
NHS managers who silence whistleblowers to be banned from senior health roles
The Department of Health and Social Care (DHSC) said the proposals will ensure those who commit serious misconduct are no longer able to work in senior NHS management positions.
Legislation is set to be put forward to Parliament next year to introduce professional standards and regulation of NHS managers.
Tens of thousands of clinical and non-clinical managers work in the NHS but there is currently no regulatory framework specifically for managers, as there is for doctors and nurses.
Health Secretary Wes Streeting said the reforms will 'slam the door in the face of unsuitable managers'.
Mr Streeting added: 'I'm determined to create a culture of honesty and openness in the NHS where whistleblowers are protected, and that demands tough enforcement.
'If you silence whistleblowers, you will never work in the NHS again.
'We've got to create the conditions where staff are free to come forward and sound the alarm when things go wrong. Protecting the reputation of the NHS should never be put before protecting patient safety.
'Most NHS leaders are doing a fantastic job, but we need to stop the revolving door that allows managers sacked for misconduct or incompetence to be quietly moved to another well-paid role in another part of the NHS.'
DHSC said a public consultation launched in November last year received more than 4,900 contributions on ways in which managers and leaders could be regulated.
The statutory barring system will be for board-level directors and their direct reports within NHS bodies.
Further legislation will set out new statutory powers for the Health and Care Professions Council to disbar NHS leaders in senior roles who have committed serious misconduct.
Separate NHS England professional standards for managers will establish a 'consistent, national set of expectations about NHS management and leadership competency and conduct', DHSC said.
Tom Kark KC, author of the Kark Review into the effectiveness of the fit and proper person test within the NHS, said: 'I am pleased that the recommendation made in my report into the application of the NHS fit and proper person test to create a power to disqualify board directors found guilty of serious misconduct is being implemented.
'Along with the ongoing implementation of my other recommendations for improving board competence, this is a positive move to strengthen management in the NHS by weeding out poor leadership.
'This is good news for whistleblowers and those looking for accountability in senior management which has long been lacking.'
Rachel Power, chief executive of the Patients Association, said patients expect NHS managers 'to be held to the same high standards as clinical staff, and that should include consistent regulation'.
Ms Power added: 'A clear, fair process to prevent those who commit serious misconduct from returning to senior roles will be an important step forward, and it's vital that patient involvement continues to shape proposals as further regulation is considered.'
Saffron Cordery, deputy chief executive of NHS Providers, said the membership organisation for hospital, mental health, community and ambulance services thought 'only 'fit and proper' people should be running NHS services'.
Ms Cordery added: 'Many big, complex NHS trusts employ thousands of people therefore we want to attract the very best to lead them.
'So we welcome the Government's commitment to developing and accrediting managers alongside proposals for disbarring those whose performance falls short.'
Sam Allen, NHS national director for leadership and management, said: 'Managers will welcome this new regulatory framework, as part of the broader package of actions set out in the plan to attract, develop, and retain the best possible leaders for the NHS of today and tomorrow.'

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


South Wales Guardian
an hour ago
- South Wales Guardian
Justice Secretary ‘determined to keep prison staff safe' as Tasers trial starts
Specialist officers from the Operational Response and Resilience Unit based in Kidlington, Oxfordshire, and Doncaster, South Yorkshire, will be the first to become equipped with Tasers from Monday, as part of Government plans to clamp down on record levels of violence against prison staff. Justice Secretary Shabana Mahmood attended the base in Kidlington last Thursday, when officers demonstrated how they would use Tasers on violent inmates in scenarios where there is a significant threat to safety – such as hostage situations or riots. The trial will run until enough data has been collected to determine if Tasers should be more widely used, according the Ministry of Justice – but Ms Mahmood said she hoped to have updates in the autumn. 'I inherited a situation with completely unacceptable levels of violence,' she told reporters at the Kidlington base last week. 'I'm not willing to tolerate that. 'I'm determined to do everything I can to keep prison staff safe. 'They have been asking for Tasers to be allowed to be used in our prison estate for years and years and years, and I'm very pleased to have been able to greenlight this trial.' She said the roll-out of Tasers for local prison staff teams across the UK will be examined as part of the trial, adding: 'I think it's right that we start looking at the trial through the prism of our national capabilities. 'Of course I will consider what the trial shows, but from my perspective this is very much the beginning.' It comes after rates of assaults on prison staff reached record levels last year, rising by 13% in the 12 months up to December 2024, according to Government data. There were also 10,496 assaults on staff in the 12 months to September 2024 – a 23% increase from the previous 12 months and a new peak. In April this year, Manchester Arena plotter Hashem Abedi targeted prison staff at HMP Frankland with boiling oil and homemade weapons in a planned ambush. Four prison officers were injured at the jail in Brasside, County Durham, with three taken to hospital. 'The incident of Frankland has really forced the pace on further roll-out of these measures,' Ms Mahmood said. Southport killer Axel Rudakubana also allegedly attacked a prison officer at HMP Belmarsh in May by pouring boiling water over them. Union bosses called for officers to be given stab vests and protective equipment, with Ms Mahmood announcing in June officers would be told to wear body armour at close supervision centres, separation centres and segregation units in the highest categories of prisons in England and Wales. Last week, officers based in Kidlington demonstrated their emergency response protocols through two scenarios: one in which inmates take a member of staff as hostage, and another in which three inmates assault a fourth prisoner in the yard. In the hostage situation, officers showed how the use of loud pyrotechnics can help startle and distract violent inmates before officers are able to immobilise them by tackling them to the ground and putting them in handcuffs. In the yard attack scenario, officers deployed Tasers and gave verbal warnings before firing. The targets – fellow officers who played the role of violent inmates – wore thick protective suits so as to not feel the effects of the Taser. The trial will use the Taser 7 model, which generates 50,000 volts when fired, with the voltage dropping to 1,500 volts on contact with the skin to incapacitate the target. The T7 model is also a two-shot weapon, enabling officers to shoot a second time in the event they miss their target the first time. The Tasers will be worn by officers on their tactical vest in a secure holster, making the weapon visible to inmates as a deterrent, officers told Ms Mahmood last week. The device also collects data – such as how long it was armed for, how long it was discharged for, who discharged it, and any malfunction that arises – which will contribute to the trial, officers told the Justice Secretary. 'Tasers have been used for many years by the police, but a custodial setting is different to usage in other scenarios,' Ms Mahmood said. 'These are exactly the lessons that the trial will be looking to use, and it is one of the reasons why you can't just look at the usage of Tasers by the police and assume that the read across the prisons will be exactly the same. 'We will have to make sure that we guard against all of those potential incidents as much as is humanly possible … so that we can make sure we've got the strongest possible protocols in place and that, when they're discharged, they do what they're meant to do, which is prevent a threat to life and keep my staff safe.' Officers already have access to batons and Pava spray, a synthetic form of pepper spray, in men's prisons in the public sector. The Ministry of Justice announced in April Pava spray is due to be made available 'in limited circumstances' to a select number of specialist staff at the three public sector young offender institutions – including YOI Werrington, Wetherby and Feltham A. The Taser trial is part of a £40 million package announced last month to boost security across the prison estate, including £10 million specifically for anti-drone measures such as new netting and reinforced windows, the Ministry of Justice (MoJ) said on Monday. 'Officers will be subject to robust accountability measures, each deployment of a taser will be reviewed,' a spokesperson for the MoJ added. The Prison Officers' Association (POA) said it welcomed the move, but added the Government needed to address the roots of violence in jail. 'The POA will always support any initiative that will help protect our members,' a spokesperson for the trade union said. 'However, as welcome as this initiative is we need to address the reasons why prison officers need Tasers in the first place. 'Violence in our prisons is out of control and apathetic prison managers would rather put the prison regime before the safety of their staff. 'We urgently need action to address overcrowding, understaffing, drugs and the other root causes of prison violence.'


South Wales Guardian
an hour ago
- South Wales Guardian
Pharmacies warn of unsustainable demand for weight loss medication
Many more patients are interested in using weight loss medication than are actually suitable for treatment, according to the National Pharmacy Association (NPA), which represents more than 6,000 independent community pharmacies. Some 21% of people who were interviewed in a NPA-commissioned poll agreed they had attempted to access weight loss treatments in the last year, either online or in person at a pharmacy, rising to 35% of 16 to 34-year-olds. This is compared to only 7% of those over 55. There were also 41% who agreed they would opt for weight loss treatments on the NHS if they were made available to them. This figure rose to 64% among 25 to 34-year-olds, despite many of these patients being unlikely to be clinically eligible. The NPA says the poll, in which 2,002 people were interviewed, reflects an increasing demand for private and NHS weight loss services. NPA chairman Olivier Picard said: 'Weight loss jabs are one of the biggest drug innovations this century, but growing demand for weight loss treatment highlights the need to make sure this is appropriate for those who want it. 'It's clear from this polling that many more people are interested in getting weight loss jabs than would actually be suitable for treatment. 'We want to make sure supplies are carefully managed so that those in most clinical need can benefit from weight loss medication.' Spiralling demand, fuelled partly by social media, could see people being tempted to resort to unregulated online suppliers instead of regulated pharmacies staffed by medical professionals, they fear. Online suppliers may not be offering weight loss jabs alongside a structured programme aimed at helping them change their behaviour. Wegovy and Mounjaro are among a number of drugs that are recommended to help tackle obesity on the NHS. Mounjaro and Wegovy are licensed by the Medicines and Healthcare products Regulatory Agency (MHRA) for use in patients with a BMI of over 30 or between 27 and 30 but with a weight-related co-morbidity. This occurs when an individual who has obesity develops another medical condition due to their weight. The NHS currently rolls out Mounjaro to patients with a BMI of over 40 and at least four co-morbidities, the NPA says. The NPA is calling for new regulations to protect patients buying weight loss medication online, so there is a full two-way consultation and all relevant historical medical records are reviewed before the treatment is prescribed. They are waiting for more details about the role pharmacies could play in the rollout of the NHS weight management programme. At least 85% of weight loss medication prescriptions were made by pharmacies in April this year, the NPA estimates. Mr Picard said: 'Pharmacists are experts in medication and many have extensive experience delivering weight loss injections as part of a package of care, including lifestyle advice. 'Pharmacies are well placed to help roll this treatment out on the NHS, and help people make the best use of these powerful medicines.'


Times
an hour ago
- Times
I was a Gen Z screen addict. Then I took drastic action
A lot can happen in seven hours. You could fly from London to Dubai, get through a full school day or enjoy a luxurious night's sleep. Me? I used to spend seven hours a day staring at my phone screen. Now I average less than one. I'm 22 and I've spent an alarming percentage of my life glued to my phone. It was everything — my entertainment, my social lifeline, my procrastination tool, my 3am therapist. I'm far from alone. Data shows that Generation Z's daily screen time is on average more than nine hours a day, which is more than any other generation. That's about 136 days a year spent staring at a screen. Meanwhile, the NHS reports a steep rise in mental health disorders among young people, which tracks closely with the explosion in digital device use.