R24 Response Accepted AI-assessed

TVN instructions recorded

Recommendation

Health Boards should ensure that where a TVN is involved in caring for a patient there is a clear record in the patient notes and care plan of the instructions given.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
The Scottish Government accepted this recommendation, referencing the revised NMC code for nurses and GMC requirements for doctors, which mandate clear, accurate, and timely record-keeping of instructions and actions. Healthcare Improvement Scotland's Excellence in Care framework monitors care documentation, including specialist nursing instructions from TVNs (Healthcare Improvement Scotland progress update, 01 Jan 2025). The CAIR Dashboard tracks documentation compliance across all boards (Healthcare Improvement Scotland progress update, 01 Jan 2025).
How was this assessed?
Assessed by gemini-2.5-flash on 24 Mar 2026
Checked data held on this site (government responses, progress updates, independent evidence)
External sources searched: www.gov.uk, www.gov.scot, 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
Scotland
Response
Accepted
Accepted Scottish Government
18 Jun 2015

Section 4.2 of the Scottish Government's response addresses this through professional standards for record-keeping. The revised NMC code, which nurses must follow, requires clear and accurate records to be maintained, completed at the time of an event, and to identify any risks or problems and the steps taken to deal with them so colleagues have all necessary information. The GMC also requires doctors to keep clear, accurate, and legible records of concerns and actions taken. The Scottish Government's Records Management: NHS code of practice (Scotland) further guides required standards of practice for record-keeping.

Read Full Response
Published Evidence

Published assessments of implementation progress from inspectorates, select committees, official progress reports, and other sources. Check the source type badge to see whether each assessment is independent or government self-reported.

Good Progress
01 Jan 2025
Healthcare Improvement Scotland Other

Excellence in Care framework monitors care documentation including specialist nursing instructions. CAIR Dashboard tracks documentation compliance.

View detailed findings

National frameworks address documentation requirements for specialist nursing input.

Excellence in Care CAIR Dashboard View Source
Source
Report The Vale of Leven Hospital Inquiry Report 24 Nov 2014
Responsible Bodies
NHS Health Boards (Scotland) Primary
Recommendation age 11.3 yrs
Last formal update 3932 days ago