Healthcare indemnity regulation
Serious shortcomings identified in the regulation of indemnity products for healthcare professionals, leading to patient disadvantage.
28 items
7 sources
2 inquiries
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Inquiry recommendation
100match
10 - Indemnity regulation reform
We recommend that the Government should, as a matter of urgency, reform the current regulation of indemnity products for healthcare professionals in light of the serious shortcomings identified by this Inquiry and introduce a nationwide safety net to ensure patients are not disadvantaged.
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terms: healthcare, indemnity, regulation
PFD report
61match
Susan Pollitt
The absence of national regulation, clear training frameworks, and comprehensive competency assessments for Physician Associates creates significant patient safety risks and widespread role confusion.
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terms: regulation
PFD report
57match
Rio Andrew
The regulation of private medical companies at events is inadequate, creating false security and leaving event medical provision, including "ambulance technicians," largely unregulated, with insufficient checks on mentor suitability for trainees.
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terms: regulation
PFD report
53match
Benjamin Orrill
The lack of a regulatory body for advanced nurse practitioners, leading to inconsistent appraisal, revalidation, and potential unsupervised practice, poses a significant risk to patient safety.
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PFD report
53match
Brian Rochell
Concerns about an individual's professional practice were not referred to the relevant professional body in a timely manner. This delay in addressing competence issues poses a risk to future patients.
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CQC action
52match
Bellevue Healthcare Limited
The provider must ensure effective governance systems are in place, including ensuring that only appropriately licensed professionals sign DNACPR forms.
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terms: healthcare
PFD report
49match
Peter O’Donnell
Private hospital care had no clear consultant review agreements, inadequate junior doctor oversight/training, absent patient transfer protocols, and failed to report nurse misconduct, creating systemic safety risks.
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PFD report
49match
Michael Walton
Supply chain issues led to a sub-optimal cannula being used, which dislodged and contributed to the patient's death. Surgeons were restricted in their choice of appropriate medical equipment.
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PFD report
45match
Derek Brierley
The suprapubic procedure was performed by a consultant after a long hiatus with inadequate preparation, likely incorrect insertion, and a lack of Trust guidelines for competence and training.
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PFD report
45match
Chamali Bibi
Concerns exist regarding the expertise and frequency of PAO surgeries, as many surgeons perform very few procedures annually without adequate oversight or recognition of the procedure's specialized nature.
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PFD report
45match
Joan Read Prevention of future deaths report
A single consultant lacking cross-cover for geriatric perioperative care creates a risk of urgent test results being missed during periods of absence.
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PPO recommendation
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The healthcare provider and the NHSE quality team
The healthcare provider and the NHSE quality team should consider whether the behaviour of the nurse who cancelled multiple mental health referrals requires discussion with the appropriate regulator.
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terms: healthcare
Committee recommendation
36match
#24 - Remediation costs for severe installation defects can significantly exceed the £20,000 guarantee limit.
Where guarantees are invoked, the repairs will likely in some cases cost more than the £20,000 covered by guarantee. TrustMark advises it should normally cost between £250 and £18,000 per home to correct the faulty installations, if it can be done before major damage occurs. However, in the worst case we are aware of it cost over £250,000...
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Committee recommendation
36match
#22 - The guarantee market for solid wall insulation is notably limited to only three providers.
TrustMark told us that three organisations provided the bulk of the cover.47 In written evidence provided after the oral evidence session, the Department confirmed that the guarantee market for solid wall insulation is limited to three companies: QualityMark Protection, which provides regulated insurance-backed guarantees through SafeWorld; and SWIGA and CIGA/IAA, which are asset-backed guarantees.48
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Committee recommendation
36match
#21 - Guarantees cover remediation costs up to £20,000, excluding compensation for health issues.
If the installer has ceased to trade or fails to fix the issues, remediation costs up to £20,000 should be covered by a guarantee.44 TrustMark confirmed in follow-up correspondence that these policies do not cover compensation for ill health or loss of earnings that might arise as a consequence of mould.45 The Department told us that households had...
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IMB annual report
35match
Erlestoke (2020)
HMP Erlestoke, a Category C rehabilitation prison, maintained fair and humane treatment for the most part, despite significant impacts from the COVID-19 lockdown. The report highlights improvements in education and offender management, and notes a decrease in self-harm incidents. However, key concerns persist regarding GFSL's maintenance performance, the prison's ageing infrastructure, and healthcare waiting times.
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terms: healthcare
PPO recommendation
31match
Health Inspectorate Wales
Health Inspectorate Wales should consider whether the dentist and the dental therapist should be referred to their professional bodies with a view to considering their fitness to practice.
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Inquiry recommendation
27match
13 - Independent sector provider responsibility
We recommend that the government addresses, as a matter of urgency, this gap in responsibility and liability.
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Committee recommendation
27match
#10 - Thirty-Seventh Report - Whole of Government Accounts 2018–19
Regarding the provision for clinical negligence, the WGA shows a levelling off of new cases and explains that in the second year of its new strategy to tackle clinical negligence laid out in April 2017, NHS Resolution mediated 380 cases, or 110% more than the previous year.20 We asked the Treasury what progress was being made to control...
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Committee recommendation
27match
#4 - Bring in secondary legislation swiftly for register of industry payments to clinicians
Although the Government has also given itself the powers to set up a register of industry payments to clinicians, no decision has been made yet about how to implement it, and officials were not able to share a plan of when the register would be active. A register would provide transparency and reassurance, and we urge the Government...
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CQC action
27match
Verve Health
The service must ensure adequate medical governance processes and systems are in place to monitor and assess the practice and competence of clinical staff and ensure the safety of medical practices.
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Inquiry recommendation
27match
BRIS-100 - Mandate ethics committee approval for all new untried invasive clinical procedures
Before any new and hitherto untried invasive clinical procedure can be undertaken for the first time, the clinician involved should have to satisfy the relevant local research ethics committee that the procedure is justified and it is in the patient’s interests to proceed. Each trust should have in place a system for ensuring that this process is complied...
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Inquiry recommendation
27match
15 - 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 the independent sector's workload, where relevant, and not only to those patients covered by the NHS, insured patients and patients who have paid directly for their care, if...
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Committee recommendation
23match
#22 - Forty-first Report - Driving licence backlogs at the DVLA
The Department commented that the current legislative framework of medical licensing has not been looked at for a very long time and raised the question of whether it was still fit for purpose. Many factors have changed since the legislation was introduced, notably the general population is now older and there is a significantly higher number of over-70s...
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Committee recommendation
23match
#3 - Set up register of clinicians' interests swiftly after pilot conclusion to prevent delay
We were encouraged to hear that the Government is going ahead with pilots of a register of clinicians’ interests, but we are disappointed by the speed at which the Government is acting on this recommendation. We urge the Government to make the arrangements necessary to ensure the register can be set up swiftly, subject to the pilot phase...
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LGO / SPSO decision
18match
PSOW-202107539 - Ceredigion County Council
Ms X complained that the Council had failed to investigate and respond to her complaint about an increase in nursing home fees. In considering the complaint, the Ombudsman was concerned that the Council had not responded to Ms X despite informing her in August 2021 that enquiries were being made. As an alternative to an investigation, the Ombudsman...
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LGO / SPSO decision
14match
25-010-112 - Liberty House Clinic Limited
Summary: We cannot investigate Mr X’s complaint about the Care Provider’s decision not to issue a full refund after it decided his son, Mr Y, needed to be discharged immediately, within 24 hours of admission for treatment. The complaint lies outside our jurisdiction because it is not made about actions that involve, or are connected to, the provision...
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LGO / SPSO decision
9match
22-001-236 - Sue Ryder
Summary: We will not investigate Mrs X’s complaint about the therapeutic support she received at a privately funded residential unit. That is because we have no jurisdiction to investigate her substantive complaint.
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