Common purpose / People and culture
Accountability of managers
From Kark to Thirlwall, reviews ask for consequences when managers move on after failure. The current ask is a barring scheme, then statutory regulation.
6 reviews · 7 recommendations
Reviews, most recent first
- 2026Thirlwall Inquiry
Lady Justice Thirlwall
- 2022Messenger review
General Sir Gordon Messenger and Dame Linda Pollard
- 2019Kark review
Tom Kark KC
- 2015Rose review
Lord Rose
- 2013Francis public inquiry
Sir Robert Francis KC
- 2005Kerr/Haslam
Nigel Pleming KC
What they asked for
Bar unfit managers from September 2027, review that scheme in 2030, and aim for full statutory regulation by 2032. Senior moves should not be used to hide conduct or capability problems.
DHSC and NHS England
Place an individual duty of candour on managers, and amend the management code so that patient safety is the first duty.
DHSC and NHS England
Introduce one set of behaviour-based standards and appraisal for managers.
NHS England
Extend the test to all directors and create a central record so concerns follow the person.
Government and NHS England
Give a body the power to disbar directors who are not fit.
Government
Apply a fit and proper person test to NHS directors.
Government
Improve information sharing when a clinician moves, so concerns are not left behind.
Employers