Maintaining High Professional Standards in the Modern NHS, more commonly referred to as MHPS, is a critical framework that governs how concerns about the conduct, performance or health of medical and dental staff are managed. Whether you work within a hospital setting, a general practice or as part of a wider NHS trust, understanding MHPS is essential for maintaining fairness, transparency and legal compliance in your workforce procedures.
MHPS stands for Maintaining High Professional Standards in the Modern NHS. It was introduced by the Department of Health in 2003 to provide a clear, consistent and fair process for managing performance, capability and conduct issues involving doctors and dentists employed in the NHS in England.
The MHPS framework provides a defined pathway for identifying, investigating and resolving concerns, while ensuring that the process protects both patients and professionals. It is particularly important for organisations that employ medical or dental staff directly, including GP practices, NHS Trusts, integrated care boards and commissioning groups.
The MHPS process is designed to balance the need for thorough investigation with the importance of treating medical professionals fairly. The framework applies to concerns that fall into three broad categories:
At the heart of MHPS is a structured approach to managing these concerns. It includes key roles such as:
The MHPS process also encourages informal resolution of issues where possible. Formal investigations are reserved for more serious or unresolved concerns. In some cases, the framework intersects with referrals to the General Medical Council or other regulatory bodies.
Given the complexity of MHPS and the potential legal implications of getting it wrong, training is essential for anyone involved in the process. MHPS training provides both the theoretical understanding and practical skills needed to handle concerns in line with policy.
A well-designed MHPS training course should cover:
At Jane Cole Associates, our training is delivered by professionals with extensive NHS experience. We focus on practical, scenario-based learning to ensure delegates leave with the confidence to apply the training in real situations. Visit our MHPS Training page to view our upcoming sessions and content.
While MHPS training is not currently mandated by statutory regulation, it is considered essential by NHS England and forms part of best practice for any organisation employing doctors or dentists. The Care Quality Commission (CQC) also expects staff to understand how performance concerns are addressed within the organisation. A failure to follow correct procedures may lead to legal challenges, reputational damage or patient safety issues.
The following groups are strongly advised to undergo MHPS training:
In the general practice setting, MHPS training becomes particularly important when practices directly employ salaried GPs or locums. Staff involved in managing those contracts must understand their responsibilities under the framework. Training also reduces the risk of informal processes being mishandled, which can escalate matters unnecessarily.
For guidance on Responsible Officer roles and requirements, NHS England provides further information here.
Those appointed to investigate under MHPS carry a significant responsibility. Their ability to follow fair process, remain impartial and report findings clearly can influence the outcome of a case and protect the integrity of the organisation.
Investigator training builds critical skills in:
A poorly conducted investigation not only undermines the fairness of the process but can also expose an organisation to legal risk. With MHPS cases often involving senior clinicians or challenging interpersonal dynamics, investigator training helps mitigate these risks by ensuring staff are prepared, confident and capable.
Jane Cole Associates has been delivering medical staffing training since 2008. We have worked with over 100 NHS organisations and trained more than 1,600 delegates. Our courses are grounded in real-world NHS experience and led by trainers with deep knowledge of MHPS, appraisal and workforce policy.
Our MHPS training offer includes:
We tailor our content to different audiences and organisational needs, ensuring it is relevant, engaging and applicable. Whether you are a GP practice or a large NHS trust, we can help build confidence and compliance in your approach to MHPS.
Learn more about our training options at janecoleassociates.co.uk/mhps-training.
MHPS is a vital part of maintaining professional standards in healthcare. Its structured, fair and consistent approach protects patients, supports staff and ensures the NHS continues to uphold public trust. For the process to work effectively, those involved must be properly trained and equipped to handle concerns in line with best practice.
If your organisation is reviewing its MHPS training provision or preparing new staff for these responsibilities, now is the time to act. At Jane Cole Associates, we provide the tools and expertise to help you manage MHPS confidently and competently.
Explore our MHPS training options or contact us to discuss a bespoke session for your team.
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