F191

Recruitment for values and commitment

Mid Staffs Inquiry · Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry · Issued 6 February 2013 · Addressed to: Healthcare providers

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

Healthcare employers recruiting nursing staff, whether qualified or unqualified, should assess candidates' values, attitudes and behaviours towards the well-being of patients and their basic care needs, and care providers should be required to do so by commissioning and regulatory requirements.

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

In commentary from September 2024, published in February 2026, the Department of Health and Social Care and NHS England stated that the NHS operates a values-based recruitment approach to attract students, trainees and employees "on the basis that their individual values and behaviours align with the values of the NHS constitution" (DHSC and NHS England, Feb 2026). Earlier, in May 2024, the Thirlwall Inquiry legal team noted that the government had accepted the recommendation and previously cited the introduction of values testing for NHS-funded training posts and employer mapping tools (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.

About this summary
This recommendation applies across many organisations. The record above reflects central policy activity; adoption in individual organisations may vary.

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.
The Government’s Mandate to Health Education England contained a requirement to ensure that selection into all new NHS-funded training posts incorporates testing of values-based recruitment. NHS England is working with Health Education England and NHS Employers to support the introduction of values-based recruitment and appraisal for all registered or unregistered staff.
Placing a strong emphasis on values at the outset of training potential staff is vital to embed the principles of compassion and caring from the very beginning in those who will one day provide care to patients. It is essential that the staff of tomorrow are able to demonstrate not only academic and technical ability, but also that they have the values of kindness and compassion that are needed to care for patients in an emotionally demanding environment.
Health Education England and Local Education and Training Boards (who are responsible for the education and training of NHS staff within 13 different regions in England), are working with employers and education providers to be responsible for the development of the future workforce. They also have a role to play to ensure that the current workforce is fit for purpose and able to provide care of the highest quality.
As set out in its Mandate, Health Education England is committed to the introduction of values based recruitment for all students entering NHS-funded clinical education programmes and to also support such processes for recruitment into NHS employment.
The three key objectives of Health Education England’s national values-based recruitment programme focus on:
1. recruiting for Values in Higher Education Institutions;
2. recruiting for Values in the NHS; and
3. evaluating the impact of Recruiting for Values.
Over the long term, Health Education England sees values-based recruitment as part of a wider programme to change attitudes and behaviours of NHS staff, enhancing their engagement and continuously improving healthcare for its patients.
In addition, there is an on-going project to develop values-based recruitment tools for social care providers. This project, involving the National Skills Academy for Social Care, brings together a range of directly-targeted, free, easy-to-use tools that employers can use when recruiting staff, to assess candidates for appropriate social care values, as evidenced through their behaviours. These tools can sit alongside other tests around competencies and skills.
The toolkit adapts materials that are already currently available and brings them together in a package, in the first instance to support employers in recruiting the right candidates for a career in care. There is also an option to extend the toolkit to assist potential candidates in deciding whether they are suitable to pursue a career in care.
The toolkit can be found at: https://www.nsasocialcare.co.uk/values-based-recruitment- toolkit.

Response document: 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

Please see response to recommendation 188 above for health and character in the context NMC professional standards; and Recommendations 7 and 193 for approach to appraisals

The NHS additionally operates a values-based recruitment approach to attract students, trainees and employees on the basis that their individual values and behaviours align with the values of the NHS constitution.

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. 191, PDF page 522.

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

With Health Education England, NHS Employers has developed a mapping tool to allow local organisations to map their values to those in the NHS Constitution. NHS Employers has also produced guidance for employers linking pay progression, appraisal and performance management. This includes a number of resources to support employers including good practice case studies and a model policy. Further resources including case studies and podcasts will continue to be developed during the year.

NHS Employers is also leading the implementation of action area 6 of the Compassion in Practice implementation plan for the Chief Nursing Officer – this focuses on staff experience. Year one of this work has highlighted good practice in strengthening the delivery of the NHS Constitution pledges to staff and signposted employers to existing supporting resources. Discussions are underway to agree the content of the Year two programme which is likely to include the development of a mapping tool to link local values and the compassion in practise 6Cs.

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 healthcare providers, 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 its mandate to Health Education England contained a requirement to ensure that selection into all new NHS-funded training posts incorporated testing of values.

The Government also said that NHS England was working with Health Education England and NHS Employers to support the introduction of value-based recruitment and appraisal for all registered or unregistered staff. In the February 2015 Culture Change report, the Government said this had resulted in development of a mapping tool to allow local organisations to map their values to those in the NHS Constitution.

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. 191, PDF page 485.

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.