Reports & recommendations

17 recommendations, each with the government response on the record. Filter by government response or delivery status.

Title Volume Publication Date Recommendations Links
Report of the Independent Inquiry into the Issues raised by Paterson - 04 Feb 2020 17

Recommendations (2)

12a
Not accepted

Suspension during investigation

Recommendation

We recommend that if, when a hospital investigates a healthcare professional's behaviour, including the use of an HR process, any perceived risk to patient safety should result in the suspension of that healthcare professional.

In brief (written by this site)

In commentary from September 2024 published in February 2026, the Department of Health and Social Care and NHS England maintained that the recommendation was not accepted, stating that its underlying goals could be met through clear guidance and robust investigations (DHSC and NHS England, Feb 2026). The Thirlwall Inquiry legal team recorded in its February 2026 review that the recommendation had not been accepted by the government (The Thirlwall Inquiry legal team, Feb 2026). In their September 2024 update, the bodies noted that policy frameworks for raising concerns were being developed, alongside national people policy frameworks for providers to adopt locally, which will include a resolution framework (DHSC and NHS England, Feb 2026).

Department of Health and Social Care · 16 Dec 2021 Not accepted
Words of: Department of Health and Social Care, Government response to the independent inquiry report into the issues raised by former surgeon Ian Paterson, 16 December 2021
Do not accept We agree that exclusions and restriction of practice can be necessary and, in some cases, immediate exclusion is an appropriate response while an investigation is ongoing. However, we do not believe it would be fair or proportionate to impose a blanket rule to exclude practitioners in such cases. Such a step may inadvertently cause a chilling effect, dissuading healthcare professionals from raising concerns, and negatively impacting patient safety. It is vital that investigations are robust and conducted in a timely manner. Guidance has been put in place to ensure that concerns are taken seriously, appropriate action taken …
Read full response to 12a (opens in a new tab)
Department of Health and Social Care (Primary)
View details of 12a
15
Not accepted

Independent sector NHS contract qualification

Recommendation
We recommend that, if the Government accepts any of the recommendations concerned, it should make arrangements to ensure that these are to be applicable across the whole of the independent sector's workload (i.e. private, insured and NHS-funded) if independent sector …
In brief (written by this site)

In commentary from September 2024 published in February 2026, the Department of Health and Social Care and NHS England confirmed that the recommendation was not accepted, explaining that differences in operational and governance models between the sectors require different approaches (DHSC and NHS England, Feb 2026). The Thirlwall Inquiry legal team noted in May 2024 that the recommendation was not accepted by the government and was due to be reviewed further (The Thirlwall Inquiry legal team, May 2024). The department had stated in February 2024 that "no further action has been taken in relation to this recommendation" (The Department of Health and Social Care, May 2024).

Department of Health and Social Care · 16 Dec 2021 Not accepted
Words of: Department of Health and Social Care, Government response to the independent inquiry report into the issues raised by former surgeon Ian Paterson, 16 December 2021
Do not accept – keep under review This recommendation, if implemented, would change the way in which independent sector providers qualify for NHS contracts. As demonstrated in our response to the other recommendations, independent sector providers are fully committed to implementing changes alongside NHS providers. They must already meet the same regulatory standards, as required by CQC. We will continue to monitor the independent sector uptake of the other recommendations and we will review our position on this recommendation in 12 months’ time, setting out further steps if necessary. The government does not agree that independent sector providers should only …
Read full response to 15 (opens in a new tab)
Department of Health and Social Care (Primary)
View details of 15