IHRD-17 Response Accepted

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:
- HSC Trusts reported that nurse-to-patient ratios on paediatric wards have been reviewed in line with professional standards (IHRD Implementation Programme, Department of Health NI, March 2018).
- No independent published verification of implementation has been identified.
Sources
How was this evidence gathered?
Evidence searched by Claude (Anthropic) on 17 Jul 2026
Checked data held on this site (government responses, progress updates, independent evidence)
This recommendation applies across many organisations. The evidence above reflects central policy activity; adoption in individual organisations may vary.
Jurisdiction
Northern Ireland
Response
Accepted
Accepted HSC Trusts
01 Mar 2018

Incorporated into clinical documentation standards.

Read Full Response
Source
Inquiry Hyponatraemia Inquiry
Report Report of the Inquiry into Hyponatraemia-related Deaths 31 Jan 2018
View Source
Responsible Bodies
HSC Trusts Primary
Themes & Tags
Significant event log failures Complaint record keeping failures Clinical Records Accountability
Recommendation age 8.5 yrs
Last formal update 910 days ago