Consultation starts on further regulatory review
Consultation
has started on proposals contained in the recently completed reviews of the regulation of health professionals.
The two reviews — one of the General Medical Council by chief medical
officer Sir Liam Donaldson (PDF 2MB) and the other of all non-medical
regulators by former Department of Health workforce director Andrew Foster
(PDF 1.2MB) — call
for far-reaching changes to regulatory bodies and their operations in
order to introduce consistency of regulation and increase public confidence.
Stakeholders have been asked whether or not they agree with the principles
of the GMC review and whether or not they support the approach taken
in both reports. They have also been asked to set out their priorities
for implementing the proposals.
Taken together, the two reports have a number of common themes (see Panel),
which respondents have also been asked to address.
Common themes
Five themes are common to the review of non-medical health regulators
and a parallel review of the General Medical Council. They are:
· Changing governance and accountability
· Defining operational regulatory standards
· Equalising the burden of proof
· Introducing revalidation
· Local devolution of some regulatory activities
A further six themes strongly emphasised in one or other of the
reports are:
· How many regulators are needed
· Recording postregistration qualifications
· Regulating students
· Standardising pre-employment English language tests
· Regulating support workers and new roles
· Lay majorities on regulatory councils |
The review of non-medical
regulation calls for the Royal Pharmaceutical Society of Great Britain
and the Pharmaceutical Society of Northern Ireland
to merge and then clearly separate their regulatory and professional
leadership functions. They are also identified as members of a minority
of regulators that also have a role in promoting their respective professions.
The review calls on them to bring roles into line with the
majority.
Hemant Patel, the Society’s President, said: “The report
alludes to a need to clarify the separation of the Society’s integrated
roles of regulation and professional leadership. We have made a robust
and evidence-based case for the effectiveness, public benefit and cost-effectiveness
of the scope of the Society’s roles, which are based on the Kennedy
principles and which we believe are a strength. The Society’s members
will find it disappointing that, having acknowledged that the Society’s
broader roles do indeed operate for the benefit of the public, the report
creates uncertainty over how these roles might be discharged in the future.
“However, I am confident that we can meet any challenges that the
report may signal so that we can create a clear and unambiguous future
for the
profession, in which the public can continue to have confidence. Leadership
is about creating workable solutions.
“As leaders of the profession, the Council will be having full
discussion of the reports to inform our analysis and our responses to
them as well
as informing our members, our branches and regions and stakeholders as
part of the process during the four-month consultation.”
Mr Patel added that the Society already works closely with its colleagues
in Northern Ireland and would discuss the proposals for the future with
the Pharmaceutical Society of Northern Ireland.
Pharmaceutical Services Negotiating Committee chief executive Sue Sharpe
said that proposed restrictions on membership of the councils of regulatory
bodies suggested that the Society would become simply a
regulator.
“The proposals relating to the role and composition of the Society’s
Council represent a fundamental change: regulation would become the predominant
role of the Society, and an organisation whose pharmacist members are
appointed would not be accepted by the profession as its representative
body.”
She added that the suggestion that an individual could not sit on both
the PSNC and the Council was intended to address any risk or perception
of a conflict of interest between the regulatory functions of the Society
and the representative role of PSNC.
National Pharmacy Association chief executive John D’Arcy said
that excluding people who hold posts in professional defence bodies from
regulatory councils would result in less meaningful discussions in those
councils.
Comments on the reviews’ proposals can be sent to the DoH until
10 November.
News feature p97 |