BRIS-42

Regulatory bodies must be independent and reflect interests of patients and professionals

Bristol Heart Inquiry · Bristol Heart Inquiry — Final Report · Issued 18 July 2001

Government responseNot tracked (historical inquiry)

DeliveryDHSC and NHS England say in progress (Feb 2026)

Recommendation, verbatim from the inquiry

●Inquiry recommendation

All the various bodies and organisations concerned with regulation, besides being independent of government, must involve and reflect the interests of patients, the public and healthcare professionals, as well as the NHS and government.

Bristol Heart Inquiry, Bristol Heart Inquiry — Final Report · 18 Jul 2001 Source PDF →

Government response

●No formal government response recorded

The Index has not yet recorded a verbatim government response to this recommendation.

Delivery

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

Please see our response to Recommendation 31 for legal duties in respect of patient and public involvement.

Regulators involve patients and public as part of their stakeholder engagement activity. Examples below.

• Nursing and Midwifery Council Stakeholder Engagement
• GMC Involving patients in undergraduate curriculum development

NHS England has a legal duty under sections 13Q and 13H of the National Health Service Act 2006 to secure the involvement of patients, their carers, and representatives in its commissioning processes and decisions. Patients and the public are at the heart of everything NHS England does, in line with the principles of the NHS Constitution and Public Participation Policy. Equivalent duties are held by for Integrated Care Boards (ICBs), NHS trusts and foundation trusts.

NHS England provides statutory guidance for ICBs, NHS trusts and foundation trusts to support them to meet their public involvement legal duties. It is relevant to other health and care organisations, including local government and seeks to ensure collaborative working to involve people and communities.

The AoMRC’s guidance is also reflected in NICE guidance on shared decision-making. All NHS and Independent Sector (IS) providers are regulated by CQC, and assessments include how services ensure that patients understand and are involved in decisions regarding their care.

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 6.2 No. 42, PDF page 91-92.

What other bodies have found

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

●Thirlwall Inquiry legal team · 15 May 2024

The Government agreed with this recommendation.

In its January 2002 response, the Department of Health said that proposals for the new Nursing and Midwifery and Health Professions Councils and reform of the General Medical Council included arrangements for reflecting the interests of patients, the public and healthcare professionals.

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 6.2 No. 42, PDF page 87.

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.