Staff policy awareness
Absence of a system to confirm that all staff have read and understood existing, updated, or new policies, procedures, and guidance documents.
69 items
1 source
17 inquiries
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Inquiry recommendation
86match
38 - Government department safeguarding policy reviews
The Cabinet Office must ensure that each government department reviews its child safeguarding policy or policies in light of the expert witness report of Professor Thoburn. There must also be published procedures to accompany their policies, in order that staff know how to enact their department's policy. All government departments must update their safeguarding policies and procedures regularly,...
Matched on
terms: policy, staff
Inquiry recommendation
77match
39 - Political party safeguarding policies
All political parties registered with the Electoral Commission in England and in Wales must ensure that they have a comprehensive safeguarding policy. All political parties must also ensure that they have procedures to accompany their policies, in order that politicians, prospective politicians, staff and volunteers know how to enact their party's policy, which must be published online. All...
Matched on
terms: policy, staff
Inquiry recommendation
57match
42 - Church in Wales provincial safeguarding officers
The Church in Wales should make clear that the operational advice of provincial safeguarding officers must be followed by all members of the clergy and other Church officers. It should be enshrined in policy that those who are volunteers and who do not follow the directions of provincial safeguarding officers should be removed from working with children.
Matched on
terms: policy
Inquiry recommendation
57match
F9 - Fundamental standards of behaviour
The NHS Constitution should include reference to all the relevant professional and managerial codes by which NHS staff are bound, including the Code of Conduct for NHS Managers.
Matched on
terms: staff
Inquiry recommendation
57match
F7 - Clarity of values and principles
All NHS staff should be required to enter into an express commitment to abide by the NHS values and the Constitution, both of which should be incorporated into the contracts of employment.
Matched on
terms: staff
Inquiry recommendation
56match
F178 - Implementation of the duty Ensuring consistency of obligations under the duty of openness transparency and candour
The NHS Constitution should be revised to reflect the changes recommended with regard to a duty of openness, transparency and candour, and all organisations should review their contracts of employment, policies and guidance to ensure that, where relevant, they expressly include and are consistent with above principles and these recommendations.
Matched on
terms: staff
Inquiry recommendation
53match
51 - Review Catholic safeguarding policies manual
The Catholic Safeguarding Advisory Service should review its policies and procedures manual and the documents within it to ensure that they are consistent, easier to follow and more accessible.
Matched on
classifier match
Inquiry recommendation
53match
WATE-(9) - Make failure to report child abuse by staff an explicit disciplinary offence.
Consideration should be given to requiring failure by a member of staff to report actual or suspected physical or sexual abuse of a child by another member of staff or other person having contact with the child to be made an explicit disciplinary offence.
Matched on
terms: staff
Inquiry recommendation
52match
WATE-(21) - Remind personnel of suspension guidelines: child's best interests, neutral, avoid long periods
Personnel departments and other persons responsible for disciplinary proceedings within local authorities should be reminded that: (a) in deciding whether or not a member of staff should be suspended following an allegation of abuse to a looked after child, first consideration should be given to the best interests of the child; (b) suspension is a neutral act in...
Matched on
terms: staff
Inquiry recommendation
52match
F180 - Candour about incidents
Guidance and policies should be reviewed to ensure that they will lead to compliance with Being Open, the guidance published by the National Patient Safety Agency.
Matched on
terms: staff
Inquiry recommendation
49match
30 - Amend Canon C30 on safeguarding due regard
The Church of England should amend the current canon requiring clerics to comply with the Bishop's Guidance on Safeguarding. The use of the words 'due regard' in Canon C30 is an acceptable term of art, but lacks sufficient clarity. Very few individuals who gave evidence to the Inquiry said they understood what this meant, including the Archbishop of...
Matched on
classifier match
Inquiry recommendation
48match
F12 - Fundamental standards of behaviour
Reporting of incidents of concern relevant to patient safety, compliance with fundamental standards or some higher requirement of the employer needs to be not only encouraged but insisted upon. Staff are entitled to receive feedback in relation to any report they make, including information about any action taken or reasons for not acting.
Matched on
terms: staff
Inquiry recommendation
48match
F8 - Clarity of values and principles
Contractors providing outsourced services should also be required to abide by these requirements and to ensure that staff employed by them for these purposes do so as well. These requirements could be included in the terms on which providers are commissioned to provide services.
Matched on
terms: staff
Inquiry recommendation
48match
R32 - Staffing concerns escalation
Health Boards should ensure that there is straightforward and timely escalation process for nurses to report concerns about staffing numbers/skill mix.
Matched on
terms: staff
Inquiry recommendation
48match
WATE-(61) - Make willingness to visit children's homes pre-condition for committee appointment
The willingness of councillors to visit children's homes should be a pre-condition of appointment to the committee responsible for the homes and the importance of fulfilling the duty to visit and to report on visits conscientiously should be emphasised to them. Elected members should be provided with appropriate guidance, including reference to the need to be vigilant in...
Matched on
terms: staff
Inquiry recommendation
48match
P2-59 - Local authority contractor governance assurance
Local authorities must ensure that the providers they contract or enter into agreements with have robust governance processes in place to oversee the services they provide. This should include Standard Operating Procedures that protect the security and dignity of the deceased and audits to ensure staff compliance with them, as well as the reporting of incidents.
Matched on
terms: staff
Inquiry recommendation
48match
F11 - Fundamental standards of behaviour
Healthcare professionals should be prepared to contribute to the development of, and comply with, standard procedures in the areas in which they work. Their managers need to ensure that their employees comply with these requirements. Staff members affected by professional disagreements about procedures must be required to take the necessary corrective action, working with their medical or nursing...
Matched on
terms: staff
Inquiry recommendation
48match
F10 - Fundamental standards of behaviour
The NHS Constitution should incorporate an expectation that staff will follow guidance and comply with standards relevant to their work, such as those produced by the National Institute for Health and Clinical Excellence and, where relevant, the Care Quality Commission, subject to any more specific requirements of their employers.
Matched on
terms: staff
Inquiry recommendation
45match
36 - Guidance on DBS for overseas work
The Home Office should ensure explanatory guidance is issued, providing clarity to recruiting organisations and individuals concerning the use of the Disclosure and Barring Service scheme for work and volunteering outside the UK.
Matched on
classifier match
Inquiry recommendation
45match
POH-11 - Apply best offer principle equally in GLOS
The "best offer" principle which will apply in HSSA, as explained in response to Recommendation 10, shall be equally applicable in GLOS.
Matched on
classifier match
Inquiry recommendation
44match
R7 - Criteria for management referrals to occupational health
We recommend that procedures for management referrals to occupational health should make clear the criteria which should trigger such referrals (para 5.5.14).
Matched on
classifier match
Inquiry recommendation
44match
R46 - ICM direct responsibility
Health Boards should ensure that the Infection Control Manager has direct responsibility for the infection prevention control service and its staff.
Matched on
terms: staff
Inquiry recommendation
43match
F240 - Hygiene
All staff and visitors need to be reminded to comply with hygiene requirements. Any member of staff, however junior, should be encouraged to remind anyone, however senior, of these.
Matched on
terms: staff
Inquiry recommendation
43match
F218 - Enforcement of standards and accountability
Serious non-compliance with the code, and in particular, non-compliance leading to actual or potential harm to patients, should render board-level leaders and managers liable to be found not to be fit and proper persons to hold such positions by a fair and proportionate procedure, with the effect of disqualifying them from holding such positions in future.
Matched on
terms: staff
Inquiry recommendation
43match
F217 - Common selection criteria
A list should be drawn up of all the qualities generally considered necessary for a good and effective leader. This in turn could inform a list of competences a leader would be expected to have.
Matched on
terms: staff
Inquiry recommendation
43match
F216 - Leadership framework
The leadership framework should be improved by increasing the emphasis given to patient safety in the thinking of all in the health service. This could be done by, for example, creating a separate domain for managing safety, or by defining the service to be delivered as a safe and effective service.
Matched on
terms: staff
Inquiry recommendation
43match
F215 - Shared code of ethics
A common code of ethics, standards and conduct for senior board-level healthcare leaders and managers should be produced and steps taken to oblige all such staff to comply with the code and their employers to enforce it.
Matched on
terms: staff
Inquiry recommendation
39match
F219 - A regulator as an alternative
An alternative option to enforcing compliance with a management code of conduct, with the risk of disqualification, would be to set up an independent professional regulator. The need for this would be greater if it were thought appropriate to extend a regulatory requirement to a wider range of managers and leaders. The proportionality of such a step could...
Matched on
terms: staff
Inquiry recommendation
36match
R10 - Observe 'Welfare of Children and Young People in Hospital'
We recommend that the Department of Health should take steps to ensure that its guide, "Welfare of Children and Young People in Hospital", is more closely observed. (para 5.8.8)
Matched on
classifier match
Inquiry recommendation
36match
FENN-105 - Ensure London Underground written communications are plain, presented well, and followed.
London Underground shall make sure that all its written communications are in plain English and properly presented. They must check that instructions are being followed.
Matched on
classifier match
Inquiry recommendation
36match
R57 - IPC committee minutes reporting
Health Boards should ensure that the minutes of all meetings and reports from each infection prevention and control committee are reported to the level above in the hierarchy.
Matched on
classifier match
Inquiry recommendation
36match
IHRD-90 - Clinical Guidance Dissemination Protocol
The Department should develop protocol for the dissemination and implementation of important clinical guidance, to include: (i) The naming of specific individuals fixed with responsibility for implementation and audit to ensure accountability. (ii) The identification of specific training requirements necessary for effective implementation.
Matched on
classifier match
Inquiry recommendation
35match
P2-6 - Security breaches reviewed by expert with action plans
All NHS trusts should take every breach of security in a mortuary or body store extremely seriously. Each security incident should be reviewed by a security expert who is able to identify any systemic security issues associated with the incident. A detailed action plan should be developed for each security breach, no matter how minor trusts regard such...
Matched on
classifier match
Inquiry recommendation
32match
BRIS-57 - Prioritise non-clinical skills in healthcare professional education and development
Greater priority than at present should be given to non-clinical aspects of care in six key areas in the education, training and continuing professional development of healthcare professionals: (cid:2) skills in communicating with patients and with colleagues; (cid:2) education about the principles and organisation of the NHS, and about how care is managed, and the skills required for...
Matched on
classifier match
Inquiry recommendation
32match
R56 - Regular IPC group meetings
Health Boards should ensure that infection prevention and control groups meet at regular intervals and that there is appropriate reporting upwards through the management structure.
Matched on
classifier match
Inquiry recommendation
32match
R51 - ICT functions as team
Health Boards should ensure that any Infection Control Team functions as a team, with clear lines of communication and regular meetings.
Matched on
classifier match
Inquiry recommendation
32match
R45 - Manager IPC job description
Health Boards should ensure that where a manager has responsibility for oversight of infection prevention control, this is specified in the job description.
Matched on
classifier match
Inquiry recommendation
32match
IHRD-74 - Professional Codes in Employment Contracts
Likewise, professional codes governing nurses and other healthcare professionals should be incorporated into contracts of employment.
Matched on
classifier match
Inquiry recommendation
32match
IHRD-73 - GMC Code in Employment Contracts
General Medical Council ('GMC') 'Good Medical Practice' Code requirements should be incorporated into contracts of employment for doctors.
Matched on
classifier match
Inquiry recommendation
32match
BAHA-2 - Standard Orders Prohibiting Five Techniques
Joint Doctrine Publication (JDP) 1-10 should include the requirement for standard orders to be issued for each operation prohibiting the use of the five techniques.
Matched on
classifier match
Inquiry recommendation
31match
WATE-(60) - Clearly define purpose and scope of visits to children's homes
The purpose and scope of visits to children's homes, whether by councillors or by senior and intermediate managers, should be clearly defined and made known to all such visitors.
Matched on
classifier match
Inquiry recommendation
31match
WATE-(20) - Expedite disciplinary proceedings for child abuse, independent of police investigations
Any disciplinary proceedings that are necessary following a complaint of abuse to a child should be conducted with the greatest possible expedition and should not automatically await the outcome of parallel investigations by the police or the report on any other investigation. In this context it should be emphasised to personnel departments and other persons responsible for the...
Matched on
classifier match
Inquiry recommendation
31match
SHEE-55 - Emphasise clear orders, strict discipline, and effective communication for ship safety
This Court need say no more than stress the need for: (a) Clear and concise orders. (b) Strict discipline. (c) Attention at all times to all matters affecting the safety of the ship and those on board. There must be no “cutting of corners”. (d) The maintenance of proper channels of communication between ship and shore for the...
Matched on
classifier match
Inquiry recommendation
31match
BRIS-46 - Incorporate professional codes of practice into contracts for nurses, allied professions, managers
The relevant codes of practice for nurses, for professions allied to medicine and for managers should be incorporated into their contracts of employment with hospital trusts or primary care trusts.
Matched on
classifier match
Inquiry recommendation
31match
P2-69 - Formalise multi-organisation arrangements
Where organisations work together to care for people after death, the arrangements should be formalised through contracts or service level agreements. This should include joint Standard Operating Procedures. The parties to the contracts or service level agreements should ensure that the contracts or agreements are managed effectively, and that they seek assurance that the arrangements protect the security...
Matched on
classifier match
Inquiry recommendation
31match
P2-58 - Contractual incident notification requirement
There must be a contractual requirement to formally notify the contract manager and senior local authority officers of any incidents involving the deceased, as well as the outcome of inspections or other action by the Human Tissue Authority or others with an oversight role, such as the Health and Safety Executive.
Matched on
classifier match
Inquiry recommendation
31match
P2-57 - Local authority review third-party contracts
Local authorities must review all contractual arrangements and agreements with third-party providers of services that care for and transport the deceased. This must include consideration of assurance mechanisms, such as key performance indicators, regular reporting, formal contract review meetings, site visits and stakeholder feedback.
Matched on
classifier match
Inquiry recommendation
31match
IHRD-52 - Inquest Duties Protocol
Protocol should detail the duties and obligations of all healthcare employees in relation to healthcare related inquests.
Matched on
classifier match
Inquiry recommendation
27match
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
27match
BRIS-45 - Incorporate doctors' professional practice code into employment contracts and GP terms
The doctors’ Code of Professional Practice, as set down in the GMC’s ‘Good Medical Practice’, should be incorporated into the contract of employment between doctors and trusts. In the case of GPs, the terms of service should be amended to incorporate the Code.
Matched on
classifier match