Publication - Research and analysis

Organisational duty of candour procedure: first year review

Published: 4 Sep 2020

Evaluation of the first year of the organisational duty of candour procedure through analysis of the annual reports that were published by NHS territorial and special boards across Scotland.

26 page PDF

567.0 kB

26 page PDF

567.0 kB

Contents
Organisational duty of candour procedure: first year review
Appendix 5: Analysis Mapping of Annual Duty of Candour Reports (2018/19)

26 page PDF

567.0 kB

Appendix 5: Analysis Mapping of Annual Duty of Candour Reports (2018/19)

Evaluation/Analysis of Health Organisations' 2018/19 Duty of Candour Annual Reports

Table 1: Mapping Duty of Candour Reports to the Health (Tobacco, Nicotine etc. and Care) (Scotland) Act 2016 - Part 2, Section 24: Reporting and Monitoring
Report Requirements (Sec 24: Reporting & Monitoring Mapping)
  1 2 3 4 5 6 7 8
  (a) (b) (c) i ii (d) (e) (a) (b)   (a) (b) (c) (a) (b) (a) (b) (c)  
NHS Territorial Boards
NHS Ayrshire & Arran Published Included Does not Done N/A N/A N/A N/A
Included
Included
Included Notified N/A
Included Does not N/A
Included  N/A
Included  N/A
NHS Borders Published Included  Does not Done  N/A N/A N/A N/A
Included 
Included
Included  Not notified  N/A
Not included  Does not  N/A
Not included  N/A
Included  N/A
NHS Dumfries & Galloway Published Included  Does not  Done  N/A N/A N/A N/A
Included 
Included
Included  Not notified  N/A
Included  Does not  N/A
Included  N/A
Included  N/A
NHS Fife Published Included  Does not  Done  N/A N/A N/A N/A
Included 
Included
Included  N/A
Included    Not notified   
Included 
Included  N/A N/A
NHS Forth Valley Published Included  Does not  Done  N/A N/A N/A N/A
Included 
Included
Included  Notified  N/A
Included  Does not  N/A
Included  N/A
Included   N/A
NHS Grampian Published Not included  Does not  Done  N/A N/A N/A N/A
Not included 
Not included 
Included  Notified  N/A
Included  Does not  N/A
Included  N/A N/A
Included 
NHS Greater Glasgow & Clyde Not Published at time of analysis of reports (Nov 2019)
NHS Highland Published Included  Does not  Done  N/A N/A N/A N/A
Included 
Included
Included  Notified  N/A
Included  Does not  N/A
Included  N/A N/A
Included 
NHS Lanarkshire Published Included  Does not  Done  N/A N/A N/A N/A
Included 
Included 
Included  Notified N/A
Not included Does not  N/A
Included  N/A N/A
Included 
NHS Lothian Published Included  Does not Done  N/A N/A N/A N/A
Included 
Included
Included  Notified  N/A
Included  Does not  N/A
Included  N/A N/A
Included 
NHS Orkney Published Included  Does not  Done  N/A N/A N/A N/A
Included 
Included 
Included  Notified  N/A
Included  Does not  N/A
Included  N/A N/A
Included 
NHS Shetland Published Included  Does not  Done  N/A N/A N/A N/A
Included 
Included 
Included  Notified  N/A
Included  Does not  N/A
Included  N/A N/A
Included 
NHS Tayside Published Not included  Does not  Done  N/A N/A N/A N/A
Included 
Included 
Included  Notified  N/A
Included  Does not  N/A
Included  N/A N/A
Included 
NHS Western Isles Published Not included  Does not  Done  N/A N/A N/A N/A
Included 
Included 
Included  Does not  Not notified  N/A
Not included  N/A
Included  N/A N/A
Included 
NHS Special Boards
Golden Jubilee Foundation Published Not included  Does not  Done  N/A N/A N/A N/A
Included 
Included 
Included  Notified  N/A
Included  Does not  N/A
Included  N/A N/A
Included 
NHS 24 Published Included  Does not  Done  N/A N/A N/A N/A
Included 
Included
Included  Notified N/A
Included  Does not N/A
Included  N/A N/A
Included 
Scottish Ambulance Service Published Not included  Does not  Done  N/A N/A N/A N/A
Included 
Included 
Included   Not notified  N/A
Not included  Does not  N/A
Not included  N/A N/A
Not included 
The State Hospital Published Not included  Does not  Done  N/A N/A N/A N/A
Included 
Included 
Included  Not notified  N/A
Not included  Does not  N/A
Not included  N/A N/A
Included 
National Services Scotland Published Included  Does not  Done  N/A N/A N/A N/A
Included 
Included 
Included  Notified  N/A
Included  Does not  N/A
Included  N/A N/A
Included 
Primary Care Sample With Incidents
Millig Practice (NHS Highland) Published  Included  Does not  Done  N/A N/A N/A N/A
Included 
Included 
Included  Notified  N/A
Included  Does not  N/A
Included  N/A N/A
Included 
Riverside Medical Practice (NHS Highland) Published Included  Does not  Done  N/A N/A N/A N/A
Included 
Included 
Included  Notified  N/A
Included  Does not  N/A
Included  N/A N/A
Included 
Gentle Dental Care (NHS Fife) Published  Included  Does not  Done    N/A N/A N/A N/A
Included 
Included 
Not included  Notified  N/A
Included  Does  N/A
Included  N/A N/A
Included 
Bairds Pharmacy (NHS Grampian)  Published  Included  Does not  Done  N/A N/A N/A N/A
Included 
Included 
Included  Notified  N/A
Included  Does not  N/A
Included  N/A N/A
Included 

(1) A responsible person who provides a health service, a care service or a social work service during a financial year must prepare an annual report on the duty of candour as soon as reasonably practicable after the end of that financial year.
(2) The report must set out in relation to the financial year— (a) information about the number and nature of incidents to which the duty under section 21(1) has applied in relation to a health service, a care service or a social work service provided by the responsible person, (b) an assessment of the extent to which the responsible person carried out the duty under section 21(1), (c) information about the responsible person's policies and procedures in relation to the duty under section 21(1), including information about— (i) procedures for identifying and reporting incidents, and (ii) support available to staff and to persons affected by incidents, (d) information about any changes to the responsible person's policies and procedures as a result of incidents to which the duty under section 21(1) has applied, and (e) such other information as the responsible person thinks fit.
(3) A report must not— (a) mention the name of any individual, or (b) contain any information which, in the responsible person's opinion, is likely to identify any individual.
(4) The responsible person must publish a report prepared under subsection (1) in such manner as the responsible person thinks appropriate.
(5) On publishing a report, the responsible person must notify— (a) Healthcare Improvement Scotland, in the case of a report published by a responsible person which provides an independent health care service (within the meaning of section 10F(1) of the 1978 Act), (b) the Scottish Ministers, in the case of a report published by any other responsible person which provides a health service, (c) Social Care and Social Work Improvement Scotland, in the case of a report published by a responsible person which provides a care service or a social work service.
(6) A person mentioned in subsection (7) may, for the purpose of monitoring compliance with the provisions of this Part, serve a notice on a responsible person requiring— (a) the responsible person to provide the person serving the notice with information about any matter mentioned in subsection (2) as specified in the notice, and (b) that information to be provided within the time specified in the notice.
(7) The persons are— (a) Healthcare Improvement Scotland, in relation to a responsible person which provides an independent health care service (within the meaning of section 10F(1) of the 1978 Act), (b) the Scottish Ministers, in relation to any other responsible person which provides a health service, (c) Social Care and Social Work Improvement Scotland, in relation to a responsible person which provides a care service or a social work service.
(8) The Scottish Ministers, Healthcare Improvement Scotland and Social Care and Social Work Improvement Scotland may publish a report on compliance with the provisions of this Part by responsible persons.


Contact

Email: dutyofcandour@gov.scot