The Future of Regulation and Podiatric Surgery What will it mean for future determination of scope and practice? The Bob Prince Lecture by Pam Sabine The Future of Regulation and Podiatric Surgery Why do we need regulation? Surely we can continue to regulate ourselves?
What will it mean for future determination of scope and practice?
The Bob Prince Lecture
Why the HPC??
“Professionals only have duties – they do not have privileges. They have duties over and above the duties of being a citizen”.
(Professor Sir Ian Kennedy, Chairman of the Healthcare Commission, 2005)
How did we get to where we are with current regulation?
"Chiropody means and includes the diagnosis and medical, mechanical and surgical treatment of the foot ailments such as abnormal nails, bunions, corns, warts and callosities, but it does not include the performance of operations for which an anaesthetic is required".
(Chiropodists (Registration) Bill, 1928, promoted by Viscount Novar)
where they are
The move away from professional self regulation
‘The paramount aim of regulation should be protection of the public’.
All other aims should be subordinated to this one.
How can the paramount aim be achieved in the absence of high standards and appropriate educational processes?
While raising educational standards is desirable in general, it is not necessarily in the public interest, if it excludes the ‘less academic’ from training for clinical practice or leads to higher costs for the service providers. We believe the main focus for the regulatory body should be to ensure appropriate standards to protect the public’.
(JM Consulting – letter to stakeholders, 1995).
If the face of Parliament is turned towards the East, what can be done to turn it towards the West?
Equity and Equality – do they exist in current regulation?
How will the standards look?
Hamstrung by the letter of the law or just
we assess competence?
(Baroness Hayman, Hansard)
Competence versus proficiency.
(Bristol Royal Infirmary Enquiry ‘Learning from Bristol’)
be recorded in the Register where these are relevant to patient care, risk management and are at a level substantially beyond the requirementsfor basic registration’.
(Trust, Assurance and Safety, 2007)
Where do trust and regulation
(Osbourne & Osbourne 2005).