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BMJ 2005;330:1446-1447 (18 June), doi:10.1136/bmj.330.7505.1446-b
| The first 150 words of the full text of this article appear below. |
EDITOREsmail is looking at things from the wrong end of the telescope when claiming that the General Medical Council has failed to grasp the issue of scrutinising doctors' performance.1 Surely the main lesson that has emerged from the various recent inquiries is that employers of doctors (including primary care trusts) need to ensure that they have in place local systems that can deal quickly, effectively, and fairly with poor or dangerous practice.
That approach hasrightlyunderpinned the government's quality agenda since 1997, and it was reaffirmed by Lord Warner at the conference of the Council for Healthcare Regulatory Excellence in March this year, when he said that the responsibilities of employers must be properly exploited before we load more on to regulators. We need proper clarity on the respective roles of each. What is needed is a proper understanding of the role of clinical governance in improving the quality
Amanda Watson, director of licensing and revalidation
General Medical Council, London NW1 3JN jwren@gmc-uk.org