F82 Response Accepted

Accountability of providers' directors

Recommendation

Provision should be made for regulatory intervention to require the removal or suspension from office after due process of a person whom the regulator is satisfied is not or is no longer a fit and proper person, regardless of whether the trust is in significant breach of its authorisation or licence.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
- Regulation 5 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 provides that CQC can require the removal of directors who do not meet the fit and proper person standard. However, CQC cannot prosecute for a breach of Regulation 5. The responsibility for appointing, managing and dismissing directors rests with providers, not CQC (SI 2014/2936, Regulation 5; CQC guidance on Regulation 5).
- No published evidence has been identified that CQC has exercised its power under Regulation 5 to require the removal of a director. A parliamentary written question (PQ 48409, October 2016) addressed enforcement of the FPPT; the response indicated that CQC does not maintain a record of directors found not fit and proper, as the requirement is for providers to determine fitness (PQ 48409, 12 October 2016).
- The Kark review (February 2019) recommended (Recommendation 5) a power to disbar individuals from board positions for serious misconduct, independent of whether the trust is in breach of its licence or registration conditions. The Secretary of State did not accept this recommendation at the time (Kark review, DHSC, February 2019).
- The government consultation response of July 2025 confirmed that secondary legislation will be brought forward to implement a statutory barring system for senior NHS leaders, to be operated by the Health and Care Professions Council. This would create a mechanism for regulatory removal of individuals found guilty of serious misconduct, independent of the trust's overall regulatory status. Parliamentary debate is anticipated in the second half of 2026 (Leading the NHS: proposals to regulate NHS managers, DHSC, consultation response, July 2025).
How was this evidence gathered?
Evidence searched by Claude (Anthropic) on 10 Apr 2026
Checked data held on this site (government responses, progress updates, independent evidence)
Jurisdiction
England
Response
Accepted
Accepted Department of Health and Social Care
19 Nov 2013

The government published "Hard Truths: the Journey to Putting Patients First" (Cm 8777) on 19 November 2013, responding to all 290 recommendations of the Francis Report. This followed an initial response "Patients First and Foremost" in March 2013. Key reforms included a new Chief Inspector of Hospitals, strengthened Care Quality Commission inspection regime, a statutory duty of candour, and the fit and proper person test for NHS directors. Volume 2 (Cm 8754) contains the government's detailed responses to each of the 290 recommendations. See: https://assets.publishing.service.gov.uk/media/5a7cd486ed915d63cc65d167/34658_Cm_8777_Vol_1_accessible.pdf

Read Full Response
Note: Government responded via "Hard Truths: The Journey to Putting Patients First" (2014), a single document covering all 290 recommendations with a blanket acceptance. Individual recommendation responses were not broken out.
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.

limited_progress
15 Oct 2024
DHSC - Penny Dash Review of CQC

Penny Dash Review (commissioned May 2024) found significant failings at CQC. Health Secretary declared CQC "not fit for purpose". Key findings: one in five services never rated; inspection levels well below pre-pandemic levels; lack of specialist inspector expertise; 5,000 notification-of-concern backlog. CQC consulting on resetting its approach from October 2025.

Review into the operational effectiveness of the … View Source
Reasonable Progress
30 Sep 2023
UK Government - Kark Review of FPPT

Tom Kark QC reviewed the Fit and Proper Person Test in 2019 and found it essentially "does not ensure directors are fit for the post they hold, and does not stop the unfit from moving around the system." NHS England published updated FPPT Framework effective 30 September 2023 requiring standardised board-level assessments.

NHS England Fit and Proper Person Test Framework View Source
Reasonable Progress
06 Feb 2023
Academic Review - Ten Years After Francis

Research published 2023 marking ten years since the Francis Report found mixed results. Structural and legislative changes largely delivered (duty of candour, FPPR, CQC overhaul, revalidation, Freedom to Speak Up Guardians). However, cultural change not fully embedded; understaffing, fear of speaking up, and poor complaint handling persist in parts of the NHS.

University of Birmingham: Ten years after Francis View Source
Good Progress
11 Feb 2015
UK Government - Culture Change in the NHS

Government published "Culture Change in the NHS" (Cm 9009) reporting progress on all 290 recommendations. Key achievements: 19 hospitals placed in special measures; those trusts recruited 109 additional doctors and 1,805 additional nurses; 129 board-level changes made; excess avoidable deaths fell by 450 in less than a year.

Confirmed Completed
27 Nov 2014
Legislation - Fit and Proper Person Requirement

Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Regulation 5: Fit and Proper Person Requirement came into force November 2014. Requires providers to ensure directors meet fitness requirements including good character, qualifications, competence. CQC can require removal of directors.

Health and Social Care Act 2008 (Regulated Activi… View Source
Confirmed Completed
07 Nov 2014
Legislation - CQC Fundamental Standards

New "Fundamental Standards" replaced previous CQC registration requirements from 7 November 2014. Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 introduced clearer minimum standards including: person-centred care (Reg 9), dignity (Reg 10), safe care (Reg 12), staffing (Reg 18), good governance (Reg 17), fit and proper persons (Reg 5), duty of candour (Reg 20).

Health and Social Care Act 2008 (Regulated Activi… View Source
Confirmed Completed
01 Oct 2014
CQC - New Inspection Regime

CQC overhauled its inspection regime in response to Francis. Professor Sir Mike Richards appointed as first Chief Inspector of Hospitals (July 2013). New methodology based on five key questions (Safe, Effective, Caring, Responsive, Well-led) rolled out nationally October 2014. Four-tier ratings introduced (Outstanding/Good/Requires Improvement/Inadequate). Specialist expert-led inspection teams replaced generalist compliance model.

CQC Inspection and Ratings Framework View Source
Good Progress
19 Nov 2013
UK Government - Hard Truths Vol 1 & 2

Government published "Hard Truths: The Journey to Putting Patients First" (Cm 8777) in two volumes. Vol 1 set out new actions; Vol 2 provided detailed response to each of the 290 recommendations. Approximately 204 of 290 recommendations were fully accepted.

Source
Report Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry 06 Feb 2013
Responsible Bodies
CQC Primary
Recommendation age 13.3 yrs
Last formal update 4576 days ago