Sickness-absence record for entrants to nursing
Allitt Inquiry · The Allitt Inquiry Report · Issued 11 February 1994 · Addressed to: Department of Health and Social Care
Government responseDepartment of Health and Social Care: Accepted (Nov 1994)
DeliveryDHSC and NHS England state no delivery position (Feb 2026)
Recommendation, verbatim from the inquiry
●Inquiry recommendation
We recommend that for all those seeking entry to the nursing profession, in addition to routine references the most recent employer or place of study should be asked to provide at least a record of time taken off on grounds of sickness (para 2.4.4)
Allitt Inquiry, The Allitt Inquiry Report · 11 Feb 1994 Source PDF →
Government response
●Department of Health and Social Care · Accepted · 2 Nov 1994
Recommendation 1. We recommended that, for all those seeking entry to the nursing profession, in addition to routine references the most recent employer or place of study should be asked to provide at leas: a record of time taken off on grounds of sickness. From April 1995, there will be consistent and agreed guidelines on seeking references from the most recent employer or place of study on a record of time taken off on grounds of sickness. The English National Board for Nursing, Midwifery and Health Visiting (ENB) has issued draft regulations and guidelines which will meet this recommendation. Additionally, the University and Colleges Admission Service has agreed to harmonise their arrangements with those of the ENB.
Extract from: Allitt Report, HC Deb 02 November 1994 vol 248 cc1232-4W
Delivery
●DHSC and NHS England state no delivery position · 27 Feb 2026
This update applies to recommendation 1, 4, 5, 6, 7, 8 and 9.
The Thirlwall Inquiry has noted immediate action agreed following the conclusion of the Allitt Inquiry. Since then, this recommendation has been superseded by the following:
• Legislative change, in particular the introduction of the Equality Act 2010 and the Data Protection Act 2018 (UK General Data Protection Regulation; and
• Guidance from NHS Employers on Employment Standards, which sets out requirements that must be carried out for all workers before commencing any type of work in the NHS, including work health assessments, employment history and reference checks, and criminal record checks.
In addition, in the case of nurse, midwives and nursing associates, the Nursing and Midwifery Council sets the professional standards that nurses, midwives and nursing associates must uphold in order to be registered to practise in the UK. These standards supersede those that were in place at the time. Equivalent standards apply to others in professionally regulated roles.
What other bodies have found
●Thirlwall Inquiry legal team · 15 May 2024
In November 1994, the Secretary of State for Health said that, from April 1995, there would be consistent and agreed guidelines on seeking references from the most recent employer or place of study on a record of time taken off on ground of sickness. The Secretary of State said that the English National Board for Nursing, Midwifery and Health Visiting had issued draft regulations and guidelines which would meet this recommendation, and that the University and Colleges Admission Service had agreed to harmonise its recommendations accordingly.
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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.