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Regular Inspection Activity

13 December, 2022

In addition to the COVID-19 targeted QA activity, the following chart demonstrates the regular inspection activity that took place between 2019/21:

Regular inspection activity 
2019-20202020-2021
13 programmes7 programmes
A further nine inspections were cancelled due to the COVID-19 pandemic.

As part of our risk-based approach in the 2018/19 academic year, all BDS providers were inspected. The focus in the 2019- 2021 academic years was therefore on DCP providers.

This inspection activity was conducted remotely with the exception of two dental technology
programmes that were conducted on site in order for practical work to be reviewed.

2019-2021 Regular inspection activity

The tables below outline a further breakdown of the programmes subject to a regular inspection in the 2019-2021 academic years:

Regular inspection activity 2019-2020    
Dentistry (BDS)Dental hygiene and therapy (HT)Dental technology (DT)Orthodontic therapy (OT)Dental nursing (DN)
2 programmes5 programmes1 programme3 programmes2 programmes
Regular inspection activity 2020-2021   
Dental hygiene and therapy (HT)Dental technology (DT)Orthodontic therapy (OT)Dental nursing (DN)
3 programmes2 programmes1 programme1 programme

Based on the inspection activity detailed above, more Requirements under Standard 1 (protecting patients) were met than Standard 2 (quality evaluation and review) and Standard 3 (student assessment) which is similar to the findings in the previous publications of the Review of Education

The chart below demonstrates the number of Requirements that were considered to be “met” across all three Standards in the 2019-2021 period.

Pie chart showing the percentage of met requirements 2019-2021

This chart provides a breakdown of the Requirements “met”, “partly met” and “not met” in each profession:

2019/20:

Bar chart showing the total requirements met by profession in 2019-2020

The chart below demonstrates the number of Requirements that were considered to be “met” across all three Standards in the 2020-2021 period:

Pie chart showing the percentage of met requirements

This chart provides a breakdown of the Requirements “met”, “partly met” and “not met” in each profession:

2020/21:

Bar chart showing total percentage of requirements met by profession

Standard 1 - Protecting patients (Requirements 1-8)

The charts below shows the percentage of Requirements “met”, “partly met” and “not met” across Standard 1:

2019/20:

Pie chart showing the percentage of met requirements in Standard 1

2020/21:

Pie chart showing the percentage of met requirements

The chart below outlines a further breakdown per requirement for Standard 1 in the 2019/20 academic year:

Bar chart showing further breakdown per requirement met for Standard 1 2019-2020

The chart below outlines a further breakdown per requirement for Standard 1 in the 2020/21 academic year:

Bar chart showing further breakdown per requirements met for Standard 1 in the 2020-2021

Within Standard 1, some Requirements were considered to be ‘party met’ or ‘not met’. The areas identified by the associates for improvement were as follows:

  • Better recording and maintenance of accurate and contemporaneous student records.
  • Greater use of audits of clinical activity.
  • More effective student supervision and better contingency planning.
  • Greater student and staff awareness of raising concerns.
  • The recording of lessons learned from any adverse incidents.
  • Improved recording of staff training records.

 The providers involved were given specific actions to address these areas.

 Examples of areas of good practice under Standard 1 included:

Glasgow Caledonian University - HT
Requirement 4
"The School reported high levels of nursing support - sometimes at a ratio of 1:1. The panel was pleased to note that nursing staff provide feedback on students and their performance.”
King's Health Partners - OT
Requirement 6
"The student group were clearly able to articulate their responsibilities and awareness with regard to raising concern and the process to be followed. This assured the panel that the programme staff were evidently strongly embedding this aspect of knowledge throughout the programme.”
Bristol BDS
Requirement 8
"A new process for dealing with student fitness to practice issues has been introduced. Multiple pieces of evidence about the process were provided to the panel who deemed the process to be robust. When triangulated, students reported that they have enjoyed the pastoral element introduced into the new process. The students also clearly understood the remit and purpose of the student referral system, which is part of the new process.”

Standard 2 - Quality evaluation and review of the programme (Requirements 9-12)

The chart below shows the percentage of Requirements ‘met’, ‘partly met’ and ‘not met’ across Standard 2:

2019-2020:

Percentage of met requirements standard 2

2020-2021:

Percentage of met requirements for Standard 2 in 2020-2021

The chart below outlines a further breakdown per Requirement for Standard 2 in the 2019/20 academic year:

Further breakdown per Requirement for Standard 2 in the 2019/20 academic year

The chart below outlines a further breakdown per Requirement for Standard 2 in the 2020/21 academic year:

Further breakdown per Requirement for Standard 2 in the 2020/21 academic year

Within Standard 2, some Requirements were again considered to be ‘party met’ or ‘not met’. Some of the areas identified by the associates for improvement were as follows: 

  • The formalisation of more robust quality management arrangements accompanied by a comprehensive quality assurance document and dedicated quality assurance forum.
  • Clearer recording of the mapping of GDC learning outcomes process.
  • To develop a clearer risk register complete with contingency measures.
  • To improve and formalise the use of external examiners (EE) and to enhance the EE reports.
A common area identified for improvement for several providers was the recording and use of patient feedback under Requirements 11 and 17. We recommended that providers develop their feedback recording mechanisms and to consider how this feedback could inform programme development.  

Education providers involved were again given specific actions to address these areas.

Examples of areas of good practice under Standard 2 included:

Teesside HT
Requirement 9
“A cohesive quality management structure was evidenced to the panel. Both programme and school-level groups are in place with individuals sitting across both levels to ensure issues are escalated or disseminated appropriately. The formal processes are also supported by team meetings amongst the programme leads and weekly huddles on clinic.”
Bristol BDS
Requirement 9
“An impressive aspect of the Dental Education Committee (DEC) is its inclusion of student representatives. The provider uses a University-level Education Action Plan (EAP) that defines the strategic aims and objectives of the programme along with the actions to be completed to achieve them. The EAP is presented at DEC meetings and students may review and feedback on the plans at that time.”
University of Warwick OT
Requirement 11
“The EE plays a significant role in overseeing various aspects of programme delivery and assessment. They make recommendations which are recorded by the Course Director in the Annual Review which is presented to the University. These recommendations receive a formal response and passed back to LSOC for implementation where appropriate.”

 

Standard 3 - Student assessment (Requirements 13-21)

The chart below shows the percentage of Requirements ‘met’, ‘partly met’ and ‘not met’ across Standard 3:

2019/20:

Percentage of Requirements ‘met’, ‘partly met’ and ‘not met’ across Standard 3 in 2019/20

2020/21:

Percentage of Requirements ‘met’, ‘partly met’ and ‘not met’ across Standard 3 in 2020-21

The chart below outlines a further breakdown per Requirement for Standard 3 in the 2019/20 academic year:

Further breakdown per Requirement for Standard 3 in the 2019/20 academic year

The chart below outlines a further breakdown per Requirement for Standard 3 in the 2020/21 academic year:

Further breakdown per Requirement for Standard 3 in the 2020/21 academic year

Within Standard 3, some Requirements were again considered to be ‘partly met’ or ‘not met’. Examples of some of the areas identified by the associates for improvement were as follows: 

  • To implement a more formalised process for identifying and monitoring struggling students outside of regular progression procedures.
  • To review the use of totals in measuring student experience and competence.
  • To improve recording systems for student clinical experience to facilitate easier monitoring of student progression.
  • To improve the allocation of patients to students through a formal process so that students can share patients.
  • To improve the recruitment of paediatric patients and allocate to students earlier in the programme.
  • To develop the calibration of training supervisors.
  • To implement and demonstrate appropriate standard setting methods for summative assessments.
For one HT provider, we recommended that their process for signing-up students to final assessments must be considered at an earlier stage so that students do not enter the final stages of year three with potential significant shortfalls in experience.

The providers involved were given specific actions to address these areas. 

Examples of areas of good practice under Standard 3 included:

University of Warwick OT
Requirement 13
“The panel saw previous minutes of the pre-examination board meeting (or sign-up meeting), which illustrate that various factors were considered to determine whether a student was eligible to take their final examinations. This included satisfactory completion of all modular assessments, demonstration of appropriate clinical experience in logbooks, a satisfactory attendance record, professionalism traffic-light cards, patient feedback, any adverse incidents or Fitness to Practice issues.”
Liverpool College DT
Requirement 15
“The students themselves commented very positively that the program has been crucial for providing progression and experience in a number of areas outside of the ones they get within their respective laboratories, that they may not otherwise have developed. It is recognised that the combination of college and on-the-job learning maximises the opportunity for learners to gain an appropriate breath of experience across many areas.”
Edinburgh HT
Requirement 21
“All assessments and dissertations are double marked to ensure fairness, and this allows calibration between new and experienced assessors. It was clear that all the standard assessment procedures for summative assessments are undertaken.”

 

Postponed Inspections

Due to the COVID-19 pandemic, six inspections and seven exam inspections were postponed from the 2019/20 academic year. We were also unable to conduct the 9 inspections that are detailed above in the 2020/21 academic year, however we have built this into our plans for 2021/22. 

Postponed inspections 2019-2021    
 Dental hygiene and therapyOrthodontic therapyDental technologyBDS
Postponed inspections1 programme2 programmes2 programmes1 programme
Postponed exam inspections2 programmes2 programmes3 programmes0 programmes