High quality care for all NHS Next Stage Review - Antibiotic Action

High Quality Care For All – NHS Next Stage Review Final Report75patients. This means ensuring thatsystems work effectively, whetherthey be patient flows, communitydisease management, theatreoperations or commissioning services.26. Support already exists to helpmanagers develop these skills.Indeed, the existing programmes formanagement development are oftenapplauded. These include the awardwinningManagement TraineeScheme (MTS) for graduates, theGateway scheme for individuals fromsectors other than health, and theBreaking Through scheme thatsupports black and minority ethnicpeople that wish to pursue careers inNHS management. Although theMTS welcomes applications fromqualified clinicians who wish tobecome full-time managers, atpresent there is no dedicated schemefor clinicians wishing to develop theirmanagement and leadership skills.27. Therefore, we will establish a newprogramme to equip and supportclinicians in leadership andmanagement roles. It will be calledthe ‘Clinical Management for Quality’programme. It will be dedicated tothose clinicians leading clinicalservices lines, with a particular focuson clinical directors and leaders inprimary care who are runningpractice-based commissioning orintegrated care organisations.managers meet high professionalstandards every day, a very smallnumber of senior leaders sometimesdemonstrate performance or conductthat lets down their staff, theirorganisations and the patients thatthey serve. We do not believe afull-blown system of statutoryprofessional regulation – akin to aGeneral Medical Council – would beproportionate at this time, but theDepartment will work with theprofession, the NHS and otherstakeholders to ensure that there arefair and effective arrangements toprevent poorly performing leadersfrom moving on to other NHSorganisations inappropriately. Whilean enhanced Code of Conduct formanagers will underpin this, we willconsider whether more effectiverecruitment procedures or a moreformal system of assuring suitabilityfor future employment would providemore effective and proportionatesafeguards.29.Conclusion30. Just as patients deserve high qualitycare, so NHS staff deserve highquality work. If frontline staff aregoing to focus on improving thequality of care provided by the NHS,they need the right workingenvironments and the right trainingand education.28. As responsibility is devolved to thelocal NHS, there will be greaterscrutiny of managers. Whilst theoverwhelming majority of NHS