IHRD-4 Response Accepted

Trust Awareness of Duty of Candour

Recommendation

Trusts should ensure that all healthcare professionals are made fully aware of the importance, meaning and implications of the duty of candour and its critical role in the provision of healthcare.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
- The Department of Health NI reported that work to raise awareness of the duty of candour among healthcare staff was being taken forward (IHRD Implementation Programme, Department of Health NI, March 2018).
- A Being Open Framework has been implemented across HSC Trusts on a non-statutory basis, including staff training on candour principles (Department of Health NI Progress Report, December 2018).
- In December 2024, the Department launched a public consultation on formalising the Being Open Framework alongside a statutory duty of candour (Being Open Framework and Duty of Candour Consultation, Department of Health NI, December 2024).
- The framework remains non-statutory; the statutory duty of candour recommended by the Inquiry has not been enacted.
How was this evidence gathered?
Evidence searched by Claude (Anthropic) on 17 Jul 2026
Checked data held on this site (government responses, progress updates, independent evidence)
This recommendation asks for cultural or behavioural change, which is difficult to verify from published sources alone. The evidence above reflects policy commitments rather than measured outcomes.
Jurisdiction
Northern Ireland
Response
Accepted
Accepted HSC Trusts Initial Response
01 Mar 2018

Being Open Framework implemented across Trusts. Training provided to staff on duty of candour principles.

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Accepted in Part Northern Ireland Executive Follow-up
01 Mar 2018

Reviewed in context of workforce planning. Some concerns raised by Royal Colleges about potential de-skilling impacts. Implementation being balanced against training needs.

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Published Evidence

Published assessments of progress from inspectorates, select committees, official progress reports, and other sources. Source type badge indicates whether each assessment is independent or government self-reported.

Reasonable Progress
06 Feb 2026
HSC Trusts / Department of Health NI Other

A Being Open Framework has been implemented across HSC Trusts with staff training on candour principles, but this is non-statutory and lacks enforcement mechanisms.

View detailed findings

While the statutory duty of candour remains unimplemented, HSC Trusts have adopted the Being Open Framework which promotes openness and transparency. Training has been provided to staff on candour principles. However, without statutory backing, compliance relies on goodwill rather than legal obligation. The 2024 consultation sought to strengthen this framework.

IHRD Implementation Programme / Being Open Framew… View Source
Source
Report Report of the Inquiry into Hyponatraemia-related Deaths 31 Jan 2018
Responsible Bodies
Northern Ireland Executive Primary
HSC Trusts Primary
Recommendation age 8.5 yrs
Last formal update 911 days ago