Dr Clamp told the inquiry: “The advantage of introducing regulation in any form for NHS managers would be the potential to prevent or reduce harm to patients.
He added: “Steps should be taken to enhance the professional development and accountability of NHS managers.
“We need to move forward now after 24 years since the Bristol Inquiry has shown us that whatever we put in place still needs improvement.”
The NHS recently produced a consultation document seeking views on the regulation of managers, including whether those who have conducted serious misconduct should be barred and whether there should be a professional register of managers, as well as the types of managers that should be regulated.
Letby, from Hereford, is serving 15 whole-life orders after she was convicted at Manchester Crown Court of murdering seven infants and attempting to murder seven others, with two attempts on one of her victims, between June 2015 and June 2016.
The findings of the Thirlwall Inquiry are expected to be published in the autumn.