BRIS-58

Formally assess non-clinical patient care competence for initial professional qualification

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

Competence in non-clinical aspects of caring for patients should be formally assessed as part of the process of obtaining an initial professional qualification, whether as a doctor, a nurse or some other healthcare professional.

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 response to Recommendation 69 (Professional standards).

Good communication skills have a positive effect on health outcomes. Patients and those important to them want to know about and participate in their own healthcare and associated decision making so all staff need to able to communicate sensitively and compassionately. Relevant frameworks include:

• The GMC framework for generic professional capabilities, which sets out the essential generic capabilities needed for safe, effective and high-quality medical care in the UK. . • The GMC Good Medical Practice guidance, which includes communicating effectively with patients, which came into effect in January 2024.

• The NMC standard of proficiency for registered nurses, which include non-clinical competencies.

• Making Every Contact Count, which is a programme that enables the delivery of consistent and concise health and wellbeing information and encourages individuals to engage in conversations about their health at scale across organisations and populations.

• Additional NHS England resources, such as:

o the Cancer Communications Hub which provides resources on how good communication skills benefit patients, service users and people affected by cancer, and those important to them.

o Communication for those waiting for planned care or treatment

o Communications toolkit for local maternity team to improve communications with black, Asian and minority ethnic women

o E-learning for Health courses, which are open to everyone working in healthcare on communicating with empathy

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. 58, PDF page 98-99.

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 his recommendation.

In its January 2002 response, the Department of Health said the non-clinical aspects of care were already a core part of the training of health professionals, and that it was working with the professions and educationalists to strengthen non-clinical aspects of care.

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. 58, PDF page 91.

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.