“Now, we are moving to a future in which state sponsored regulation is run by key stakeholders—including employers, the public, and the professions—and is primarily concerned with the safety and quality of care. It has several features. It seeks to oversee doctors’ performance throughout their professional life, in or through their workplace and employer. It uses data to look for and understand variations in practice and to spot potential harm or safety concerns. And it seeks to support improvement and to prevent and deal with declining performance. This shift demands different regulatory arrangements and a different kind of regulator. It also means that regular scrutiny of doctors’ performance by colleagues, employers, and the regulator will become an integral part of professional life.”

Medical regulation: more reforms are needed, by K Walshe & J Archer

BMJ 2014;349:g5744

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