References

Birks Y. Duty of candour and the disclosure of adverse events to patients and families. Clinical Risk. 2014; 20:(1-2)19-23 https://doi.org/10.1177/1356262213516937

Why whistleblowers' voices must continue to be heard. 2013. https://tinyurl.com/msnq6qs (accessed 4 January 2021)

Care Quality Commission. Regulation 20: duty of candour. Information for all providers: NHS bodies, adult social care, primary medical and dental care, and independent healthcare. 2015. https://tinyurl.com/ybsl9tts (accessed 4 January 2021)

Care Quality Commission. Regulation 20: duty of candour. Guidance. Updated 8 June 2017. https://tinyurl.com/y2bckha9 (accessed 4 January 2021)

Care Quality Commission. Trust fined for failures in complying with Duty of Candour regulation. 2019. https://tinyurl.com/yaqhkofk (accessed 4 January 2021)

Report of the Mid Staffordshire NHS Foundation Trust public inquiry. 2013. https://tinyurl.com/omsm882 (accessed 4 January 2021)

Glasper A. Duty of candour: can nurses lead the way in implementation?. Br J Nurs. 2011; 20:(20)1318-1319 https://doi.org/10.12968/bjon.2011.20.20.1318

Glasper EA. Promoting honesty and truthfulness when things go wrong during care delivery for sick children. Compr Child Adolesc Nurs. 2018; 41:(2)83-88 https://doi.org/10.1080/24694193.2018.1467159

Hilton C. Whistle-blowing and duty of candour in the National Health Service: a ‘history and policy’ case study of the 1960s and 2010s. J R Soc Med. 2016; 109:(9)327-330 https://doi.org/10.1177/0141076816658787

The life and death of Elizabeth Dixon: a catalyst for change. Report of the independent investigation. 2020. https://tinyurl.com/y22qsxjb (accessed 4 January 2021)

NHS trust fined for lack of candour in first prosecution of its kind. 2020. https://tinyurl.com/ycmprygt (accessed 4 January 2021)

Nightingale F. Notes on nursing: what it is and what it is not.London: Gerald Duckworth & Co; 1970

Nursing and Midwifery Council, General Medical Council. Openness and honesty when things go wrong: the professional duty of candour. 2015. https://tinyurl.com/p7fospl (accessed 4 January 2021)

Emerging findings and recommendations from the independent review of maternity services at the Shrewsbury and Telford Hospital NHS Trust (Ockenden report). 2020. https://tinyurl.com/ya7qmkd2 (accessed 4 January 2021)

Yours sincerely, FG Pink. 1990. https://tinyurl.com/ycy3vrz8 (accessed 4 January 2021)

Samuels A. The duty of candour: openness, transparency and candour. Medico-Legal Journal. 2017; 85:(3)138-140 https://doi.org/10.1177/0025817216688387

Virginia Mason Institute. Case study. Embedding a system to protect patient safety. 2018. https://tinyurl.com/y9uz72hh (accessed 4 January 2021)

The importance of upholding the duty of candour during patient care

14 January 2021
Volume 30 · Issue 1

Abstract

In light of recent media coverage, Emeritus Professor Alan Glasper, from the University of Southampton, discusses polices and guidance pertinent to the duty of candour

In September 2020 the Care Quality Commission (CQC) successfully prosecuted University Hospitals Plymouth NHS Trust for breaching duty of candour policies. At Plymouth Magistrates' Court the Trust was ordered to pay a total of £12 565 in the case of an elderly patient who died following an incident during an endoscopy in 2017 (Morris, 2020).

This case was the first prosecution, but was not the first time that the CQC has fined an NHS trust for a breach of duty of candour regulations. In 2019 the Royal Cornwall Hospitals NHS Trust was fined £16 250 for failing to apologise to patients within a reasonable period after incidents (CQC, 2019).

Candour, implying honesty and truthfulness, lies at the heart of the Government's continued mission to implement contractual arrangements with the NHS for use when things go wrong with the provision of health care. Birks (2014) has suggested that as few as 30% of harmful errors may be disclosed to patients.

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