IBI-4a(iv) Response Accepted in Part AI-assessed

Individual Duty of Candour for Leaders

Recommendation

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 National Health Service, in particular in executive positions and board members.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
According to the official government response, the UK Government accepted in principle the recommendation to extend statutory duties of candour to individuals in NHS leadership positions. The government committed to implementing professional standards for and regulating NHS managers, and a consultation on options for this regulation, including the establishment of a professional body, ran from 26 November 2024 to 18 February 2025 (Official government response, 21 July 2025). Additionally, the Public Office (Accountability) Bill 2024-26, which creates a statutory duty of candour for public authorities with criminal sanctions, passed the House of Commons in January 2026 and is progressing through the House of Lords (UK Parliament, 19 January 2026).
How was this assessed?
Assessed by gemini-2.5-flash on 19 Mar 2026
Checked data held on this site (government responses, progress updates, independent evidence)
External sources searched: www.gov.uk, www.legislation.gov.uk, hansard.parliament.uk
Jurisdiction
UK-wide
Response
Accepted in Part
Accepted in Part UK Government
14 May 2025

UK Government consultation (November 2024 - February 2025) sought views on whether a professional duty of candour should apply to NHS leaders. Response being prepared considering broader manager regulation proposals.

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Published Evidence

Published assessments of implementation progress from inspectorates, select committees, official progress reports, and other sources. Check the source type badge to see whether each assessment is independent or government self-reported.

Reasonable Progress
19 Jan 2026
UK Parliament legislation

Public Office (Accountability) Bill 2024-26 ("Hillsborough Law") introduced September 2025, passed Commons January 2026, progressing through Lords. Creates statutory duty of candour for public authorities with criminal sanctions.

Public Office (Accountability) Bill 2024-26 View Source
Good Progress
15 Jan 2026
IBCA Community Update Other

As of 13 January 2026: 3,721 people asked to start claims, 3,546 begun process, 3,074 received offers totalling £2.47bn, 2,861 paid totalling £1.89bn. Third compensation regulations in force 31 December 2025.

View detailed findings

IBCA exceeded initial expectations. Three sets of regulations now in force covering infected persons, affected persons, and supplementary routes. £11.8bn committed in October 2024 Budget. Independent review found "very creditable progress."

IBCA Community Update, 15 January 2026 View Source
Reasonable Progress
28 Oct 2025
IBCA Independent Review Other

IBCA has contacted 2,215 people to begin compensation claims; 1,934 started process. £812m+ paid via Horizon Shortfall Scheme. £11.8bn committed in Autumn Budget.

View detailed findings

IBCA exceeded expectations for first cohort and established operational service with "compassionate ethos." Target: bulk of infected payments by 2027, affected by 2029. Third compensation scheme regulations came into law 31 December 2025.

IBCA CO-Sponsored Independent Review Report, Octo… View Source
Source
Report Infected Blood Inquiry Final Report 20 May 2024
Responsible Bodies
UK Government Primary
Recommendation age 1.8 yrs
Last formal update 14 May 2025