We are committed to a robust commissioning system for PGMDE that improves the quality of education & training and overall patient safety to meet the changing workforce needs of London.

Introduction

Over the past few years, NHS London, the London Deanery and its training partners have been working closely to develop the quality of medical and dental education and training in London to ensure that it reflects service needs. In recognition of this, NHS London is implementing a world class system for commissioning and delivering medical and non medical education, as set out in “Workforce for London: A Strategic Framework”.

 As part of implementing this framework, we are working to:

1. Support its service vision/developments, particularly the successful implementation of care pathways within integrated healthcare settings
2. Support the Quality, Improvement, Productivity and Prevention (QIPP) agenda through continually improving medical and dental education and training
3. Comply with key government policies and ensure their effectiveness in postgraduate medical and dental education, including the separation of commissioning and provision of medical education.

 The expectation is to:

• Develop a system that aligns education planning with service planning to support local development of new care pathways and care in new settings
• Use contestability to encourage and reward excellence and innovation in education without destabilising service or education
• Improve the quality of provision of training and the trainee experience by bringing educational programme management closer to local patient care providers
• Provide greater opportunity for a strategic approach to the development of the medical and dental workforce through a comprehensive system which brings together undergraduate, postgraduate and continuing professional development.

Regulatory

The London Deanery commissioning process is aligned with the following:

• GMC principles for commissioning as set out in The Trainee Doctor
• The Public Procurement Regulations 2006
• The Centre for Workforce Intelligence (CfWI) Report 2011
• The London Deanery is also informed by NHS London workforce planning
• Department of Health guidance in ‘Education Commissioning for Quality'

Process

To achieve the separation of commissioning from provision, the London Commissioner for Medical and Dental Education (LCMDE) has been created in NHS London with responsibility for all medical and dental education strategy, commissioning, funding and quality assurance. The Commissioner will contract directly with Lead Providers. The responsibility for provision of medical and dental education is outlined below:

Lead Providers will lead through a network of local education providers. They will ensure continual improvements in the quality of training and lead innovation in its delivery.

For commissioned specialties, Local Education Providers are responsible for and accountable to Lead Providers for the local provision of high quality and innovative education and training experience within defined programmes working within the local network led by the Lead Provider.

London Deanery Provider Services will be managed by Lead Providers and will carry out the administrative functions which are necessary to manage the system at the provider-level.

Data/Evaluation

Click to view a list of commissioned specialties and the relevant Lead Providers (LPs).