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Professor Wendy Reid, Executive Director of Education & Quality and National Medical Director, HEE "The quality of education and training experienced by healthcare learners today, will have a direct impact on the quality and safety of patient care now and for many years to come. It is why HEE and our partners are passionate about ensuring the highest quality learning environments across all health and care settings."

In 2016, HEE published its first Quality Strategy and Quality Framework.  We have continued to learn and improve how we drive continuous quality improvement, responding with agility and flexibility to the changing landscape of education and training.  Over the last year, we have worked in collaboration with partners and stakeholders to refresh the HEE Quality Strategy and Framework.  Both align with the newly launched HEE Operating Model and our strategic goal for quality ‘to assure and deliver, with partners, quality education and training that is rigorous, highly sought after and future focussed. HEE will listen to healthcare learners and work with partners to make lasting improvements to education and training’


As a learning organisation, we continue to develop and evolve our strategic approach to quality in healthcare education and training to help the NHS to deliver the workforce of the future. The strategic aims set out in this living document drive our approach to continuous improvement in quality. They help to ensure that education environments are inclusive, safe and promote the wellbeing of our learners and those who support and educate them, in turn facilitating high quality training and the delivery of safe, effective and compassionate patient care

Dr Navina Evans. Chief Executive, Health Education England

The National Education and Training Survey

The most recent National Education and Training Survey (NETS) closed on Tuesday 30 November.  The interactive NETS Reporting Tool is now available here alongside a series of high-level professional and regional reports.

The NETS is the only national survey open to all undergraduate and postgraduate students and trainees undertaking a practice placement or training post in healthcare as part of their education and training programme.

The survey gathers opinions from students and trainees about their time working and training in practice placements and training posts, asking them to provide feedback on what worked well and what they think could be improved. Every survey response, across every profession and location, counts and helps to improve the experience of current and future students and trainees.

HEE Quality Interventions Review Reports can be found here - https://www.hee.nhs.uk/our-work/quality/quality-review-reports-0

The HEE 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 HEE 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.

HEE has developed a pathway for students and trainees to raise, and where appropriate, escalate concerns. The pathway encourages learners to utilise local mechanisms within the placement/training post learning environment initially, escalating to pathway two and three if they continue to be concerned or they feel the pathway is inappropriate for their individual concern.

This pathway is not intended to replace local Serious Incident reporting, rather it adds an additional layer of support for students and trainees should they continue to have concerns.


To view the HEE Supporting and Escalating Concerns Pathway click here.


Freedom to Speak Up Guardian -
Freedom to Speak Up is about encouraging a positive culture where people feel they can speak up and their voices will be heard, and their suggestions acted upon.

There may be many ways to speak up within your organisation.

Speaking up may take many forms. It could be a quick discussion with a line manager, a suggestion for improvement submitted as part of a staff suggestion scheme, raising a matter with a Freedom to Speak Up Guardian, or bringing an issue to the attention of a regulator.

You can speak up anonymously, confidentially, or openly. Find out more here.

You can find your Freedom to Speak Up Guardian here.


Information on the National Education and Training Survey (NETS) can be found here –


Education and training element should be incorporated into service commissioning processes. The principles and guidance on this can be found in the Impact Assessment on Educational Opportunities


Visit our National Education and Training Survey (NETS) page to complete the survey or find out more.

Visit the NETS page
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