BRIS-146

Consolidate national clinical performance monitoring into a new CHI Office

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

The monitoring of clinical performance at a national level should be brought together and co-ordinated in one body: an independent Office for Information on Healthcare Performance. This Office should be part of CHI.

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

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

The Commission for Health Improvement (CHI) was replaced by the Healthcare Commission in 2004. Its responsibilities were taken over by the Care Quality Commission (CQC) in 2009. NHS England published the NHS Oversight Framework in June 2022 (replacing the NHS system oversight framework) to ensure the alignment of priorities across the NHS and with wider system partners; identify where ICBs and/or NHS providers may benefit from, or require, support; and provide an objective basis for decisions about when and how NHS England will intervene. These decisions and judgements about support and intervention take into account a range of factors including the organisational and system context and an assessment of leadership and governance.

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 Their reviewed extent of implementation reads “Superseded”.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. 146, PDF page 136.

What other bodies have found

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

●Thirlwall Inquiry legal team · 27 Feb 2026

The Government agreed with this recommendation.

In its January 2002 response, the Department of Health said proposals for an independent Office for Information On Health Care Performance within the Commission for Health Improvement were included in the NHS and Health Care Professionals Bill, with the Office to collect, analysis and publish reports on clinical and other NHS data.

The Office for Information On Health Care Performance was created in 2003 under the National Health Service Reform and Health Care Professions Act 2002.

.

From: The Thirlwall Inquiry: Review of Implementation of Recommendations from Previous Inquiries into Healthcare Issues (version dated April 2025)

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 dated April 2025, published 27 February 2026). The review colours its Extent of Implementation cell for this recommendation green, which it uses to mark evidence, identified by the legal team and/or DHSC and NHS England, that a recommendation has been clearly implemented. Table row: section 6.2 No. 146, PDF page 136.

Earlier findings (1)

●Thirlwall Inquiry legal team · 15 May 2024

The Government agreed with this recommendation.

In its January 2002 response, the Department of Health said proposals for an independent Office for Information On Health Care Performance within the Commission for Health Improvement were included in the NHS and Health Care Professionals Bill, with the Office to collect, analyse and publish reports on clinical and other NHS data.

The Office for Information On Health Care Performance was created in 2003 under the National Health Service Reform and Health Care Professions Act 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. 146, PDF page 119.

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.