Standards

Recommendations related to standards

68
Recommendations
88% accepted
Government Response
Accepted (29)Accepted in Part (31)Not Accepted (3)Under Review (5)
Recommendations in This Theme

recommendation across 8 inquiries

Tagged Recommendations
68 total
P1-2 Accepted
Fuller Inquiry
No deceased left out of fridges overnight
Maidstone and Tunbridge Wells NHS Trust must assure itself that all regulatory requirements and standards relating to the mortuary are met and that the practice of leaving deceased people out …
- MTW Trust stated in February 2024 that it had strengthened procedures to ensure regulatory requirements are met and that the deceased are not left …
Maidstone and Tunbridge …
P2-56 Accepted in Part
Fuller Inquiry
Unlicensed body stores follow same standards
Where local authorities provide an unlicensed body store, they should do so in line with this Report's recommendations to local authority providers of licensed mortuaries.
- The government stated in December 2025 that this recommendation on minimum standards for unlicensed body stores was accepted in principle. Full government response due …
Ministry of Housing, Com…
P2-61 Under Consideration
Fuller Inquiry
Statutory regulation of funeral directors
The UK government should establish an independent statutory regulatory regime for funeral directors in England as a matter of urgency in order to safeguard the security and dignity of the …
- The government stated in December 2025 that this recommendation on statutory regulation of the funeral sector was under consideration. Full government response due Summer …
Department of Health and…
P2-62 Under Consideration
Fuller Inquiry
Regulations consider whole deceased journey
These regulations and standards should be considered within the overall care and journey of the deceased rather than applying in isolation to funeral directors.
- The government stated in December 2025 that this recommendation on security standards for funeral director premises was under consideration. Full government response due Summer …
Department of Health and…
P2-63 Under Consideration
Fuller Inquiry
Mandatory information from funeral directors
The standards should include details of mandatory information to be given to customers by funeral directors to provide transparency about the care of the deceased, including information on measures to …
- The government stated in December 2025 that this recommendation on DBS checks for funeral sector staff was under consideration. Full government response due Summer …
Department of Health and…
P2-64 Under Consideration
Fuller Inquiry
Direct cremation in scope for standards
Direct cremation businesses should also be considered in this context, and mandatory standards to protect the security and dignity of the deceased should be applied to these businesses and to …
- The government stated in December 2025 that this recommendation on training requirements for funeral sector staff was under consideration. Full government response due Summer …
Department of Health and…
P2-7 Accepted in Part
Fuller Inquiry
Body store security standards match HTA-licensed facilities
The NHS should ensure that the security standards required for body stores are the same as those required for facilities licensed by the Human Tissue Authority.
- The government stated in December 2025 that this recommendation on minimum standards for body stores in NHS mortuaries was accepted in principle. Full government …
NHS England
P2-12 Accepted
Grenfell Tower Inquiry
Clarify BS 9414 limitations requiring fire engineer assessment
BS 9414 should be approached with caution and we recommend that the government make it clear that it should not be used as a substitute for an assessment by a …
- The government accepted this recommendation in February 2025, stating it will be addressed through the Approved Document B review (Government Response to Grenfell Tower …
UK Government
P2-40 Accepted
Grenfell Tower Inquiry
Amend BS 750 for flow coefficient measurement
That the British Standards Institution amend BS 750 to include a description of the circumstances under which the flow coefficient to which it refers in paragraph 10.2 is to be …
- The British Standards Institution accepted this recommendation in February 2025, committing to amend BS 750 to include circumstances for flow coefficient measurement (Government Response …
British Standards Instit…
RHI-43 Not Accepted
RHI Inquiry
Independent Compliance Assessment
In addition, the Northern Ireland Executive and Assembly ought, in the Inquiry's view, to give due consideration to an independent mechanism to assess compliance with codes of conduct in public …
- In October 2021, the NI Executive accepted this recommendation in full (NI Executive Response to RHI Inquiry, Department of Finance, October 2021). - The …
Northern Ireland Executi…
15 Under Consideration
Paterson Inquiry
Independent sector NHS contract qualification
We recommend that if the government accepts any of the recommendations set out above, it should make arrangements to ensure that these are to be applicable across the whole of …
- In December 2021, the government did not accept this recommendation but stated it would be kept under review, citing concerns about proportionality and unintended …
Department of Health and…
IHRD-47 Accepted
Hyponatraemia Inquiry
Post-Mortem Reporting Standards
In providing post-mortem reports pathologists should be under a duty to: (i) Satisfy themselves, insofar as is practicable, as to the accuracy and completeness of the information briefed them. (ii) …
Government reports this recommendation as delivered. Implementation status based on Department of Health NI Implementation Programme updates..
HSC Trusts
IHRD-73 Accepted
Hyponatraemia Inquiry
GMC Code in Employment Contracts
General Medical Council ('GMC') 'Good Medical Practice' Code requirements should be incorporated into contracts of employment for doctors.
Government reports this recommendation as delivered. Implementation status based on Department of Health NI Implementation Programme updates..
HSC Trusts
IHRD-92 Accepted
Hyponatraemia Inquiry
Review Healthcare Standards
The Department should review healthcare standards in light of the findings and recommendations of this report and make such changes as are necessary.
Government response: Accepted. Last substantive update was January 2024. No recent public evidence of further progress.
Department of Health NI
IHRD-96 Accepted
Hyponatraemia Inquiry
Healthcare Litigation Standards
The Department should provide clear standards to govern the management of healthcare litigation by Trusts and the work of Trust employees and legal advisors in this connection should be audited.
Government response: Accepted. Last substantive update was January 2024. No recent public evidence of further progress.
Department of Health NI
28 Accepted
Morecambe Bay Investigation
National standards for clinical leads
Clear national standards should be drawn up setting out the professional duties and expectations of clinical leads at all levels, including, but not limited to, clinical directors, clinical leads, heads …
- In July 2015, the government stated: "We accept these recommendations in principle" (covering recs 28 and 29) and described work between the Department of …
NHS England
F10 Accepted in Part
Mid Staffs Inquiry
Fundamental standards of behaviour
The NHS Constitution should incorporate an expectation that staff will follow guidance and comply with standards relevant to their work, such as those produced by the National Institute for Health …
- The NHS Constitution for England states that staff should "follow all guidance, standards and codes relevant to your role, subject to any more specific …
Department of Health and…
F11 Accepted
Mid Staffs Inquiry
Fundamental standards of behaviour
Healthcare professionals should be prepared to contribute to the development of, and comply with, standard procedures in the areas in which they work. Their managers need to ensure that their …
- The government stated in Hard Truths (November 2013) that it supported the development of evidence-based standard procedures and that professional bodies including royal colleges …
Healthcare providers
F113 Accepted
Mid Staffs Inquiry
Complaints handling
The recommendations and standards suggested in the Patients Association's peer review into complaints at the Mid Staffordshire NHS Foundation Trust should be reviewed and implemented in the NHS.
- The Patients Association conducted a peer review of complaints handling at Mid Staffordshire NHS Foundation Trust, published in 2011. The review made recommendations about …
NHS
F124 Accepted in Part
Mid Staffs Inquiry
Duty to require and monitor delivery of fundamental standards
The commissioner is entitled to and should, wherever it is possible to do so, apply a fundamental safety and quality standard in respect of each item of service it is …
- The NHS Standard Contract 2024/25, mandated for all NHS-funded secondary care services, includes quality requirements, performance standards, and provisions for remedial action where standards …
Commissioners
F125 Accepted
Mid Staffs Inquiry
Responsibility for requiring and monitoring delivery of enhanced standards
In addition to their duties with regard to the fundamental standards, commissioners should be enabled to promote improvement by requiring compliance with enhanced standards or development towards higher standards. They …
- The Commissioning for Quality and Innovation (CQUIN) framework enables commissioners to incentivise quality improvement above the level of fundamental standards. CQUIN links a proportion …
Commissioners
F13 Accepted
Mid Staffs Inquiry
The nature of standards
Standards should be divided into: Fundamental standards of minimum safety and quality – in respect of which non-compliance should not be tolerated. Failures leading to death or serious harm should …
- The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 introduced fundamental standards divided into regulatory requirements enforceable by CQC, including person-centred care …
Department of Health and…
F139 Accepted
Mid Staffs Inquiry
The need to put patients first at all times
The first priority for any organisation charged with responsibility for performance management of a healthcare provider should be ensuring that fundamental patient safety and quality standards are being met. Such …
- NHS England's System Oversight Framework (SOF) establishes patient safety and quality as the primary considerations in oversight of NHS providers and ICBs. SOF assessment …
NHS England
F14 Accepted in Part
Mid Staffs Inquiry
The nature of standards
In addition to the fundamental standards of service, the regulations should include generic requirements for a governance system designed to ensure compliance with fundamental standards, and the provision and publication …
- Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 establishes a fundamental standard for "Good governance," requiring providers to …
CQC
F15 Accepted in Part
Mid Staffs Inquiry
The nature of standards
All the required elements of governance should be brought together into one comprehensive standard. This should require not only evidence of a working system but also a demonstration that it …
- Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 requires providers to have systems and processes that enable them …
CQC
F156 Accepted
Mid Staffs Inquiry
Medical training
The system for approving and accrediting training placement providers and programmes should be configured to apply the principles set out above.
- The GMC's "Promoting Excellence: Standards for Medical Education and Training" (2015) sets out the standards for the approval and accreditation of medical education and …
GMC
F16 Accepted
Mid Staffs Inquiry
Responsibility for setting standards
The Government, through regulation, but after so far as possible achieving consensus between the public and professional representatives, should provide for the fundamental standards which should define outcomes for patients …
- The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 established fundamental standards defining outcomes for patients that must be avoided. Regulations 9-20 …
Department of Health and…
F162 Accepted
Mid Staffs Inquiry
Training and training establishments as a source of safety information
The General Medical Council should in the course of its review of its standards and regulatory process ensure that the system of medical training and education maintains as its first …
- The GMC published "Promoting Excellence: Standards for Medical Education and Training" in 2015, following a comprehensive review of its education and training standards. The …
GMC
F165 Accepted in Part
Mid Staffs Inquiry
Approved Practice Settings
The General Medical Council should immediately review its approved practice settings criteria with a view to recognition of the priority to be given to protecting patients and the public.
- The GMC reviewed and updated its approved practice settings criteria following the Francis Report. The Medical Act 1983 (section 29A, inserted by the Health …
GMC
F17 Accepted in Part
Mid Staffs Inquiry
Responsibility for setting standards
The NHS Commissioning Board together with Clinical Commissioning Groups should devise enhanced quality standards designed to drive improvement in the health service. Failure to comply with such standards should be …
- NHS England (formerly the NHS Commissioning Board) publishes quality standards and commissioning guidance. The NHS Outcomes Framework set out national outcome goals for the …
NHS England
F18 Accepted
Mid Staffs Inquiry
Responsibility for setting standards
It is essential that professional bodies in which doctors and nurses have confidence are fully involved in the formulation of standards and in the means of measuring compliance.
- NICE involves professional bodies, clinical experts and patient representatives in the development of guidelines and quality standards through its established guideline development process, including …
Department of Health and…
F186 Accepted
Mid Staffs Inquiry
Practical hands-on training and experience
Nursing training should be reviewed so that sufficient practical elements are incorporated to ensure that a consistent standard is achieved by all trainees throughout the country. This requires national standards.
- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation and committed to reviewing nursing training to incorporate sufficient practical elements …
NMC
F189 Accepted in Part
Mid Staffs Inquiry
Consistent training
The Nursing and Midwifery Council and other professional and academic bodies should work towards a common qualification assessment/examination.
- The government's response in "Hard Truths" (Cm 8777, November 2013) noted this recommendation and stated that it would work with the NMC and other …
NMC
F190 Accepted in Part
Mid Staffs Inquiry
National standards
There should be national training standards for qualification as a registered nurse to ensure that newly qualified nurses are competent to deliver a consistent standard of the fundamental aspects of …
- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation and committed to establishing national training standards for nurses (Hard Truths: …
NMC
F20 Accepted in Part
Mid Staffs Inquiry
Responsibility for regulating and monitoring compliance
The Care Quality Commission should be responsible for policing the fundamental standards, through the development of its core outcomes, by specifying the indicators by which it intends to monitor compliance …
- CQC is responsible for monitoring and enforcing compliance with the fundamental standards set out in the Health and Social Care Act 2008 (Regulated Activities) …
CQC
F210 Accepted
Mid Staffs Inquiry
Code of conduct for healthcare support workers
There should be a national code of conduct for healthcare support workers.
- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation and acted on it prior to publication of the full response …
Department of Health and…
F211 Accepted
Mid Staffs Inquiry
Training standards for healthcare support workers
There should be a common set of national standards for the education and training of healthcare support workers.
- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
Department of Health and…
F212 Not Accepted
Mid Staffs Inquiry
Training standards for healthcare support workers
The code of conduct, education and training standards and requirements for registration for healthcare support workers should be prepared and maintained by the Nursing and Midwifery Council after due consultation …
- The government's response in "Hard Truths" (Cm 8777, November 2013) rejected this recommendation, as a consequence of rejecting F209 (statutory registration of healthcare support …
NMC
F22 Accepted in Part
Mid Staffs Inquiry
Responsibility for regulating and monitoring compliance
The National Institute for Health and Clinical Excellence should be commissioned to formulate standard procedures and practice designed to provide the practical means of compliance, and indicators by which compliance …
- NICE publishes clinical guidelines, quality standards, and technology appraisals that provide evidence-based guidance on compliance with standards. NICE quality standards include specific, measurable statements …
F221 Accepted
Mid Staffs Inquiry
Ensuring common standards of competence and compliance
Consideration should be given to ensuring that there is regulatory oversight of the competence and compliance with appropriate standards by the boards of health service bodies which are not foundation …
- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
CQC
F23 Accepted
Mid Staffs Inquiry
Responsibility for regulating and monitoring compliance
The measures formulated by the National Institute for Health and Clinical Excellence should include measures not only of clinical outcomes, but of the suitability and competence of staff, and the …
- NICE has published quality standards and clinical guidelines covering clinical outcomes across a range of specialties (NICE, www.nice.org.uk). - NICE published safe staffing guideline …
F24 Accepted
Mid Staffs Inquiry
Responsibility for regulating and monitoring compliance
Compliance with regulatory fundamental standards must be capable so far as possible of being assessed by measures which are understood and accepted by the public and healthcare professionals.
- CQC's five key questions — Safe, Effective, Caring, Responsive, and Well-led — are designed to be understood by the public and professionals. CQC publishes …
CQC
F25 Accepted
Mid Staffs Inquiry
Responsibility for regulating and monitoring compliance
It should be considered the duty of all specialty professional bodies, ideally together with the National Institute for Health and Clinical Excellence, to develop measures of outcome in relation to …
- NICE works with specialist professional bodies and royal colleges in developing clinical guidelines and quality standards (NICE guidelines process, www.nice.org.uk). - Individual royal colleges …
F258 Accepted
Mid Staffs Inquiry
Role of the Health and Social Care Information Centre
The Information Centre should continue to develop and maintain learning, standards and consensus with regard to information methodologies, with particular reference to comparative performance statistics.
- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
F260 Accepted in Part
Mid Staffs Inquiry
Information standards
The standards applied to statistical information about serious untoward incidents should be the same as for any other healthcare information and in particular the principles around transparency and accessibility. It …
- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
F277 Accepted
Mid Staffs Inquiry
Death certification
National guidance should set out standard methodologies for approaching the certification of the cause of death to ensure, so far as possible, that similar approaches are universal.
- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
Department of Health and…
F287 Accepted
Mid Staffs Inquiry
Impact assessments before structural change
The Department of Health should together with healthcare systems regulators take the lead in developing through obtaining consensus between the public and healthcare professionals, a coherent, and easily accessible structure …
- The government's response in "Hard Truths" (Cm 8777, November 2013) accepted this recommendation (Hard Truths: the Journey to Putting Patients First, DHSC, November 2013). …
Department of Health and…
F67 Accepted
Mid Staffs Inquiry
Focus on compliance with fundamental standards
The NHS Trust Development Authority should develop a rigorous process for the assessment as well as the support of potential applicants for foundation trust status. The assessment must include as …
- The NHS Trust Development Authority oversaw NHS trusts and was responsible for supporting and assessing potential foundation trust applicants. The TDA merged into NHS …
F68 Accepted
Mid Staffs Inquiry
Focus on compliance with fundamental standards
No NHS trust should be given support to make an application to Monitor unless, in addition to other criteria, the performance manager (the Strategic Health Authority cluster, the Department of …
- Strategic Health Authorities were abolished on 1 April 2013 under the Health and Social Care Act 2012. Their performance management functions transferred to the …
F9 Accepted in Part
Mid Staffs Inquiry
Fundamental standards of behaviour
The NHS Constitution should include reference to all the relevant professional and managerial codes by which NHS staff are bound, including the Code of Conduct for NHS Managers.
- The NHS Constitution for England states that staff have "a duty to accept professional accountability and maintain the standards of professional practice as set …
Department of Health and…
F91 Accepted in Part
Mid Staffs Inquiry
NHS Litigation Authority Improvement of risk management
The Department of Health and NHS Commissioning Board should consider what steps are necessary to require all NHS providers, whether or not they remain members of the NHS Litigation Authority …
- NHS Resolution (formerly the NHS Litigation Authority, renamed in April 2017) operates three risk management schemes: the Clinical Negligence Scheme for Trusts (CNST), the …
Department of Health and…
L10 Accepted in Part
Leveson Inquiry
Complaint Handling Mechanism
The Board should require all those who subscribe to have an adequate and speedy complaint handling mechanism; it should encourage those who wish to complain to do so through that …
- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation including complaint handling (Oral Statement to Parliament, Prime …
Press
L11 Accepted in Part
Leveson Inquiry
Power to Hear Complaints
The Board should have the power to hear and decide on complaints about breach of the standards code by those who subscribe. The Board should have the power (but not …
- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation including complaints adjudication (Oral Statement to Parliament, Prime …
Press
L29 Accepted in Part
Leveson Inquiry
Recognition Requirements
The requirements for recognition should be those set out the recommendations set out above numbered 1 to 24 inclusive and more fully described in Part K, Chapter 7, Section 4 …
- The Royal Charter on Self-Regulation of the Press (October 2013) sets out 29 recognition criteria derived from Leveson's recommendations 1-24 (Royal Charter, Schedule, October …
UK Government
L34 Accepted in Part
Leveson Inquiry
Compliance Reports and Senior Responsibility
In addition to Recommendation 10 above, a new regulatory body should consider requiring: (a) that newspapers publish compliance reports in their own pages to ensure that their readers have easy …
- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation (Oral Statement to Parliament, Prime Minister's Office, 29 …
Press
L35 Accepted in Part
Leveson Inquiry
Kite Mark for Trusted Journalism
A new regulatory body should consider establishing a kite mark for use by members to establish a recognised brand of trusted journalism.
- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation (Oral Statement to Parliament, Prime Minister's Office, 29 …
Press
L36 Accepted in Part
Leveson Inquiry
Code Review with Public Consultation
A regulatory body should consider engaging in an early thorough review of the Code (on which the public should be engaged and consulted) with the aim of developing a clearer …
- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation including code review (Oral Statement to Parliament, Prime …
Press
L37 Accepted in Part
Leveson Inquiry
Pre-litigation Complaints
A regulatory body should be prepared to allow a complaint to be brought prior to commencing legal proceedings if so advised. Challenges to that approach (and applications to stay) can …
- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation (Oral Statement to Parliament, Prime Minister's Office, 29 …
Press
L40 Accepted in Part
Leveson Inquiry
Public Advice and Warning Service
A new regulatory body should continue to provide advice to the public in relation to issues concerning the press and the Code along with a service to warn the press, …
- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation including public guidance (Oral Statement to Parliament, Prime …
Press
L41 Accepted in Part
Leveson Inquiry
Strict Accountability for Published Material
A new regulatory body should make it clear that newspapers will be held strictly accountable, under their standards code, for any material that they publish, including photographs (however sourced).
- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation (Oral Statement to Parliament, Prime Minister's Office, 29 …
Press
L43 Accepted in Part
Leveson Inquiry
Public Interest Record Keeping
A new regulatory body should consider being explicit that where a public interest justification is to be relied upon, a record should be available of the factors weighing against and …
- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation (Oral Statement to Parliament, Prime Minister's Office, 29 …
Press
L44 Accepted in Part
Leveson Inquiry
Advisory Service on Public Interest
A new regulatory body should consider whether it might provide an advisory service to editors in relation to consideration of the public interest in taking particular actions.
- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation (Oral Statement to Parliament, Prime Minister's Office, 29 …
Press
L45 Accepted in Part
Leveson Inquiry
Source Transparency
A new regulatory body should consider encouraging the press to be as transparent as possible in relation to the sources used for stories, including providing any information that would help …
- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation (Oral Statement to Parliament, Prime Minister's Office, 29 …
Press
L46 Accepted in Part
Leveson Inquiry
Whistleblowing Hotline
A regulatory body should establish a whistleblowing hotline for those who feel that they are being asked to do things which are contrary to the code.
- The Prime Minister stated on 29 November 2012 that he accepted the principles for independent self-regulation (Oral Statement to Parliament, Prime Minister's Office, 29 …
Press
L47 Accepted in Part
Leveson Inquiry
Journalist Contract Protection
The industry generally and a regulatory body in particular should consider requiring its members to include in the employment or service contracts with journalists a clause to the effect that …
- The Editors' Code of Practice Committee maintains the Editors' Code used by IPSO. Clause 1 requires that the press "must take care not to …
Press
L53 Not Accepted
Leveson Inquiry
ICO Regard for Regulatory Membership
Specific provision should be made to the effect that, in considering the exercise of any of its powers in relation to the media or other publishers, the Information Commissioner's Office …
- The Data Protection Act 2018, Schedule 2, Part 5, paragraph 26(3) provides that when determining whether publication would be in the public interest, the …
UK Government
L7 Accepted in Part
Leveson Inquiry
Standards Code Responsibility
The standards code must ultimately be the responsibility of, and adopted by, the Board, advised by a Code Committee which may comprise both independent members of the Board and serving …
- The Prime Minister stated on 29 November 2012 that he accepted the principle of a standards code (Oral Statement to Parliament, Prime Minister's Office, …
Press
L8 Accepted in Part
Leveson Inquiry
Code Content Requirements
The code must take into account the importance of freedom of speech, the interests of the public (including the public interest in detecting or exposing crime or serous impropriety, protecting …
- The Prime Minister stated on 29 November 2012 that he accepted the principle of a standards code covering privacy, accuracy, and the public interest …
Press