Inquiries · Recommendations

Recommendations: Mid Staffs Inquiry

1,814 tracked recommendations 35 inquiries 80 match current filters Page 1 of 2

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

Recommendations

80 of 1,814 · page 1 of 2

Code	Recommendation	Inquiry	Response
F7	Clarity of values and principles All NHS staff should be required to enter into an express commitment to abide by the NHS values and the Constitution, both …	Mid Staffs Inquiry (2013)	Accepted in Part
F9	Fundamental standards of behaviour The NHS Constitution should include reference to all the relevant professional and managerial codes by which NHS staff are bound, including the …	Mid Staffs Inquiry (2013)	Accepted in Part
F10	Fundamental standards of behaviour The NHS Constitution should incorporate an expectation that staff will follow guidance and comply with standards relevant to their work, such as …	Mid Staffs Inquiry (2013)	Accepted in Part
F14	The nature of standards In addition to the fundamental standards of service, the regulations should include generic requirements for a governance system designed to ensure compliance …	Mid Staffs Inquiry (2013)	Accepted in Part
F15	The nature of standards All the required elements of governance should be brought together into one comprehensive standard. This should require not only evidence of a …	Mid Staffs Inquiry (2013)	Accepted in Part
F17	Responsibility for setting standards The NHS Commissioning Board together with Clinical Commissioning Groups should devise enhanced quality standards designed to drive improvement in the health service. …	Mid Staffs Inquiry (2013)	Accepted in Part
F20	Responsibility for regulating and monitoring compliance The Care Quality Commission should be responsible for policing the fundamental standards, through the development of its core outcomes, by specifying the …	Mid Staffs Inquiry (2013)	Accepted in Part
F21	Responsibility for regulating and monitoring compliance The regulator should have a duty to monitor the accuracy of information disseminated by providers and commissioners on compliance with standards and …	Mid Staffs Inquiry (2013)	Accepted in Part
F22	Responsibility for regulating and monitoring compliance The National Institute for Health and Clinical Excellence should be commissioned to formulate standard procedures and practice designed to provide the practical …	Mid Staffs Inquiry (2013)	Accepted in Part
F33	Interim measures Insofar as healthcare regulators consider they do not possess any necessary interim powers, the Department of Health should consider introduction of the …	Mid Staffs Inquiry (2013)	Accepted in Part
F34	Interim measures Where a provider is under regulatory investigation, there should be some form of external performance management involvement to oversee any necessary interim …	Mid Staffs Inquiry (2013)	Accepted in Part
F39	Use of information about compliance by regulator from: Complaints The Care Quality Commission should introduce a mandated return from providers about patterns of complaints, how they were dealt with and outcomes.	Mid Staffs Inquiry (2013)	Accepted in Part
F41	Use of information about compliance by regulator from: Patient safety alerts The Care Quality Commission should have a clear responsibility to review decisions not to comply with patient safety alerts and to oversee …	Mid Staffs Inquiry (2013)	Accepted in Part
F44	Use of information about compliance by regulator from: Media Any example of a serious incident or avoidable harm should trigger an examination by the Care Quality Commission of how that was …	Mid Staffs Inquiry (2013)	Accepted in Part
F45	Use of information about compliance by regulator from: Inquests The Care Quality Commission should be notified directly of upcoming healthcare-related inquests, either by trusts or perhaps more usefully by coroners.	Mid Staffs Inquiry (2013)	Accepted in Part
F48	Use of information about compliance by regulator from: Foundation trust governors and scrutiny committees The Care Quality Commission should send a personal letter, via each registered body, to each foundation trust governor on appointment, inviting them …	Mid Staffs Inquiry (2013)	Accepted in Part
F59	Care Quality Commission independence strategy and culture Consideration should be given to the introduction of a category of nominated board members from representatives of the professions, for example, the …	Mid Staffs Inquiry (2013)	Accepted in Part
F60	Consolidation of regulatory functions The Secretary of State should consider transferring the functions of regulating governance of healthcare providers and the fitness of persons to be …	Mid Staffs Inquiry (2013)	Accepted in Part
F75	Enhancement of role of governors The Council of Governors and the board of each foundation trust should together consider how best to enhance the ability of the …	Mid Staffs Inquiry (2013)	Accepted in Part
F79	Accountability of providers' directors There should be a requirement that all directors of all bodies registered by the Care Quality Commission as well as Monitor for …	Mid Staffs Inquiry (2013)	Accepted in Part
F80	Accountability of providers' directors A finding that a person is not a fit and proper person on the grounds of serious misconduct or incompetence should be …	Mid Staffs Inquiry (2013)	Accepted in Part
F84	Accountability of providers' directors Where the contract of employment or appointment of an executive or non-executive director is terminated in circumstances in which there are reasonable …	Mid Staffs Inquiry (2013)	Accepted in Part
F87	Ensuring the utility of a health and safety function in a clinical setting The Health and Safety Executive is clearly not the right organisation to be focusing on healthcare. Either the Care Quality Commission should …	Mid Staffs Inquiry (2013)	Accepted in Part
F88	Information sharing The information contained in reports for the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations should be made available to healthcare regulators …	Mid Staffs Inquiry (2013)	Accepted in Part
F89	Information sharing Reports on serious untoward incidents involving death of or serious injury to patients or employees should be shared with the Health and …	Mid Staffs Inquiry (2013)	Accepted in Part
F91	NHS Litigation Authority Improvement of risk management The Department of Health and NHS Commissioning Board should consider what steps are necessary to require all NHS providers, whether or not …	Mid Staffs Inquiry (2013)	Accepted in Part
F93	NHS Litigation Authority Improvement of risk management The NHS Litigation Authority should introduce requirements with regard to observance of the guidance to be produced in relation to staffing levels, …	Mid Staffs Inquiry (2013)	Accepted in Part
F97	National Patient Safety Agency functions The National Patient Safety Agency's resources need to be well protected and defined. Consideration should be given to the transfer of this …	Mid Staffs Inquiry (2013)	Accepted in Part
F98	National Patient Safety Agency functions Reporting to the National Reporting and Learning System of all significant adverse incidents not amounting to serious untoward incidents but involving harm …	Mid Staffs Inquiry (2013)	Accepted in Part
F99	National Patient Safety Agency functions The reporting system should be developed to make more information available from this source. Such reports are likely to be more informative …	Mid Staffs Inquiry (2013)	Accepted in Part
F100	National Patient Safety Agency functions Individual reports of serious incidents which have not been otherwise reported should be shared with a regulator for investigation, as the receipt …	Mid Staffs Inquiry (2013)	Accepted in Part
F115	Investigations Arms-length independent investigation of a complaint should be initiated by the provider trust where any one of the following apply: A complaint …	Mid Staffs Inquiry (2013)	Accepted in Part
F117	Support for complainants A facility should be available to Independent Complaints Advocacy Services advocates and their clients for access to expert advice in complicated cases.	Mid Staffs Inquiry (2013)	Accepted in Part
F118	Learning and information from complaints Subject to anonymisation, a summary of each upheld complaint relating to patient care, in terms agreed with the complainant, and the trust's …	Mid Staffs Inquiry (2013)	Accepted in Part
F120	Learning and information from complaints Commissioners should require access to all complaints information as and when complaints are made, and should receive complaints and their outcomes on …	Mid Staffs Inquiry (2013)	Accepted in Part
F122	Handling large-scale complaints Large-scale failures of clinical service are likely to have in common a need for: Provision of prompt advice, counselling and support to …	Mid Staffs Inquiry (2013)	Accepted in Part
F124	Duty to require and monitor delivery of fundamental standards The commissioner is entitled to and should, wherever it is possible to do so, apply a fundamental safety and quality standard in …	Mid Staffs Inquiry (2013)	Accepted in Part
F133	Role of commissioners in complaints Commissioners should be entitled to intervene in the management of an individual complaint on behalf of the patient where it appears to …	Mid Staffs Inquiry (2013)	Accepted in Part
F135	Public accountability of commissioners and public engagement Commissioners should be accountable to their public for the scope and quality of services they commission. Acting on behalf of the public …	Mid Staffs Inquiry (2013)	Accepted in Part
F141	Taking responsibility for quality Any differences of judgement as to immediate safety concerns between a performance manager and a regulator should be discussed between them and …	Mid Staffs Inquiry (2013)	Accepted in Part
F146	Finance and oversight of Local Healthwatch Local authorities should be required to pass over the centrally provided funds allocated to its Local Healthwatch, while requiring the latter to …	Mid Staffs Inquiry (2013)	Accepted in Part
F150	Inspection powers Scrutiny committees should have powers to inspect providers, rather than relying on local patient involvement structures to carry out this role, or …	Mid Staffs Inquiry (2013)	Accepted in Part
F151	Complaints to MPs MPs are advised to consider adopting some simple system for identifying trends in the complaints and information they received from constituents. They …	Mid Staffs Inquiry (2013)	Accepted in Part
F153	Medical training The Secretary of State should by statutory instrument specify all medical education and training regulators as relevant bodies for the purpose of …	Mid Staffs Inquiry (2013)	Accepted in Part
F164	Approved Practice Settings The Department of Health and the General Medical Council should review whether the resources available for regulating Approved Practice Setting are adequate …	Mid Staffs Inquiry (2013)	Accepted in Part
F165	Approved Practice Settings The General Medical Council should immediately review its approved practice settings criteria with a view to recognition of the priority to be …	Mid Staffs Inquiry (2013)	Accepted in Part
F166	Approved Practice Settings The General Medical Council should in consultation with patient interest groups and the public immediately review its procedures for assuring compliance with …	Mid Staffs Inquiry (2013)	Accepted in Part
F167	Approved Practice Settings The Department of Health and the General Medical Council should review the powers available to the General Medical Council in support of …	Mid Staffs Inquiry (2013)	Accepted in Part
F168	Approved Practice Settings The Department of Health and the General Medical Council should consider making the necessary statutory (and regulatory changes) to incorporate the approved …	Mid Staffs Inquiry (2013)	Accepted in Part
F169	Role of the Department of Health and the National Quality Board The Department of Health, through the National Quality Board, should ensure that procedures are put in place for facilitating the identification of …	Mid Staffs Inquiry (2013)	Accepted in Part

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