Today our Practitioner Performance Advice service (Advice) has published its annual practitioner characteristics Insights paper: Demographics, professions and concerns: Patterns in Practitioner Performance Advice cases with a focus on IMGs.
This Insight looks at 3,645 practitioners for whom we received a request for advice over a five-year period from April 2019 to March 2024 and provides an update of our publication from last year.
Consistent with last year’s analysis, we found that international medical graduates (IMGs), those from an ethnic minority background and practitioners who are older or male, continue to be overrepresented in concerns reported to us by employers and contracting bodies. This year’s analysis shows that behaviour/misconduct features in 73% of the cases, which has not changed substantially from last year’s findings of 70% of cases involving this type of concern.
In this year’s Insights paper, Advice have provided additional analysis focusing on casework involving IMGs, finding that IMGs appear overrepresented in GP training grades and there are higher proportions of cases for IMGs who have been in a role for under one year.
Why are we sharing this?
By sharing this Insight, we invite healthcare organisations to consider these findings, the ways in which you can support the fair and effective resolution of concerns within your organisation and how you can engage with Practitioner Performance Advice with regards to the following:
- If you are responsible for the management/oversight of concerns about individual clinicians at a secondary care trust, you can request an organisational activity report (OAR) to support managing and resolving individual and team performance concerns fairly and effectively.
- If you are interested in discussing your organisational activity report to reflect on themes and trends in your cases over time, please contact nhsr.casesupport@nhs.net
- We ask senior leaders of healthcare organisations to consider using and signposting practitioners to NHS Resolution’s Advice service to provide impartial advice. This enables a fair and effective application of the healthcare organisation’s own local performance management, associated procedures and good practice in relation to local case management and investigation.
Do you contact Advice early enough?
Earlier involvement of Advice may lead to earlier resolution. There is no threshold for contacting Advice, nor any restriction to only involve Advice in ‘formal’ cases. For more information on formal and informal case management, please see our Expert View Insight from Sally Pearson, our Responsible Officer and HPAN Lead at NHS Resolution.
Our resources
You can access other publications in our Insights series which cover a wide range of subjects, from behavioural assessments to Professional Support and Remediation action plans.
If you are interested in hearing more about our research and insights programme, please get in touch with us at nhsr.adviceresearchandevaluation@nhs.net or sign up to receive Insights by email.
