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  4. Health professional regulation

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  1. Home
  2. Campaigns and policy work
  3. Patient safety
  4. Health professional regulation

Health professional regulation

Our campaign for more transparency, better accountability, and stronger safeguards in regulation by medical bodies.

The proposals for reform

Healthcare professionals in the UK are regulated by one of a number of bodies, including the General Medical Council (GMC) for doctors and the Nursing and Midwifery Council (NMC) for nurses and midwives.

However, the ways in which these regulators operate and adapt to changing needs in UK healthcare are out-of-date. The Government is proposing to introduce legislation to modernise healthcare professional regulation, which is a move that Avma welcomes and supports.

To date, this proposition has unfortunately only included discussion around modernising the legislation and making the system more flexible for regulators. We believe more radical changes are needed that better take on board patient safety and introduce more transparency, better accountability, and stronger safeguards. To overlook these factors would represent a massive missed opportunity, leave the system unfit for purpose, and ignore what the public expect from regulation.

Our proposed additions and changes

Based on the lived experiences of people affected by avoidable medical harm, Avma is calling for the following additions and changes to the proposals:

  • Where an investigation is refused or no regulatory action is taken, the right for a person who raised a concern about a healthcare professional to appeal to the registrar of the regulator and have the decision reviewed and, if the registrar’s decision is considered unreasonable, the right to request the Professional Standards Authority to review and them to have the power to challenge the decision.
  • Abolition of the GMC’s ‘five-year rule’, which prevents investigation of most concerns if they happened more than five years ago, as well as any other time-based rule making it more difficult for potentially unfit professionals to be investigated.
  • Independent specialist advice to be available to anyone who is raising a serious concern about a health professional with a regulator or considering doing so.
  • Measures to prevent bullying of witnesses and people who raise concerns in fitness to practise hearings.
  • Safeguards to ensure that cases dealt with without a formal hearing are fully transparent and cannot result in ‘plea bargaining’.
  • Implementation of Baroness Cumberlege’s recommendation in her review of medicines and devices for the GMC to maintain a register of doctors’ commercial interests.

Want to know more about these proposals?

You can read the full consultation about reforming the GMC, as well as the draft legislation, on the Department of Health and Social Care’s website.