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Reforming regulatory relationships: The impact of medical revalidation on doctors, employers, and the General Medical Council in the United Kingdom

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  • Abigail Tazzyman
  • Marie Bryce
  • Jane Ferguson
  • Kieran Walshe
  • Alan Boyd
  • Tristan Price
  • John Tredinnick‐Rowe

Abstract

In 2012, medical regulation in the United Kingdom was fundamentally changed by the introduction of revalidation – a process by which all licensed doctors are required to regularly demonstrate that they are up to date and fit to practice in their chosen field and are able to provide a good level of care. This paper examines the implications of revalidation on the structure, governance, and performance management of the medical profession, as well as how it has changed the relationships between the regulator, employer organizations, and the profession. We conducted semi‐structured interviews with clinical and non‐clinical staff from a range of healthcare organizations. Our research suggests that organizations have become intermediaries in the relationship between the General Medical Council and doctors, enacting regulatory processes on its behalf and extending regulatory surveillance and oversight at local level. Doctors’ autonomy has been reduced as they have become more accountable to and reliant on the organizations that employ them.

Suggested Citation

  • 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.
    • Handle: RePEc:wly:reggov:v:13:y:2019:i:4:p:593-608
    DOI: 10.1111/rego.12237
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    References listed on IDEAS

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    1. repec:dau:papers:123456789/9884 is not listed on IDEAS
    2. 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.
    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. Salter, Brian, 2001. "Who rules? The new politics of medical regulation," Social Science & Medicine, Elsevier, vol. 52(6), pages 871-883, March.
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