BRIS-118 Response Historic

Integrate sentinel event reporting into all NHS trust staff training and communications.

Recommendation

The process of reporting of sentinel events should be integrated into every trust’s internal communications, induction training and other staff training. Staff must know what is expected of them, to whom to report and what systems are in place to enable them to report.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
No formal government response has been recorded for this recommendation. No independent verification has been carried out.
Sources
Based on tracking data in the inquiry database.
How was this evidence gathered?
Evidence searched by baseline-data-v1 on 26 May 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
UK-wide
Response
Historic

No government response recorded.

Source
Inquiry Bristol Heart Inquiry
Report Bristol Heart Inquiry — Final Report 18 Jul 2001
View Source
Themes & Tags
Staff training and development Duty of Candour implementation
Recommendation age 24.9 yrs
Last formal update No formal updates