IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v213y2018icp98-105.html
   My bibliography  Save this article

Policing the profession? Regulatory reform, restratification and the emergence of Responsible Officers as a new locus of power in UK medicine

Author

Listed:
  • Bryce, Marie
  • Luscombe, Kayleigh
  • Boyd, Alan
  • Tazzyman, Abigail
  • Tredinnick-Rowe, John
  • Walshe, Kieran
  • Archer, Julian

Abstract

Doctors' work and the changing, contested meanings of medical professionalism have long been a focus for sociological research. Much recent attention has focused on those doctors working at the interface between healthcare management and medical practice, with such ‘hybrid’ doctor-managers providing valuable analytical material for exploring changes in how medical professionalism is understood. In the United Kingdom, significant structural changes to medical regulation, most notably the introduction of revalidation in 2012, have created a new hybrid group, Responsible Officers (ROs), responsible for making periodic recommendations about the on-going fitness to practise medicine of all other doctors in their organisation.

Suggested Citation

  • Bryce, Marie & Luscombe, Kayleigh & Boyd, Alan & Tazzyman, Abigail & Tredinnick-Rowe, John & Walshe, Kieran & Archer, Julian, 2018. "Policing the profession? Regulatory reform, restratification and the emergence of Responsible Officers as a new locus of power in UK medicine," Social Science & Medicine, Elsevier, vol. 213(C), pages 98-105.
    • Handle: RePEc:eee:socmed:v:213:y:2018:i:c:p:98-105
    DOI: 10.1016/j.socscimed.2018.07.042
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S027795361830409X
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2018.07.042?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. repec:dau:papers:123456789/9884 is not listed on IDEAS
    2. McDonald, Ruth & Cheraghi-Sohi, Sudeh & Bayes, Sara & Morriss, Richard & Kai, Joe, 2013. "Competing and coexisting logics in the changing field of English general medical practice," Social Science & Medicine, Elsevier, vol. 93(C), pages 47-54.
    3. Archer, Julian & Nunn, Suzanne & Regan de Bere, Sam, 2017. "The McDonaldization of appraisal? Doctors’ views of the early impacts of medical revalidation in the United Kingdom," Health Policy, Elsevier, vol. 121(9), pages 994-1000.
    4. Martin, Graham P. & McKee, Lorna & Dixon-Woods, Mary, 2015. "Beyond metrics? Utilizing ‘soft intelligence’ for healthcare quality and safety," Social Science & Medicine, Elsevier, vol. 142(C), pages 19-26.
    5. Salter, Brian, 2007. "Governing UK medical performance: A struggle for policy dominance," Health Policy, Elsevier, vol. 82(3), pages 263-275, August.
    6. McDonald, Ruth & Checkland, Kath & Harrison, Stephen & Coleman, Anna, 2009. "Rethinking collegiality: Restratification in English general medical practice 2004-2008," Social Science & Medicine, Elsevier, vol. 68(7), pages 1199-1205, April.
    7. Spendlove, Zoey, 2018. "Medical revalidation as professional regulatory reform: Challenging the power of enforceable trust in the United Kingdom," Social Science & Medicine, Elsevier, vol. 205(C), pages 64-71.
    8. Graeme Currie & Rachael Finn & Graham Martin, 2009. "Professional competition and modernizing the clinical workforce in the NHS," Work, Employment & Society, British Sociological Association, vol. 23(2), pages 267-284, June.
    9. Salter, Brian, 2001. "Who rules? The new politics of medical regulation," Social Science & Medicine, Elsevier, vol. 52(6), pages 871-883, March.
    10. Cascón-Pereira, Rosalía & Chillas, Shiona & Hallier, Jerry, 2016. "Role-meanings as a critical factor in understanding doctor managers' identity work and different role identities," Social Science & Medicine, Elsevier, vol. 170(C), pages 18-25.
    11. Dixon-Woods, Mary & Yeung, Karen & Bosk, Charles L., 2011. "Why is UK medicine no longer a self-regulating profession? The role of scandals involving “bad apple” doctors," Social Science & Medicine, Elsevier, vol. 73(10), pages 1452-1459.
    12. M. Noordegraaf & M. M. E. Schneider & E. L. J. Van Rensen & J. P. P. E. F. Boselie, 2016. "Cultural Complementarity: Reshaping professional and organizational logics in developing frontline medical leadership," Public Management Review, Taylor & Francis Journals, vol. 18(8), pages 1111-1137, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Price, Tristan & Tredinnick-Rowe, John & Walshe, Kieran & Tazzyman, Abigail & Ferguson, Jane & Boyd, Alan & Archer, Julian & Bryce, Marie, 2020. "Reviving clinical governance? A qualitative study of the impact of professional regulatory reform on clinical governance in healthcare organisations in England," Health Policy, Elsevier, vol. 124(4), pages 446-453.
    2. Abigail Tazzyman & Marie Bryce & Jane Ferguson & Kieran Walshe & Alan Boyd & Tristan Price & John Tredinnick‐Rowe, 2019. "Reforming regulatory relationships: The impact of medical revalidation on doctors, employers, and the General Medical Council in the United Kingdom," Regulation & Governance, John Wiley & Sons, vol. 13(4), pages 593-608, December.
    3. Jones, Lorelei & Fulop, Naomi, 2021. "The role of professional elites in healthcare governance: Exploring the work of the medical director," Social Science & Medicine, Elsevier, vol. 277(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Price, Tristan & Tredinnick-Rowe, John & Walshe, Kieran & Tazzyman, Abigail & Ferguson, Jane & Boyd, Alan & Archer, Julian & Bryce, Marie, 2020. "Reviving clinical governance? A qualitative study of the impact of professional regulatory reform on clinical governance in healthcare organisations in England," Health Policy, Elsevier, vol. 124(4), pages 446-453.
    2. Abigail Tazzyman & Marie Bryce & Jane Ferguson & Kieran Walshe & Alan Boyd & Tristan Price & John Tredinnick‐Rowe, 2019. "Reforming regulatory relationships: The impact of medical revalidation on doctors, employers, and the General Medical Council in the United Kingdom," Regulation & Governance, John Wiley & Sons, vol. 13(4), pages 593-608, December.
    3. Spendlove, Zoey, 2018. "Medical revalidation as professional regulatory reform: Challenging the power of enforceable trust in the United Kingdom," Social Science & Medicine, Elsevier, vol. 205(C), pages 64-71.
    4. Michał Krawczyk & Krzysztof Szczygielski, 2019. "Do professions curb free-riding? An experiment," European Journal of Law and Economics, Springer, vol. 47(3), pages 361-376, June.
    5. James Arthur & Stephen R. Earl & Aidan P. Thompson & Joseph W. Ward, 2021. "The Value of Character-Based Judgement in the Professional Domain," Journal of Business Ethics, Springer, vol. 169(2), pages 293-308, March.
    6. Toth, Federico, 2015. "Sovereigns under Siege. How the medical profession is changing in Italy," Social Science & Medicine, Elsevier, vol. 136, pages 128-134.
    7. John Martyn Chamberlain, 2010. "Portfolio-Based Performance Appraisal for Doctors: A Case of Paperwork Compliance," Sociological Research Online, , vol. 15(1), pages 68-76, February.
    8. Llopis, Oscar & D’Este, Pablo, 2016. "Beneficiary contact and innovation: The relation between contact with patients and medical innovation under different institutional logics," Research Policy, Elsevier, vol. 45(8), pages 1512-1523.
    9. Fudge, Nina & Swinglehurst, Deborah, 2022. "Keeping in balance on the multimorbidity tightrope: A narrative analysis of older patients’ experiences of living with and managing multimorbidity," Social Science & Medicine, Elsevier, vol. 292(C).
    10. McGivern, Gerry & Nzinga, Jacinta & English, Mike, 2017. "‘Pastoral practices’ for quality improvement in a Kenyan clinical network," Social Science & Medicine, Elsevier, vol. 195(C), pages 115-122.
    11. McDonald, Ruth & Cheraghi-Sohi, Sudeh & Bayes, Sara & Morriss, Richard & Kai, Joe, 2013. "Competing and coexisting logics in the changing field of English general medical practice," Social Science & Medicine, Elsevier, vol. 93(C), pages 47-54.
    12. Senier, Laura & Smollin, Leandra & Lee, Rachael & Nicoll, Lauren & Shields, Michael & Tan, Catherine, 2018. "Navigating the evidentiary turn in public health: Sensemaking strategies to integrate genomics into state-level chronic disease prevention programs," Social Science & Medicine, Elsevier, vol. 211(C), pages 207-215.
    13. Ong, Bie Nio & Morden, Andrew & Brooks, Lauren & Porcheret, Mark & Edwards, John J. & Sanders, Tom & Jinks, Clare & Dziedzic, Krysia, 2014. "Changing policy and practice: Making sense of national guidelines for osteoarthritis," Social Science & Medicine, Elsevier, vol. 106(C), pages 101-109.
    14. Szczygielski, Krzysztof, 2022. "A model of competitive self-regulation," International Review of Law and Economics, Elsevier, vol. 70(C).
    15. Michael C. Jackson & Luis G. Sambo, 2020. "Health systems research and critical systems thinking: the case for partnership," Systems Research and Behavioral Science, Wiley Blackwell, vol. 37(1), pages 3-22, January.
    16. Jane Hendy & Danielle A. Tucker, 2021. "Public Sector Organizational Failure: A Study of Collective Denial in the UK National Health Service," Journal of Business Ethics, Springer, vol. 172(4), pages 691-706, September.
    17. Levi, Baruch & Zehavi, Amos & Chinitz, David, 2018. "Taking the measure of the profession: Physician associations in the measurement age," Health Policy, Elsevier, vol. 122(7), pages 746-754.
    18. Liberati, Elisa G. & Tarrant, Carolyn & Willars, Janet & Draycott, Tim & Winter, Cathy & Chew, Sarah & Dixon-Woods, Mary, 2019. "How to be a very safe maternity unit: An ethnographic study," Social Science & Medicine, Elsevier, vol. 223(C), pages 64-72.
    19. Johan Alvehus & Sanna Eklund & Gustaf Kastberg, 2020. "Organizing Professionalism – New Elites, Stratification and Division of Labor," Public Organization Review, Springer, vol. 20(1), pages 163-177, March.
    20. Racko, Girts, 2017. "Bureaucratization and medical professionals’ values: A cross-national analysis," Social Science & Medicine, Elsevier, vol. 180(C), pages 76-84.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:213:y:2018:i:c:p:98-105. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.