Inquiries · Recommendations

Recommendations: Mid Staffs Inquiry

1,814 tracked recommendations 35 inquiries 201 match current filters Page 4 of 5

Recommendations issued by UK statutory and non-statutory inquiries, with their tracked government response and supporting evidence.

Recommendations

201 of 1,814 · page 4 of 5

Code	Recommendation	Inquiry	Response
F231	Coordination with internal procedures It is essential that, so far as practicable, Nursing and Midwifery Council procedures do not obstruct the progress of internal disciplinary action …	Mid Staffs Inquiry (2013)	Accepted
F232	Employment liaison officers The Nursing and Midwifery Council could consider a concept of employment liaison officers, similar to that of the General Medical Council, to …	Mid Staffs Inquiry (2013)	Accepted
F233	For joint action Profile While both the General Medical Council and the Nursing and Midwifery Council have highly informative internet sites, both need to ensure that …	Mid Staffs Inquiry (2013)	Accepted
F234	Cooperation with the Care Quality Commission Both the General Medical Council and Nursing and Midwifery Council must develop closer working relationships with the Care Quality Commission – in …	Mid Staffs Inquiry (2013)	Accepted
F236	Identification of who is responsible for the patient Hospitals should review whether to reinstate the practice of identifying a senior clinician who is in charge of a patient's case, so …	Mid Staffs Inquiry (2013)	Accepted
F237	Teamwork There needs to be effective teamwork between all the different disciplines and services that together provide the collective care often required by …	Mid Staffs Inquiry (2013)	Accepted
F238	Communication with and about patients Regular interaction and engagement between nurses and patients and those close to them should be systematised through regular ward rounds: All staff …	Mid Staffs Inquiry (2013)	Accepted
F239	Continuing responsibility for care The care offered by a hospital should not end merely because the patient has surrendered a bed – it should never be …	Mid Staffs Inquiry (2013)	Accepted
F240	Hygiene All staff and visitors need to be reminded to comply with hygiene requirements. Any member of staff, however junior, should be encouraged …	Mid Staffs Inquiry (2013)	Accepted
F241	Provision of food and drink The arrangements and best practice for providing food and drink to elderly patients require constant review, monitoring and implementation.	Mid Staffs Inquiry (2013)	Accepted
F242	Medicines administration In the absence of automatic checking and prompting, the process of the administration of medication needs to be overseen by the nurse …	Mid Staffs Inquiry (2013)	Accepted
F243	Recording of routine observations The recording of routine observations on the ward should, where possible, be done automatically as they are taken, with results being immediately …	Mid Staffs Inquiry (2013)	Accepted
F244	Common information practices shared data and electronic records There is a need for all to accept common information practices, and to feed performance information into shared databases for monitoring purposes. …	Mid Staffs Inquiry (2013)	Accepted
F246	Comparable quality accounts Department of Health/the NHS Commissioning Board/regulators should ensure that provider organisations publish in their annual quality accounts information in a common form …	Mid Staffs Inquiry (2013)	Accepted
F247	Accountability for quality accounts Healthcare providers should be required to lodge their quality accounts with all organisations commissioning services from them, Local Healthwatch, and all systems …	Mid Staffs Inquiry (2013)	Accepted
F248	Accountability for quality accounts Healthcare providers should be required to have their quality accounts independently audited. Auditors should be given a wider remit enabling them to …	Mid Staffs Inquiry (2013)	Accepted
F252	Access to data It is important that the appropriate steps are taken to enable properly anonymised data to be used for managerial and regulatory purposes.	Mid Staffs Inquiry (2013)	Accepted
F253	Access to quality and risk profile The information behind the quality and risk profile – as well as the ratings and methodology – should be placed in the …	Mid Staffs Inquiry (2013)	Accepted
F254	Access for public and patient comments While there are likely to be many different gateways offered through which patient and public comments can be made, to avoid confusion, …	Mid Staffs Inquiry (2013)	Accepted
F255	Using patient feedback Results and analysis of patient feedback including qualitative information need to be made available to all stakeholders in as near "real time" …	Mid Staffs Inquiry (2013)	Accepted
F256	Follow up of patients A proactive system for following up patients shortly after discharge would not only be good "customer service", it would probably provide a …	Mid Staffs Inquiry (2013)	Accepted
F258	Role of the Health and Social Care Information Centre The Information Centre should continue to develop and maintain learning, standards and consensus with regard to information methodologies, with particular reference to …	Mid Staffs Inquiry (2013)	Accepted
F259	Role of the Health and Social Care Information Centre The Information Centre, in consultation with the Department of Health, the NHS Commissioning Board and the Parliamentary and Health Service Ombudsman, should …	Mid Staffs Inquiry (2013)	Accepted
F261	Information standards The Information Centre should be enabled to undertake more detailed statistical analysis of its own than currently appears to be the case.	Mid Staffs Inquiry (2013)	Accepted
F262	Enhancing the use analysis and dissemination of healthcare information All healthcare provider organisations, in conjunction with their healthcare professionals, should develop and maintain systems which give them: Effective real-time information on …	Mid Staffs Inquiry (2013)	Accepted
F263	Enhancing the use analysis and dissemination of healthcare information It must be recognised to be the professional duty of all healthcare professionals to collaborate in the provision of information required for …	Mid Staffs Inquiry (2013)	Accepted
F264	Enhancing the use analysis and dissemination of healthcare information In the case of each specialty, a programme of development for statistics on the efficacy of treatment should be prepared, published, and …	Mid Staffs Inquiry (2013)	Accepted
F265	Enhancing the use analysis and dissemination of healthcare information The Department of Health, the Information Centre and the Care Quality Commission should engage with each representative specialty organisation in order to …	Mid Staffs Inquiry (2013)	Accepted
F266	Enhancing the use analysis and dissemination of healthcare information In designing the methodology for such statistics and their presentation, the Department of Health, the Information Centre, the Care Quality Commission and …	Mid Staffs Inquiry (2013)	Accepted
F267	Enhancing the use analysis and dissemination of healthcare information All such statistics should be made available online and accessible through provider websites, as well as other gateways such as the Care …	Mid Staffs Inquiry (2013)	Accepted
F268	Resources Resources must be allocated to and by provider organisations to enable the relevant data to be collected and forwarded to the relevant …	Mid Staffs Inquiry (2013)	Accepted
F269	Improving and assuring accuracy The only practical way of ensuring reasonable accuracy is vigilant auditing at local level of the data put into the system. This …	Mid Staffs Inquiry (2013)	Accepted
F270	Improving and assuring accuracy There is a need for a review by the Department of Health, the Information Centre and the UK Statistics Authority of the …	Mid Staffs Inquiry (2013)	Accepted
F271	Improving and assuring accuracy To the extent that summary hospital-level mortality indicators are not already recognised as national or official statistics, the Department of Health and …	Mid Staffs Inquiry (2013)	Accepted
F272	Improving and assuring accuracy There is a demonstrable need for an accreditation system to be available for healthcare-relevant statistical methodologies. The power to create an accreditation …	Mid Staffs Inquiry (2013)	Accepted
F274	Information to coroners There is an urgent need for unequivocal guidance to be given to trusts and their legal advisers and those handling disclosure of …	Mid Staffs Inquiry (2013)	Accepted
F276	Independent medical examiners Sufficient numbers of independent medical examiners need to be appointed and resourced to ensure that they can give proper attention to the …	Mid Staffs Inquiry (2013)	Accepted
F277	Death certification National guidance should set out standard methodologies for approaching the certification of the cause of death to ensure, so far as possible, …	Mid Staffs Inquiry (2013)	Accepted
F278	Death certification It should be a routine part of an independent medical examiners's role to seek out and consider any serious untoward incidents or …	Mid Staffs Inquiry (2013)	Accepted
F279	Death certification So far as is practicable, the responsibility for certifying the cause of death should be undertaken and fulfilled by the consultant, or …	Mid Staffs Inquiry (2013)	Accepted
F280	Appropriate and sensitive contact with bereaved families Both the bereaved family and the certifying doctor should be asked whether they have any concerns about the death or the circumstances …	Mid Staffs Inquiry (2013)	Accepted
F281	Appropriate and sensitive contact with bereaved families It is important that independent medical examiners and any others having to approach families for this purpose have careful training in how …	Mid Staffs Inquiry (2013)	Accepted
F282	Information for and from inquests Coroners should send copies of relevant Rule 43 reports to the Care Quality Commission.	Mid Staffs Inquiry (2013)	Accepted
F283	Information for and from inquests Guidance should be developed for coroners' offices about whom to approach in gathering information about whether to hold an inquest into the …	Mid Staffs Inquiry (2013)	Accepted
F284	Appointment of assistant deputy coroners The Lord Chancellor should issue guidance as to the criteria to be adopted in the appointment of assistant deputy coroners.	Mid Staffs Inquiry (2013)	Accepted
F285	Appointment of assistant deputy coroners The Chief Coroner should issue guidance on how to avoid the appearance of bias when assistant deputy coroners are associated with a …	Mid Staffs Inquiry (2013)	Accepted
F286	Impact assessments before structural change Impact and risk assessments should be made public, and debated publicly, before a proposal for any major structural change to the healthcare …	Mid Staffs Inquiry (2013)	Accepted
F287	Impact assessments before structural change The Department of Health should together with healthcare systems regulators take the lead in developing through obtaining consensus between the public and …	Mid Staffs Inquiry (2013)	Accepted
F288	Clinical input The Department of Health should ensure that there is senior clinical involvement in all policy decisions which may impact on patient safety …	Mid Staffs Inquiry (2013)	Accepted
F289	Experience on the front line Department of Health officials need to connect more to the NHS by visits, and most importantly by personal contact with those who …	Mid Staffs Inquiry (2013)	Accepted

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