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Vol 277 No 7420 p382
30 September 2006

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GMC to suggest a move away from self-regulation

Indications are that the General Medical Council is to suggest a change in its composition so that doctors no longer have a majority. The proposal comes ahead of the GMC’s full response to the Donaldson review “Good doctors, safer patients”, which was published at the same time as the Foster review of the regulation of non-medical professions (PJ, 22 July, p91).

The Financial Times reported last weekend that the GMC wants to move away from self-regulation to genuinely independent regulation. “Professionally led regulation suggests that doctors lead and others follow,” Sir Graeme Catto, president of the GMC, told the newspaper. “That is no longer a helpful description.” In a statement, Sir Graeme suggested that the council should have a balanced composition, which reflects the “four main constituencies” — patients and the public, doctors, the NHS and other health care providers, and medical schools and medical Royal Colleges — in order to command their confidence.

“In our view the regulator must be, and be seen to be, independent of the Government as the dominant health care provider in the UK; and also independent of the dominance of any single constituency,” he said.

The FT also reported that Laurence Buckman, chairman of the GMC working group for the British Medical Association, said: “We would regard this as the end of professional self-regulation, and that would be completely unacceptable.”

The GMC is currently formulating its full response to the Donaldson review and hopes to have this drafted by the 1 November council meeting before the consultation’s final deadline on 10 November.


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