The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England, with a range of enforcement powers. The Department holds the CQC to account regularly for its overall performance and delivery of its regulatory functions.

Under the Health and Social Care Act 2008, the CQC has civil and criminal enforcement powers enabling it to protect the public and hold registered providers and managers to account where fundamental standards are not met, or regulated activities are provided without CQC registration. Civil powers focus on reducing risks to people using services, while criminal powers enable the CQC to take action in response to serious failures. In some cases, the CQC may use both types of enforcement action.

Decisions on enforcement action are a matter for the CQC, exercised in line with its statutory remit and published enforcement policy.

Everyone working in the National Health Service has a fundamental right to be safe at work. Individual employers are responsible for the health and safety of their staff, and they put in place measures, including security, training, and emotional support, for staff affected by violence.

In April 2025, my Rt Hon. Friend, the Secretary of State for Health and Social Care, announced that the Social Partnership Forum’s recommendations on tackling and reducing violence, part of the 2023 Agenda for Change pay deal, had been accepted in full. This includes measures to improve data and reporting, strengthen risk assessment, and improve training and support for victims. These have been bolstered by the introduction of a new set of staff standards, including one that focuses specifically on tackling violence, as set out in the 10-Year Health Plan.

The Government is prioritising patient safety and a learning culture in the NHS. The changes we are making as part of the 10-Year Health Plan and Dr Penny Dash’s report on the patient safety landscape will improve quality and safety by clarifying where responsibility and accountability sit at all levels of the system. We also plan to develop a new, updated NHS Patient Safety Strategy later in 2026 to continue our focus on improving patient safety.

The Government is committed to safeguarding patients as part of the shift from analogue to digital National Health Services, as set out in the 10-Year Health Plan.

The Medicines and Healthcare products Regulatory Agency regulates artificial intelligence (AI) tools that provide clinical assessment to ensure they are safe for patient use in the NHS. NHS organisations deploying such tools must also comply with risk management standards and with the Digital Technology Assessment Criteria.

NHS England is developing national triage standards setting out the clinical principles, urgency thresholds, and performance expectations against which any AI-enabled triage will be assured before use and continuously evaluated against.

The Government has also established the National Commission into the regulation of AI in healthcare, which will advise on the future regulatory framework of AI.

In October 2021, the Professional Record Standards Body (PRSB) updated its guidance on standard outpatient letters to make it clear that it is best practice for most outpatient letters to be written directly to the patient. The NHS Standard Contract states that outpatient letters should be consistent with PRSB’s standards. All National Health Service and independent sector providers are regulated by the Care Quality Commission, and assessments include how services ensure that patients understand and are involved in decisions regarding their care. As per the Competition and Markets Authority’s Order, private healthcare providers must send letters to patients prior to consultations or further tests and treatments setting out the costs, reasons, and other relevant information regarding the procedure.

Our records indicate that the Paterson Inquiry Response Programme Board last met virtually in 2023. Membership included representatives from the following bodies; the Department; NHS England; the Care Quality Commission; the Academy of Medical Royal Colleges; the Competition and Markets Authority; the General Medical Council; the Independent Healthcare Providers Network; the Independent Sector Complaints Adjudication Service; the National Consultant Information Programme; NHS Digital; NHS Providers; NHS Resolution; the Professional Standards Authority; the Royal College of Surgeons; Spire; and the University Hospitals Birmingham NHS Foundation Trust. There are no current plans to publish the boards minutes.

As referenced in the answers to HL960 and HL1431, the Government accepted 13 of the 15 recommendations set out in the 2020 Paterson Inquiry Report. Of these, nine recommendations have been implemented or partially implemented, and four recommendations are in progress. While there is no timeline for full implementation, we are working with NHS England to implement the outstanding recommendations as quickly as possible.

In October 2021, the Professional Record Standards Body (PRSB) updated its guidance on standard outpatient letters to make it clear that it is best practice for most outpatient letters to be written directly to the patient. The NHS Standard Contract states that outpatient letters should be consistent with PRSB’s standards. All National Health Service and independent sector providers are regulated by the Care Quality Commission, and assessments include how services ensure that patients understand and are involved in decisions regarding their care. As per the Competition and Markets Authority’s Order, private healthcare providers must send letters to patients prior to consultations or further tests and treatments setting out the costs, reasons, and other relevant information regarding the procedure.

Our records indicate that the Paterson Inquiry Response Programme Board last met virtually in 2023. Membership included representatives from the following bodies; the Department; NHS England; the Care Quality Commission; the Academy of Medical Royal Colleges; the Competition and Markets Authority; the General Medical Council; the Independent Healthcare Providers Network; the Independent Sector Complaints Adjudication Service; the National Consultant Information Programme; NHS Digital; NHS Providers; NHS Resolution; the Professional Standards Authority; the Royal College of Surgeons; Spire; and the University Hospitals Birmingham NHS Foundation Trust. There are no current plans to publish the boards minutes.

As referenced in the answers to HL960 and HL1431, the Government accepted 13 of the 15 recommendations set out in the 2020 Paterson Inquiry Report. Of these, nine recommendations have been implemented or partially implemented, and four recommendations are in progress. While there is no timeline for full implementation, we are working with NHS England to implement the outstanding recommendations as quickly as possible.