UK Inquiry Tracker

BRIS-93 — Require managerial competence for clinicians appointed to managerial roles with training

Bristol Heart Inquiry

Recommendation: Any clinician, before appointment to a managerial role, must demonstrate the managerial competence to undertake what is required in that role: training and support should be made available by trusts and primary care trusts.

Unknown

BRIS-94 — Appoint clinicians to managerial roles based solely on demonstrated competence

Bristol Heart Inquiry

Recommendation: Clinicians should not be required or expected to hold managerial roles on bases other than competence for the job. For example, seniority or being next in turn are not appropriate criteria for the appointment of clinicians to managerial roles.

Unknown

BRIS-96 — Establish minimum clinical practice levels for clinicians in part-time managerial roles

Bristol Heart Inquiry

Recommendation: To protect patients, in the case of clinicians who take on managerial roles but wish to continue to practise as clinicians, experts together with managers from the NHS should issue advice as to the minimum level of regular clinical practice …

Unknown

BRIS-98 — Regulatory bodies to vary professional duties for full-time managers without patient care

Bristol Heart Inquiry

Recommendation: The relevant professional regulatory bodies should make rules varying the professional duties of those professionals, whose registration they hold, who are in full-time managerial roles, so as to take account of the fact that, while occupying such roles, they do …

Unknown

IHRD-14 — Clinician Competence Assessment

Hyponatraemia Inquiry

Recommendation: The experience and competence of all clinicians caring for children in acute hospital settings should be assessed before employment.

Gov response: Competence assessment processes incorporated into recruitment procedures for paediatric roles.

Accepted Delivered

IHRD-75 — Independent Disciplinary Action

Hyponatraemia Inquiry

Recommendation: Notwithstanding referral to the GMC, or other professional body Trusts should treat breaches of professional codes and/or poor performance as disciplinary matters and deal with them independently of professional bodies.

Gov response: Trust disciplinary procedures updated to address professional code breaches independently.

Accepted Delivered

IHRD-9 — Leadership Development

Hyponatraemia Inquiry

Recommendation: The highest priority should be accorded the development and improvement of leadership skills at every level of the health service including both executive and non-executive Board members.

Gov response: Review processes strengthened. Independent oversight mechanisms enhanced.

Accepted No update 2+ yrs

F221 — Ensuring common standards of competence and compliance

Mid Staffs Inquiry

Recommendation: 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 trusts, of equivalent rigour to that applied to foundation trusts.