The regulatory perspective Ni ll Di k Niall Dickson, GMC Chief Executive and Registrar GMC Chi f E ti d R i t
The GMC – patient safety body The GMC – patient safety body • Our statutory purpose is to protect patients and improve the practice of medicine improve the practice of medicine • • We regulate nearly 240 000 doctors in the UK We regulate nearly 240 000 doctors in the UK • We are responsible from the day they enter medical We are responsible from the day they enter medical school to the day they retire
How we do it How we do it Registration Education m Fitness to Fitness to Standards Practise
The state of medical regulation The state of medical regulation • Professional regulation has been around for 150 years years - system regulation about 10 system regulation about 10 • • It has always affected the way care is delivered It has always affected the way care is delivered • But it has to develop as the healthcare and health But it has to develop as the healthcare and health systems change
The regulator’s perspective The regulator s perspective The NHS reforms in England have three main implications for professional regulation: implications for professional regulation: 1. Ethical issues facing doctors Ethical issues facing doctors 1 2 2. Maintaining the focus on quality and safety Maintaining the focus on quality and safety and keeping the focus on revalidation 3. The structures for educating c40 000 junior doctors who provide a key component of service
Ethical issues facing doctors Ethical issues facing doctors • This is Good Medical Practice – the core document setting out document setting out professional standards • Doctors will face ethical issues as they take on commissioning and commissioning and leadership • Manage conflicts of interest Manage conflicts of interest • Being open with patients • Duties to look after resources
Draft Guidance – Good management Practice Draft Guidance Good management Practice All d All doctors should demonstrate t h ld d t t leadership in the efficient use of resources Contribute to decisions about - the allocation of resources and the th ll ti f d th setting of priorities - the commissioning of services - basics of financial management - take financial responsibility for the p y delivery of the service appropriate to their role
Draft Guidance – Good management Practice Draft Guidance Good management Practice D Doctors with additional responsibilities t ith dditi l ibiliti If you have responsibility for the management of resources or the management of resources, or the purchasing and delivery of health services, including through the commissioning of services, you should have a more detailed knowledge of how have a more detailed knowledge of how management processes work and the impact on the delivery of patient care. You must make sure that you are competent and have the necessary training or advice for any financial responsibilities that are part of your role. responsibilities that are part of your role. You must make sure that those you manage have the necessary skills and advice to fulfil their roles.
Maintaining the focus on quality and safety Maintaining the focus on quality and safety • Debate has focused on structures (PCTs → GP consortia) and incentives (competition and choice) consortia) and incentives (competition and choice) • Must not lose sight of the most critical aspect of g p healthcare delivery - quality and safety • Effective regulation has an important role to play • Revalidation is a crucial part of modern regulation
Revalidation – roll out from late 2012 Revalidation – roll out from late 2012 Based on local systems of clinical governance - access to data, CPD, clinical audit, patient and colleague feedback feedback Every doctor will have a Responsible Officer Have an annual appraisal – bring supporting information Once in five years patient and colleague feedback E Every five years recommendation from RO fi d ti f RO
Educating tomorrow’s doctors Educating tomorrow s doctors • The GMC regulates medical education • Major changes are proposed to the structure of medical education and training medical education and training • New arrangements for training doctors must ensure New arrangements for training doctors must ensure that the quality of education is not compromised by the immediate demands of the service
Developing the healthcare workforce Developing the healthcare workforce - Welcome the duty on NHS organisations to provide high quality training - Much greater recognition of the role of regulation as Much greater recognition of the role of regulation as well as commissioning - Need for an education champion at local level Need for an education champion at local level - Careful implementation to avoid disruption
The regulatory perspective Ni ll Di k Niall Dickson, GMC Chief Executive and Registrar GMC Chi f E ti d R i t
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