Raising concerns signposting chart

Issues relating to:

Patient safety

Employment

Training

Clinical Concerns

(See your employer or placement policies eg Freedom to Speak Up, Whistleblowing) Refer to 'Points of Call' graphic

Working time regulations and patterns

See your contract and employer policies eg Less than Full Time, exception reporting)
Refer to 'Points of Call' graphic

Recruitment

Medical Dental Recruitment and Selection Complaints Policy Local: NHSE office National: Lead recruitment office

Patient safety

GMC Guidance

GDC guidance

Always review and raise concern locally to most suitable level first

Employment related grievances/complaints for Doctors & Dentists

(See your human resources and employer policies) Refer to 'Points of Call' graphic

Training and its quality

Quality Escalation policy

Raising concerns about training & revalidation (including complaints)

Refer to 'Points of Call' graphic

Complaints relating to Annual Review of Competency Progression (ARCP) process

NHSE ARCP Appeals Policy

When raising concerns related to training, it may also be helpful to review the regional Yorkshire and Humber regional regarding postgraduate medical and dental training. These are available here.

Points of call

For patient safety concerns

For employment concerns

For training concerns

First point of call

Clinical Supervisor Clinical Lead Medical/Clinical Director

Other people you may want to consider

Freedom to Speak Up Guardian Protect - free, confidential whistleblowing advice line Educational Supervisor Training Programme Director Professional Regulator (GMC/GDC)

First Point of Call

Clinical Supervisor Line Manager/Clinical Lead Employing HR

Other people you may want to consider

Guardian of Safe Working Freedom to Speak Up Guardian Educational Supervisor* Medical Education Teams including College Tutor & Director of Medical Education* Training Programme Director

First Point of Call

Clinical and/or Educational Supervisor College Tutor Training Programme Director Medical Education Manager

Other people you may want to consider

Guardian of Safe Working Director of Medical Education Head of School Associate Dean Dean

*Employment concerns are best raised with the points of call that are related to your employment, for example line manager, clinical lead etc. For employment concerns, educators such as your Educational Supervisor or Medical Education Teams may not be able to directly help with these issues but may be able to signpost to contacts related to your employment and/or other resources that can offer support.'

Please note:

there will be variation among different schools and specialities
always start by raising concerns locally at the first level and if the issue is not sorted, continue escalating upwards
if you are unsure who to direct your concern to, speak to your Educational Supervisor. If you can’t speak to them, talk in confidence to someone you trust about the situation
for information on what these roles entail, you can hover over the name for a brief description
raising concerns can be professionally and personally challenging and so consider obtaining support. The Professional Support Team at NHSE YH can be a place to start