1
Addressed to: NHS England
No Response Published
Link to recommendation 1
Recommendation · source text
NHS England should commission a Phase 2 review to assess the current levels of safety oversight within each department where Consultant Surgeon A practiced, with a view to surfacing any key risks. This review should also assess the feasibility of a fuller investigation into the organisational handling of concerns about Consultant Surgeon A.
2
Addressed to: NHS England
No Response Published
Link to recommendation 2
Recommendation · source text
The terms of reference for the Phase 2 review should be as set out in Appendix 5 of this report.
3
Addressed to: NHS England
No Response Published
Link to recommendation 3
Recommendation · source text
The Phase 2 review should be independently chaired and supported by an independent Programme Management Office.
4
Addressed to: NHS England
No Response Published
Link to recommendation 4
Recommendation · source text
Immediate patient safety concerns identified during the Phase 2 review should be escalated to the SRO and Regional Independent Investigations Team (RIIT).
5
Addressed to: NHS England
No Response Published
Link to recommendation 5
Recommendation · source text
Regular meetings should be held between the RIIT and the Phase 2 review team, and monthly updates should be provided.
6
Addressed to: NHS England
No Response Published
Link to recommendation 6
Recommendation · source text
Data Processing Agreements should be put in place for any and all information sharing during the Phase 2 review.
7
Addressed to: NHS England
No Response Published
Link to recommendation 7
Recommendation · source text
A report (in both draft and final versions, following factual inaccuracy and legal review) which answers the review scope and objectives as set out in the terms of reference should be produced.
8
Addressed to: NHS England
No Response Published
Link to recommendation 8
Recommendation · source text
For Part 1 of the Phase 2 review, the report should make recommendations for inclusion in each service’s combined action plan.
9
Addressed to: NHS England
No Response Published
Link to recommendation 9
Recommendation · source text
For Part 2 of the Phase 2 review, a recommendation should be made about the feasibility of a third phase Governance Investigation. If this is recommended, draft terms of reference must be provided in the report.
10
Addressed to: NHS England
No Response Published
Link to recommendation 10
Recommendation · source text
A draft report for the Phase 2 review should be issued within six months of this work commencing.