To ask the Secretary of State for Health and Social Care, with reference to recommendation 44 of the Report of the Morecambe Bay Investigation, published in March 2015, what steps his Department has taken to establish a proper framework on which future in
Department of Health and Social Care
The Government is committed to ensuring that all women and babies received safe, personalised, equitable, and compassionate care. We are determined to learn lessons from inquiries and investigations.The Healthcare Safety Investigation Branch became an ind...
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To ask the Secretary of State for Health and Social Care, with reference to the recommendations contained in the report of the Morecambe Bay Investigation, published in March 2015, what assessment his Department has made of the implications for his polici
Department of Health and Social Care
The National Maternity Review report, ‘Better Births - Improving outcomes of maternity services in England, A Five Year Forward View for maternity care’ reviewed maternity services across the country including in rural and isolated areas.In the 2016/17 cl...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to (a) establish a proper framework, if necessary sta
Department of Health and Social Care
The Healthcare Safety Investigation Branch was established in 2017 to investigate to improve patient safety and create a learning culture across the National Health Service.The Health Service Safety Investigations Bill was introduced in the previous Parli...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department undertook to ensure that professional regulatory bodies invest
Department of Health and Social Care
As independent bodies, the regulators of healthcare professionals are responsible for operational matters concerning the discharge of their statutory duties. Accordingly, it would not be appropriate for Ministers to become involved with individual fitness...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to draw up a national protocol setting out the duties
Department of Health and Social Care
NHS Improvement, in 2016, published national compulsory guidance on the duties, and the current legislation relating to coroner inquests that National Health Service trusts, foundation trusts, and individual clinicians must follow with regards to coronial...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what progress he has made in introducing a mechanism to independently scrutinise perinata
Department of Health and Social Care
Medical examiners have been introduced on a non-statutory basis from April 2019 to scrutinise all non-coronial deaths and ensure the right deaths are referred to coroners. This includes neonatal death.Since April 2018, the Healthcare Safety Investigation ...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to ensure that the importance of putting quality firs
Department of Health and Social Care
The Department is committed to ensure that services across the health and care system are of the highest quality through ongoing system regulation and oversight.The Care Quality Commission is the independent regulator of quality for health and adult socia...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to ensure that (a) all external reviews of suspected
Department of Health and Social Care
National Health Service trusts are asked to submit details of the commissioning and conclusion of relevant external reviews or investigations undertaken in the previous 12 months and describe key outcomes to the Care Quality Commission (CQC) as part of th...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to draw up systematic guidance setting out an appropr
Department of Health and Social Care
NHS England and NHS Improvement have agreed to establish an advisory function for independent reviews which they sponsor, commission or oversee. This will advise on the establishment and best practice management of these types of reviews.
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to review how it carries out impact assessments of ne
Department of Health and Social Care
The Department’s Impact Assessment process seeks to identify risks and uncertainties associated with proposed policy changes, following best practice guidance for impact assessments and quality assurance set out by HM Treasury in the Green Book and Aqua B...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to draw up a protocol on how to manage organisational
Department of Health and Social Care
Since the publication of the Morecambe Bay Investigation, the Department and the National Health Service have put in place a number of measures that are designed to ensure that organisational change is well managed.These include arrangements to support lo...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to help ensure that NHS England draws up a protocol t
Department of Health and Social Care
The National Quality Board (NQB) provides coordinated leadership for quality on behalf of the Department, Public Health England, NHS England, the Care Quality Commission, NHS Improvement, NHS Digital and the National Institute for Health and Care Excellen...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to help ensure that the CQC and the Parliamentary and
Department of Health and Social Care
The Care Quality Commission (CQC) has a Memorandum of Understanding (MoU) in place with the Parliamentary and Heath Service Ombudsman (PHSO). The MoU sets out the framework for the working relationship between the two organisations.In addition, the CQC an...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to review the opportunities and challenges for smalle
Department of Health and Social Care
The Health Education England (HEE) working group undertook a comprehensive review of education and training issues for staff working in smaller units and rural areas and published its report in 2016.The 2019 Maternity Workforce Strategy which superseded t...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to (a) draw up clear standards for incident (i) repor
Department of Health and Social Care
In July 2019, NHS Improvement published a new NHS Patient Safety Strategy. The strategy commits the National Health Service to developing a new Patient Safety Incident Response Framework (PSIRF), which will replace the Serious Incident Framework (publishe...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to help ensure that a duty is placed on all NHS Board
Department of Health and Social Care
Since summer 2018, as part of the Care Quality Commission’s annual Routine Provider Information Return, National Health Service trusts are asked to submit details of the commissioning and conclusion of relevant external reviews or investigations undertake...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, what plans his Department has to improve the 2014 duty of candour for all NHS professionals.
Department of Health and Social Care
The Government introduced a statutory duty of candour on organisations in response to the Mid Staffordshire NHS Foundation Trust Public Inquiry, and this is regulated as part of the Care Quality Commission inspection regime. Providers must ensure that the...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to conduct a national review of the provision of mate
Department of Health and Social Care
The National Maternity Review report, ‘Better Births - Improving outcomes of maternity services in England, A Five Year Forward View for maternity care’ reviewed maternity services across the country including in rural and isolated areas. It found that in...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to (a) publish national standards setting out the res
Department of Health and Social Care
The Faculty of Medical Leadership and Management is developing the third edition of the Leadership and management standards for medical professionals to be released in 2020.The interim People Plan published in June 2019 gave a commitment to undertake a sy...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to (a) establish national standards of the profession
Department of Health and Social Care
The Faculty of Medical Leadership and Management is developing the third edition of the Leadership and management standards for medical professionals to be released in 2020.The interim People Plan published in June 2019 gave a commitment to undertake a sy...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department has taken to reform the Local Supervising Authority system for
Department of Health and Social Care
Both the Parliamentary and Health Service Ombudsman’s and Dr Bill Kirkup’s reports following Morecambe Bay were critical of the Local Supervising Authority system provided for in legislation for midwives.The Nursing and Midwifery (Amendment) Order 2017 se...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what step has his department taken to introduce a clear national policy on whistleblowing
Department of Health and Social Care
The Government has established an independent National Guardian to help drive positive cultural change across the National Health Service so that speaking up becomes business as usual. The National Guardian oversees a network of over 500 Local Guardians c...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his Department have taken to review the NHS complaints system to (a) strengthe
Department of Health and Social Care
We are currently developing a national strategy which aims to drive improvements in how feedback and concerns from patients are dealt with by the National Health Service so that the NHS listens, learns and acts.
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To ask the Secretary of State for Health and Social Care, with reference to the report entitled, The Report of the Morecambe Bay Investigation, published in March 2015, what steps he has taken to extend the medical examiners system to (a) stillbirths and
Department of Health and Social Care
Medical examiners will scrutinise all non-coronial deaths and ensure the right deaths are referred to coroners. This includes neonatal deaths. We remain committed to establishing a statutory system in the National Health Service, that will scrutinise all ...
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To ask the Secretary of State for Health and Social Care, with reference to the Report of the Morecambe Bay Investigation by Dr Bill Kirkup, published in March 2015, what steps his department has taken to improve recording systems for perinatal deaths.
Department of Health and Social Care
The Government has introduced measures to improve the systematic recording of perinatal deaths.The Perinatal Mortality Review Tool was launched in 2018 to support National Health Service trusts to undertake systematic, multidisciplinary, high quality revi...
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