37 Response Accepted AI-assessed

Protocol for organisational change transitions

Recommendation

Organisational change that alters or transfers responsibilities and accountability carries significant risk, which can be mitigated only if well managed. We recommend that an explicit protocol be drawn up setting out how such processes will be managed in future. This must include systems to secure retention of both electronic and paper documents against future need, as well as ensuring a clearly defined transition of responsibilities and accountability. Action: the Department of Health.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
According to the Department of Health and Social Care's 2015 statement, protocols for organisational transitions and document retention were established, and NHS records management guidance was updated. This built on guidance issued in September 2011 for managing records during organisational change. No further specific published evidence has been identified since 2015.
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
England
Response
Accepted
Accepted Department of Health and Social Care
16 Jul 2015

100. We accept this recommendation. We agree that these are important concepts,
and indeed a number of protocols were drawn up and widely communicated in
managing changes to the health system in 2012. The Department of Health issued
guidance to NHS bodies in transition in September 2011 setting out the effective
management of records during organisational change22 .
101. In its report of 10 July 2013, “Managing the transition to the reformed health
system”23 the National Audit Office noted the “considerable planning and preparatory
work” that was done ahead of the Health and Social Care Act being passed and
highlighted that the “Department’s programme management demonstrated many
elements of good practice”24 , including comprehensive governance structures,
ongoing monitoring arrangements for key aspects of the transition, and a variety of
mechanisms to assess and gain assurance about the new system’s state of
readiness.
102. The National Archives has oversight of records management within
Government departments, and publishes guidance on best practice. They have
recently revised the guidance on “Machinery of Government Changes”25 which the
Department follows when transferring information assets between owners. The
National Archives have considered the Department’s records management
compliance as part of their Information Management Assessment in October 2014,
the report of which will be published shortly.
Perinatal deaths and recording: 38-40

Read Full Response
Source
Report Report of the Morecambe Bay Investigation 03 Mar 2015
Responsible Bodies
Department of Health and Social Care Primary
Recommendation age 11.1 yrs
Last formal update 3904 days ago