Maintaining High Professional Stanards (MHPS)
Maintaining High Professional Standards (MHPS) is the statutory NHS framework for managing conduct, capability, and health concerns among doctors and dentists—effective since June 1, 2005.
MHPS demands robust processes for addressing concerns about practitioners, including investigation, restriction of practice, and disciplinary or capability proceedings. NHS acute trusts must continuously embed MHPS procedures to uphold patient safety, professional integrity, and regulatory compliance.
Expertology & Dr. Robert Ghosh
Dr Robert Ghosh is an experienced consultant physician with significant NHS executive roles—serving in both acute trusts and commissioning groups.
His clinical insight and executive history allow him to guide trusts in MHPS process refinement and case management/case investigation rigour.
MHPS emphasises early identification of concerns via appraisals, performance data, or incident reviews. Dr Ghosh’s frontline assessment experience equips him to audit trust mechanisms, ensuring swift, accurate identification and categorisation of concerns.
MHPS requires the appointment of trained case investigators and disciplined processes. Expertology’s systematic clinical triage protocols can be adapted to structure evidence-based investigations, including timely exclusions or restrictions of practice when necessary.
MHPS encourages resolving capability issues through remediation rather than punitive action. Expertology’s clinical mentorship and Dr Ghosh’s coaching history allow for bespoke capability interventions aligned with MHPS guidance. Their experience supports integrating the NHS Resolution referral where appropriate.
MHPS mandates case management oversight by executive leadership and non-executive board membership. Dr Ghosh’s background—including non-executive roles and board advisor roles—enables him to champion strengthened governance structures, embedding MHPS responsibilities into trust boards and leadership teams.
Good MHPS implementation depends heavily on a culture of open reporting and regular training. Expertology and Dr Ghosh can deliver refreshers, workshops, and executive coaching to bolster trust culture, promoting open investigation, supportive peer engagement, and MHPS procedural awareness.

Practical Collaboration: A Roadmap
Dr Robert Ghosh will work with you through the 6 steps outlined here to support Maintaining High Professional Standards.
Contact UsAudit & Gap Analysis
Review current MHPS processes; identify bottlenecks in triage, investigation, and governance.
Clinical Triage Toolkit
Adapt assessment protocols for structured MHPS case triage; integrate NHSR referral triggers.
Training Programmes
Workshops for investigators, remediators, and execs; tabletop exercises and real-world case reviews.
Capability Support Solutions
Remediation plans; mentoring aligned with MHPS; escalation to NHSR or GMC where needed.
Governance Advisory
Integration of MHPS into board KPIs, non-exec reporting, and assurance frameworks.
Monitoring & Feedback Loops
Design dashboards and audit tools; continuous review of MHPS process compliance and outcomes.
Better outcomes for all
Together, their blend of frontline assessment, governance know how, and clinical remediation expertise offers a compelling package to strengthen MHPS practice.
1.
Improve early detection and classification of MHPS concerns.
2.
Professionalise and expedite investigation and remediation.
3.
Integrate capability support as an alternative to disciplinary action
4.
Embed MHPS principles into trust governance and culture.
5.
Ensure compliance, reduce risk, and enhance patient and staff safety.
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