Medical regulation: more reforms are needed-Doctors should support them, while bringing evidence to bear on their development and implementation

摘要

Some doctors in the UK may feel that medical regulation, and the workings of the General Medical Council, have been subject to almost continual reform for over a decade. They may remember the huge public and professional impact of the Bristol inquiry in 2001, the work of Donald Irvine and other pioneers at the GMC at the turn of the century, and the further painful lessons of the Shipman inquiry in 2004. This was followed by legislative reforms to professional regulation in 2008. Since then there have been two inquiries led by Robert Francis QC into Mid Staffordshire hospitals and a host of other inquiries, reports, and investigations into aspects of the medical profession. More immediately, many will be engaged in the GMC's first cycle of medical revali-dation, scheduled to see all doctors' performance reviewed between 2012 and 2016.Yet more changes are under way. In 2011, the Department of Health invited the Law Commission in England (and its equivalents in Scotland and Northern Ireland) to review the complex legislation under which the nine health professional regulators and the Professional Standards Authority oversee the practice of about 1.4 million workers in the 3 2 regulated professions.8 Its report, published in April 2014 together with a draft bill, found the existing regulatory systems were bureaucratic, inflexible, inconsistent, and outdated.