Themes | Care Quality & Organisational Culture | The Accountability Index

Healthcare director fit person tests

Lack of robust 'fit and proper person' requirements and ongoing assessment for directors of healthcare providers.

132 items 13 sources 7 inquiries

Strongest theme matches

Mixed across source types and ranked by classifier confidence plus text match strength.

Indicative ranking
Inquiry recommendation
98match
F79 - Accountability of providers' directors
Mid Staffs Inquiry
There should be a requirement that all directors of all bodies registered by the Care Quality Commission as well as Monitor for foundation trusts are, and remain, fit and proper persons for the role. Such a test should include a requirement to comply with a prescribed code of conduct for directors.
Matched on terms: director, fit, person, test
Inquiry recommendation
94match
F84 - Accountability of providers' directors
Mid Staffs Inquiry
Where the contract of employment or appointment of an executive or non-executive director is terminated in circumstances in which there are reasonable grounds for believing that he or she is not a fit and proper person to hold such a post, licensed bodies should be obliged by the terms of their licence to report the matter to Monitor,...
Matched on terms: director, fit, person
Inquiry recommendation
94match
F83 - Accountability of providers' directors
Mid Staffs Inquiry
If a "fit and proper person test" is introduced as recommended, Monitor should issue guidance on the principles on which it would exercise its power to require the removal or suspension or disqualification of directors who did not fulfil it, and the procedure it would follow to ensure due process.
Matched on terms: director, fit, person, test
Inquiry recommendation
94match
F82 - Accountability of providers' directors
Mid Staffs Inquiry
Provision should be made for regulatory intervention to require the removal or suspension from office after due process of a person whom the regulator is satisfied is not or is no longer a fit and proper person, regardless of whether the trust is in significant breach of its authorisation or licence.
Matched on terms: director, fit, person
Inquiry recommendation
94match
F80 - Accountability of providers' directors
Mid Staffs Inquiry
A finding that a person is not a fit and proper person on the grounds of serious misconduct or incompetence should be a circumstance added to the list of disqualifications in the standard terms of a foundation trust's constitution.
Matched on terms: director, fit, person
Inquiry recommendation
85match
13 - Accountability and regulation of managers
Thirlwall Inquiry
i. DHSC and NHS England must develop and put in place a barring system for all managers (clinical and non-clinical) by September 2027. It should be reviewed in 2030 with a view to moving to a full statutory regulation system by September 2032. ii. NHS England must require any Trust seeking approval for the movement of a senior...
Matched on terms: fit, healthcare, person, test
CQC action
85match
Bridlington Hospital
Should Do
The trust should formalise written guidance for fulfilment of the requirement of the Fit and Proper Persons Test (FPPT) for Directors.
Matched on terms: director, fit, person, test
Committee recommendation
81match
#12 - First Report - The Government’s White Paper proposals for the reform of Health and Social Care
Health and Social Care Committee
We conclude that the Bill provides a timely vehicle to introduce reforms to the fit- and-proper persons test for appointments to NHS boards. We therefore recommend that the Bill is used to establish a UK-wide public register of people that are holding, 40 The Government’s White Paper proposals for the reform of Health and Social Care have held,...
Matched on terms: fit, person, test
CQC action
81match
Sunderland Royal Hospital
Must Do
The trust must maintain effective records to evidence adherence to the fit and proper persons regulation for directors.
Matched on terms: director, fit, person
CQC action
81match
South Tyneside District Hospital
Must Do
The trust must maintain effective records to evidence adherence to the fit and proper persons regulation for directors.
Matched on terms: director, fit, person
Inquiry recommendation
78match
F85 - Accountability of providers' directors
Mid Staffs Inquiry
Monitor and the Care Quality Commission should produce guidance to NHS and foundation trusts on procedures to be followed in the event of an executive or non-executive director being found to have been guilty of serious failure in the performance of his or her office, and in particular with regard to the need to have regard to the...
Matched on terms: director, healthcare
Inquiry recommendation
78match
F81 - Accountability of providers' directors
Mid Staffs Inquiry
Consideration should be given to including in the criteria for fitness a minimum level of experience and/or training, while giving appropriate latitude for recognition of equivalence.
Matched on terms: director, fit
CQC action
69match
Salford Royal Hospital
Should Do
The trust should ensure it effectively manages the administration of the fit and proper persons checks.
Matched on terms: fit, person
CQC action
69match
Royal Preston Hospital
Should Do
The trust should monitor the administration of files for the fit and proper persons checks.
Matched on terms: fit, person
CQC action
69match
Rochdale Infirmary
Should Do
The trust should ensure it effectively manages the administration of the fit and proper persons checks.
Matched on terms: fit, person
CQC action
69match
Chorley and South Ribble Hospital
Should Do
The trust should monitor the administration of files for the fit and proper persons checks.
Matched on terms: fit, person
CQC action
69match
The Walton Centre
Should Do
The trust should improve the system for the capture and storage of information with regard to the Fit and Proper Persons Regulation.
Matched on terms: fit, person
CQC action
69match
Fairfield General Hospital
Should Do
The trust should ensure it effectively manages the administration of the fit and proper persons checks.
Matched on terms: fit, person
CQC action
69match
The Christie Main Site
Must Do
The trust must ensure there is an effective process to manage the administration of the fit and proper persons checks.
Matched on terms: fit, person
CQC action
69match
Medistaff24
Must Do
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Matched on terms: fit, person
CQC action
69match
10-12 Hainsworth Park
Must Do
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Matched on terms: fit, person
CQC action
69match
Floron Residential Home for the Elderly
Must Do
This was a breach of regulation 19 (fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Matched on terms: fit, person
CQC action
68match
Manchester Court
Should Do
The provider follows their staff recruitment policy closely with regard to the link to the guidance relating to Fit and proper persons employed.
Matched on terms: fit, person
CQC action
64match
Kindered Hearts Limited
Must Do
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Matched on terms: fit, person
CQC enforcement action
64match
Warning Notice: St George’s University Hospitals NHS Foundation Trust
Nov 2016
Immediately after an inspection in June and July 2016, CQC issued a Warning Notice to St George’s University Hospitals NHS Foundation Trust. This notice highlighted breaches in regulations concerning safe and fit premises at St George’s Hospital, obtaining consent under the Mental Capacity Act 2005, good governance, and the fit and proper person requirement. Inspectors found several trust...
Matched on terms: fit, person
Inquiry recommendation
61match
F86 - Requirement of training of directors
Mid Staffs Inquiry
A requirement should be imposed on foundation trusts to have in place an adequate programme for the training and continued development of directors.
Matched on terms: director
PFD report
57match
Kate Louise Pierce
Dec 2013 · North Wales (East & Central)
The coroner raised concerns regarding a doctor's fitness to practice, following a misdiagnosis and alleged misleading of parents about a second opinion, noting the doctor remains in practice.
Matched on terms: fit
PFD report
57match
Peter Cole
Feb 2020 · Hertfordshire
The coroner identified inadequate monitoring and supervision of repeat medication, leading to patients receiving dangerous quantities and widespread waste of healthcare resources.
Matched on terms: healthcare
Detention investigation recommendation
55match
Assessment of government progress in implementing the report on the welfare in detention of vulnerable persons - Rec...
An action plan should be drawn up to address the shortcomings I found in healthcare facilities within the immigration estate to ensure a clinically safe, compliant and appropriate environment for the delivery of care to detainees.
Matched on terms: healthcare, person
CQC action
53match
Scarborough Hospital
Should Do
The trust should ensure that it follows the recommended period for repeating and recording Disclosure and Barring Service checks for directors.
Matched on terms: director
CQC action
53match
Montagu Hospital, Mexborough
Should Do
ThetrustshouldconsiderareviewofthetimescalesforDisclosureandBarring(DBS)re-checksforexecutiveandnon-executivedirectorstobeundertakensoonerthanevery10years.
Matched on terms: director
CQC action
53match
Cumberland Infirmary
Should Do
The trust should ensure that it follows the recommended period for repeating and recording Disclosure and Barring Service checks for directors and that all qualifications are copied and recorded with in directors files. Regulation 5(3)(d).
Matched on terms: director
CQC action
53match
JDK Limited (Glenholme Care)
Must Do
The directors have mismanaged the service and the regulated activity has not been carried out in compliance with the regulations. One of the directors has been unable to provide evidence of a DBS certificate.
Matched on terms: director
Committee recommendation
52match
#18 - TrustMark's registration process fails to adequately assess installer businesses' financial stability and liquidity.
Public Accounts Committee
The original installer is liable for fixing the installation to meet the relevant standards. However, the National Audit Office reported that not all installers are complying with the remediation process.38 We asked TrustMark whether the process for installer businesses to become TrustMark-registered (and therefore be able to do work under government retrofit schemes) includes an assessment of the...
Matched on terms: fit
LGO / SPSO decision
51match
21-011-337 - Southend-on-Sea City Council
LGO (Local Government & Social Care Ombudsman)
Summary: We will not investigate this complaint about the Council’s investigation into whether a landlord was a fit and proper person to operate a house in multiple occupation. This is because Mr X has not been caused an injustice as a result of the actions of the Council.
Matched on terms: fit, person
Inquiry recommendation
48match
F232 - Employment liaison officers
Mid Staffs Inquiry
The Nursing and Midwifery Council could consider a concept of employment liaison officers, similar to that of the General Medical Council, to provide support to directors of nursing. If this is impractical, a support network of senior nurse leaders will have to be engaged in filling this gap.
Matched on terms: director
Inquiry recommendation
48match
F229 - Revalidation
Mid Staffs Inquiry
It is highly desirable that the Nursing and Midwifery Council introduces a system of revalidation similar to that of the General Medical Council, as a means of reinforcing the status and competence of registered nurses, as well as providing additional protection to the public. It is essential that the Nursing and Midwifery Council has the resources and the...
Matched on terms: fit
Inquiry recommendation
48match
F227 - Nursing and Midwifery Council Investigation of systemic concerns
Mid Staffs Inquiry
The Nursing and Midwifery Council needs to have its own internal capacity to assess systems and launch its own proactive investigations where it becomes aware of concerns which may give rise to nursing fitness to practise issues. It may decide to seek the cooperation of the Care Quality Commission, but as an independent regulator it must be empowered...
Matched on terms: fit
Inquiry recommendation
48match
F226 - Nursing and Midwifery Council Investigation of systemic concerns
Mid Staffs Inquiry
To act as an effective regulator of nurse managers and leaders, as well as more front-line nurses, the Nursing and Midwifery Council needs to be equipped to look at systemic concerns as well as individual ones. It must be enabled to work closely with the systems regulators and to share their information and analyses on the working of...
Matched on terms: fit
Inquiry recommendation
48match
F222 - General Medical Council Systemic investigation where needed
Mid Staffs Inquiry
The General Medical Council should have a clear policy about the circumstances in which a generic complaint or report ought to be made to it, enabling a more proactive approach to monitoring fitness to practise.
Matched on terms: fit
Committee recommendation
48match
#10 - Tenth Report: The appointment of Antony Jenkins to the Prudential Regulation Committee
Treasury Committee
After taking into account his oral and written evidence, we are satisfied that Antony Jenkins has the appropriate professional competence and personal independence to undertake the role of external member of the Prudential Regulation Committee. We wish him every success. 2 “Financial Interests […] Holding a financial interest in a PRA-authorised person, including an interest which arises under...
Matched on terms: person
Detention investigation recommendation
48match
Review into the Welfare in Detention of Vulnerable Persons - Rec 21
I recommend that the Home Office immediately consider an alternative to the current rule 35 mechanism. This should include whether doctors independent of the IRC system (for example, Forensic Medical Examiners) would be more appropriate to conduct the assessments as well as the training implications.
Matched on terms: person
PHSO casework decision
48match
P-002632 - Royal Devon University Healthcare NHS Foundation Trust
Closed After Initial Enquiries
Mr H complained the Trust's paediatrician mismanaged his grandson's medication and lacked leadership, causing his mental health to deteriorate.
Matched on terms: healthcare
PFD report
45match
Jack Postle
Feb 2020 · Hertfordshire
The WGH maternity unit has insufficient capacity to provide safe patient care. Guidance for consultants restricts caesarean section availability by including a 'not as first choice' caveat, even after failed induction, without reference to clinical considerations.
Matched on classifier match
PFD report
45match
Joseph Price
Jan 2023 · County Durham and Darlington
The coroner noted the absence of questions on reception health screens regarding family history of sudden cardiac death. Adding this to screening templates could help identify predispositions and prevent similar deaths.
Matched on classifier match
Inquiry recommendation
44match
11 - Reconstitute the Hospital Management Committee
Whittingham Inquiry
The present members of the Hospital Management Committee should be invited to resign and the Committee reconstituted. In view of the pressing need to reorganise services at Whittingham, a small committee of about eight should be set up pending the establishment of an Area Health Board covering the Preston area. There is a need both for fresh blood...
Matched on terms: director
Inquiry recommendation
44match
29 - Standards for manager quality responsibilities
Morecambe Bay Investigation
Clear national standards should be drawn up setting out the responsibilities for clinical quality of other managers, including executive directors, middle managers and non-executives. All Trusts should provide evidence to the Care Quality Commission, as part of their processes, of appropriate policies and training to ensure that standards are met. Action: NHS England, the Care Quality Commission, all...
Matched on terms: director
Inquiry recommendation
44match
28 - National standards for clinical leads
Morecambe Bay Investigation
Clear national standards should be drawn up setting out the professional duties and expectations of clinical leads at all levels, including, but not limited to, clinical directors, clinical leads, heads of service, medical directors, nurse directors. Trusts should provide evidence to the Care Quality Commission, as part of their processes, of appropriate policies and training to ensure that...
Matched on terms: director
Committee recommendation
44match
#15 - Require the New Hospital Programme to conduct comprehensive live clinical testing of Hospital 2.0 designs.
Public Accounts Committee
Before the evidence session, we visited a “super hospital” project in Denmark. The Danes had built a prototype of a new operating theatre on the edge of an existing hospital and each surgical team was given access to it so they could test how it worked in practice. Using the lessons from these clinicians, the new hospital was...
Matched on terms: test
Inquiry recommendation
41match
35 - Clinical experience for managers
Alder Hey Inquiry
No clinician shall be appointed to a position of managerial authority in a hospital without having relevant clinical experience for the position.
Matched on classifier match
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