Time for radical reform

doi:10.1136/bmj.330.7506.1504

BMJ 2005;330:1504-1506 (25 June), doi:10.1136/bmj.330.7506.1504

Education and debate

GMC and the future of revalidation

Time for radical reform

Kieran Walshe, professor of health policy and management¹, Lawrence Benson, lecturer in healthcare and public sector management¹

¹ Centre for Public Policy and Management, Manchester Business School, Manchester M15 6PB

Correspondence to: K Walshe Kieran.Walshe@man.ac.uk

Changes to UK professional regulation have lacked strategicdirection. The current reviews offer an opportunity for fundamentalreform that can regain public confidence

The first 150 words of the full text of this article appear below.

Introduction

Despite substantial reform of the regulatory systems for UKhealthcare professionals over the past decade,¹ public and politicalfaith in the professions and their regulators is lower thanever before. In part this results from authoritative criticismin several public inquiries²—most notably the Bristoland Shipman inquiry reports.^3
4 But another factor has beenthe constant litany of apparent failure to deal with incompetence,serious dishonesty, sexual misconduct, and unchecked wrongdoingsuch as the cases of Richard Neale,⁵ Clifford Ayling,⁶ RodneyLedward,⁷ Peter Green,⁸ and Dick van Velzen.⁹ Recent legal reformscreated a new Council for Healthcare Regulatory Excellence tooversee the regulators. The council has the power to refer regulators'decisions on fitness to practise that it regards as unduly lenientto the High Court for review. This process has also thrown upa series of apparent failures of professional regulation thatdo little to build public confidence.¹⁰

The . . . [Full text of this article]

Strategy for reform

Harmonisation

Definition of roles

Continuing competence

Governance

Next steps

CiteULike

Complore

Connotea

Del.icio.us Add to Digg

Digg

StumbleUpon Add to Technorati

Technorati What's this?

Relevant Articles

Where are the medical voices raised in protest?: Ian Greener
BMJ 2006 333: 660. [Extract] [Full Text]

Where next with revalidation?: Make CME and CPD compulsory with support of audit and mentoring: Stephen F Hayes
BMJ 2005 331: 352-353. [Extract] [Full Text]

Where next with revalidation?: Political will does not exist for radical reform: Nigel Dudley
BMJ 2005 331: 353. [Extract] [Full Text]

Performance matters: Fiona Godlee
BMJ 2005 330: 0. [Extract] [Full Text] [PDF]

Where next with revalidation?: John J Norcini
BMJ 2005 330: 1458-1459. [Extract] [Full Text] [PDF]

The use and impact of inquiries in the NHS: Kieran Walshe and Joan Higgins
BMJ 2002 325: 895-900. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

Greener, I., Powell, M. (2008). The changing governance of the NHS: Reform in a post-Keynesian health service. Human Relations 61: 617-636 [Abstract]
Greener, I. (2006). Where are the medical voices raised in protest?. BMJ 333: 660-660 [Full text]
Dudley, N. (2005). Where next with revalidation?: Political will does not exist for radical reform. BMJ 331: 353-353 [Full text]
Hayes, S. F (2005). Where next with revalidation?: Make CME and CPD compulsory with support of audit and mentoring. BMJ 331: 352-353 [Full text]
Norcini, J. J (2005). Where next with revalidation?. BMJ 330: 1458-1459 [Full text]

Rapid Responses:

Read all Rapid Responses

Political will does not exist for radical reform: Nigel Dudley
bmj.com, 24 Jun 2005 [Full text]
endless reform: benjamin dean
bmj.com, 24 Jun 2005 [Full text]
what do other professions do?: Gordon Pledger
bmj.com, 24 Jun 2005 [Full text]
Revalidation: Brian J. Penney
bmj.com, 24 Jun 2005 [Full text]
Evaluating the evaluators: Jayaprakash Gosalakkal
bmj.com, 25 Jun 2005 [Full text]
second thoughts: benjamin dean
bmj.com, 26 Jun 2005 [Full text]
Appraisal will do the job, Revalidation won't: Olusola O.A. Oni
bmj.com, 27 Jun 2005 [Full text]
has public confidence in doctors been lost?: Stephen F Hayes
bmj.com, 28 Jun 2005 [Full text]
Re: has public confidence in doctors been lost?: Stevie M Gamble
bmj.com, 29 Jun 2005 [Full text]
Re: Re: has public confidence in doctors been lost?: Stephen F Hayes
bmj.com, 29 Jun 2005 [Full text]
Learning from other: Debra Humphris
bmj.com, 30 Jun 2005 [Full text]
Response to Kieran Walshe Article in BMJ of 25 June 2005: Gillian Camm
bmj.com, 1 Jul 2005 [Full text]
Robust revalidation needs to start with appropriate validation: Alexander W Gray
bmj.com, 5 Jul 2005 [Full text]