Competence is managed end to end. The practice verifies that each person holds the qualifications, knowledge, experience, skills and recent practice their role needs; writes down what the role does and backs the person to do it; runs mandatory professional practice training and a competency assessment scheme for non-medical staff; backs participation in quality assurance and continuing professional development; checks that people stay inside their defined role and scope; and re-examines roles on a cycle and whenever a device or service is introduced or materially changed.
The graph holds this control, the 0 it maps to, and the evidence behind each claim, over MCP and REST.