Directors of NHS Trusts can be deemed unfit if they have been involved in “serious misconduct or mismanagement”. The test is supervised by the Care Quality Commission but decisions are made by individual trusts. A Trust must be satisfied that its directors are:
of good character - consideration must be given to previous convictions and removal from a professional register when assessing this;
and have the qualifications, competence, skills and experience necessary for their office;
and are capable of performing tasks intrinsic to their job by reason of their health.
A trust must not “appoint or have in place” a director who has been responsible for, privy to, contributed to or facilitated any serious misconduct or mismanagement in the course of carrying on a regulated activity. The CQC received referrals from campaigners and whistleblowers in January 2015 which alleged that more than 20 current and former NHS chief executives, medical directors and senior board level executives were unfit for their roles. In 2018 the Health Minister commissioned a review of the test which was conducted by Tom Kark QC who made 7 recommendations to strengthen it and make it applicable throughout the NHS. Amongst his recommendations were: to devise a set of competencies for directors to meet and be benchmarked against; to set up a central database to hold information about directors; to require full references for each director and to set up a Health Directors Standards Council to investigate and deal with serious misconduct by senior directors. The first two recommendations were accepted by Government, the rest are under review.
"I came in and in effect saved the club. It is totally unfair for me to be disqualified."
In November 2009, Stephen Vaughan, then owner of Chester City, became the first owner to fail the test, after he was legally disqualified from being a director of any company. This was a result of VAT fraud as owner of Widnes Vikings rugby club. He transferred control of Chester to his son, Stephen Vaughan, Jr. In March 2012, Rangers owner Craig Whyte was found not to be a fit and proper person as the result of an independent enquiry. In June 2014, Louis Tomlinson, former footballer and member of the boy bandOne Direction, and John Ryan, businessman and previous Chairman of Doncaster Rovers, launched a bid to buy the club but one month later Ryan was found not to be a fit and proper person due to a lack of funding.
