Regulating Doctors: (1 Civil Society S.)

Ever since the General Medical Council was established by act of parliament in 1858, the medical profession has been left to regulate itself. In return for freedom from political interference, the GMC undertakes to ensure that doctors on its register are fit to practice, and that professional misconduct is punished by removal from the register. However, the 'Bristol case', which involved the deaths of a number of babies at the Bristol Royal Infirmary, and the conviction of GP Harold Shipman on multiple murder charges, has raised serious questions as to the wisdom of leaving doctors to regulate themselves. Doctors value their clinical freedom highly, but clinical freedom can only be retained if the results are acceptable to the public. The absence of patient choice in a centralised, state-run healthcare system makes it imperative that patients should have confidence that their treatment will be of a high standard. At the very least, there should be mechanisms for detecting and removing homicidal practitioners. Regulating Doctors considers the history of the regulation of the medical profession, and the question of whether or not self-regulation should be allowed to continue. Should the state play a more active role in vetting doctors' performance? Should doctors be willing to submit themselves to regular check-ups for the good of our health? The contributors are drawn from the medical and academic worlds. James Johnson is a distinguished NHS consultant and a member of the BMA Council, and Dr Pickering's background is in general and medico-legal practice. Professor Salter and Professor Gladstone are long-standing contributors to public policy debate and Professor Stacey is one of the foremost experts in medical regulation. "In a collection of essays, Regulating Doctors, the Institute for the Study of Civil Society accuses the GMC of 'shielding bad doctors from normal accountability' through its monopoly power to license doctors...David Green, institute director, said: 'Without the official seal of approval of the GMC, doctors would have to rely on their reputation, technical competence, character and personal qualities to attract patients. So long as they are on the medical register and so long as the medical register is controlled by fellow doctors who can be counted on to be lenient in virtually all circumstances, they are safe from serious scrutiny.'" The Daily Telegraph

Table of Contents:
Editor's introduction- regulation, accountability and health care, David Gladstone. Change in the governance of medicine- the politics of self-regulation, Brian Salter. The General Medical Council and professional self-regulation, Meg Stacey. Self-regulation and the role of the General Medical Council, James Johnson. An independent medical inspectorate, William G Pickering.