Clinical practice experience
Mr Harling qualified in 1993 as a Registered Learning Disability Nurse and in 1998 as a Registered Mental Health Nurse. In 1996 he won the RCN national learning disability nurse of the year for work related to grief and loss and in 1997 he won the Nursing Times highly acclaimed award for the same work. He has worked in both inpatient and community services having served a staff nurse, charge nurse, clinical nurse specialist and service manager. In 2002 he was one of the firstly appointed Consultant Nurses and went on to serve as the SHA regional pathway lead for the Darzi Health ambitions national programme. Prior to taking up a national role he served as clinical director for community, inpatient and forensic mental health services. In 2013 he was commissioned by the Chief Nursing Officer for England to lead a high-profile review of an individual subject to nine years in long term segregation. Thereafter he was commissioned by the joint ministerial programme board to lead reviews of all the ex-residents of Winterbourne View. He subsequently served as expert advisor to the post incident response board following the scandal at Whorlton Hall.
As a result of leading these programmes he designed the original format for the national Care and Treatment Reviews and led on the development of a national patient safety tool in mental health. In 2015 he was appointed to a new national regulatory role for learning disability and mental health in the newly formed NHS Improvement and he led the design, delivery and oversight of the national Learning Disability Improvement Standards for the NHS. During the same period, he served as the subject matter expert in a number of high-profile deaths. He also served as the expert clinician on the independent review into the death of Oliver McGowan and was subsequently commissioned to lead a secondary assurance review in relation to implementation of recommendations arising from the independent review.
As part of his role as national patient safety lead for learning disability and autism, he led on the original commission for the LeDeR programme, serving as national advisory board member for the premature deaths of people with a learning disability. He has additional experience as a board member on a number of national boards, including the national Transforming Care delivery board, the National Autism board, the Inpatient Transformation Programme board, the Review of the Mental Capacity Act and the National Health and Care Partners delivery board.