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Regulation of Health and Social Care Professionals Consultation

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(1) additional ways <strong>of</strong> limiting recognition <strong>of</strong> courses, programmes <strong>and</strong><br />

institutions such as the issuing <strong>of</strong> formal warnings or conditions for<br />

approval;<br />

(2) the use <strong>of</strong> special measure for struggling institutions;<br />

(3) establishing schemes to recognise excellence in pr<strong>of</strong>essional education;<br />

(4) the payment <strong>of</strong> visitors; <strong>and</strong><br />

(5) charging fees for performing any aspect <strong>of</strong> their education function.<br />

6.45 As noted above, much <strong>of</strong> the regulatory activity in relation to education involves<br />

inspecting institutions <strong>and</strong> approving courses <strong>and</strong> programmes. This can be seen<br />

as a proxy for the real concern which is ensuring that the student or pr<strong>of</strong>essional<br />

is fit to practise. An alternative approach would be to focus more on the<br />

individuals emerging from training <strong>and</strong> for the regulators to take steps to assure<br />

themselves that the newly qualified pr<strong>of</strong>essionals possess the qualities that are<br />

necessary to practise. This could involve for example a national assessment <strong>of</strong><br />

students or auditing data which highlights individual progression. We welcome<br />

views on whether the powers <strong>of</strong> the regulators should extend to such matters.<br />

6.46 In most cases, the law does not give the regulators a role in selecting those<br />

entering pre-registration or post qualification specialist training. It has been<br />

argued that such a role would usurp <strong>and</strong> duplicate unnecessarily that <strong>of</strong><br />

education institutions. 34 However, in relation to post graduate specialist training<br />

where selection is increasingly based on assessment techniques, there may be a<br />

role for regulatory oversight. 35 Our provisional view is that the regulators should<br />

not be given powers over the selection <strong>of</strong> those entering education, due to the<br />

dangers <strong>of</strong> unnecessary duplication <strong>of</strong> function, but we would welcome further<br />

views on whether this would be a useful power.<br />

6.47 As noted earlier in this Part, education may increasingly cross occupational<br />

boundaries, especially with certain health practitioners taking on areas in<br />

diagnosis <strong>and</strong> prescribing. The Royal Infirmary Inquiry (see Part 1) stated that the<br />

benefits <strong>of</strong> educating students such as doctors <strong>and</strong> nurses together should be<br />

explored “with vigour” <strong>and</strong> urged that there should be a first year which is<br />

“common to all” despite the acknowledged differences in educational<br />

qualifications. 36 Our proposals set out above would allow the regulators to<br />

undertake joint education courses/programmes <strong>and</strong> in Part 12 we discuss the<br />

ways in which the statute would allow the regulators to work jointly on such<br />

matters. However, we would welcome any views on whether our proposals could<br />

go further in providing a framework for the approval <strong>of</strong> multi-disciplinary education<br />

<strong>and</strong> training.<br />

34 General Medical Council, Final Report <strong>of</strong> the Educational <strong>and</strong> Training <strong>Regulation</strong> Policy<br />

Review: Recommendations <strong>and</strong> Options for the Future <strong>Regulation</strong> <strong>of</strong> Education <strong>and</strong><br />

Training (2010), para 57.<br />

35 As above, para 93.<br />

36 Learning from Bristol: the report <strong>of</strong> the public inquiry into children's heart surgery at the<br />

Bristol Royal Infirmary 1984 -1995 (2001) Cm 5207, p 329.<br />

109

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