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Linda Beecham, BMJ
"Self regulation must succeed and be seen to succeed," James Johnson, the chairman of the BMA's Central Consultants and Specialists Committee, told the association's senior staffs conference last week.
After the General Medical Council's finding that three doctors at the Bristol Royal Infirmary had ignored warnings that too many babies had died after operations (6 June, p 1691), Mr Johnson said that the profession must show its complete commitment to self regulation and demand the tools to perform the task. If regulation came from outside or if self regulation became too oppressive doctors would refuse to treat patients in high risk groups. This was why, he said, the league table approach to professional regulation was "wholly inappropriate." Mr Johnson said: "We need a system of self governance in local hospitals that steps in before things go wrong."
Mr Johnson admitted that at present it
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