BRIS-50

Create training and support for clinicians seeking executive director roles

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

The NHS Leadership Centre, in conjunction with trusts, should develop programmes of training and support for clinicians and others who seek to become executive directors.

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

The Thirlwall Inquiry has noted action taken in response to this recommendation.

The NHS Leadership Academy was established in 2013 although now no longer exists and instead now forms part of NHS England.

The NHS Long Term Workforce Plan (2023) sets out a series of interventions to train, retain and reform the workforce, and put the NHS on a sustainable footing into the future. NHS England has committed to review the plan at least every two years. A range of leadership development opportunities and programmes exist, including through the NHS Leadership Academy. These include:

• Eight national development programmes exist for entry level to mid-level managers, which train around 20,000 participants per annum.

• A directory of support offers for existing executive and non-executive Board members (2023).

National development programmes are now in place for Aspiring CEOs, Chairs and Executives. Going forward, staff taking on these roles will receive greater support to stay and thrive in post, leading to less 'revolving door' appointments, interims and protracted periods of instability. Incentives will be further explored, looking at other sectors/industries for best practice.

The NHS Leadership Competency Framework for board members (2024) sets out six competency domains to support board members to perform at their best. These align to the NHS Values as set throughout in the NHS Constitution, as well as our NHS People Promise, Our Leadership way, and the Seven Principles of Public Life.

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. 50, PDF page 95.

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 an executive director development programme was commencing in January 2002.

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 colours its Extent of Implementation cell for this recommendation green, which it uses to mark evidence, identified by the legal team, that a recommendation has been clearly implemented. Table row: section 6.2 No. 50, PDF page 89.

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.