BRIS-190

Mandate specific communication skills training for professionals caring for children and parents

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

Healthcare professionals intending to care for children should be trained in the particular skills necessary to communicate with parents and with children.

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 Recommendations 1-4, above.

The GMC’s generic professional capabilities framework sets out the essential generic capabilities needed for safe, effective and high quality medical care in the UK. An example of how this framework approaches the skills to communicate with parents and children is the capability around dealing with complexity and uncertainty where doctors in training must demonstrate that they can adapt management proposals and strategies to patients at extremes of age, which includes neonates and children.

Doctors must also develop high levels of communication and interpersonal skills with patients, relatives, carers, guardians and others demonstrating that they can communicate effectively and be able to share decision making, while maintaining appropriate situational awareness, professional behaviour and professional judgement. Domain 2 of the GMC guidance “Good Medical Practice” also sets out expectations with regards to communication. It recommends that when communicating with those close to a patient, medical professionals must be considerate and compassionate.

Comprehensive e-learning modules are in place to ensure that healthcare professionals are trained to communicate with parents and children e.g. Shared Decision-Making and Handling difficult situations with compassion.

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. 190, PDF page 155-156.

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 healthcare professionals would be trained in communication skills and this would be achieved through changes in basic training and continuing professional development.

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. 190, PDF page 133.

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.