DHSC and NHS England implementation update provided to the Thirlwall Inquiry (April 2025). This is the government's own account of progress, submitted to the inquiry. Reviewed extent of implementation: Implemented - Ongoing. In 2014 the GMC began including more patient safety questions in its National Training Survey (NTS). The questions ask how participants feel that concerns raised in their responses to the survey will be addressed and how that information will allow local providers to identify patient safety problems that may not have been reported. All the concerns raised with the GMC are bought to the attention of local education and training boards (LETBs), deaneries and local education providers to investigate further and take action where needed. The changes made are then reported back to the GMC. The GMC routinely shared published information about the fitness to practise of individual doctors and the quality of medical education and training with the CQC. Some examples of current routine information sharing include: • Information provided by the GMC for CQC inspection activity, including data from the GMC's annual national training survey, primarily through provision of the Regulator / Designated Body Dashboard. • The GMC shares its monthly summary on enhanced monitoring with the CQC. This lists all organisations delivering medical education or training where the GMC's Education team has active concerns, has set conditions on approval, or is preparing to remove approval from a training environment. The GMC also shares emerging and urgent concerns with the CQC, and other health and social care regulators, through the Emerging Concerns Protocol. The protocol is an agreement to provide a mechanism for organisations with a role in the quality and safety of care provision to share information that may indicate risks to people who use services, their carers, their families, or healthcare professionals. Areas of information sharing include: concerns about individuals or groups of professionals; concerns about healthcare systems and the healthcare environment (including the learning environments of professionals); and concerns that might have an impact on trust and confidence in professionals or the healthcare professions generally. NHS England The National Education Training Survey (NETS) is the only national survey open to all undergraduate and postgraduate students and trainees undertaking a practice placement or training post in healthcare as part of their education and training programme. This includes profession specific questions for student nurses, student midwives, allied health professional learners, pharmacy learners, healthcare science trainees, paramedicine learners, doctors and dentists in training, and independent learners. These were last reviewed in October 2023. Health Education England has now merged with NHS England.

GMC medical revalidation launched December 2012. All licensed doctors must demonstrate fitness to practise every five years through appraisal and evidence. Francis Report endorsed and recommended strengthening revalidation.