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NHS: Corporate Governance

Asked by Tom MorrisonLiberal DemocratDepartment of Health and Social CareTabled Answered 18 September 2025UIN 72072

The question

To ask the Secretary of State for Health and Social Care, what discussions he has had with NHS England on the effectiveness of its procedures for ensuring that (a) formal governance processes and (b) approved plans and programmes cannot be undermined by NHS senior leaders.

Answered by Karin Smyth

My Rt Hon. Friend, the Secretary of State for Health and Social Care, has regular meetings with NHS England to discuss the effectiveness of procedures to hold healthcare leaders accountable for delivering on the Government’s priorities.

There are clear expectations for National Health Service senior leaders, aligned with the NHS Leadership Compact, the Fit and Proper Person Test Framework, and the Nolan Principles. NHS England addresses concerns about poor behaviours through established human resources and governance channels.

On 21 July 2025, we set out plans to regulate NHS managers via a statutory barring system. We will take forward legislative changes so that the Health and Care Professions Council can operate a barring mechanism for NHS board-level managers and their direct reports within this Parliament.

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