DHSC and NHS England implementation update provided to the Thirlwall Inquiry (April 2025). This is the government's own account of progress, submitted to the inquiry. Reviewed extent of implementation: Partially implemented – Ongoing. The Acute Data Alignment Programme (ADAPt) ADAPt has now been subsumed into the NHS England Outcome and Registry Programme. The platform consolidates existing implantable device-level registries and implements new outcome registry data collections to address data and vigilance gaps, enabling the prevention of patient safety issues and adverse outcomes. Medical Devices Outcomes Registry (MDOR) NHS England launched the Medical Devices Outcomes Registry (MDOR) in April 2024 to support the response to recommendation 1 of the Paterson Inquiry. This resides on NHS England's Outcome Registries Platform as a single repository to collect the responsible consultant (General Medical Council (GMC) number), supervising surgeon (GMC number) and lead surgeon (GMC number) as a repeating group. The single repository for collection of this data is the NHS England Outcome Registries Platform. The MDOR will support improved patient safety by enabling analysis and facilitate surveillance of high-risk medical devices through linkage of component data modules, including associated patient outcomes, to support patient focussed activities such as review or recall of specific patients and devices. Data submission to this single repository is mandatory for all providers under the Health and Social Care Act 2012. The deadline for providers to begin to submit data is the end of March 2025. This includes the Independent Sector. National Consultant Information Programme (NCIP) The NCIP portal is a free data platform that allows consultants to review their own data: improving clinical quality, patient safety and supporting career development. It provides consultants with data covering their NHS practice wherever it is performed with high-quality, specialty-specific dashboards at patient level. Nearly all trusts in England have been enrolled in NCIP (99%) and over 9,000 consultants now have access to the portal following universal access given across 7 surgical specialties. NCIP is on track to give access to every consultant in 14 surgical specialties by 1 April 2025 with the intention of expanding into non-surgical specialties subsequently. Access to the portal has also been given to medical directors, responsible officers (who have governance responsibilities) and trust specialty clinical leads. NCIP is now established as the visualisation platform for individual consultant outcome data. However, once a single repository is established and there is confidence in the accuracy of the data, discussions will take place with the profession as to what information is appropriate for publication. The NCIP portal contains outcome data on NHS procedures no matter where they are performed (i.e. both in NHS trusts and the Independent Sector) but excludes those procedures performed on private patients carried out in the Independent Sector. It is intended that these data will be achieved via the Outcome and Registry Programme (ORP) which was established in 2022 to develop a single unified solution to capturing and using data from NHS and private healthcare providers to detect and predict issues relating to patient safety and outcomes, and prevent harm to future patients, and replaces the earlier Acute Data Alignment Programme (ADAPt).