Health - Third Report
Here you can browse the report together with the Proceedings of the Committee. The published report was ordered by the House of Commons to be printed 24 April 2008.
Contents
Terms of Reference
Summary
1 Introduction
2 The gathering storm: 2003-2007
The Calman training system
"Unfinished Business" and the "lost
tribe"
"Choice and Opportunity"
Other influences on training reform
Turning principles into practice
"MMC: The next steps"
The Foundation programme
Plans for Specialty and GP training
Conclusions
3 The 2007 crisis
Causes and triggers
The short-listing process
BAPIO's legal challenge
"One strike and you're out"
Key events in 2007
The crisis erupts
The Douglas Review
Resignation fever
The judicial review
The suspension of aspects of the MTAS system
The final scramble
Conclusions
4 2007-08: Fall-out
Aftermath of the 2007 crisis
New governance arrangements
The status of non-EEA doctors
The 2008 recruitment process
The Tooke Review
The diagnosis
The treatment: structural change
The treatment: organisational change
Responses to the Tooke Review
Conclusions
5 The medical workforce
The training system
The Foundation Programme
Specialty training
Academia
Recruitment and selection
The wider medical workforce
Staff Grade and Associate Specialist doctors
The consultant grade
6 The supply of doctors
The current situation
Self-sufficiency and its implications
The Government's efforts to date
Future policy options
Guidance to employers
Changes to immigration legislation
Other policy options
Conclusions and recommendations
7 Managing reform
Policy development
Clarity of the overall aims of MMC
Realising the principles in practice
The development of run-through training
Improving policy development
Programme governance
Over-complex structures
Escalation of concerns
Improving governance
Project management
Timescales for change
Risk management
External communication
Improving project management
Leadership
The Department of Health
The medical profession
Improving leadership
Conclusions and recommendations
8 Organisational responsibilities
Commissioners and providers of training
Postgraduate Deaneries
Strategic Health Authorities
Employers and training providers
Regulation and inspection
PMETB
Royal Colleges and Specialist Associations
The Department of Health
NHS: Medical Education England
Conclusions and recommendations
Fall-out: 2007-2008
The medical workforce
The supply of doctors
Managing reform
Organisational responsibilities
Glossary
Formal Minutes
Witnesses
List of written evidence
List of further written evidence
Reports from the Health Committee
Oral and Written Evidence - HC 25-III
15 November 2007
6 December 2007
13 December 2007
17 January 2008
24 January 2008
18 February 2008
Written Evidence
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