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: In progress. This recommendation predates the merger of Monitor and the NHS Trust Development Authority into NHS England with a single oversight framework now in place which seeks to ensure the alignment of priorities across the NHS and with wider system partners including Integrated Care Boards. Professional regulators are members of the Joint Strategic Oversight Group (JSOG), which was established to support the joint working of regulators and oversight organisations including the GMC, Nursing and Midwifery Council (NMC), Health Education England (now part of NHS England) and CQC. JSOG is the forum for sharing intelligence, enhancing the sharing of information and coordinating regulatory action in response to safety concerns. In addition: • NHS England and the CQC are committed to working together to deliver the statutory duty set out in the Health and Social Care Act 2012 to co-operate and to deliver their common purpose to improve outcomes for patients. NHS England also continues to work to form wider strong working relationships with regulators through various channels. • CQC, NMC and GMC have launched new strategies with a focus on collaboration and patient safety and also worked together on a shared data platform, initially for maternity services, to help share data and identify concerns. • The National Quality Board has published National guidance on System Quality Groups (SQGs), including how SQGs can share intelligence to identify quality concerns and risks in an ICS. This guidance explicitly includes Independent Sector providers within its scope. Risk surveillance tools, such as the quality risk profile tool, are additionally in use and inform these discussions to identify quality concerns, share intelligence across organisations and co-ordinate interventions to support providers. The Government is clear that sexual violence or misconduct is unacceptable and has no place in the medical profession. It is currently considering its approach to healthcare professional regulation, including whether to remove any legislative restrictions which prevent certain regulators such as the GMC from being able to consider sexual abuse allegations more than five years after they came to light. The Department of Health and Social Care has been working on changes to the Medical Profession (Responsible Officers) Regulations 2010, intended to strengthen clinical governance arrangements and improve patient safety. The work had been split into two tranches, with the aim of making legislative changes in the later part of 2024; exact timings are subject to views and priorities of the new Government. In December 2023, the government laid legislation to bring Anaesthesia Associates and Physician Associates into statutory regulation. This legislation was designed to act as a blueprint for the wider reform of all healthcare professional regulators' legislation. Subject to views from ministers, this legislation could be further developed and used to reform all healthcare professional regulators' legislation over the coming years.