Professional support and remediation

We draft action plans for doctors, dentists and pharmacists who have been identified by their healthcare organisation as needing support to deliver sustained, safe and effective practice.

We provide two types of action plan, depending on the circumstances of the case:

Remediation action plans – where there is clear evidence identifying performance or behavioural concerns, such as a report from one of our assessments or another type of investigation. The focus of a remediation plan may be on knowledge, skills or behaviours, or a combination of these.

Return to work action plans – which support a practitioner’s reskilling and/or reintegration into clinical practice following a prolonged absence for any reason, usually in excess of three months. In some cases, there may be pre-existing performance concerns so some elements of remediation are also included in the action plan.

Action plans are developed following a careful review of each case, taking into account service needs, the practitioner’s working environment and their areas for development, such as leadership, patient/colleague interaction or other behavioural issues. After local discussion of the plan, it becomes an agreement between the healthcare organisation and the practitioner.

We also use our experience to provide constructive feedback on action plans drafted by other NHS organisations. We give an informed view on the feasibility of the proposed action plan and identify potential aspects that could be improved, while also considering the protection of patient safety as a priority.

Other Professional Support and Remediation resources

  • A guide to support the process of clinical supervision, from considerations around the appointment of a supervisor through to the completion of an action plan.
  • Behavioural agreement template which includes embedded guidance and an example agreement. (Behavioural agreements can be used by healthcare organisations to help deal with situations where a practitioner is demonstrating inappropriate, disruptive and/or unprofessional behaviours.)
  • Security plan template which can be used to make an agreement with a practitioner who has a relapsing illness.
  • Template agreement that can be used when practitioners are undertaking clinical placements away from their usual place of employment.’


Our Insights publications share analysis and research which draw on our in-depth experience providing expert, impartial advice and interventions to healthcare organisations to effectively manage and resolve concerns raised about the practice of individual healthcare practitioners.

Our action plan Insight looks at key features from a review of all action plans produced between April 2020 and March 2022. In sharing this information we aim to raise awareness of how the PSR service can help frontline NHS organisations retain valued, experienced practitioners who need targeted support to deliver sustained effective practice.

Contact us

To find out more about the PSR service please refer to this information about action plans or contact us directly:

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