IHRD-17
Response
Accepted
Self-assessed
Recording Changes in Accountability
Recommendation
Any change in clinical accountability should be recorded in the notes.
Published Evidence Summary
The following publicly available evidence relates to this recommendation:
According to the government's March 2018 response, the requirement for any change in clinical accountability to be recorded in patient notes has been incorporated into clinical documentation standards. The Department of Health NI Implementation Programme updates indicated a 'Completed' status as of January 2024. Independent evidence from February 2026 stated that care plan documentation is now in place as part of the generally implemented practical paediatric care standards across HSC Trusts.
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.health-ni.gov.uk, www.legislation.gov.uk, hansard.parliament.uk
This recommendation requires implementation across many organisations. The assessment reflects central policy response, not adoption in individual organisations.
Jurisdiction
Northern Ireland
Response
Accepted
Response
Accepted
Accepted
HSC Trusts
01 Mar 2018
Incorporated into clinical documentation standards.
Source
Inquiry
Hyponatraemia Inquiry
Report
Report of the Inquiry into Hyponatraemia-related Deaths
31 Jan 2018
Responsible Bodies
HSC Trusts
Primary
Themes & Tags
Recommendation age
8.1 yrs
Last formal update
783 days ago