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Postgraduate medical education is funded through the Multi Professional Education and Training (MPET) budget issued to strategic health authorities (SHAs) as part of the annual national health service central budget bundle. It is for SHAs to determine the level of spending necessary to deliver the required outcomes for the various elements of training and development.
MPET is not ring-fenced and it is the responsibility of SHAs to invest the budget appropriately. However, there is an education and training service level agreement (SLA) between SHAs and the Department, which ensures that SHAs are held to account for the funding and quality of the training they provide for healthcare students and the NHS work force. In 2011-12, the SHAs have forecasted to spend £4.873 billion of the £4.879 billion MPET budget.
“Liberating the NHS: Developing the healthcare workforce” set out proposals for a new system for planning and developing the work force. The consultation was followed by the Listening Exercise. More detailed proposals on the new system, across a range of issues including funding, will be published later this year.