(2 days, 6 hours ago)
Public Bill CommitteesI hope I can be of assistance. I think the clause is about the public authority’s obligation to explain to its employees all the things they can do to raise a concern. I do not think that it is directed at the individuals who might be required to do things. It might be better for it to say that the authority must ensure that that information is available. If we read it in the context of the public authority’s obligations, it is about what the authority should tell people, rather than placing any obligation in relation to individuals’ actions. I hope that might explain it more clearly.
(1 week ago)
Public Bill Committees
Seamus Logan
Q
Dr Chopra: Going back to what I was saying about our role as a regulator, I have focused on where we have taken enforcement powers where we have seen things that have not worked, but I think we could also do the opposite. As a regulator, we could be talking about those areas that we see as outstanding, and platforming what they have done with their policies, processes and procedures that have made them outstanding. Being a regulator that champions innovation and outstanding organisations is something that the CQC could contribute. That might be one way.
I have worked in other jurisdictions. When I think about how duty of candour works in Scotland, one of the differences is that every organisation in Scotland has to do an annual duty of candour statement. Each organisation is required to set out at the end of the year how many instances of duty of candour have been picked up, the very top headlines of what the issues were, and what they are doing about it. I thought that was a good provision that I saw operating up north. It is not perfect, but it shows how the duty is working in practice. I was working in an assurance body up there, and it allowed me to look across the country to see what was happening and whether there were areas where under-reporting may be taking place. It allowed better monitoring at national level.
Helen Vernon: In addition to what we do in relation to compensation, we have a role in the effective management of concerns about practitioner performance. Recognising some of the things that you mentioned, we did some work on some guidance called “Being fair”, which was about setting out some principles on a just and learning culture and what that looks like. Translating that into practice has meant creating templates and some simple principles that can be shared across different organisations to make it easy for people to speak up safely. That was co-produced with the input of regulators and clinicians who have been through some difficult processes, but it is one of the ways in which we can bring practical guidance to sometimes difficult concepts.
Q
Dr Chopra: We get notified of incidents. To be very frank, we are a responsive organisation when incidents occur; when we are made aware of PFD reports, we look at them. Because of the way that we look at things, as I said, we are responsive rather than taking a proactive view, but yes, that is right. One thing that might be helpful is to bring those recommendations to a national body. We are pinning a lot on the National Quality Board at the moment, but it would be helpful to bring recommendations to a central place that would allow their dissemination so that they land not just in the organisation where the incident occurred but across the piece.