Patient dignity and privacy
Failure to ensure suitable arrangements are in place to consider and respect the dignity, privacy, and independence of people using care services.
98 items
1 source
15 inquiries
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Inquiry recommendation
86match
P2-22 - Independent sector SOPs for deceased patients
Independent sector healthcare providers should ensure that there are Standard Operating Procedures and policies in place to protect the security and dignity of any patients that die under their care. Wherever possible, deceased patients' rooms should be kept locked. Providers should also ensure that staff are aware of the need to protect the security and dignity of deceased...
Matched on
terms: dignity, patient
Inquiry recommendation
78match
P1-17 - Deceased treated with same dignity as patients
Maidstone and Tunbridge Wells NHS Trust must treat the deceased with the same due regard to dignity and safeguarding as it does its other patients.
Matched on
terms: dignity, patient
Inquiry recommendation
78match
P2-24 - Anatomical education security and dignity policies
All organisations providing anatomical education and training using donors should make sure that policies and procedures are in place to ensure the security and dignity of donors. These should include: security and access policies and the auditing of security and access measures such as swipe card access, CCTV and access to the locations where donors are kept; governance...
Matched on
terms: dignity
Inquiry recommendation
70match
P2-32 - Ambulance policies on deceased security and dignity
NHS ambulance services should also have policies regarding the security and dignity of the deceased, including when the deceased should be covered and/or secured. NHS England should monitor that such policies are in place.
Matched on
terms: dignity
Inquiry recommendation
65match
P2-33 - Ambulance photography policies
Every NHS ambulance service must put policies in place regarding taking photographs of deceased patients, including any circumstances in which this may be required, and ensure that ambulance staff are aware of these and comply with them.
Matched on
terms: patient
Inquiry recommendation
65match
P2-23 - Independent sector accompanied access to deceased
Independent sector healthcare providers should ensure that only people who have a legitimate reason to access a room that contains a deceased patient do so, even if they are staff members, and that they are always accompanied.
Matched on
terms: patient
Inquiry recommendation
65match
P2-5 - Operational barriers including device restrictions
All NHS trusts should consider putting in place systemic operational barriers that prevent the security and dignity of deceased people being compromised. An example of this would be implementation of a rule that prevents electronic devices such as phones or cameras being taken into a mortuary, other than for approved reasons.
Matched on
terms: dignity
Inquiry recommendation
62match
75 - Time and privacy to reflect
Ensuring relatives have sufficient time, privacy and support to reflect upon the request for consent to an HPM or the retention of organs following a CPM or an HPM.
Matched on
terms: privacy
Inquiry recommendation
62match
R85 - RQIA communication with patients
RQIA needs to spend proportionately more time talking to patients/residents, and its staff need to be trained in specific communication techniques such as Makaton and Talking Mats.
Matched on
terms: patient
Inquiry recommendation
61match
P2-43 - Local authority CCTV installation
CCTV must be installed inside the mortuary facing all doors and access points, the reception area and the doors of all fridges containing deceased people, including where these are accessible from within the post-mortem room. Local authorities must put appropriate safeguards in place to maintain the security and dignity of the deceased in relation to the monitoring of...
Matched on
terms: dignity
Inquiry recommendation
61match
P2-38 - Local authority lone working review
Where mortuary staff are permitted to work alone in the mortuary, there should be a review of lone working policies, including consideration of activities involving direct handling of the deceased, alongside mitigations that can be put in place to safeguard the security and dignity of the deceased, such as CCTV.
Matched on
terms: dignity
Inquiry recommendation
60match
P1-9 - CCTV in mortuary including post-mortem room
Maidstone and Tunbridge Wells NHS Trust must install CCTV cameras in the mortuary, including the post-mortem room, to monitor the security of the deceased and safeguard their privacy and dignity.
Matched on
terms: dignity, privacy
Inquiry recommendation
60match
AS-7 - Strip-Search Safeguards
Appropriate measures should be taken to ensure that minimum safeguards are in place where a detainee is to be strip-searched. These include informing a detainee as to the necessity for the strip-search and requesting his/her co-operation. Those conducting a strip-search should always bear in mind the need to respect the detainee's dignity, particularly having regard to any cultural...
Matched on
terms: dignity
Inquiry recommendation
57match
P2-49 - Local authority DI management and oversight review
There must be a review of the management and oversight arrangements for the mortuary service, taking into consideration who is appointed as the Designated Individual, their direct contact with the mortuary, level of influence within the local authority, and attendance at governance forums. In particular: Local authorities must ensure that the Designated Individual has enough time and resource...
Matched on
classifier match
Inquiry recommendation
57match
P2-31 - Ambulance policy on crew position with deceased
Every NHS ambulance service should have a policy setting out where ambulance crew members should sit when conveying deceased patients. This should include reference to the risk of abuse of deceased patients, as well as training requirements.
Matched on
terms: patient
Inquiry recommendation
57match
P2-20 - Chief Nurse responsibility for deceased safeguarding
The remit of the Chief Nurse in NHS trusts should explicitly include executive responsibility for safeguarding the security and dignity of deceased people in NHS mortuaries and body stores.
Matched on
terms: dignity
Inquiry recommendation
53match
3 - Guidance on control of patients' money
The Department are now preparing new guidance on the control of patients’ money which will avoid the retention of large sums at ward level. We welcome this but hope that nurses will be able to retain and develop their therapeutic role of participating in the assessment of patients’ capacity to handle money and guiding them in spending it.
Matched on
terms: patient
Inquiry recommendation
52match
P2-2 - CCTV in all NHS mortuaries
All NHS trusts should install CCTV inside the mortuary, with cameras facing all doors and access points, the reception area and the doors of body fridges, while maintaining the security and dignity of deceased people by implementing the appropriate safeguards. Where double-ended fridges also open into the post-mortem room, NHS trusts should install CCTV cameras inside the post-mortem...
Matched on
terms: dignity
Inquiry recommendation
49match
P2-42 - Lock fridges and freezers at all times
Fridges and freezers containing deceased people must be locked at all times, with appropriate key security in place.
Matched on
classifier match
Inquiry recommendation
49match
P2-27 - Hospice security and access controls
Hospices that care for deceased people on their premises should: introduce auditable access control of the area where deceased people are kept; have Standard Operating Procedures regarding the care of deceased people, including security of and access to the areas where deceased people are kept; and minimise unaccompanied access to areas where deceased people are cared for, wherever...
Matched on
classifier match
Inquiry recommendation
49match
BAHA-25 - Restriction on Waking CPERS
In line with Recommendation 11 above, the tactical questioning and interrogation policies need to make clear that it is not permissible to deliberately keep prisoners awake, even for short periods, merely because they may shortly face tactical questioning or interrogation. CPERS may nevertheless be woken up in order to be tactically questioned or interrogated if the questioning is...
Matched on
classifier match
Inquiry recommendation
45match
89 - Sensitive handling of persons rescued from accidents
Further consideration should be given to the sensitive handling of persons rescued from accidents including whether they should be sent onward by train (para 2.14).
Matched on
classifier match
Inquiry recommendation
45match
P2-51 - Local authority biennial audits and peer review
The mortuary service must be reviewed by professional auditors at least biennially, with the results of the audit reported to a formal committee regardless of the level of assurance. Local authorities must arrange a peer review of the mortuary service at least every three years.
Matched on
classifier match
Inquiry recommendation
45match
P2-50 - Local authority mortuary as regulated service
The mortuary service must be treated in the same way as other regulatory services within local authority reporting structures: The mortuary must be visible to scrutiny at the relevant statutory committee, with regular reporting. Key performance indicators must be identified and must include the results of audits of compliance with Human Tissue Authority requirements. Inspections by the Human...
Matched on
classifier match
Inquiry recommendation
45match
P2-48 - Local authority annual SOP and HTA audits
There must be audits of the mortuary Standard Operating Procedures and compliance with Human Tissue Authority requirements, undertaken annually as a minimum, with a clear record of authorisation by the Designated Individual, head of service or equivalent. Audits of staff compliance with the Standard Operating Procedures must be undertaken at least annually, with the results of the audits...
Matched on
classifier match
Inquiry recommendation
45match
P2-44 - Local authority incident response SOPs
Arrangements for responding to incidents of unauthorised access must be reviewed and incorporated into Standard Operating Procedures.
Matched on
classifier match
Inquiry recommendation
45match
P2-40 - Local authority strategic security review
Immediate steps must be taken to commission a specialist strategic review of the systems in place to protect the deceased, which should include a detailed risk assessment of the potential breaches of security that could occur. The review should include an assessment of: the systems in place to identify unauthorised access to the facility; the strength and effectiveness...
Matched on
classifier match
Inquiry recommendation
45match
P2-39 - Local authority security audits
Routine and regular audits of security must be conducted, encompassing both access to and exit from the mortuary and movement within it, including the post-mortem room. Access data must be reconciled against CCTV footage. Audits must be reported to the Designated Individual and head of service or equivalent.
Matched on
classifier match
Inquiry recommendation
45match
P2-37 - Local authority visitor supervision
Where people other than mortuary staff are visiting the mortuary during working hours, for example contractors, cleaners and other visitors: Access must be limited to specific areas required for the purposes of their work or visit. They must be supervised when working in areas where there is access to deceased people, for example in the fridge or post-mortem...
Matched on
classifier match
Inquiry recommendation
45match
P2-36 - Local authority individualised access controls
Where unsupervised access is permitted for a legitimate and unavoidable purpose, there should be individualised electronic access controls to enter the mortuary and restrict access to specific areas of the mortuary, such as the post-mortem room. There should be a requirement to 'swipe to exit' to ensure that all activity is auditable. There should be no shared electronic...
Matched on
classifier match
Inquiry recommendation
45match
P2-21 - NHS England incorporate deceased in safeguarding framework
NHS England should formally incorporate the safeguarding of deceased people into its safeguarding framework for NHS trusts.
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classifier match
Inquiry recommendation
45match
P2-4 - End shared swipe cards
The practice of using shared electronic swipe cards for specific staff groups should cease immediately.
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classifier match
Inquiry recommendation
45match
P2-3 - Audit access data for deceased storage
All NHS trusts should routinely audit the access data of all facilities used to store deceased people.
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classifier match
Inquiry recommendation
41match
112 - Seek consents before interviewing
The consents of parents and of children where of a maturity to give consent should be sought prior to investigative interviewing being undertaken (17.51).
Matched on
classifier match
Inquiry recommendation
41match
106 - Child's choice of doctor's sex
A child should be able to choose whether the examination is conducted by a female or a male doctor (17.44).
Matched on
classifier match
Inquiry recommendation
41match
P2-56 - 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.
Matched on
classifier match
Inquiry recommendation
41match
P2-47 - Local authority security breach investigation
There must be an investigation into the root cause of each security breach. Each incident, the investigation and action plan must be reported to director level within the local authority as a minimum. Serious security breaches must also be reported to the relevant cabinet member and/or committee of elected members.
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classifier match
Inquiry recommendation
41match
P2-45 - Local authority single security SOP
All policies and procedures in relation to the security of the mortuary must be accurately and comprehensively reflected in a single security Standard Operating Procedure.
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classifier match
Inquiry recommendation
41match
P2-41 - No reliance on keys/keypads alone
There must be no reliance on keys and keypad codes alone to secure access to the mortuary.
Matched on
classifier match
Inquiry recommendation
41match
P2-35 - Local authority mortuary access review
There should be a process to routinely review who is permitted to access the mortuary unsupervised.
Matched on
classifier match
Inquiry recommendation
41match
BAHA-13 - Segregation and Sight Deprivation
In dealing with segregation, JDP 1-10 should make clear that sight deprivation should not be used as a means of segregating CPERS to prevent them communicating with each other.
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classifier match
Inquiry recommendation
40match
83 - Translation and accessibility services
Accessing translation/interpreting services including services for people with hearing or visual impairment and providing appropriate written/taped information.
Matched on
classifier match
Inquiry recommendation
40match
80 - Practical help for relatives
Assisting relatives in the following practical matters: – collecting the deceased’s personal belongings and arranging return to relatives; – ensuring provision of certificate of death and the formal notice; – explaining the procedure to register the death; – providing support in attending the registry office if requested; – arranging contact with funeral director; – arranging contact with hospital...
Matched on
classifier match
Inquiry recommendation
36match
104 - Sheriff may authorise medical examination
The Sheriff should be empowered to authorise a child to be taken for a medical examination (17.41), although the carrying out of the examination should not proceed if the child refuses to be examined (17.42).
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classifier match
Inquiry recommendation
32match
77 - Meetings with clinician and pathologist
Facilitating meetings between parents, clinician and pathologist as appropriate.
Matched on
classifier match
Inquiry recommendation
32match
74 - Explain consent after Coroner examination
Explaining that consent is necessary for the retention of organs following a Coroner’s post mortem examination (CPM) and that the consent must be obtained before the CPM is undertaken.
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classifier match
Inquiry recommendation
32match
73 - Explain need for hospital consent
Explaining the need for consent to carry out a hospital post mortem examination (HPM) and the retention of organs.
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classifier match
Inquiry recommendation
32match
72 - Explain reasons for post mortem
Ensuring that relatives have a full explanation of the reasons for post mortem examination including therapeutic, medical education and research.
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classifier match
Inquiry recommendation
32match
71 - Meeting with treating clinician
Encouraging a meeting between relatives and the treating clinician to explain the clinical circumstances of death and if requested arranging and attending the meeting.
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classifier match
Inquiry recommendation
32match
70 - Meeting with those present at death
Arranging and attending a meeting for relatives with anyone who was present at the death if requested.
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classifier match