Single consultant data repository
Paterson Inquiry · Report of the Independent Inquiry into the Issues raised by Paterson · Issued 4 February 2020 · Addressed to: Department of Health and Social Care
Source — verbatim from the inquiry
●Inquiry recommendation
We recommend that there should be a single repository of the whole practice of consultants across England, setting out their practising privileges and other critical consultant performance data – for example, how many times a consultant has performed a particular procedure and how recently. This should be accessible and understandable to the public. It should be mandated for use by managers and healthcare professionals in both the NHS and the independent sector.
Paterson Inquiry, Report of the Independent Inquiry into the Issues raised by Paterson · 4 Feb 2020 Source PDF →
Published evidence summary
Publicly available evidence relating to this recommendation:
- NHS England launched the Medical Devices Outcomes Registry (MDOR) in April 2024 to collect data on responsible, supervising, and lead consultants (DHSC and NHS England implementation update provided to the Thirlwall Inquiry, April 2025).
- NHS England mandated data submission to the Outcome Registries Platform for all providers, including the independent sector, with a deadline of March 2025 (DHSC and NHS England implementation update provided to the Thirlwall Inquiry, April 2025).
- The National Consultant Information Programme (NCIP) portal provides a platform for consultants to review their own clinical data (DHSC and NHS England implementation update provided to the Thirlwall Inquiry, April 2025).
Sources
How was this evidence gathered?
Response — verbatim from government
●Department of Health and Social Care
Accepted in principle. The government is improving data flows to CQC and GMC to give them better oversight of consultants' full scope of practice. NHS England is developing a workforce repository and working with partner organisations to improve data sharing on consultant activity. Work is ongoing to develop solutions that provide meaningful and accessible information for patients and the public. (Source: Government Response, December 2021)
Department of Health and Social Care · 16 Dec 2021
Evidence trail — what's actually happened since
- 1 Apr 2025 DHSC and NHS England implementation update provided to the Thirlwall Inquiry (April 2025). This is the government's own account of progress, submitted to the inquiry. Reviewed extent of implementation: Partially implemented – Ongoing. The Acute Data Alignment Programme (ADAPt) ADAPt has now been subsumed into the NHS England Outcome and Registry Programme. The platform consolidates existing implantable device-level registries and implements new outcome registry data collections to address data and vigilance gaps, enabling the prevention of patient safety issues and adverse outcomes. Medical Devices Outcomes Registry (MDOR) NHS England launched the Medical Devices Outcomes Registry (MDOR) in April 2024 to support the response to recommendation 1 of the Paterson Inquiry. This resides on NHS England's Outcome Registries Platform as a single repository to collect the responsible consultant (General Medical Council (GMC) number), supervising surgeon (GMC number) and lead surgeon (GMC number) as a repeating group. The single repository for collection of this data is the NHS England Outcome Registries Platform. The MDOR will support improved patient safety by enabling analysis and facilitate surveillance of high-risk medical devices through linkage of component data modules, including associated patient outcomes, to support patient focussed activities such as review or recall of specific patients and devices. Data submission to this single repository is mandatory for all providers under the Health and Social Care Act 2012. The deadline for providers to begin to submit data is the end of March 2025. This includes the Independent Sector. National Consultant Information Programme (NCIP) The NCIP portal is a free data platform that allows consultants to review their own data: improving clinical quality, patient safety and supporting career development. It provides consultants with data covering their NHS practice wherever it is performed with high-quality, specialty-specific dashboards at patient level. Nearly all trusts in England have been enrolled in NCIP (99%) and over 9,000 consultants now have access to the portal following universal access given across 7 surgical specialties. NCIP is on track to give access to every consultant in 14 surgical specialties by 1 April 2025 with the intention of expanding into non-surgical specialties subsequently. Access to the portal has also been given to medical directors, responsible officers (who have governance responsibilities) and trust specialty clinical leads. NCIP is now established as the visualisation platform for individual consultant outcome data. However, once a single repository is established and there is confidence in the accuracy of the data, discussions will take place with the profession as to what information is appropriate for publication. The NCIP portal contains outcome data on NHS procedures no matter where they are performed (i.e. both in NHS trusts and the Independent Sector) but excludes those procedures performed on private patients carried out in the Independent Sector. It is intended that these data will be achieved via the Outcome and Registry Programme (ORP) which was established in 2022 to develop a single unified solution to capturing and using data from NHS and private healthcare providers to detect and predict issues relating to patient safety and outcomes, and prevent harm to future patients, and replaces the earlier Acute Data Alignment Programme (ADAPt). Source →
Each entry above links to a primary source — gov.uk written statement, consultation response document, or inspection report. The Index does not characterise government intent; it tracks what has been published.
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Source and Response are verbatim from primary documents. The Evidence trail records published activity since — written statements, consultation outcomes, inspection findings, parliamentary references. The Index does not paraphrase or characterise intent; it tracks what has been published. Where the evidence is the absence of action (a missed deadline, a slipped timetable), that absence is documented from primary sources rather than inferred.
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