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I am not sure that it is correct to say the Cumberlege review’s recommendations were only directed at the healthcare system in England. Every action or recommendation of the review relating to the “NHS” relates to NHS England, for example, the suspension of incontinence mesh, because NHS care is devolved. However, the review team also recommended reform of the Medicines and Healthcare products Regulatory Agency, and they recommend that the General Medical Council should begin mandatory recording of doctors’ financial interests, to be added to their register. These recommendations would apply to all four home nations. Regulation of drugs and medical devices by the MHRA, and regulation of doctors by the GMC, is reserved rather than devolved.
I am a member of the Sling the Mesh patient group and submitted evidence to the Cumberlege review.
A Patient Safety Commissioner (PSC) would be an independent advocate for patients from the outset, not answerable to anyone except patients seeking redress for harms caused to them within the health service, and parliamentary process.
The HSIB is not yet a truly independent public body, but if it did attain such a status, and added its investigative powers under/with the leadership of a PSC, that would make a joint formidable team working with and on behalf of patients, to the betterment of the health of the UK nations in general.