Joint letter from the NMC, NHS England, the Care Quality Commission and the General Medical Council

Published on 12 December 2023

Read our joint letter with NHS England, the Care Quality Commission and the General Medical Council on how we’re supporting professionals during another busy winter period.

Dear colleagues,

Thank you very much for everything you and your colleagues have done and continue to do for patients, the public, and all those receiving care as we head towards another busy winter period.

The past few years have been some of the most challenging faced by health and social care professions. With increasing demand as we go into winter and with newly announced prolonged period of industrial action by Junior Doctors in late December and early January, it is likely that there will be further challenges in the months to come. As we did last year, we wanted to ensure you had national recognition of this challenging situation.

We are confident all clinicians will continue to respond and carry out their duties professionally, informed by the values and principles set out in our respective professional standards.

But we also understand there will be concerns about working under pressure, and that you and your teams may need to depart from established procedures on occasion to provide the best care. Please be assured that your professional code and principles of practice are there to guide and support your judgments and decision-making in all circumstances. This includes taking into account local realities and the need at times to adapt practice at times of significantly increased pressure. In the unlikely event of a complaint to your professional regulator they will, as is their usual practice, consider carefully whether they need to investigate. If an investigation is needed they will consider and take into account all relevant factors including the context and circumstances in which you were working.

One area that may be an example of this is in handing patients over to emergency departments from ambulance services. There is a strong correlation between ambulance handover delays at Emergency Departments and ambulance Category 2 response delays, meaning longer handovers increase the chances those in need will wait longer for an ambulance. It is therefore vital that we have a whole-system approach to risk across the urgent and emergency care pathway to provide the best outcomes for our patients. This may also mean consideration of actions to be taken within hospitals to help improve flow and reduce pressures on Emergency Departments. All National regulators will take into account the need to keep regulatory oversight proportionate at this busy time, whilst maintaining the focus on patient safety and protection of the public.

It is the responsibility of all providers commissioned by the NHS and healthcare leaders to ensure that all clinicians working in their organisations are well supported, and that channels for raising and acting on concerns remain open and accessible to all staff. Your professional Code and duty of candour are there to support you to speak up where necessary, in the best interests of the public and people receiving care. It’s also essential that you look after your own health and wellbeing during this period. Asking for help from others when you need it is good professional practice, so we ask that you seek support from your organisation if you need it as well as supporting one another.

Finally, we would like to thank you again for the large amount of work that has already been done to prepare for winter and to ensure the best possible care for those who need it, and please keep encouraging eligible frontline team members to come forward for their winter vaccines. Whether you are providing direct care, supporting colleagues or leading services and teams, all contributions are essential components of providing the best possible support and care to the communities we serve.

Yours sincerely,
joint statement signatures.png

Other recent news…

NMC strengthens decision making guidance on concerns outside professional practice

Published on 27 February 2024

We have strengthened our guidance for NMC decision makers on concerns arising outside professional practice, including sexual misconduct, domestic abuse and dis

Independent experts appointed to review our internal culture

Published on 13 February 2024

The NMC has appointed Nazir Afzal OBE and Rise Associates to lead an independent review of our internal culture, as part of our commitment to learn and improve

NMC response to CQC maternity survey results 2023

Published on 09 February 2024

Following the release of the Care Quality Commission’s (CQC) latest annual survey of women’s maternity care experiences in England, Andrea Sutcliffe, NMC Chief