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Clinical Skills

Managed Educational Network

Quality Assurance

Development of SBE QA System

What is the Scottish SBE QA System?

This SBE QA system was developed to reflect the simulation educational process of brief, immersion and debrief.


  • Faculty
    • A three-tiered approach was developed to identify key improvement outcomes
      • Tier 1 - practitioner educators of SBE,
      • Tier 2 - leaders of SBE and
      • Tier 3 - researchers of SBE (available to download)

This outcome framework has been matched vs AoME, ASPiH and GMC frameworks

  • Technical support
  • Facilities
    • A national database of facilities and their capabilities in terms of specialist equipment has been developed
    • A mobile skills unit (MSU) with the same access to video debriefing and standard simulators and part task trainers is operational
    • Resources
      • A generic approach to on line development of clinical skills has been agreed and utilised in the development of evidence based on line resources CS MEN online resources


  • Programmes
    • A one-page questionnaire for use with individual skills sessions where simulation is used
    • Provision of QA programmes on MSU e.g. BLS, ALS, PROMPT
  • Scenarios
    • A scenario template for designing a SBE session has been developed to ensure standards of design are considered in the development of new scenarios
  • Specialist equipment
    • standard manikins and part task trainers in all SBE facilities
    • one way mirror and video debriefing capability in all SBE facilities


    • System of review and improvement
    • On line resources currently updated biannually
    • System of visits to remote and rural venues by MSU
    • A national course for the MSU has been implemented
    • A national faculty database is being developed


The common quality standards, educational resources and training programmes developed and delivered through the Scottish QA system for SBE are subject to an independent, robust and open review process. This will give the public and health service managers confidence in the quality of clinical skills education and delivery and enable the skills training to be explicitly linked with UK and Scottish competency frameworks.

Clinical skills training impacts directly on the quality of care patients receive. Patients are the ‘touch point’ of the service. Consequently, the quality assurance process must encompass not only educational governance but clinical and staff governance issues as well. In Scotland, Quality Improvement Scotland (QIS) is responsible for promoting patient safety through ensuring clinical standards of care. NHS QIS is committed to working collaboratively on the development of the Clinical Skills Managed Educational Network as we seek to promote best practice and improve the quality of healthcare.

NES has responsibility for providing and promoting education to all NHS staff and has developed an educational governance framework for ensuring that educational resources and processes can be measured against explicit quality standards and criteria. The Scottish QA system for SBE underpins the implementation of the Scottish Clinical Skills Strategy.

All clinical skills education delivered through the national strategy shall be referenced to UK and Scottish competency frameworks. This ensures transferability of the skills achieved by staff moving between different healthcare settings in the UK as well as formal recognition of the training as contributing to the professional development of staff completing specific skills training programmes.