F108

Support for other agencies

Mid Staffs Inquiry · Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry · Issued 6 February 2013

Government responseDepartment of Health and Social Care: Accepted (Nov 2013)

DeliveryDHSC and NHS England say in progress (Feb 2026)Department of Health and Social Care says in progress (Feb 2015)

Recommendation, verbatim from the inquiry

●Inquiry recommendation

Public Health England should review the support and training that health protection staff can offer to local authorities and other agencies in relation to local oversight of healthcare providers' infection control arrangements.

Mid Staffs Inquiry, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry · 6 Feb 2013 Source PDF →

Published evidence summary

AI-generated evidence summary

The Department of Health and Social Care and NHS England stated in commentary published in February 2026 that the UK Health Security Agency works across local and national systems to support partners in addressing health threats (DHSC and NHS England, Feb 2026). In May 2024, the Thirlwall Inquiry legal team noted that the government had accepted the recommendation and that options to improve training had been under consideration (The Thirlwall Inquiry legal team, May 2024).

AI-generated summary of the record on this page, checked by a second model and automatic checks, 26 Sep 2026.

Report-level response context

Government responded via "Hard Truths: The Journey to Putting Patients First" (2014), a single document covering all 290 recommendations with a blanket acceptance. Individual recommendation responses were not broken out.

Government response

●Department of Health and Social Care · Accepted · 19 Nov 2013

Speaker not recorded. Source: Department of Health, Hard Truths: the Journey to Putting Patients First, volume 2 (Cm 8777-II), November 2013

Accepted.
Public Health England recognises the importance of supporting local infection control and prevention arrangements, and has undertaken a review. Although the offer of support and training would be a significant undertaking, Public Health England is considering options as to how it will be able to provide this in the future and is discussing these with the Department of Health.

Extract from: Hard Truths: The Journey to Putting Patients First. Volume Two of the Government Response to the Mid Staffordshire NHS Foundation Trust Public Inquiry: Response to the Inquiry's Recommendations

Site note: This is volume two of "Hard Truths: The Journey to Putting Patients First" (Cm 8777-II), the government's response to the Inquiry's 290 recommendations, published by the Department of Health on GOV.UK on 19 November 2013 and dated to that day here. The PDF the row links to is the accessible edition, whose title page reads "January 2014". The Department of Health has been the Department of Health and Social Care since January 2018. The volume says it includes accounts from each of the national organisations the recommendations name, but it does not mark which passage each organisation wrote, so every row is filed under the Department that published it.

Delivery

●DHSC and NHS England say in progress · 27 Feb 2026

UK Health Security Agency works ‘across the national and local health and social care system – in close alliance with the devolved governments, the NHS, local authorities, academia and industry – to collectively identify what capabilities are required across the whole system and support our partners to improve their ability to address health threats alongside our own’.

From: The Thirlwall Inquiry: Review of Implementation of Recommendations from Previous Inquiries into Healthcare Issues (version dated April 2025)

Site note: DHSC and NHS England's own account of progress, supplied to the Thirlwall Inquiry in September 2024 and printed in the Inquiry legal team's Review of Implementation of Recommendations from Previous Inquiries into Healthcare Issues (version dated April 2025, published 27 February 2026). It is not a finding of the Inquiry. Their reviewed extent of implementation reads “Implemented – ongoing”. Table row: section 18.2 No. 108, PDF page 476.

●Department of Health and Social Care says in progress · 11 Feb 2015

Public Health England is continuing to work with partners working across the Health Protection Directorate, the Nursing Directorate and the Operations Directorate to explore options to improve training.

Public Health England is currently triangulating work across three of its Directorates (Health Protection, Operations and Nursing) to develop a training strategy to facilitate support and training for Local Authorities and other agencies (stakeholders) in relation to both the local oversight and risk assessment of healthcare providers’ infection control arrangements.

A position statement and proposals for the High Level Steering Group for the UK 5 year Antimicrobial Resistance Strategy outlining Infection Prevention and Control in England – Proposals to revisit structures and functions, principles and practice was submitted on 18 July 2014 with an emphasis on education, training and leadership.

A report of the Public Health England-led multi-stakeholder Antimicrobial Resistance Strategy Systems Mapping Workshop held on the 08 July 2014 outlined the development of a national training and education framework for professionals for Infection Prevention and Control and antibiotic resistance, focusing on establishing strong national and local leadership and governance for Infection Prevention and Control across the health and care sector.

The Public Health England Operational Directorate (via the Public Health England Centre Antimicrobial Resistance and Healthcare Associated Infections leads group) is developing a ‘train the trainers’ programme outlining the roles and responsibilities of Public Health England Centres there Local Authorities and other Stakeholders. This will be by the end of the financial year and will be aligned with the revision of the Public Health England internal Healthcare Associated Infections and Antimicrobial Resistance Operational Guidance for Public Health England Centres, the cross-organisational ‘Overarching Principles for Sharing Concerns’ and the revision of The Health and Social Care Act 2008: Code of Practice on the prevention and control of infections and related guidance (2010) . The training programme will cover local oversight of infection prevention and control for local authorities and other agencies using risk assessment, epidemiological principles, infection surveillance data and softer intelligence. The training programme will utilise existing local and national data combined with local knowledge and will be developed and disseminated through Health Protection Teams using the available resources and by working with their health communities (Quality surveillance Groups, Health and Well-being Groups and Infection Prevention and Control committees). This will contribute to a consistent approach across all Public Health England Centres and their localities.

From: Culture Change in the NHS supporting Annex (annex to Culture change in the NHS: applying the lessons of the Francis Inquiries)

Site note: This is the supporting annex published on 11 February 2015 with "Culture change in the NHS: applying the lessons of the Francis Inquiries" (Cm 9009), attached to the GOV.UK page as "Culture change in the NHS supporting annex". The annex has no title page; that title is GOV.UK's and the PDF's own. Its table has four columns (No., Recommendation, Hard Truths Government response, Progress update), and the row carries the Progress update cell. No column says which organisation wrote an update, so the row is filed under the Department of Health (now the Department of Health and Social Care), which published it.

Site note: The Inquiry addressed this recommendation to Public Health England, not to the Department of Health. The annex gives this update in the Department's publication and does not say who wrote it, so the row is the Department's report of the progress made on it.

What other bodies have found

In their own words. These do not change the delivery statement above.

●Thirlwall Inquiry legal team · 15 May 2024

This recommendation was accepted by the Government.

In the January 2014 Hard Truths report, the Government said that Public Health England was considering options as to how it would provide this support and training.

In the February 2015 Culture Change report, the Government said that Public Health England was continuing to work with partners across the Health Protection Directorate, the Nursing Directorate and the Operations Directorate to explore options to improve training.

From: The Thirlwall Inquiry: Review of Implementation of Recommendations from Previous Inquiries into Healthcare Issues (version of 15 May 2024)

Site note: The Thirlwall Inquiry legal team's own notes on implementation, from its Review of Implementation of Recommendations from Previous Inquiries into Healthcare Issues (version of 15 May 2024). The review does not colour its Extent of Implementation cell for this recommendation green; it leaves the cell uncoloured where a recommendation was rejected, where evidence of implementation was insufficient, or where steps had been taken but implementation was not yet complete. Table row: section 16.2 No. 108, PDF page 442.

How this page is built

The recommendation and the government responses are verbatim from primary documents. Delivery statements and other bodies' findings are shown in their own words, each with its source. The summary is written by this site and labelled as such. The Index does not paraphrase sources or characterise intent; it records what has been published.