Recurring concern
Unreliable supervision and competence assurance for trainee medical staff
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Request correctionFirst reported 26 Jan 2016•Latest report 13 Jan 2025
What this concern includes
Includes failures in arrangements that select or verify suitable mentors or supervisors, document trainee experience and competence, and maintain reliable supervision and competence assurance as trainees move between training providers or hospital trusts.
Not included
- Excludes general clinician credentialing or verification before independent practice where the concern is not trainee supervision or training-stage competence assurance.
- Excludes generic staffing, training or education deficiencies without a direct trainee medical-staff supervision or competence-assurance connection.
- Excludes failures limited to the quality of clinical care after a trainee has received suitable supervision and competence assurance.
- Excludes ordinary disagreements about mentor preference or trainee progression where no continuing failure in the supervision or competence-assurance process is identified.
- Reports
- 3
- Individual concerns
- 3
- Date range
- 2016–2025
- Stated actions
- 3
Distinct published reports
A report can raise multiple concerns
First to latest report issue date
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
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Concerns raised1
Lack of a mechanism to evidence trainees' experience and competence across hospital trusts
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
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Action
Share trainee competence and support information in local faculty group meetings.
Stated by Birmingham Women'S and Children'S NHS Foundation Trust -
Action
Require trainers to discuss trainee competence and support with the named educational or clinical supervisor before procedures or treatment.
Stated by Birmingham Women'S and Children'S NHS Foundation Trust -
Action
Communicate strengthened trainee oversight arrangements to consultants and monitor them through postgraduate education governance.
Stated by Birmingham Women'S and Children'S NHS Foundation Trust
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Concerns raised1
Lack of assured general surgical competence in out-of-hours cover
This report raised 14 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
NHS Improvement, NHS England, and the Care Quality Commission, working with the Trust and commissioners, were responsible for ensuring appropriate action.
Stated by Department of Health and Social Care
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Concerns raised1
Failure to ensure the suitability of mentors for trainee medical staff
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
Data last updated 7 September 2026