According to the Official government response (2018), the Department of Health Northern Ireland's Implementation Programme, established in March 2018, is addressing the recommendation for Trusts to monitor candour compliance and take disciplinary action against breaches. According to the Official government response (2018), the government reported that a "Being Open Framework" was implemented and support mechanisms for staff raising concerns were established, while compliance monitoring mechanisms were being developed. According to the Official government response (2024-01-31), as of January 2024, this recommendation was reported as "In Progress", indicating ongoing work on these aspects, and no further specific details on the compliance monitoring or disciplinary actions have been publicly identified since this update.