Tag

Leadership

Recommendations related to leadership

30 recommendations 100% accepted

Tag overview

Government Response
Accepted (20)
Accepted in Part (10)
Recommendations in This Theme

recommendation across 8 inquiries

Across 8 inquiries

Tagged Recommendations

30 total
COVID-M1.2 Accepted in Part COVID-19 Inquiry

Cabinet Office Leadership for Emergencies

The UK government should: abolish the lead government department model for whole-system civil emergency preparedness and resilience; and require the Cabinet Office to lead on preparing for and building resilience …

- The government accepted this recommendation with modification in its response published 16 January 2025, retaining the Lead Government Department model but expanding the Cabinet …
Cabinet Office
IBI-4a(iv) Accepted in Part Infected Blood Inquiry

Individual Duty of Candour for Leaders

Statutory duty of candour: The statutory duties of candour in England, Scotland, Wales (and Northern Ireland, when introduced) should be extended to cover those individuals in leadership positions in the …

- The Government stated in December 2024 that it had accepted this recommendation in principle and launched a 12-week consultation on regulating NHS managers in …
UK Government
IBI-4a(v) Accepted in Part Infected Blood Inquiry

Leadership Accountability for Safety

Statutory duty of candour: Individuals in leadership positions should be required by the terms of their appointment and by secondary legislation to record, consider and respond to any concern about …

- The Government stated in December 2024 that it accepted this recommendation in principle, referencing the Learn from Patient Safety Events service and the importance …
UK Government
25 Accepted in Part Brook House Inquiry

Ensure senior manager presence and accessibility to staff

Contractors operating immigration removal centres must ensure that senior managers are regularly present and visible within the immigration removal centre and are accessible to more junior detention staff.

- In March 2024, the Home Office stated that contractors are required to ensure senior managers are regularly present and visible within IRCs, addressing desensitisation …
Home Office
ETI-17 Accepted Edinburgh Tram Inquiry

Governance Structure

The governance structure for the delivery of a major project such as a light rail scheme should follow published guidance and ensure clarity regarding the respective roles of various bodies …

- In November 2023, the Council stated it broadly agreed with Lord Hardie's recommendations, noting that governance improvements had been implemented for Trams to Newhaven …
City of Edinburgh Council
47 Accepted IICSA

Catholic lead clergy for safeguarding

The Catholic Bishops' Conference of England and Wales and the Conference of Religious in England and in Wales should each nominate a lead member of the clergy for safeguarding to …

- On 30 April 2021, the Catholic Council for the Inquiry stated that the role description for the Lead Bishop for the Catholic Bishops' Conference …
Catholic Bishops Confere…
RHI-36 Accepted RHI Inquiry

Learning from Failures

The Northern Ireland Civil Service should develop a better process to learn from past failures, one that goes beyond the traditional method of revising and circulating internal guidance. Leaders within …

- In October 2021, the NI Executive accepted this recommendation in full (NI Executive Response to RHI Inquiry, Department of Finance, October 2021). - The …
Northern Ireland Executi…
IHRD-19 Accepted Hyponatraemia Inquiry

Senior Lead Nurse in Children's Wards

To ensure continuity, all children's wards should have an identifiable senior lead nurse with authority to whom all other nurses report. The lead nurse should understand the care plan relating …

HSC Trusts
IHRD-69 Accepted Hyponatraemia Inquiry

Executive Director Responsibilities

Trusts should appoint and train Executive Directors with specific responsibility for: (i) Issues of Candour. (ii) Child Healthcare. (iii) Learning from SAI related patient deaths.

HSC Trusts
IHRD-85 Accepted Hyponatraemia Inquiry

Deputy CMO for Children's Healthcare

The Department should appoint a Deputy Chief Medical Officer with specific responsibility for children's healthcare.

Department of Health NI
IHRD-9 Accepted Hyponatraemia Inquiry

Leadership Development

The highest priority should be accorded the development and improvement of leadership skills at every level of the health service including both executive and non-executive Board members.

Department of Health NI
F148 Accepted Mid Staffs Inquiry

Training

The complexities of the health service are such that proper training must be available to the leadership of Local Healthwatch as well as, when the occasion arises, expert advice.

- Healthwatch England provides a programme of support and development resources for Local Healthwatch organisations, including guidance documents, webinars, and network events. Healthwatch England's Quality …
F171 Accepted Mid Staffs Inquiry

Deans

All Local Education and Training Boards should have a post of medically qualified postgraduate dean responsible for all aspects of postgraduate medical education.

- Health Education England established Local Education and Training Boards (LETBs) across England, each with a medically qualified postgraduate dean responsible for all aspects of …
NHS England Health Education England
F192 Accepted in Part Mid Staffs Inquiry

Strong nursing voice

The Department of Health and Nursing and Midwifery Council should introduce the concept of a Responsible Officer for nursing, appointed by and accountable to, the Nursing and Midwifery Council.

- The government's response in "Hard Truths" (Cm 8777, November 2013) did not accept the specific proposal for a "Responsible Officer" for nursing equivalent to …
NMC
F195 Accepted in Part Mid Staffs Inquiry

Nurse leadership

Ward nurse managers should operate in a supervisory capacity, and not be office-bound or expected to double up, except in emergencies as part of the nursing provision on the ward. …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation and stated that ward managers should be supervisory leaders, visible and …
Healthcare providers
F196 Accepted Mid Staffs Inquiry

Nurse leadership

The Knowledge and Skills Framework should be reviewed with a view to giving explicit recognition to nurses' demonstrations of commitment to patient care and, in particular, to the priority to …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation and stated that the NHS Knowledge and Skills Framework would be …
Department of Health and…
F197 Accepted in Part Mid Staffs Inquiry

Nurse leadership

Training and continuing professional development for nurses should include leadership training at every level from student to director. A resource for nurse leadership training should be made available for all …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation and committed to making leadership training available at all levels of …
NHS
F2 Accepted Mid Staffs Inquiry

Putting the patient first

The NHS and all who work for it must adopt and demonstrate a shared culture in which the patient is the priority in everything done. This requires: A common set …

- The NHS Constitution for England was revised in 2013 and again on 27 July 2015, incorporating updated values including "patients come first in everything …
NHS
F203 Accepted Mid Staffs Inquiry

Strengthening the nursing professional voice

A forum for all directors of nursing from both NHS and independent sector organisations should be formed to provide a means of coordinating the leadership of the nursing profession.

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation and stated that a forum for directors of nursing from NHS …
Department of Health and…
F206 Accepted Mid Staffs Inquiry

Strengthening the nursing professional voice

The effectiveness of the newly positioned office of Chief Nursing Officer should be kept under review to ensure the maintenance of a recognised leading representative of the nursing profession as …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation and stated that the effectiveness of the Chief Nursing Officer role …
Department of Health and…
F214 Accepted Mid Staffs Inquiry

Shared training

A leadership staff college or training system, whether centralised or regional, should be created to: provide common professional training in management and leadership to potential senior staff; promote healthcare leadership …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
F215 Accepted Mid Staffs Inquiry

Shared code of ethics

A common code of ethics, standards and conduct for senior board-level healthcare leaders and managers should be produced and steps taken to oblige all such staff to comply with the …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
Department of Health and…
F216 Accepted Mid Staffs Inquiry

Leadership framework

The leadership framework should be improved by increasing the emphasis given to patient safety in the thinking of all in the health service. This could be done by, for example, …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
F217 Accepted in Part Mid Staffs Inquiry

Common selection criteria

A list should be drawn up of all the qualities generally considered necessary for a good and effective leader. This in turn could inform a list of competences a leader …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
F218 Accepted Mid Staffs Inquiry

Enforcement of standards and accountability

Serious non-compliance with the code, and in particular, non-compliance leading to actual or potential harm to patients, should render board-level leaders and managers liable to be found not to be …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation and introduced the Fit and Proper Person Test (FPPT) as CQC …
CQC
F219 Accepted in Part Mid Staffs Inquiry

A regulator as an alternative

An alternative option to enforcing compliance with a management code of conduct, with the risk of disqualification, would be to set up an independent professional regulator. The need for this …

- The government's response in "Hard Truths" (Cm 8777, November 2013) noted this recommendation as an alternative to F218 and indicated it would proceed with …
Department of Health and…
F220 Accepted in Part Mid Staffs Inquiry

Accreditation

A training facility could provide the route through which an accreditation scheme could be organised. Although this might be a voluntary scheme, at least initally, the objective should be to …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation in principle (Hard Truths: the Journey to Putting Patients First, DHSC, …
F287 Accepted Mid Staffs Inquiry

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 healthcare professionals, a coherent, and easily accessible structure …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
Department of Health and…
F290 Accepted Mid Staffs Inquiry

Experience on the front line

The Department of Health should promote a shared positive culture by setting an example in its statements by being open about deficiencies, ensuring those harmed have a remedy, and making …

- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
Department of Health and…
F56 Accepted Mid Staffs Inquiry

Care Quality Commission independence strategy and culture

The leadership of the Care Quality Commission should communicate clearly and persuasively its strategic direction to the public and to its staff, with a degree of clarity that may have …

- CQC published a series of "A fresh start" strategy documents in October 2013 setting out its new approach to regulation and inspection by sector, …
CQC