Managing performance: acute trusts - initial action

When a concern arises

• Clarify what has happened and the nature of the problem or concern
• Discuss with the NCAS or CDU what the way forward should be
• Consider whether restriction of practice or exclusion is required
• If a formal approach under the conduct or capability procedures is required, appoint an investigator
• If the case can be progressed by mutual agreement consider whether an NCAS or CDU assessment would help clarify the underlying factors that led to the concerns and assist with identifying the solution.

• Introduction
• Framework for NHS procedures
• Protecting the public
• Involving the NCAS
• Understanding the issue and investigation
• Involvement of the NCAS following local investigation
• Confidentiality
• Transitional arrangements.