Our Practitioner Performance Advice service (Advice) has published its latest Insights paper: Trends from Practitioner Performance Advice’s support of the management of exclusions in England.
This annual publication represents our commitment to provide guidance to inform decisions around exclusion.
Key headlines:
- While the number of exclusions per year has remained broadly consistent over the five-year reporting period, the duration of exclusions has decreased.
- Consistent with previous years’ analysis, groups of doctors and dentists who are statistically more likely to be excluded are male, aged 65 and over or from Asian or Asian British, Black or Black British or Mixed ethnic groups.
- This year we have included analysis around place of qualification and found those who qualified outside the UK and European Economic Area (EEA) were statistically more likely to be excluded.
- For exclusion episodes which began and concluded between 2019/20 to 2023/24, 29% of practitioners returned to clinical practice on a restricted basis, with 18% returning to unrestricted practice. In 30% of episodes the exclusion ended when the practitioner left the organisation and 23% concluded for a different reason, including the practitioner’s move from exclusion to sick leave.
Why are we sharing this?
We invite healthcare organisations to consider the findings and how you engage with Advice with regards to the following:
- Do you contact Advice when considering exclusion? Whether exclusion is being considered or not, there is no threshold for contacting us, nor any restriction on contacting Advice in only those cases where formal procedures are invoked. 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.
- Has your organisation adopted the exclusion resources made available by Advice to support best practice in the consideration and ongoing management of exclusions?
- Could your organisation benefit from the training courses provided by Advice to improve the knowledge and skills required to manage exclusions and investigations?
- If you are interested in discussing your organisational activity report to reflect on themes and trends in your cases over time, please contact us at: nhsr.casesupport@nhs.net.
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.
