IHRD-8 Response Accepted Self-assessed

RQIA Compliance Review Powers

Recommendation

Regulation and Quality Improvement Authority ('RQIA') should review overall compliance and consideration should be given to granting it the power to prosecute in cases of serial non-compliance or serious and wilful deception.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
The Department of Health NI's 2018 response indicated that the RQIA's remit was under review, with consideration for expanded oversight powers, but prosecution powers had not been granted. Despite a January 2024 progress update stating 'Completed', independent evidence from February 2026 indicates that RQIA's remit remains limited, prosecution powers for serial non-compliance have not been granted, and fundamental regulatory reform requiring legislation has not occurred.
How was this assessed?
Assessed by gemini-2.5-flash on 24 Mar 2026
Checked data held on this site (government responses, progress updates, independent evidence)
External sources searched: www.gov.uk, www.health-ni.gov.uk, www.legislation.gov.uk, hansard.parliament.uk
Jurisdiction
Northern Ireland
Response
Accepted
Accepted Northern Ireland Executive Initial Response
01 Mar 2018

Training protocols updated. Competency requirements incorporated into medical education and continuing professional development.

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Accepted in Part Department of Health NI Follow-up
01 Mar 2018

RQIA remit under review. Consideration being given to expanded oversight powers but prosecution powers not yet granted.

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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.

Insufficient Progress
06 Feb 2026
Department of Health NI / RQIA Other

RQIA's remit remains limited. Prosecution powers for serial non-compliance have not been granted. Fundamental regulatory reform requiring legislation has not occurred.

View detailed findings

Recommendation 8 called for RQIA to review overall compliance with duty of candour and be given power to prosecute serial non-compliance. RQIA's regulatory powers remain significantly more limited than CQC in England. RQIA has no regulatory role over inpatient mental health facilities, cannot make enforceable requirements for services it inspects but does not regulate, and has no inspection powers over community mental health services. An RQIA Partnership Agreement was published in July 2025 but fundamental reform requiring legislation has not occurred. Campaign groups continue to call for root and branch reform of RQIA.

IHRD Implementation Programme / RQIA View Source
Source
Report Report of the Inquiry into Hyponatraemia-related Deaths 31 Jan 2018
Responsible Bodies
Northern Ireland Executive Primary
Department of Health NI Primary
Recommendation age 8.1 yrs
Last formal update 783 days ago