Healthcare director fit person tests
Lack of robust 'fit and proper person' requirements and ongoing assessment for directors of healthcare providers.
31 items
1 source
4 inquiries
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Inquiry recommendation
98match
F79 - Accountability of providers' directors
There should be a requirement that all directors of all bodies registered by the Care Quality Commission as well as Monitor for foundation trusts are, and remain, fit and proper persons for the role. Such a test should include a requirement to comply with a prescribed code of conduct for directors.
Matched on
terms: director, fit, person, test
Inquiry recommendation
94match
F84 - Accountability of providers' directors
Where the contract of employment or appointment of an executive or non-executive director is terminated in circumstances in which there are reasonable grounds for believing that he or she is not a fit and proper person to hold such a post, licensed bodies should be obliged by the terms of their licence to report the matter to Monitor,...
Matched on
terms: director, fit, person
Inquiry recommendation
94match
F83 - Accountability of providers' directors
If a "fit and proper person test" is introduced as recommended, Monitor should issue guidance on the principles on which it would exercise its power to require the removal or suspension or disqualification of directors who did not fulfil it, and the procedure it would follow to ensure due process.
Matched on
terms: director, fit, person, test
Inquiry recommendation
94match
F82 - Accountability of providers' directors
Provision should be made for regulatory intervention to require the removal or suspension from office after due process of a person whom the regulator is satisfied is not or is no longer a fit and proper person, regardless of whether the trust is in significant breach of its authorisation or licence.
Matched on
terms: director, fit, person
Inquiry recommendation
94match
F80 - Accountability of providers' directors
A finding that a person is not a fit and proper person on the grounds of serious misconduct or incompetence should be a circumstance added to the list of disqualifications in the standard terms of a foundation trust's constitution.
Matched on
terms: director, fit, person
Inquiry recommendation
78match
F85 - Accountability of providers' directors
Monitor and the Care Quality Commission should produce guidance to NHS and foundation trusts on procedures to be followed in the event of an executive or non-executive director being found to have been guilty of serious failure in the performance of his or her office, and in particular with regard to the need to have regard to the...
Matched on
terms: director, healthcare
Inquiry recommendation
78match
F81 - Accountability of providers' directors
Consideration should be given to including in the criteria for fitness a minimum level of experience and/or training, while giving appropriate latitude for recognition of equivalence.
Matched on
terms: director, fit
Inquiry recommendation
61match
F86 - Requirement of training of directors
A requirement should be imposed on foundation trusts to have in place an adequate programme for the training and continued development of directors.
Matched on
terms: director
Inquiry recommendation
48match
F232 - Employment liaison officers
The Nursing and Midwifery Council could consider a concept of employment liaison officers, similar to that of the General Medical Council, to provide support to directors of nursing. If this is impractical, a support network of senior nurse leaders will have to be engaged in filling this gap.
Matched on
terms: director
Inquiry recommendation
48match
F229 - Revalidation
It is highly desirable that the Nursing and Midwifery Council introduces a system of revalidation similar to that of the General Medical Council, as a means of reinforcing the status and competence of registered nurses, as well as providing additional protection to the public. It is essential that the Nursing and Midwifery Council has the resources and the...
Matched on
terms: fit
Inquiry recommendation
48match
F227 - Nursing and Midwifery Council Investigation of systemic concerns
The Nursing and Midwifery Council needs to have its own internal capacity to assess systems and launch its own proactive investigations where it becomes aware of concerns which may give rise to nursing fitness to practise issues. It may decide to seek the cooperation of the Care Quality Commission, but as an independent regulator it must be empowered...
Matched on
terms: fit
Inquiry recommendation
48match
F226 - Nursing and Midwifery Council Investigation of systemic concerns
To act as an effective regulator of nurse managers and leaders, as well as more front-line nurses, the Nursing and Midwifery Council needs to be equipped to look at systemic concerns as well as individual ones. It must be enabled to work closely with the systems regulators and to share their information and analyses on the working of...
Matched on
terms: fit
Inquiry recommendation
48match
F222 - General Medical Council Systemic investigation where needed
The General Medical Council should have a clear policy about the circumstances in which a generic complaint or report ought to be made to it, enabling a more proactive approach to monitoring fitness to practise.
Matched on
terms: fit
Inquiry recommendation
44match
29 - Standards for manager quality responsibilities
Clear national standards should be drawn up setting out the responsibilities for clinical quality of other managers, including executive directors, middle managers and non-executives. All Trusts should provide evidence to the Care Quality Commission, as part of their processes, of appropriate policies and training to ensure that standards are met. Action: NHS England, the Care Quality Commission, all...
Matched on
terms: director
Inquiry recommendation
44match
28 - 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 of service, medical directors, nurse directors. Trusts should provide evidence to the Care Quality Commission, as part of their processes, of appropriate policies and training to ensure that...
Matched on
terms: director
Inquiry recommendation
40match
F231 - Coordination with internal procedures
It is essential that, so far as practicable, Nursing and Midwifery Council procedures do not obstruct the progress of internal disciplinary action in providers. In most cases it should be possible, through cooperation, to allow both to proceed in parallel. This may require a review of employment disciplinary procedures, to make it clear that the employer is entitled...
Matched on
classifier match
Inquiry recommendation
36match
BRIS-94 - Appoint clinicians to managerial roles based solely on demonstrated competence
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.
Matched on
classifier match
Inquiry recommendation
36match
BRIS-93 - Require managerial competence for clinicians appointed to managerial roles with training
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.
Matched on
classifier match
Inquiry recommendation
36match
F225 - Peer reviews
The General Medical Council should have regard to the possibility of commissioning peer reviews pursuant to section 35 of the Medical Act 1983 where concerns are raised in a generic way, in order to be advised whether there are individual concerns. Such reviews could be jointly commissioned with the Care Quality Commission in appropriate cases.
Matched on
classifier match
Inquiry recommendation
36match
F224 - Information sharing
Steps must be taken to systematise the exchange of information between the Royal Colleges and the General Medical Council, and to issue guidance for use by employers of doctors to the same effect.
Matched on
classifier match
Inquiry recommendation
32match
BRIS-98 - Regulatory bodies to vary professional duties for full-time managers without patient care
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 not undertake responsibility for the care of patients.
Matched on
classifier match
Inquiry recommendation
32match
BRIS-96 - Establish minimum clinical practice levels for clinicians in part-time managerial roles
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 necessary to enable a clinician to provide care of a good quality. Clinicians not maintaining this level of...
Matched on
classifier match
Inquiry recommendation
32match
F228 - Administrative reform
It is of concern that the administration of the Nursing and Midwifery Council, which has not been examined by this Inquiry, is still found by other reviews to be wanting. It is imperative in the public interest that this is remedied urgently. Without doing so, there is a danger that the regulatory gap between the Nursing and Midwifery...
Matched on
classifier match
Inquiry recommendation
32match
F223 - Enhanced resources
If the General Medical Council is to be effective in looking into generic complaints and information it will probably need either greater resources, or better cooperation with the Care Quality Commission and other organisations such as the Royal Colleges to ensure that it is provided with the appropriate information.
Matched on
classifier match
Inquiry recommendation
32match
F221 - 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 trusts, of equivalent rigour to that applied to foundation trusts.
Matched on
classifier match
Inquiry recommendation
32match
14 - Review clinical leadership arrangements
The University Hospitals of Morecambe Bay NHS Foundation Trust should review arrangements for clinical leadership in obstetrics, paediatrics and midwifery, to ensure that the right people are in place with appropriate skills and support. The Trust has implemented change at executive level, but this needs to be carried through to the levels below. All staff with defined responsibilities...
Matched on
classifier match
Inquiry recommendation
27match
19 - Professional bodies review conduct of registrants
In light of the evidence we have heard during the Investigation, we consider that the professional regulatory bodies should review the findings of this Report in detail with a view to investigating further the conduct of registrants involved in the care of patients during the time period of this Investigation. Action: the General Medical Council, the Nursing and...
Matched on
classifier match
Inquiry recommendation
27match
IHRD-9 - Leadership Development
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.
Matched on
classifier match
Inquiry recommendation
27match
IHRD-14 - Clinician Competence Assessment
The experience and competence of all clinicians caring for children in acute hospital settings should be assessed before employment.
Matched on
classifier match
Inquiry recommendation
23match
IHRD-75 - Independent Disciplinary Action
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.
Matched on
classifier match
Inquiry recommendation
18match
16 - Clarify manager quality responsibilities
As part of the governance systems work, we consider that the University Hospitals of Morecambe Bay NHS Foundation Trust should ensure that middle managers, senior managers and non-executives have the requisite clarity over roles and responsibilities in relation to quality, and it should provide appropriate guidance and where necessary training. This should be completed by December 2015.
Matched on
classifier match