documented in one place KSS clinical learning environment standard operating procedure
- a review of any mandatory requirements and that these have been met
- a current list of approved GP supervisors within the organisation (which replaces the supervisor re-accreditation process)
- an organisational declaration confirming the CLE and supervisors working within it continue to meet the standards of the NHS England quality framework
The annual review is initiated directly by the Kent, Surrey and Sussex primary care Workforce, Training and Education quality team. They track CLE approval dates and annual review dates in the CLE database.
CLE documents are held centrally in NHS England’s SharePoint site. The educational lead of the CLE will complete the annual self assessment document, and the PCTH clinical lead for the relevant locality will complete the remainder of the form.
The CLE is reapproved on the date that this is completed.
The PCTH should notify the primary care quality team of the review completion, in planner so that the PCQT can update the CLE tracker and send a link to the updated annual review document back to the clinical learning environment.
The PCTH will communicate the outcome of the review to any higher education institutions with a stake in the CLE approval through its database.
Organisational changes organisational split and mergers If approved sites in an approved organisation separate or merge, then this should result in an expedited annual self-assessment form for all organisations involved.
If CLE/supervisor concerns are identified during or following these changes, this should then be discussed at the quality management forums (QMF) and may trigger a TQA or initiate a full CLE approval process for the organisations involved. Information from original CLE forms may be recycled where this continues to be relevant in the new organisation.