Skip to content
Contents

Maintaining High Professional Standards Framework

Reference: 24-25167

Date response sent: 30/07/2024

Details of enquiry

  1. Please confirm has your Trust adopted the Just Learning Culture in handling of concerns following receipt of Dido Harding’s letter that was sent to all Chairs and Chief Executives of NHS Trusts and NHS Foundation Trusts dated 23 May 2019.
  2. Does your MHPS Procedure set out an informal process to deal with concerns pertaining to conduct/ capability of medical and dental staff, if so please provide details.
  3. Please provide details of what training and support is provided by your Trust to Case Investigators and Case Managers when dealing with MHPS cases.
  4. Please can you confirm if your Trust has a Decision-Making Group and if so please can you confirm who sits on this group/how this is constituted and its remit?

 

Please provide a breakdown of the requested information below for the period from May 2019 to date:

  1. The number of cases of medical and dental staff that were handled and resolved via a Just Culture approach and informal process.
  2. The number of cases of medical and dental staff that were subjected to a formal MHPS investigation.
  3. The number of medical and dental staff that have been formally excluded under MHPS and the duration of the exclusion.
  4. Where medical and dental staff have been formally excluded under MHPS please provide a breakdown of whether this was on grounds of a) a need to protect the interests of patients or other staff pending the outcome of a full investigation, and/or b) the presence of the practitioner in the workplace was likely to impede the gathering of evidence during the investigation?
  5. How many medical and dental staff have been the subject of a formal process in relation to concerns over conduct and performance after they have made a protected disclosure (whistleblowing) following concerns over patient safety or other issues?
  6. Please provide the number of medical and dental staff that were placed on restricted duties and the duration of these restrictions.
  7. Please provide a breakdown of how many of these formal MHPS investigations were:

a. Resolved with no further action due to the concerns not being upheld

b. Resolved via an agreement to proceed through a disciplinary fast track process which avoided the need to proceed to a formal hearing

c. Proceeded to a formal hearing – conduct or capability (provide breakdown)

d. Other outcome – provide details

12. Of the cases that proceeded to a formal hearing please confirm how many of these resulted in:

a. No disciplinary sanction – because the allegation/concerns were not upheld

b. No disciplinary sanction – but ended with a recommendation for additional training/remediation/support

c. A disciplinary sanction – please confirm the level of this sanction (e.g. written warning/final written warning/dismissal)

d. Number of medical staff who appealed the disciplinary sanction and the outcome

e. Other outcome – provide details

11. Please provide length of time from start to finish of each MHPS case.

Response sent

  1. Please confirm has your Trust adopted the Just Learning Culture in handling of concerns following receipt of Dido Harding’s letter that was sent to all Chairs and Chief Executives of NHS Trusts and NHS Foundation Trusts dated 23 May 2019.

We are currently embedding Just Learning Culture into all our policies and procedures.

  1. Does your MHPS Procedure set out an informal process to deal with concerns pertaining to conduct/ capability of medical and dental staff, if so please provide details.

We don’t have a specific MHPS procedure – if we have need to use MHPS, we follow the national guidance (see attached).

  1. Please provide details of what training and support is provided by your Trust to Case Investigators and Case Managers when dealing with MHPS cases.

We have not provided this type of training.  When we’ve had to use case investigators and case managers, they’ve been supported by a member of the People Team.

  1. Please can you confirm if your Trust has a Decision-Making Group and if so please can you confirm who sits on this group/how this is constituted and its remit?

We do not have such a group at present.

Please provide a breakdown of the requested information below for the period from May 2019 to date:

  1. The number of cases of medical and dental staff that were handled and resolved via a Just Culture approach and informal process.

It has been hard to gather data on this, but data held shows it to be 2 doctors who were involved in formal MHPS investigations back in 2022/2023.

  1. The number of cases of medical and dental staff that were subjected to a formal MHPS investigation.

Zero

  1. The number of medical and dental staff that have been formally excluded under MHPS and the duration of the exclusion.

Zero

  1. Where medical and dental staff have been formally excluded under MHPS please provide a breakdown of whether this was on grounds of a) a need to protect the interests of patients or other staff pending the outcome of a full investigation, and/or b) the presence of the practitioner in the workplace was likely to impede the gathering of evidence during the investigation?

Not applicable

  1. How many medical and dental staff have been the subject of a formal process in relation to concerns over conduct and performance after they have made a protected disclosure (whistleblowing) following concerns over patient safety or other issues?

Nil return

  1. Please provide the number of medical and dental staff that were placed on restricted duties and the duration of these restrictions.

Nil return

11. Please provide a breakdown of how many of these formal MHPS investigations were:

a. Resolved with no further action due to the concerns not being upheld

Two

b. Resolved via an agreement to proceed through a disciplinary fast track process which avoided the need to proceed to a formal hearing

Zero

c. Proceeded to a formal hearing – conduct or capability (provide breakdown)

Zero

d. Other outcome – provide details

Zero

  1. Of the cases that proceeded to a formal hearing please confirm how many of these resulted in:

a. No disciplinary sanction – because the allegation/concerns were not upheld

Not applicable

b. No disciplinary sanction – but ended with a recommendation for additional training/remediation/support

Not applicable

c. A disciplinary sanction – please confirm the level of this sanction (e.g. written warning/final written warning/dismissal)

Not applicable

d. Number of medical staff who appealed the disciplinary sanction and the outcome

Not applicable

e. Other outcome – provide details

Not applicable

  1. Please provide length of time from start to finish of each MHPS case.

Case 1 = 4 months, Case 2 = 6 months

  1. For all of the above requested information we are seeking a breakdown of this information by ethnicity, gender, grade (Consultant, SAS, Junior Doctor, LED), specialty, whether Full Time /Less than full time, and country of primary medical qualification.

Please note that due to the very low number of cases we are unable to provide incremental details on the individuals as this could lead to triangulation of data and could lead to identification of the individuals concerned.

 

  1. Please can you provide an overall breakdown of the make-up of your medical and dental staff.

This is provided in the table below.  Please note that in order to preserve the identify of individual member of staff, we are not able to confirm the area of work of the individuals featured.

ID No Ethnicity Gender Position Title (Grade) F/T or LTFT? Country of Primary Medical Qualification
1 L Asian or Asian British – Any other Asian background Female Locum Consultant Child and Adolescent Psychiatrist (CAMHS) LTFT United Kingdom
2 C White – Any other White background Female Specialty Registrar, C&F (StR) LTFT Poland
3 K Asian or Asian British – Bangladeshi Female Specialty Registrar ST5 LTFT Republic of Ireland
4 L Asian or Asian British – Any other Asian background Male Consultant Psychiatrist LTFT Japan
5 C White – Any other White background Female Specialty Registrar, C&A Psychiatry (StR) LTFT United Kingdom
6 H Asian or Asian British – Indian Female Specialty Registrar ST5 F/T India
7 A White – British Female Consultant Psychiatrist F/T United Kingdom
8 C White – Any other White background Male Clinical Lead Consultant F/T United Kingdom
9 C White – Any other White background Female Specialty Registrar F/T Croatia
10 C White – Any other White background Female Specialty Registrar, C&F (StR) LTFT United Kingdom
11 H Asian or Asian British – Indian Female Consultant F/T India
12 H Asian or Asian British – Indian Male Consultant LTFT United Kingdom
13 L Asian or Asian British – Any other Asian background Male Consultant Child & Adolescent Psychiatrist LTFT United Kingdom
14 C White – Any other White background Female Speciality Registrar -ST7 F/T Lithuania
15 A White – British Male Doctor in Gender Identity LTFT United Kingdom
16 A White – British Male Consultant Psychiatrist F/T United Kingdom
17 C White – Any other White background Female Specialty Doctor in Gender Identity LTFT Greece
18 A White – British Female Consultant C&A Psychiatrist LTFT United Kingdom
19 A White – British Female Consultant Child and Adolescent Psychiatrist LTFT United Kingdom
20 A White – British Female Specialty Doctor in Gender Identity LTFT United Kingdom
21 A White – British Female Specialty Doctor LTFT United Kingdom
22 B White – Irish Female Consultant C&A Psychiatrist LTFT Republic of Ireland
23 R Chinese Female LAS ST4 Child and Adolescent Psychiatry LTFT China
24 A White – British Female Specialty Registrar F/T United Kingdom
25 Z Not Stated Male Consultant C&A Psychiatrist LTFT United Kingdom
26 L Asian or Asian British – Any other Asian background Female Consultant LTFT United Kingdom
27 H Asian or Asian British – Indian Female Consultant Psychiatrist in Psychotherapy LTFT United Kingdom
28 S Any Other Ethnic Group Female Specialty Doctor in Gender Identity F/T United Kingdom
29 H Asian or Asian British – Indian Female Consultant Psychiatrist in Psychotherapy LTFT United Kingdom
30 B White – Irish Female Deputy Chief Medical Officer LTFT Republic of Ireland
31 G Mixed – Any other mixed background Male Consultant Psychiatrist LTFT United Kingdom
32 A White – British Female Consultant Psychiatrist F/T United Kingdom
33 S Any Other Ethnic Group Female Specialty Registrar LTFT United Kingdom
34 B White – Irish Female Consultant C&A Psychiatrist LTFT United Kingdom
35 C White – Any other White background Male Specialty Registrar, C&F (StR) F/T United Kingdom
36 C White – Any other White background Male Consultant Child and Adolescent Psychiatrist LTFT South Africa
37 A White – British Female Specialty Doctor F/T United Kingdom
38 A White – British Female Consultant Psychiatrist in Psychotherapy (Locum) LTFT Russia
39 H Asian or Asian British – Indian Female Consultant F/T United Kingdom
40 A White – British Male Professor of Diabetes and Endocrinology LTFT United Kingdom
41 A White – British Female Consultant C&A Psychiatrist LTFT United Kingdom
42 A White – British Male Chief Medical Officer F/T United Kingdom
43 A White – British Male Consultant Psychiatrist LTFT United Kingdom
44 C White – Any other White background Male Consultant Child and Adolescent Forensic Psychiatrist LTFT New Zealand
45 H Asian or Asian British – Indian Female Specialty Registrar, C&A Psychiatry (StR) F/T India
46 C White – Any other White background Female Consultant LTFT Australia
47 C White – Any other White background Male Consultant Child and Adolescent Psychiatrist F/T Brazil
48 Z Not Stated Male Locum Consultant Psychiatrist in Forensic Psychotherapy LTFT United Kingdom
49 C White – Any other White background Female Consultant Child & Adolescent Psychiatrist LTFT Turkey
50 C White – Any other White background Female Specialty Registrar F/T Chile
51 A White – British Female Consultant Adult Psychiatrist LTFT United Kingdom
52 A White – British Male Consultant Psychiatrist LTFT United Kingdom
53 LK Asian Unspecified Female Speciality Registrar -ST7 F/T United Kingdom
54 C White – Any other White background Female Consultant Child and Adolescent Psychiatrist LTFT United Kingdom
55 C White – Any other White background Female Consultant Psychiatrist in Psychotherapy LTFT United Kingdom
56 C White – Any other White background Female Specialty Doctor in Gender Identity F/T Greece
57 C White – Any other White background Female Specialty Registrar LTFT Brazil
58 CY White Other European Male Specialty Doctor F/T Bulgaria

 

Back to top