NHS Education for Scotland Logo

Scotland Deanery

Home of medical and dental excellence

Quality management


Key to the delivery of Scotland Deanery’s Quality Management - Quality Improvement (QM-QI) Framework is our engagement with our internal and external stakeholders. Underpinning our approach to engagement are our aims to have clarity around our processes, to be open to receiving feedback, and to continually improve our processes based on learning from doing what we do.  Our approach to engagement is both at a strategic level and operational level.

The following table summarises just some of the engagement opportunities that continue, with some examples of the benefits or outcomes that have resulted.

Stakeholder group

Meeting or process

Benefit or Outcome 

General Medical Council (GMC)

Dean’s Report to GMC


Enhanced Monitoring (as needed)

As needed advice and guidance

Informs progress the Deanery is making in addressing risks identified by the GMC.

Support from GMC in progressing challenging QM-QI issues where standards are not being met.

Scottish Government

Monthly update on Enhanced

Monitoring cases

Cabinet Secretary for Health is kept updated about enhanced monitoring cases.


Externality (as needed)

QM-QI visits

Quality Review Panels (QRPs)

Provides medical professional externality on our processes. 

Healthcare Improvement Scotland plus other agencies including Public

Health Intelligence, Care

Inspectorate, Audit


Sharing Intelligence of Health &

Care Group (2 monthly)

We share information on local education providers (LEPs) and health boards from trainee feedback and from visit reports to inform an understanding around the overall performance of Health Boards.

We take away awareness of wider system issues that could affect training.

Health Boards – Medical Directors (MDs) &

Directors of Medical Education (DMEs)

Task Force to Improve the

Quality of Medical Education




Medical Directorate Senior Team (MDST) with DMEs (quarterly)




QRP (DME representation)


TIQME-Strategic engagement of NES MDST with MDs, DMEs and Medical School Leads around improvements in medical education and training. Key benefit has been sharing of good practice with real benefits being demonstrated around Board Governance of Medical Education and Training, and growth of ‘Chief Residents’ and ‘Trainee Fora’ among others.

MDST-DME supports feedback on Quality Process (among others) that has led to DMEs having access to the STS dashboard including free text comments to support their quality control processes.

Ensures transparency of QRP process from perspective of Boards.

LEPs – Education


Quality Education Managers Partnership (QuEMP) – meeting of Deanery Quality Improvement Managers & Quality improvement administrators with LEPs’

Education Managers


Has enabled solutions to be found to some of the operational challenges around visit planning.

Medical Schools

Scottish Deans Medical

Education Group (2LDDs are on SDMEG)

Deanery Quality Management Group (DQMG) (SDMEG chair is on DQMG)




Medical ACT Working Group (MAWG) and

Regional ACT Working Groups (RAWG)

Undergraduate QRP (has

Foundation specialty quality management group (sQMG) input)

SDMEG and DQMG – both support collaborative working. Establishing an undergraduate QRP which is supported by the deanery, attended by postgraduate representatives and shares findings with the postgraduate panels has supported effective information sharing and planning of activity.

Medical schools are also key participants at TIQME.

MAWG and RAWGs are meetings at which allocation of Medical ACT funding is discussed with Medical Schools.



Engagement of trainees in completion of survey tools – including General Medical Council's national training survey (NTS), the Deanery's scottish training survey (STS), and pre-visit questionnaires (PVQs)

Engagement of trainees in QM-QI visits (as ‘visited’)

Engagement of a cohort of Trainee Associates (as QM-QI visit panel members)

Engaging trainees in improving their own training and the training of those that follow them is a key strand of our framework. Their involvement brings a trainee perspective to what we do and helps build confidence in our work amongst the wider trainee group.

Publication of visit reports on the Deanery's website have added to the transparency around the benefits of trainees’ engagement around surveys and visits.  

Lay Partners

QM-QI visits sQMG meetings

DQMG meeting


We work with Lay Partners to ensure fairness in all that we do, taking advice from members of the community who wish to contribute to improving medical education and training.

This page was last updated on: 17.05.2023 at 08.45