Independent report

Kark review of the fit and proper persons test

An independent review of how effectively the test prevents unsuitable staff from being redeployed or re-employed in health and social care settings.



The review was led by Tom Kark QC.

It sets out 7 recommendations, including:

  • developing competencies for directors
  • making a central database of directors’ qualifications, training and appraisals
  • expanding the definition of serious misconduct

The current fit and proper persons test is designed to ensure that senior staff who are responsible for quality and safety of care are fit and proper to be in their roles.

The test applies to directors in the NHS, the independent healthcare sector and the adult social care sector.

Published 6 February 2019
Last updated 7 February 2019 + show all updates
  1. The correct link to Dr Kirkup's independent review into Liverpool Community Health NHS Trust has been added to paragraphs 20, 22 and 23 of the introduction.
  2. First published.