Public Inquiry Recommendations

Showing 75 of 1,856 recommendations from Vale of Leven Inquiry — page 2 of 2

What these recommendations are about — Vale of Leven Inquiry

Key themes in this inquiry: Care home infection control · Quality and safety oversight · Inaccurate and inaccessible patient records · Patient safety governance · Disease outbreak surveillance .
Report published 2014 — 75 recommendations across this inquiry.
Browse by inquiry — filtered to Vale of Leven Inquiry
Inquiry Recs Accepted
All inquiries (1,856)
Mid Staffs Inquiry 290 281
Manchester Arena Inquiry 169 169
IICSA 107 96
Muckamore Abbey Inquiry 106 —
Grenfell Tower Inquiry 104 104
Infected Blood Inquiry 103 102
Hyponatraemia Inquiry 96 96
Fuller Inquiry 92 71
Leveson Inquiry 92 64
Vale of Leven Inquiry 75 75
Baha Mousa Inquiry 73 72
Southport Inquiry 67 67
COVID-19 Inquiry 55 24
RHI Inquiry 45 44
Morecambe Bay Investigation 44 44
Brook House Inquiry 33 31
Bichard Inquiry 31 31
Angiolini Inquiry 29 16
Post Office Horizon Inquiry 27 25
Jermaine Baker Inquiry 26 22
Edinburgh Tram Inquiry 24 21
Daniel Morgan Panel 23 19
Cranston Inquiry 18 15
Thirlwall Inquiry 17 —
Paterson Inquiry 17 15
HIA Inquiry 12 12
Allitt Inquiry 12 9
Scottish Hospitals Inquiry 11 11
Anthony Grainger Inquiry 9 9
Al-Sweady Inquiry 9 9
Hillsborough Panel 9 5
Fingerprint Inquiry 9 9
Urology Services Inquiry 8 —
ICL Inquiry 7 6
Azelle Rodney Inquiry 3 3
Billy Wright Inquiry 3 3
Penrose Inquiry 1 1
Clear
R51 Accepted
Vale of Leven Inquiry (2014)
ICT functions as team
Health Boards should ensure that any Infection Control Team functions as a team, with clear lines of communication and regular meetings.
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R52 Accepted
Vale of Leven Inquiry (2014)
IPC policy adherence audits
Health Boards should ensure that adherence to infection prevention and control policies, for example the C. difficile and Loose Stool Policies, is audited at least annually, and that serious non-adherence …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R53 Accepted
Vale of Leven Inquiry (2014)
Surveillance systems fit for purpose
Health Boards should ensure that surveillance systems are fit for purpose, are simple to use and monitor, and provide information on potential outbreaks in real time.
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R54 Accepted
Vale of Leven Inquiry (2014)
Surveillance system training
Health Boards should ensure that the users of surveillance systems are properly trained in their use and fully aware of how to use and respond to the data available.
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R55 Accepted
Vale of Leven Inquiry (2014)
CDI reporting to CEO and Board
Health Boards should ensure that numbers and rates of CDI are reported through each level of the organisation up to the level of the Chief Executive and the Board. Reporting …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R56 Accepted
Vale of Leven Inquiry (2014)
Regular IPC group meetings
Health Boards should ensure that infection prevention and control groups meet at regular intervals and that there is appropriate reporting upwards through the management structure.
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R57 Accepted
Vale of Leven Inquiry (2014)
IPC committee minutes reporting
Health Boards should ensure that the minutes of all meetings and reports from each infection prevention and control committee are reported to the level above in the hierarchy and include …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R58 Accepted
Vale of Leven Inquiry (2014)
Lay representation on IPC committee
Health Boards should ensure that there is lay representation at Board infection prevention and control committee level in keeping with local policy on public involvement.
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R59 Accepted
Vale of Leven Inquiry (2014)
Priority attendance at IPC meetings
Health Boards should ensure that attendance by members of committees in the infection prevention and control structure is treated as a priority. Non-attendance should only be justified by illness or …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R60 Accepted
Vale of Leven Inquiry (2014)
Cleanliness Champions implementation
Health Boards should ensure that programmes designed to improve staff knowledge of good infection prevention and control practice, such as the Cleanliness Champions Programme, are implemented without undue delay. Staff …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R61 Accepted
Vale of Leven Inquiry (2014)
Unannounced inspections with lay representation
Health Boards should ensure that unannounced inspections of clinical areas are conducted by senior infection prevention and control staff accompanied by lay representation to examine infection prevention and control arrangements, …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R62 Accepted
Vale of Leven Inquiry (2014)
Senior manager clinical visits
Health Boards should ensure that senior managers accompanied by infection prevention and control staff visit clinical areas at least weekly to verify that proper attention is being paid to infection …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R63 Accepted
Vale of Leven Inquiry (2014)
Effective CDI patient isolation
Health Boards should ensure that there is effective isolation of any patient who is suspected of suffering from CDI, and that failure to isolate is reported to senior management.
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R64 Accepted
Vale of Leven Inquiry (2014)
Cohorting only exceptional
Health Boards should ensure that cohorting is not used as a substitute for single room isolation and is only resorted to in exceptional circumstances and under strict conditions of dedicated …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R65 Accepted
Vale of Leven Inquiry (2014)
Isolation for infectious diarrhoea
Health Boards should ensure that appropriate steps are taken to isolate patients with potentially infectious diarrhoea.
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R66 Accepted
Vale of Leven Inquiry (2014)
Healthcare environment maintenance
Health Boards should ensure that the healthcare environment does not compromise effective infection prevention and control, and that poor maintenance practices, such as the acceptance of non-intact surfaces that could …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R67 Accepted
Vale of Leven Inquiry (2014)
Link Nurse training
Health Boards should ensure that, where a local Link Nurse system is in place as part of the infection prevention and control system, the Link Nurses have specific training for …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R68 Accepted
Vale of Leven Inquiry (2014)
Consultant involvement in death certificates
Health Boards should ensure that where a death occurs in hospital the consultant in charge of the patient’s care is involved in the completion of the death certificate wherever practicable, …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R69 Accepted
Vale of Leven Inquiry (2014)
Explanation to relatives on CDI death
Health Boards should ensure that if a patient dies with CDI either as a cause of death or as a condition contributing to the death, relatives are provided with a …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R70 Accepted
Vale of Leven Inquiry (2014)
COPFS death reporting guidance review
Crown Office and the Procurator Fiscal Service (COPFS) should review its guidance on the reporting of deaths regularly and at least every two years.
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R71 Accepted
Vale of Leven Inquiry (2014)
National CDI death monitoring
Scottish Government should identify a national agency to undertake routine national monitoring of deaths related to CDI.
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R72 Accepted
Vale of Leven Inquiry (2014)
Internal investigation independence
Health Boards should ensure that a non-executive Board member or a representative from internal audit takes part in an Internal Investigation of the kind instigated by NHSGGC.
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R73 Accepted
Vale of Leven Inquiry (2014)
OCT report detail sufficiency
Health Boards should ensure that OCT reports provide sufficient details of the key factors in the spread of infection to allow a proper audit to be carried out, as recommended …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R74 Accepted
Vale of Leven Inquiry (2014)
Review of UK IPC reports
Scottish Government (whether through HPS, HIS, the HAI Task Force or otherwise) should as a matter of standard practice ensure that reports published in the United Kingdom and in other …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …
R75 Accepted
Vale of Leven Inquiry (2014)
Health Board review of IPC reports
Health Boards should review such reports to determine what lessons can be learned and what reviews, audits or other measures (interim or otherwise) should be put in place in the …
- The Scottish Government published its response to the Vale of Leven Hospital Inquiry Report on 18 June 2015, accepting all 75 recommendations and establishing …