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National Education and Training Survey 2018 - survey results

The National Education and Training Survey (NETS) was launched in November 2018, it was developed to provide an overview of the quality of placements from a learner perspective, across all learner groups. In 2018, 24,000 responses were collected from medical and wider healthcare workforce learners. 

Our definition of quality is:

‘Education and training within a well-led, effectively managed and supportive learning environment that provides opportunities for the current and future healthcare workforce to develop the knowledge, skills, values and behaviours to deliver the highest quality patient care.  By high quality care we mean care that is clinically effective, safe and responsive, provides a positive experience for patients, and contributes to the health and wellbeing of the population.’ 

The Care Act, 2014, outlines HEE’s responsibility for securing continuous improvement in the quality of education and training provided for health care workers; and via this, continuous improvement in the quality of health services. 

NETS18 feedback was in general very positive; there were three themed areas where results could be improved: clinical supervision, facilities and induction. Click below for more information around the three themes.


From the Quality Framework, our expectation for clinical supervision is:

Learners should receive educational and pastoral support to be able to demonstrate what is expected in their curriculum or professional standards to achieve the learning outcomes required.

In NETS 2018 you told us:

75% of learners' supervision during placement was 'Satisfactory', 'Good' or 'Outstanding'.

Find out more about Clinical supervision and some helpful resources

From the Quality Framework, our expectation for facilities is:

The learning environment provides suitable educational facilities for both learners and educators, including space, IT facilities and access to quality-assured library and knowledge.

In NETS 2018 you told us: 

78% of learners access to and availability of library facilities and IT resources were 'Satisfactory', 'Good' or 'Outstanding'.

Find out more about Facilities and some helpful resources

From the Quality Framework, our expectation for induction is: 

Learners receive an appropriate and timely induction into the learning environment.

In NETS 2018 you told us:

86% of learners found inductions and introductions for their placements were 'Satisfactory', 'Good' or 'Outstanding'.

Find out more about Induction and some helpful resources


HEE responsibility

For HEE, the quality of teaching, learning and assessments, particularly in work-based placements, lies at the heart of its responsibility in the NHS and will be of particular importance for the delivery of the NHS Long Term Plan (2019). One key priority within this plan is to support the healthcare workforce through the provision of more clinical placements for undergraduate nurses, training more doctors and increasing routes into the NHS, for example through apprenticeships. The increased number of placements provided for all healthcare learners will need to meet and exceed HEE’s Quality Standards, as set out in the Quality Framework so that healthcare learners are attracted and retained, and able to provide the highest quality patient care. 

NETS has been designed to complement other sources of evidence about the quality of placements, by providing a unique, multi-professional learner perspective. Whilst the survey received many positive responses, some concerns were also raised. 

HEE is responding to learner feedback by launching NETS Campaigns. The objectives of these Campaigns are:-

  • To respond to learner feedback (‘You said… We did…’)
  • To highlight where improvement work is already taking place
  • To share and develop best practice
  • To target further areas for improvement.

Finally, it is anticipated that by showing how responses to the survey are positively influencing placement quality, response rates will also increase. 

We also want to hear from you – contact us if you want to share any initiatives that have improved the quality of your placement.