12a Response Not Accepted

Suspension during investigation

Recommendation

We recommend that if, when a hospital investigates a healthcare professional's behaviour, including the use of an HR process, any perceived risk to patient safety should result in the suspension of that healthcare professional.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
- The government did not accept the recommendation for automatic suspension, stating that suspension should be based on individual risk assessments (Government Response to the independent inquiry into the issues raised by Ian Paterson, DHSC, December 2021).
- NHS Resolution published a suite of resources in April 2022 to support provider decisions relating to the exclusion of healthcare professionals (DHSC and NHS England implementation update provided to the Thirlwall Inquiry, April 2025).
How was this evidence gathered?
Evidence searched by Gemini (Google) on 30 Jun 2026
Checked data held on this site (government responses, progress updates, independent evidence)
External sources searched: www.gov.uk, www.legislation.gov.uk, hansard.parliament.uk
This recommendation applies across many organisations. The evidence above reflects central policy activity; adoption in individual organisations may vary.
Jurisdiction
England
Response
Not Accepted
Not Accepted Department of Health and Social Care
16 Dec 2021

Not accepted. Government does not support blanket automatic suspension. Suspension should be decided case-by-case based on risk assessment. Automatic suspension could deter reporting and be disproportionate. Existing guidance from NHS Employers and professional regulators provides for exclusion where patient safety risk is identified. Maintaining clinical practice, where safe to do so, supports professional development. (Source: Government Response, December 2021)

Progress Timeline
Official Report
01 Apr 2025

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: Not accepted. This recommendation was not accepted by Government. The Government set out that the underlying goal of this recommendation could be met through: • Ensuring concerns are taken seriously • Implementing robust investigation processes • Providing clear guidance on decisions to suspend or exclude a healthcare professional NHS England is developing a number of policy frameworks for raising concerns. For example, a sexual misconduct policy framework. NHS England has concluded its review of how best practice guidance has been implemented, which will be factored into its work to develop the Human Resources & Organisational Development profession in the NHS. Part of this work will include producing a number of national people policy frameworks for providers to adopt locally, which will include a resolution policy framework. In the light of this work, it will not be introducing a common management framework. In April 2022, NHS Resolution (NHSR) published a suite of resources to support decisions relating to the exclusion of professionals.

Source
Report Report of the Independent Inquiry into the Issues raised by Paterson 04 Feb 2020
Responsible Bodies
Department of Health and Social Care Primary
Recommendation age 6.5 yrs
Last formal update 484 days ago