Common purpose / How care is organised
Digital and information
Records that do not join up hide deteriorating patients and broken pathways. Wachter, Goldacre, Thirlwall and HSSIB all ask for systems that are safe in real use, not only on a business case.
13 reviews · 17 recommendations
Reviews, most recent first
- OngoingLampard Inquiry
Baroness Kate Lampard
- 2026Amos maternity investigation
Baroness Valerie Amos
- 2026HSSIB advice and guidance
Health Services Safety Investigations Body
- 2026Thirlwall Inquiry
Lady Justice Thirlwall
- 202510 Year Health Plan
Department of Health and Social Care
- 2025Dash review of the safety landscape
Dr Penny Dash
- 2024Darzi investigation
Lord Darzi of Denham
- 2024Dash review of CQC
Dr Penny Dash
- 2022Goldacre review
Professor Ben Goldacre
- 2020Paterson Inquiry
Rt Revd Graham James
- 2019Richards screening review
Professor Sir Mike Richards
- 2019Topol review
Dr Eric Topol
- 2016Wachter review
Professor Robert Wachter
What they asked for
No final recommendations have been published. Interim recommendations on observation, monitoring technology and resuscitation were under consideration after the October 2026 hearings, and had not been issued by 21 October 2026.
To be determined
Deliver estates and digital systems that are fit for maternity and neonatal care, with dated investment commitments. Thirlwall recorded this as a recommendation of the Amos final report.
DHSC and NHS England
Commission standard templates for advice-and-guidance requests and responses, with the royal colleges, so the information exchanged is consistent.
NHS England, DHSC and royal colleges
Fit in-cot cameras in every neonatal unit, with ring-fenced national funding and a roadmap by March 2027.
NHS England
Set a dated route to interoperable hospital systems so neonatal information is entered once and can be watched continuously.
NHS England
Shift care from hospital to neighbourhood, from paper and siloed systems to digital, and from treating sickness to prevention.
NHS and government
Use data, analytics and technology as a main way of knowing whether care is good.
NHS England
Use the diagnosis as the brief for a ten-year plan built on community, digital and prevention.
Government
Rebuild CQC's assessment approach and its technology, with clinical expertise back in inspection.
CQC and DHSC
Analyse NHS data inside trusted research environments rather than copying it out.
NHS England and government
Invest in the analyst workforce and in platforms, not only in one-off extracts.
NHS England
Give patients one story of their care, written so they can understand what was done.
Providers
Give screening a single senior owner and replace obsolete IT.
NHS England
Train every clinician in data and digital skills, and build specialist informatics careers.
Education bodies
Introduce technology only where it releases time for care and is safe in practice.
NHS
Fund and phase hospital digitisation, with chief clinical information officers in post.
NHS England
Require systems to exchange data, rather than locking information inside one supplier.
NHS England
