BRIS-69

Broaden healthcare professional regulation to include education, training, CPD, and revalidation

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

Government responseNot tracked (historical inquiry)

DeliveryDHSC and NHS England state no delivery position (Feb 2026)

Recommendation, verbatim from the inquiry

●Inquiry recommendation

Regulation of healthcare professionals is not just about disciplinary matters. It should be understood as encapsulating all of the systems which combine to assure the competence of healthcare professionals: education, registration, training, CPD and revalidation as well as disciplinary matters.

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 state no delivery position · 27 Feb 2026

Please see Recommendation 46 (Professional standards).

There are 9 bodies regulating 31 health care professions in the UK. Each regulator is governed by its own statute, or Order in Council, made under powers conferred by Section 60 of the Health Act 1999.

The Professional Standards Authority for Health and Social Care (PSA) oversees the professional regulators, working with them to improve the way that professionals are regulated. They also have powers to assess and accredit organisations who register practitioners, who are not regulated by law, and work closely with the Government by giving policy advice and encouraging research to improve regulation.

Under the Medical Act 1983, the GMC has responsibility with regards to maintaining the medical register, setting standards for doctors, overseeing medical education and training, supporting revalidation and also addressing fitness to practise concerns. Under the Nursing and Midwifery Order 2001, the Nursing and Midwifery Council regulates nurses and midwives in the United Kingdom, and nursing associates in England. They set standards, hold a register, quality assure education and investigate complaints.

Under the Health Professions Order 2001, the HCPC was established to set standards for relevant professionals’ education and training, approve programmes which relevant professionals must complete for registration, maintain a register of professional and ensure registrants are fit to practise.

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 “Superseded”. Table row: section 6.2 No. 69, PDF page 102-103.

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 part.

In its January 2002 response, the Department of Health said it recognised that regulatory bodies had expertise and specialisation in the field of education, training and development, and that the new Council for the Regulation of Healthcare Professionals should be able to ensure that a single overarching view was taken of the same. However, the Department said it did not agree that the new Council should be given powers to determine standards for education and admission to practice.

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. 69, PDF page 94.

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.