Reports & recommendations
12 recommendations, each with the government response on the record. Filter by government response or delivery status.
Reports (1)
| Title | Volume | Publication Date | Recommendations | Links |
|---|---|---|---|---|
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The Allitt Inquiry Report
Volumes:
|
- | 11 Feb 1994 | 12 |
Recommendations (12)
Sickness-absence record for entrants to nursing
We recommend that for all those seeking entry to the nursing profession, in addition to routine references the most recent employer or place of study should be asked to provide at least a record of time taken off on grounds of sickness (para 2.4.4)
Coroners to send post mortem reports to consultants
We recommend that in every case Coroners should send copies of post mortem reports to any consultant who has been involved in the patient's care prior to death whether or not demanded under Rule 57 of the Coroner's Rules 1984 (para 4.2.9)
Paediatric pathology in unexpected child deaths
We recommend that the provision of paediatric pathology services be reviewed with a view to ensuring that such services be engaged in every case in which the death of a child is unexpected or clinically unaccountable, whether the post mortem examination is ordered by a Coroner or in routine hospital practice (para 4.2.16)
No nursing employment where major personality disorder
We recommend that no candidate for nursing in whom there is evidence of major personality disorder should be employed in the profession (para 5.4.11)
Health screening for newly qualified nurses
We recommend that nurses should undergo formal health screening when they obtain their first posts after qualifying (para 5.5.13).
Sickness records available to occupational health
We recommend that the possibility be reviewed of making available to Occupational Health departments any records of absence through sickness from any institution which an applicant for a nursing post has attended or been employed by (para 5.5.14).
Criteria for management referrals to occupational health
We recommend that procedures for management referrals to Occupational Health should make clear the criteria which should trigger such referrals (para 5.5.14).
Apply ANHSOP Chairman's suggestion in practice
We recommend that further consideration be given to how the suggestion of the Chairman of the Association of NHS Occupational Physicians (see para 5.5.16) could be applied in practice (para 5.5.17).
GP certification of fitness for NHS employment
We recommend that consideration be given to how General Practitioners might, with the candidate's consent, be asked to certify that there is nothing in the medical history of a candidate for employment in the National Health Service which would make them unsuitable for their chosen occupation (para 5.5.19).
Observe 'Welfare of Children and Young People in Hospital'
We recommend that the Department of Health should take steps to ensure that its guide, "Welfare of Children and Young People in Hospital", is more closely observed. (para 5.8.8)
Incident report on monitoring alarm failure
We recommend that in the event of failure of an alarm on monitoring equipment, an untoward incident report should be completed and the equipment serviced before it is used again (para 5.11.6).
Single written channel for serious incident reports
We recommend that reports of serious untoward incidents to District and Regional Health Authorities should be made in writing and through a single channel which is known to all involved (para 5.14.12)
The report's concluding recommendation
Quoted from the report and not tracked as a separate recommendation: it asks no named body to take any action, so no event would mark it delivered. It is shown here because the inquiry set it inside its own numbered list.
The foregoing recommendations are aimed at the tightening of procedures to safeguard children in hospital. But no measures can afford complete protection against a determined miscreant. The main lesson from our Inquiry and our principal recommendation is that the Grantham disaster should serve to heighten awareness in all those caring for children of the possibility of malevolent intervention as a cause of unexplained clinical events.
Item 13 of 13 in the recommendations that follow paragraph 7.8 (printed page 130) · Source