Case Study 30 March 2026

UK NHS Foundation Programme

Jagan Mohan R

Dy Director, Centre for Digital Resources, Education and Medical Informatics, Sri Balaji Vidyapeeth (Deemed to be University)

25,000+ healthcare trainees using ePortfolios as the national standard for specialty training since 2005.

Institution Profile

  • Country: United Kingdom
  • Programme: NHS Foundation Programme and specialty training
  • Scale: 25,000+ healthcare trainees
  • Since: 2005

Challenge

The UK needed a standardised system for tracking trainee progress across Foundation Programme and specialty training, including workplace-based assessments (mini-CEX, CbD), annual appraisals, and ARCP outcomes.

Implementation

ePortfolios became the national standard for NHS medical training in 2005. The system tracks all workplace-based assessments, serves as the basis for Annual Review of Competence Progression (ARCP), and has been described as the “spinal column” of specialty training.

Results

  • 25,000+ trainees actively using the system
  • National standard for over 20 years
  • Covers WBAs (mini-CEX, CbD), appraisals, and ARCP outcomes
  • Described as the “spinal column” of specialty training

Lessons Learned

  1. National-scale ePortfolio is proven — the UK has run this for two decades
  2. ePortfolios as infrastructure — they become the backbone of the training system, not just an add-on
  3. Regulatory integration is key — when the portfolio is linked to progression decisions (ARCP), adoption is universal

References

NHS ePortfolios. https://www.nhseportfolios.org/Anon/AboutUs

Jagan Mohan R

Dy Director, Centre for Digital Resources, Education and Medical Informatics, Sri Balaji Vidyapeeth (Deemed to be University)

Published 30 March 2026

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