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Bringing expertise to the resolution of concerns about professional practice

NCAS Who We Are

Who we are

NCAS - the National Clinical Assessment Service - has been an operating division of the NHS Litigation Authority (NHS LA) since 2013.   

NCAS contributes to patient safety by helping to resolve concerns about the professional practice of doctors, dentists and pharmacists. We provide expert advice and support, clinical assessment and training to the NHS and other healthcare partners.


NCAS is changing many of its ways of working and this will affect the services we provide. The information on this website is a guide but please contact us about accessing specific services and discuss your needs with our advisory team. Most of our services are currently free of charge to the NHS.    


NCAS How We Work

How we work

NCAS works to resolve concerns about the practice of dentists, doctors and pharmacists. Our aim is to work with all parties to clarify the concerns, understand what is leading to them and make recommendations to help the practitioner to deliver a high quality and safe service.

We respond to calls about any aspect of individual or team practice, even where it is not yet clear whether there is evidence of poor practice. We can provide advice on long-standing and complex cases. We also provide advice on developing local clinical governance procedures.

All our services, with the exception of team reviews, are currently free of charge to NHS organisations.

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Call us

NCAS core office hours are 9.00am to 5.00pm, Monday to Friday. 

Our contact numbers are:

NCAS England: 020 7972 8170 (NEW NUMBER)

NCAS Northern Ireland: 028 9266 3241

NCAS Wales: 029 2044 7540

Out of hours, you can request a call from us online.

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Learn with us

NCAS is a learning organisation, committed to the promotion of effective professional governance through an external education programme and publication of analyses of casework experience.

We run free educational workshops across the UK to help managers deal more effectively with performance concerns about dentists, doctors and pharmacists. Workshops are interactive, using fictitious case studies as learning tools and sharing the experience and expertise of NCAS.

Workshops serve audiences defined by specialty and sector interests as well as for multi-disciplinary groups defined by geography. Some workshops are organised for managers within a single organisation – contact us if you would like to work with us. You can find all our good practice and research publications on this website.

Join us!

We currently have vacancies for Advisers, a Lead Assessment Adviser, Assessment and Intervention Managers and a Policy and Stakeholder Engagement Manager. Use these links to find details and closing dates on the NHS Jobs website.

New phone numbers for London office

NCAS's London office has new phone numbers, after an upgrade of the Department of Health's phone system. The new main switchboard number is 020 7972 8170 (fax 020 7972 8200). Only calls to the main switchboard's old number will be forwarded so please update your phone lists. More

NCAS role in capability hearings clarified

NCAS has welcomed a High Court decision giving NHS employers clear guidance on the circumstances in which they can proceed to a capability hearing under Maintaining High Professional Standards (MHPS), a framework for the initial handling of concerns about employed doctors and dentists in the NHS. More

2013-14 stats on suspensions and exclusions

NCAS has resumed publication of statistics on suspension and exclusion from work, with an analysis of England data to 31 March 2014. An estimated 120 years of doctor/dentist work were lost in 2013-14 because of suspension or exclusion from work. More