R4

No nursing employment where major personality disorder

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 in part (Nov 1994)

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

Recommendation, verbatim from the inquiry

●Inquiry recommendation

We recommend that no candidate for nursing in whom there is evidence of major personality disorder should be employed in the profession (para 5.4.11)

Allitt Inquiry, The Allitt Inquiry Report · 11 Feb 1994 Source PDF →

Government response

●Department of Health and Social Care · Accepted in part · 2 Nov 1994

Words of: Virginia Bottomley, Secretary of State for Health, in a written answer to Richard Spring MP, House of Commons, 2 November 1994

Guidance on occupational health is to be issued shortly which will cover all these recommendations. Together with the English National Board's new guidelines, this guidance will establish better procedures for selection of student nurses for training, the selection of staff to work on children's wards and the follow up of staff who have a history of excessive absence through sickness.

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

As set out in Recommendation 1, this recommendation has been superseded, including by legislative changes, particularly in this context the Equality Act 2010, the Data Protection Act 2018 and the UK General Data Protection Regulation.

The NHS Terms and Conditions of Service Handbook (as revised February 2024) requires that employee health and wellbeing is monitored and reviewed on a regular basis (35.47). This handbook is published on the NHS Employers website. It is amended whenever new agreements are reached in the NHS Staff Council.

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 Their reviewed extent of implementation reads “Superseded”.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 3.2 No. 4, PDF page 15.

What other bodies have found

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

●Thirlwall Inquiry legal team · 15 May 2024

In November 1994, the Secretary of State for Health said that guidance on occupational health was to be issued shortly to cover this recommendation. The Secretary of State said that, together with the English National Board’s new guidelines, this guidance would establish better procedures for selection of student nurses for training, the selection of staff to work on children’s wards and the follow up of staff with a history of excessive absence through sickness.

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 3.2 No. 4, PDF page 15.

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.