Healthcare director fit person tests
Lack of robust 'fit and proper person' requirements and ongoing assessment for directors of healthcare providers.
90 items
9 sources
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
Committee recommendation
81match
#12 - First Report - The Government’s White Paper proposals for the reform of Health and Social Care
We conclude that the Bill provides a timely vehicle to introduce reforms to the fit- and-proper persons test for appointments to NHS boards. We therefore recommend that the Bill is used to establish a UK-wide public register of people that are holding, 40 The Government’s White Paper proposals for the reform of Health and Social Care have held,...
Matched on
terms: fit, person, test
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
CQC action
69match
Medistaff24
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Matched on
terms: fit, person
CQC action
69match
10-12 Hainsworth Park
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Matched on
terms: fit, person
CQC action
69match
Floron Residential Home for the Elderly
This was a breach of regulation 19 (fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Matched on
terms: fit, person
CQC action
68match
Manchester Court
The provider follows their staff recruitment policy closely with regard to the link to the guidance relating to Fit and proper persons employed.
Matched on
terms: fit, person
CQC action
64match
Kindered Hearts Limited
Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
Matched on
terms: fit, person
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
PFD report
57match
Kate Louise Pierce
A practicing GP failed to diagnose a patient and misled parents, with new evidence casting doubt on his fitness to practice. Previous GMC action stalled, posing a risk of future deaths.
Matched on
terms: fit
PFD report
57match
Peter Cole
Inadequate monitoring of repeat medication allows vulnerable patients to accumulate dangerous quantities, a widespread problem leading to significant waste of healthcare resources.
Matched on
terms: healthcare
PFD report
57match
Joseph Price
Prison healthcare failed to routinely inquire about and record family history of sudden cardiac death during reception health screenings, missing opportunities to identify and screen at-risk inmates.
Matched on
terms: healthcare
Detention investigation recommendation
55match
Assessment of government progress in implementing the report on the welfare in detention of vulnerable persons - Rec...
An action plan should be drawn up to address the shortcomings I found in healthcare facilities within the immigration estate to ensure a clinically safe, compliant and appropriate environment for the delivery of care to detainees.
Matched on
terms: healthcare, person
CQC action
53match
JDK Limited (Glenholme Care)
The directors have mismanaged the service and the regulated activity has not been carried out in compliance with the regulations. One of the directors has been unable to provide evidence of a DBS certificate.
Matched on
terms: director
Committee recommendation
52match
#18 - TrustMark's registration process fails to adequately assess installer businesses' financial stability and liquidity.
The original installer is liable for fixing the installation to meet the relevant standards. However, the National Audit Office reported that not all installers are complying with the remediation process.38 We asked TrustMark whether the process for installer businesses to become TrustMark-registered (and therefore be able to do work under government retrofit schemes) includes an assessment of the...
Matched on
terms: fit
LGO / SPSO decision
51match
21-011-337 - Southend-on-Sea City Council
Summary: We will not investigate this complaint about the Council’s investigation into whether a landlord was a fit and proper person to operate a house in multiple occupation. This is because Mr X has not been caused an injustice as a result of the actions of the Council.
Matched on
terms: fit, person
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
Detention investigation recommendation
48match
Review into the Welfare in Detention of Vulnerable Persons - Rec 21
I recommend that the Home Office immediately consider an alternative to the current rule 35 mechanism. This should include whether doctors independent of the IRC system (for example, Forensic Medical Examiners) would be more appropriate to conduct the assessments as well as the training implications.
Matched on
terms: person
PHSO casework decision
48match
P-002632 - Royal Devon University Healthcare NHS Foundation Trust
Mr H complains on behalf of his grandson that the paediatrician did not appropriately manage his medication and there was a lack of leadership in the management of his care.
Matched on
terms: healthcare
PFD report
45match
Jack Postle
The maternity unit suffered from insufficient capacity for safe care, and consultant guidance inappropriately limited the availability of caesarean sections following failed inductions.
Matched on
classifier match
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
Committee recommendation
44match
#15 - Require the New Hospital Programme to conduct comprehensive live clinical testing of Hospital 2.0 designs.
Before the evidence session, we visited a “super hospital” project in Denmark. The Danes had built a prototype of a new operating theatre on the edge of an existing hospital and each surgical team was given access to it so they could test how it worked in practice. Using the lessons from these clinicians, the new hospital was...
Matched on
terms: test
PHSO casework decision
43match
P-004569 - Charity Commission
Ms M complains the Commission failed to carry out a ‘fit and proper’ investigation into concerns she raised about a charity.
Matched on
terms: fit
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
IMB recommendation
39match
Springhill (2023)
Monitoring any new initiatives rolled out to enable the prison to better scrutinise the impact and quality of healthcare delivery and the health complaints system (6.1.3, 6.1.4 and 6.1.10).
Matched on
terms: healthcare
IMB recommendation
39match
Downview (2023)
healthcare complaints management.
Matched on
terms: healthcare
IMB recommendation
39match
The Mount (2021)
The Prison Service needs to review what lessons can be learned when evaluating tenders and planning for changes in healthcare providers.
Matched on
terms: healthcare
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
Committee recommendation
36match
#14 - 11th Report – Cosmetic procedures
The Government should require all practitioners performing invasive surgical cosmetic procedures to have specialist training and hold appropriate board certification in the procedures they undertake. (Recommendation, Paragraph 52) Non-surgical cosmetic procedures
Matched on
classifier match
Committee recommendation
36match
#13 - 11th Report – Cosmetic procedures
Currently, any doctor on the medical register can legally perform highly invasive cosmetic surgery in the private sector, regardless of specialist training or competence. This is a risk to patient safety. Despite the introduction of the Intercollegiate Cosmetic Surgery Certification Scheme in 2017, participation remains voluntary. (Conclusion, Paragraph 51)
Matched on
classifier match
CQC action
36match
Charlton House Medical Centre
On 27 September 2021 the newly appointed clinical lead emailed CQC to advise he had withdrawn from his role with the practice leaving no active clinical lead to direct clinical staff and to make clinical decisions, this placed patients at risk of harm.
Matched on
classifier match
Committee recommendation
36match
#17 - 11th Report – Cosmetic procedures
The Government should accelerate regulatory action. Procedures that are deemed high risk such as liquid BBLs and liquid breast augmentations, which have already been shown to pose a serious threat to patient safety, should be restricted to appropriately qualified medical professionals immediately. Given the lack of appetite among medical professionals to carry out these procedures, this will act...
Matched on
classifier match
CQC action
36match
Kingsleigh Residential
The provider had failed to ensure the registered manager had the necessary skills, competence and experience to manage the regulated activity.
Matched on
classifier match
Committee recommendation
35match
#23 - 11th Report – Cosmetic procedures
The Government should review the need for the NHS to systematically record data on complications arising from cosmetic procedures performed abroad. Publishing such data in an annual release would enable a comprehensive assessment of the financial impact on the NHS and provide robust evidence to better inform and educate the public about the risks associated with cosmetic tourism....
Matched on
classifier match
IMB recommendation
35match
Wakefield (2022)
We ask the minister and his/her officials to explain how the ministry perceives the performance of prisoner healthcare at HMP Wakefield when compared against the performance specification in the contract.
Matched on
terms: healthcare
IMB recommendation
34match
Downview (2022)
It has been regrettable that there has been such a lack of stability with the management of healthcare during the reporting year and this has undoubtedly impacted on provision. We are reassured to see a permanent healthcare head appointed shortly after the end of the reporting period, which hopefully will lead to a more concerted effort on behalf...
Matched on
terms: healthcare
IMB recommendation
34match
Gartree (2024)
The Board raised questions with the Minister last year about the quality and performance of service providers and remains concerned, particularly with regard to healthcare. So, we ask, again, how the Minister plans to address these issues?
Matched on
terms: healthcare