All doctors have a duty as outlined in 'Good Medical Practice' and 'Good Medical Practice of General Practitioners' that 'if you have concerns that a colleague may not be fit to practise, you must take appropriate steps with delay, so that the concerns are investigated and patients protected where necessary. This means that you must give an honest explanation of your concerns to an appropriate person from your employing or contracting body, and follow their procedures.'

(Good Medical Practice, paragraph 43)

A Clinical Supervisor is responsible for assessing if a trainee is safe and competent to carry out the clinical work appropriate to his/her level.

• Is the person working with that trainee – includes on call, clinics, and theatres
• Undertakes assessments as appropriate
• Teaches and trains
• Gives constructive feedback at the time
• Guides reflection on practice
• Informs the Educational Supervisor if concerns arise

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College tutors are responsible for advising and supporting trainees within a particular specialty in a LHB and ensuring that trainees and supervisors adhere to College standards.

Specific advice areas:

• Career advice about their specialty
• Exam procedure and requirements
• Specialty-specific issues

The Associate Postgraduate Deans – GP have geographical responsibilities for general practice training programmes and form the key link between training programmes and the Deanery.

In managing performance concerns, AD-GPs can assist in identifying targeted training placements either locally or on neighbouring programmes. They also act for the Deanery in overseeing the progress of a GP specialty registrar during targeted training and are a source of advice for GP educational supervisors and training programme directors.

Performance Leads serve as the key interface between Wales Deanery Performance Unit and the Specialty School in order to support trainees in Wales with issues around performance, professional competence, health (including disability) and updates the School Board on any issues relating to Performance. This role is often fulfilled by the Training Programme Director or another member of the STC.

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