NHS Capability Process Response Pack

Told your performance is a concern, or put on an improvement plan? Check how prepared you are for free, see what usually happens at your stage, then unlock a letter asking for the concerns, standards and support in writing, a response against each concern and a briefing note for your rep.

New to this? Start with our guide to the NHS capability procedure. If the concern is about behaviour rather than ability, see the NHS disciplinary process and the Disciplinary Hearing Pack. Last updated October 2026.

Short answer

A capability process deals with concerns about whether you can do the job to the required standard, rather than about your conduct. The NHS Terms and Conditions Handbook has no national capability procedure, so your trust's own policy sets the stages. ACAS says employers should try to understand why a problem has arisen, offer support such as coaching, mentoring and training, and, if informal steps do not work, set a plan with specific objectives and a reasonable timeline, in writing and shared with you. You can reasonably ask to be accompanied at a hearing that could result in a formal warning or other action. The readiness check on this page is free. The documents are a one-off £9.99, with no subscription and 90 days of access.

⚠This is not legal advice

This tool and its documents are general guidance based on ACAS and gov.uk guidance, the NHS Terms and Conditions of Service Handbook and our guides. They are not HR, medical or legal advice and cannot take account of your trust's own capability policy or the facts of your case. They never predict an outcome, never give medical advice and never say your employer has acted unlawfully. Speak to your trade union or staff-side representative before you send or say anything, and use the documents only as drafts. FrontlinePay is independent and is not affiliated with ACAS, any NHS trust or any trade union.

About you and where you are

Everything stays in your browser and is never sent to us. Your answers are saved in this browser so they are still here after checkout. Use "Clear my answers" to remove them, especially on a shared computer.

Only two answers are needed for the free check: where you are in the process and what the concerns are about. The rest makes your documents more specific, and you can come back to it. See a worked example of the documents.

Used to address the letters. If left blank, they have a placeholder.

Your union rep or the colleague who will accompany you.

Copy the wording from the letter or plan if you have one. It is used in your response and rep note.

A union rep, or a work colleague who has agreed to go with you.

In your own words (optional)

These go into your response statement and support request. Include only what is true, and share only the health information you are comfortable sharing.

How long you have been in the role, relevant training, any recent change to your role, team or systems.

Be specific: supervision, shadowing, a named course, protected time, a named contact, clear written objectives.

Your concerns (1 of 5)

Add up to 5: each concern as it has been put to you, your honest position, the context and what you have done since. Dated, specific points help more than general statements.

Concern 1

Use the trust's own words where you can (0 characters so far). One concern per card.

If your browser shows a plain text box, type YYYY-MM-DD.

At least 20 characters here or below counts towards the check. Staffing, workload, training, systems, who was supervising.

Training completed, feedback, observations, audits, dated records.

Free worked example. Fictional person and trust

Example: capability request letter, response and rep note

Riley Hughes, a Band 5 staff nurse at a made-up trust, has been invited to a formal capability meeting about documentation and handover. Riley returned after a career break when a new system was introduced, and has not been told the standard, the support or the timescale.

Everything below was produced by the pack itself from those made-up details. It is an example only: the names, trust and facts are invented, and your own documents are built from your own answers. Square brackets mark the places you fill in or check yourself.

Letter requesting the concerns, evidence, standards and support planExample

A polite request for each concern in writing, with examples, the evidence, the standard expected, the support available and the timescale.

[Your address]
[Your email address and phone number]

14 October 2026

Dana Walker
Example NHS Foundation Trust

Dear Dana Walker,

Subject: Request for information to help me prepare for the formal capability meeting - Riley Hughes, Staff Nurse

Thank you for your letter of 2 October 2026 inviting me to a formal capability meeting on 20 October 2026. I want to take part constructively and, to prepare properly, I would be grateful for the following in writing.

1. Confirmation that the concerns set out in your letter of 2 October 2026 are the only concerns I am being asked to respond to or, if there are others, those set out in full.
2. Specific, dated examples of each concern, and copies of any records, audits, incident reports or other evidence that are being relied on.
3. The standard or objective I am expected to meet for each concern, how it will be measured and by whom.
4. The support, training, supervision or other resources that are available to help me meet the standard, and when they can start.
5. The proposed timescale for improvement, how often progress will be reviewed and what would happen at the end of it.
6. A copy of the capability policy and procedure being applied, and confirmation of which stage this is and what it could lead to.
7. Whether health, workload, training or other circumstances have been considered, and whether an occupational health referral could help.
8. The name and role of the person who will hear the matter, and how the meeting will run.
9. Confirmation that I may be accompanied by my representative, Chris Doyle, as I understand I can reasonably ask to be accompanied at a hearing that could result in a formal warning or other action, and that the date and time can accommodate them.
10. Whether an official record of any meeting will be kept, and whether I will receive a copy.

I would be grateful for a reply by [date - please allow a reasonable period for this to be gathered]. If that is difficult, please let me know when I can expect it.

I note that the meeting is currently listed for 20 October 2026. Once I have the information above I would like reasonable time to read it and prepare with my representative. If the date does not allow that, I will let you know promptly and ask for it to be rearranged.

This letter asks for information so that I can understand the concerns and take part fairly. It is not my full response to them, which I will give at the appropriate stage. Thank you for your help.

Yours sincerely,

Riley Hughes
Staff Nurse, Band 5

[cc: my trade union representative - delete if not needed]

[Delete this line before sending: check every bracketed item, check your trust's own capability policy and have your union or staff-side rep read it first.]
Response statement against each concernExample

Your account of each concern, your position on it (only the one you chose), the context and your evidence of improvement, with prompts for specifics.

RESPONSE STATEMENT OF Riley Hughes
Staff Nurse, Band 5, Example NHS Foundation Trust
Draft prepared 14 October 2026 for discussion with my representative

[Delete before use: you will be expected to answer questions put to you yourself. Your companion can put and sum up your case, respond to points and confer with you, but cannot answer for you. Read this through with your rep and cut anything you are not sure about. Include only what is true.]

1. Introduction
I am Riley Hughes, Staff Nurse, Band 5, at Example NHS Foundation Trust. This statement sets out my response to the concerns raised in your letter of 2 October 2026. I take them seriously and I want to work with the trust to meet the standard expected of me.
I returned to the ward in May after a career break. The electronic prescribing system was introduced the same week and I had a half-day of training.

2. The concerns as I understand them
Concerns about incomplete medication round documentation (three audits in August) and late handover notes (four shifts in July).
The concerns relate to: Following a change: a new role, a return from a break, a new system or team.

3. My response to each concern

Concern 1 - 20 August 2026
As put to me: Medication round documentation was incomplete on three audits in August.
The standard I understand I am expected to meet: [Say what the standard or objective is, and whether it was explained to you and when.]
Context: The new electronic prescribing system started the week I returned and my training was half a day. I accept some entries were missed, but two of the audited charts had a system fault noted.
My position: I agree with this in part. [State exactly which part you agree with and which part you do not.]
What I have done since, and evidence of improvement: I completed the online prescribing module on 2 September and shadowed a colleague on four medication rounds. A September spot check of 20 charts found 2 omissions.

Concern 2 - 31 July 2026
As put to me: Handover notes were completed late on four shifts in July.
The standard I understand I am expected to meet: [Say what the standard or objective is, and whether it was explained to you and when.]
Context: The ward had three vacancies in July and we were short on each of those shifts.
My position: I agree with this. [Say what you have done or changed since, and any circumstances you would like taken into account.]
What I have done since, and evidence of improvement: I now start handover notes 30 minutes before the end of the shift. My manager checked on five shifts in September.

4. Support and training
The support, training and supervision I have been given so far: [list with dates, or write 'none'].
A further supervised period on the electronic prescribing system, protected time to complete the online module, and written, measurable objectives with review dates.

5. Health and other circumstances
[If anything is affecting your work, such as a health condition, workload, a change of role or a lack of training, say as much as you are comfortable with and ask for it to be considered, including through an occupational health assessment. You do not need to give a diagnosis. Delete this section if it does not apply.]

6. What I ask the decision-maker to consider
I ask that any decision takes account of the specific facts, my response to each concern, the support and time to improve that I have been given, and my record. [Add anything else you want considered.]

7. Closing
I am happy to answer any questions about this statement. Chris Doyle will accompany me.

Signed: ______________________   Date: ______________________

[Delete this line before sending: check every bracketed item, check your trust's own capability policy and have your union or staff-side rep read it first.]
Support and training request letterExample

A constructive request for the training, supervision and adjustments that would help you meet the standard, with dates for review.

[Your address]
[Your email address and phone number]

14 October 2026

Dana Walker
Example NHS Foundation Trust

Dear Dana Walker,

Subject: Request for support and training - Riley Hughes, Staff Nurse

I want to meet the standard expected of me in my role and I would like to ask for the following support to help me do that. I understand that support such as coaching, mentoring and training, and adequate resources to do the job, are part of how performance concerns are normally addressed, and I would welcome a conversation about what is available.

The areas where I would find support most useful:

1. Medication round documentation was incomplete on three audits in August.
2. Handover notes were completed late on four shifts in July.

What I would ask for:

A further supervised period on the electronic prescribing system, protected time to complete the online module, and written, measurable objectives with review dates.

I would also be grateful if you could:

1. Confirm in writing what support and training will be provided, who will provide it and when it will start.
2. Agree with me clear and measurable objectives, how progress will be assessed and the dates of review meetings, so that I can see what I am working towards.
3. Consider whether health, workload or other circumstances are affecting my work, and whether an occupational health assessment would help. [Delete or adjust if this does not apply.]
4. Keep a written record of the support given and share it with me.

I would be grateful for a reply by [date - please allow a reasonable period]. I would like to be accompanied by Chris Doyle at any meeting about this.

Thank you for your help.

Yours sincerely,

Riley Hughes
Staff Nurse, Band 5

[cc: my trade union representative - delete if not needed]

[Delete this line before sending: check every bracketed item, check your trust's own capability policy and have your union or staff-side rep read it first.]
Meeting questions checklistExample

A checklist for before, during and after the meeting, tailored to your stage and concern.

MEETING QUESTIONS CHECKLIST
Riley Hughes, Example NHS Foundation Trust - prepared 14 October 2026
Stage: I have been invited to a formal capability meeting, or told a formal process has started
The concerns are about: Following a change: a new role, a return from a break, a new system or team

Tick each item off as you go. Ask your rep which of these suit your trust's policy. Where trusts differ, your own trust's policy takes precedence.

A. Ask in writing before the meeting
[ ] Can I have the concerns in writing, each one separately, with dated examples and the evidence relied on?
[ ] Which capability policy is being applied, which stage is this, and what could it lead to?
[ ] What is the standard I am expected to meet, how will it be measured and who will assess it?
[ ] What support, training, supervision or resources will be provided, and when will they start?
[ ] What is the timescale to improve, how often will progress be reviewed and what happens at the end?
[ ] Is this being treated as a capability matter or a conduct matter? (The process that follows can look quite different.)

B. Representation and the record of the meeting
[ ] Can I be accompanied by my union rep or a work colleague, and does the date and time work for them?
[ ] What will my companion be allowed to do? (Put and sum up my case, respond to points and confer with me, but not answer questions put directly to me.)
[ ] Will an official record be kept, who will take it, and will I get a copy?
[ ] My rep may take their own notes. Is that fine?
[ ] If the date does not work, tell the trust early, in writing, and ask for it to be rearranged.

C. Points to raise at the meeting
[ ] Give my response to each concern and refer to my own evidence of improvement.
[ ] Ask how each piece of evidence shows the concern, and when it was last checked.
[ ] Raise anything not yet looked at: workload, staffing, equipment or systems, training or induction I did or did not have.
[ ] Ask whether health or another circumstance could be affecting things, and whether an occupational health referral would help. (ACAS says disability-related capability issues may be resolved through reasonable adjustments.)
[ ] Ask what alternatives have been considered, such as changed duties, redeployment or additional supervision.
[ ] Ask for the objectives, review dates and support to be written down, and for a copy of the notes.
[ ] Ask what the possible outcomes are under the policy, and how any warning is reviewed.

D. After the meeting
[ ] Send a short note of what I understood was said and agreed, and ask for the manager's notes.
[ ] Diarise the review dates and keep my own record of what I do against each objective.
[ ] If support that was agreed does not happen, say so in writing and ask when it will.
[ ] If I am on a professional register, ask my rep how this process could interact with any regulator process.
[ ] Is anything I want to raise a grievance rather than part of this process? (They are separate policies.)

[Space for your own questions]

[Delete this line before sending: check every bracketed item, check your trust's own capability policy and have your union or staff-side rep read it first.]
Representative briefing noteExample

A one-page summary for your rep: timeline, each concern and your position, paperwork held and missing, and what you want from them.

BRIEFING NOTE FOR MY REPRESENTATIVE
Prepared 14 October 2026

Member: Riley Hughes, Staff Nurse, Band 5
Trust: Example NHS Foundation Trust
Stage: I have been invited to a formal capability meeting, or told a formal process has started
Most recent letter: 2 October 2026

1. Summary
The concerns relate to: Following a change: a new role, a return from a break, a new system or team.
As put to me: Concerns about incomplete medication round documentation (three audits in August) and late handover notes (four shifts in July).

2. Timeline and key dates
- 31 July 2026: Concern 2: Handover notes were completed late on four shifts in July.
- 20 August 2026: Concern 1: Medication round documentation was incomplete on three audits in August.
- 2 October 2026: Most recent letter received
- 20 October 2026: Formal capability meeting

3. My position on each concern
- Concern 1: Agree in part. Medication round documentation was incomplete on three audits in August.
- Concern 2: Agree. Handover notes were completed late on four shifts in July.

4. Process questions
- Concerns in writing: Yes
- Specific dated examples given: Yes
- Standard clear and measurable: No - to ask for it
- Support or training offered: No - to ask for it
- Timescale to improve given: No - to ask for it
- Health, workload or other circumstances discussed: No - to raise
- Copy of the trust's capability policy: [yes / no]
- Representative: Chris Doyle

5. My evidence of improvement
- Concern 1: I completed the online prescribing module on 2 September and shadowed a colleague on four medication rounds. A September spot check of 20 c...
- Concern 2: I now start handover notes 30 minutes before the end of the shift. My manager checked on five shifts in September.
Missing or still to request:
- The standard expected and how it is measured
- Details of support and training offered
- The proposed timescale and review dates
- A copy of the capability policy (if I do not have it)

6. What I would like from you
- Advice on the capability policy, which stage this is and what it could lead to.
- To accompany me and help me put my case.
- Advice on how to ask for the standards, support and review dates to be written down.
- To check whether health, workload or other circumstances should be raised, and how.
- Advice on how any professional regulator process could interact with this one, if relevant.
- [Anything else you want to ask, or particular worries]

[Delete this line before sending: check every bracketed item, check your trust's own capability policy and have your union or staff-side rep read it first.]
Appeal skeleton (for later, if needed)Example

A clearly labelled skeleton for if you need to appeal after an outcome. Do not send it now.

APPEAL SKELETON - FOR LATER, IF YOU NEED IT
This is a skeleton only. Do not send it now. You can only appeal once you have an outcome. Most formal outcomes can be appealed through the trust's own process, usually to someone more senior than whoever made the decision.

IMPORTANT: Confirm your trust's appeal deadline and the form or method for appealing before you do anything else. Appeal windows are often short, and the policy sets the number of days. Ask your union rep to read this before you send it.

An appeal is generally not a full re-run of the hearing. It usually looks at whether the process was followed fairly, whether the standards were clear and support and time to improve were genuinely given, and whether the decision was reasonable on the evidence.

[Your address]
[Your email address and phone number]

14 October 2026

[Name and job title of the person to send the appeal to - check your outcome letter and the policy]
Example NHS Foundation Trust

Subject: Appeal against the outcome of the capability process - Riley Hughes, Staff Nurse

Dear [name],

I am writing to appeal against the outcome of the capability [meeting / hearing] held on [date], confirmed in your letter of [date]. The outcome was [state the outcome].

My grounds are as follows.

Ground 1: The process was not followed fairly
[Say what was not fair, with dates and specifics: for example whether you had the concerns and evidence in good time, whether you could be accompanied, whether you had reasonable time to prepare and whether the trust's own policy was followed. Include only what is true. Delete anything that does not apply.]

Ground 2: The standards were not clear, or support and time to improve were not genuinely given
[Explain what the objectives were, whether they were specific and measurable, what support and training were promised and given, and whether the time to improve was reasonable. ACAS says a plan should set out specific objectives and a reasonable timeline and that employers should provide adequate resources. Include only what is true. You told us the standard was not clear. If that remains true, say what you asked and what you were told. You told us no support or training was offered. If that remains true, say what you asked for and what happened. You told us no timescale was given. If that remains true, say what you were told.]

Ground 3: The evidence did not support the decision
Concern 1: Medication round documentation was incomplete on three audits in August.
[Explain what the evidence showed and why it does not support the finding. Your evidence of improvement: I completed the online prescribing module on 2 September and shadowed a colleague on four medication rounds. A September spot check of 20 charts found 2 omissions.]

Ground 4: The outcome was not reasonable or proportionate
[Explain why, with reference to the specific facts, your response, your record, your improvement and whether alternatives such as an extended improvement period, changed duties or another role were considered. Delete this ground if you do not challenge the outcome.]

What I am asking for: [state clearly what you want, for example that the outcome is overturned, an improvement period is extended or the warning is reduced].

I would like to be accompanied by Chris Doyle at any appeal meeting. Please send me copies of the documents the appeal will consider and confirm the date, who will hear the appeal, and how I can submit anything further.

Yours sincerely,

Riley Hughes
Staff Nurse, Band 5

[Delete this line before sending: check every bracketed item, check your trust's own capability policy and have your union or staff-side rep read it first.]

What you get

The free part scores how prepared you are on eight signals, such as whether the concerns are in writing with examples, whether the standard is clear and measurable, whether support and a timescale have been given, and whether you have a representative. It shows what usually happens at your stage and what to ask for, and counts down your key dates. It never predicts an outcome. The paid pack turns your own answers into six documents you can edit, copy or print:

DocumentWhat it does
Letter requesting the concerns, evidence, standards and support planPolitely asks for each concern in writing with dated examples, the evidence relied on, the standard and how it is measured, the support available, the timescale, the policy and your right to be accompanied. If you have an outcome, it asks for the reasons, the plan and review notes and the appeal route instead.
Response statement against each concernYour account of each concern using only the position you chose (agree, agree in part or disagree), the context, and your evidence of improvement, with bracketed prompts for specifics.
Support and training request letterA constructive request for the supervision, training and adjustments that would help you meet the standard, with written objectives and review dates.
Meeting questions checklistFor before, during and after the meeting, tailored to your stage and concern, including standards, support, alternatives and the record of the meeting.
Representative briefing noteA one-page summary for your rep: timeline, each concern and your position, process questions answered and open, your evidence, and what you would like from them.
Appeal letter draft or skeletonIf you have an outcome, a draft built on process, whether standards and support were clear and given, the evidence and proportionality. At any earlier stage, a clearly labelled skeleton for later. Both carry a reminder to confirm your trust's deadline and form.

Every document is polite and factual, uses today's date and leaves bracketed placeholders for anything we do not know. Your answers stay in your browser and are not sent to us. The pack costs £9.99 once, gives 90 days of access and does not renew.

The usual stages of an NHS capability process

Trusts use different stage names and timescales, so there is no single national sequence, and the Handbook does not set one. The common shape, which our capability procedure guide describes in more detail, is an informal discussion and support, finding out why the problem has arisen, a documented improvement plan with specific objectives and a reasonable timeline, review meetings, and a formal stage if the objectives are not met after a fair opportunity. Outcomes range from the concern being closed, through an extended plan or a formal warning, to dismissal in the most serious unresolved cases, with a right of appeal against formal outcomes. The pack asks which stage you are at and tailors the guidance and documents to it.

Capability or conduct?

Capability concerns are about ability: clinical skills, the quality or pace of work, record keeping, or using a new system. Conduct concerns are about behaviour. ACAS says employers should try to understand why a performance problem has arisen, and our disciplinary guide explains that capability concerns are more likely to begin with a supportive improvement process. The ACAS Code of Practice covers disciplinary situations that include poor performance, so the formal stages can look similar. Ask the trust in writing which policy it is applying: the pack's letter does.

What a good improvement plan contains

ACAS says that if informal steps do not work, a plan should set out specific objectives and a reasonable timeline, in writing, shared with you. Its wider performance management guidance says objectives should be specific, measurable, achievable, relevant and time-bound, and should be fair and reflect your usual tasks and workload. A practical test is whether you could tell on any given day whether you are meeting the plan. Useful questions to ask if any of these is missing:

  • ✓ Specific objectives: what exactly would meeting the standard look like?
  • ✓ Measurable: how will progress be measured, and by whom?
  • ✓ Achievable and relevant: is it fair for my role and band, and with my workload and resources?
  • ✓ A timescale: a start date, an end date and review dates
  • ✓ Support: named training, supervision or shadowing, with dates
  • ✓ Evidence: dated examples of the concern, shared with me
  • ✓ Next steps: what happens if the plan is met, and what happens if it is not

Support you should expect, and how to record it

ACAS says employers should provide adequate resources for you to do your job and, for capability concerns, offer support such as coaching or mentoring and training. Ask in writing what is on offer and when it will start. Keep a dated log of what was promised and what you actually received, and of what you did against each objective: it is your evidence of improvement, and the pack's response statement has a space for it against each concern.

When health is part of the picture

ACAS says that for sick employees employers should consider supportive measures such as role adjustments or phased returns, and that disability-related capability issues may be resolved through reasonable adjustments rather than a disciplinary route. Ask for an occupational health assessment (our guide to occupational health referrals explains the process) and read our guide to disability and reasonable adjustments at work. If sickness absence is part of the concern, the Sickness Absence Meeting Pack tracks absences over a rolling 12 months and prepares you for an absence review.

Your right to be accompanied

Under sections 10 and 13 of the Employment Relations Act 1999 you can reasonably ask to be accompanied by a trade union representative, a certified trade union official or a work colleague at a hearing that could result in a formal warning or other action against you. Many trusts allow accompaniment at every formal stage. Our guide to NHS staff representation explains which unions and bodies can help.

Capability and pay progression

Paragraph 1.10 of the England Handbook (Section 1, with the same paragraph in the Wales section) says pay progression should ordinarily not be deferred on performance grounds unless there has been a prior documented discussion about failure to meet the required level of performance, you have been given a reasonable opportunity to demonstrate the required improvement before the decision, and the discussion identified areas for improvement and any reasonable developmental support. In Scotland (Section 6, paragraph 6.16) the Handbook says progression is automatic in all but exceptional circumstances and may be paused where an employee is within a formal capability process at stage 2 or beyond. If your increment has been withheld, ask your rep how your trust applies these rules. See also our guide to NHS pay protection if a change of role is proposed.

Appealing a capability outcome

The ACAS Code of Practice (paragraph 26) says that where an employee feels action taken against them is wrong or unjust they should appeal. Check the deadline and the form or method in your outcome letter the same day. An appeal usually looks at whether the process was fair, whether the standards were clear and support and time to improve were genuinely given, and whether the decision was reasonable on the evidence. If the outcome ended your employment, an internal appeal does not extend the separate tribunal time limit: see Sacked from the NHS? What happens next, how to appeal an NHS dismissal and the Dismissal Guidance Advisor.

Sources

Why trust this tool

  • ✓ Built on ACAS guidance on performance problems and capability dismissal, the ACAS Code, gov.uk and the NHS Terms and Conditions Handbook, with paragraph references
  • ✓ States that the Handbook has no national capability procedure and assumes no number of stages or weeks
  • ✓ Says clearly where trusts differ, and points you to your trust's policy and your union
  • ✓ Never predicts an outcome, never gives medical advice and never says an employer acted unlawfully
  • ✓ Uses only the positions you choose in the response, with no admissions added for you
  • ✓ Gives no standard appeal window, and tells you to check yours the day you get an outcome
  • ✓ Runs in your browser. Your details and document text are not sent to us
  • ✓ Guidance last updated October 2026

Related guides & tools

Frequently asked questions

What is the NHS capability procedure? +
It is the process an NHS trust uses when it has concerns about whether you can do your job to the required standard, as opposed to concerns about your conduct. There is no capability procedure in the NHS Terms and Conditions of Service Handbook: each trust sets its own policy, with its own stage names and timescales. ACAS describes the general approach as understanding why there is a problem, offering support such as coaching, mentoring and training, and, if informal steps do not work, setting a plan with specific objectives and a reasonable timeline in writing. Our capability procedure guide explains the usual stages, and your trust's own policy always takes precedence.
What is the difference between capability and disciplinary action? +
Capability is about ability: whether you can meet the standard of the job, for example clinical competence, quality of work or using new systems. Conduct is about behaviour. ACAS says employers should try to understand why a performance issue arises and distinguishes the two, and our disciplinary guide explains that capability concerns are more likely to be handled, at least at first, through a supportive improvement process with clear standards and a fair chance to improve. The ACAS Code of Practice on disciplinary and grievance procedures covers disciplinary situations including poor performance, so the two can look similar at a formal stage. Ask the trust which it is treating your concern as.
What is a supported improvement plan, and how long does it last? +
It is a written plan, sometimes called a performance improvement plan, that sets out what you are expected to achieve and how you will be supported. ACAS says such a plan should outline specific objectives and a reasonable timeline to meet them, and that the written documentation should be shared with you. There is no national number of weeks: what is reasonable depends on the role, the concern and how quickly improvement can realistically be shown, and trust policies differ. If your plan has no end date, no way of measuring objectives or no review dates, the pack's letter asks for them in writing.
Can I be dismissed for capability? +
Capability can be a potentially fair reason for dismissal, but ACAS describes dismissal as a last resort. It says employers should provide adequate resources, which may include training, and should look at changing duties or an alternative role where possible, and that before dismissing they need records such as regular reviews and improvement plans. Gov.uk says employers following a capability procedure should warn you and give you the opportunity to improve through training or support. If a process could end in dismissal, read our dismissed-from-the-NHS guide and use the Dismissal Guidance Advisor to check your deadlines. Nothing on this page predicts an outcome.
Can I take a rep to a capability meeting? +
Under sections 10 and 13 of the Employment Relations Act 1999 you can reasonably ask to be accompanied by a trade union representative, a certified trade union official or a work colleague at a hearing that could result in a formal warning or other action against you. Many trusts' capability policies allow accompaniment at every formal stage, and some at informal stages too. Ask the trust to confirm in writing, and contact your union rep before you attend a formal stage. A companion can address the hearing to put and sum up your case, respond to points and confer with you, but cannot answer questions put to you.
What support should I expect? +
ACAS says that for capability concerns employers should offer support such as coaching or mentoring and training, and should provide adequate resources to do the job. In practice, ask in writing what supervision, training, shadowing, protected time or named contact is being offered, when it will start and how often progress will be reviewed. If support is promised but not delivered, keep a dated record of what was promised, by whom and what happened, because it bears on whether you were given a fair opportunity to improve. The pack includes a support and training request letter.
What if my health or a disability is affecting my work? +
Tell your manager and occupational health as early as you can. ACAS says that for sick employees employers should consider supportive measures such as role adjustments or phased returns, and that disability-related capability issues may be resolved through reasonable adjustments rather than a disciplinary route. Whether a condition is a disability under the Equality Act 2010 is a legal question you do not need to settle before asking for support. Read our guides to occupational health referrals and to reasonable adjustments, and if sickness absence is part of the picture see the Sickness Absence Meeting Pack.
What should I ask for in writing before a capability meeting? +
The ACAS Code of Practice says the employer should notify you in writing, with sufficient information about the alleged poor performance or misconduct, for you to prepare. A useful request covers each concern separately with dated examples, the evidence and any records relied on, the standard you are expected to meet and how it is measured and by whom, the support and training available, the timescale and review dates, the capability policy and the stage, who will hear the matter, whether you can be accompanied and whether a record will be kept. The pack's request letter asks for all of these politely.
Does a capability process affect my pay progression? +
It depends on the nation and your trust's arrangements. Paragraph 1.10 of the England Handbook (the Wales section has the same paragraph) says pay progression should ordinarily not be deferred on performance grounds unless there has been a prior documented discussion about failure to meet the required level of performance, you have been given a reasonable opportunity to demonstrate the required improvement before the decision, and that discussion identified areas for improvement and any reasonable developmental support. In Scotland (Section 6, paragraph 6.16) the Handbook says progression is automatic in all but exceptional circumstances and may be paused where an employee is within a formal capability process at stage 2 or beyond. Ask your rep how your trust applies the rules.
Can I appeal a capability outcome? +
Most formal outcomes can be appealed through the trust's own process, usually to someone more senior than the original decision-maker. The ACAS Code (paragraph 26) says that where an employee feels that action taken against them is wrong or unjust they should appeal. An appeal is generally not a full re-run of the hearing: it usually looks at whether the process was followed fairly, whether the standards were clear and support and time to improve were genuinely given, and whether the decision was reasonable on the evidence. The window is often short and is set in your outcome letter or policy, so check it the same day. If the outcome ended your employment, an internal appeal does not extend the separate tribunal time limit.
Does the NHS Handbook have a capability procedure? +
No. The NHS Terms and Conditions of Service Handbook contains provisions that touch on performance, such as the pay progression paragraphs, but no national capability procedure. Trusts adopt their own policies, usually modelled on the ACAS framework, so the stages, names and timescales differ. That is why this pack asks for your trust's policy and never assumes a number of stages or weeks.
What do I get for £9.99, and for how long? +
A one-off payment of £9.99 unlocks six editable documents written from your own answers: a letter requesting the concerns, evidence, standards and support plan; a response statement against each concern with your evidence of improvement; a support and training request letter; a meeting questions checklist; a representative briefing note; and an appeal letter draft or skeleton. Access lasts 90 days from purchase, with no subscription and nothing that renews. The readiness check, stage guide and key dates stay free. The documents are drafts for you to check and edit, not HR or legal advice, and edits are not saved when you leave the page, so copy or print what you need.

Capability policies, forms and timescales are set by individual NHS trusts, so detail varies. This page is general information, not HR, medical or legal advice. FrontlinePay is an independent site and is not affiliated with ACAS, NHS England, any NHS trust or any trade union.