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Regulation of Health and Social Care Professionals Consultation

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9.112 In accordance with the main duty <strong>of</strong> the regulators (see Part 3), we propose that<br />

the test for imposing any <strong>of</strong> the sanctions listed above should be to protect,<br />

promote <strong>and</strong> maintain the health, safety <strong>and</strong> well-being <strong>of</strong> the public (<strong>and</strong><br />

maintain confidence in the pr<strong>of</strong>ession). 88<br />

9.113 We also propose that the regulators should be given broad powers to make rules<br />

for issuing sanctions <strong>and</strong> agreeing consensual forms <strong>of</strong> disposal. For example,<br />

the regulators could establish that erasure is not available in health cases,<br />

cautions are available where there is no finding <strong>of</strong> impairment or some sanctions<br />

can only be extended by for example a year at a time. In addition, the regulators<br />

will continue to have powers to issue Indicative Sanctions Guidance.<br />

9.114 We appreciate concerns that the rules for imposing the same sanction or<br />

agreeing consensual forms <strong>of</strong> disposal could vary across the regulators. In our<br />

view, consistency on these matters is less important than giving each regulator<br />

flexibility to decide which provisions are most appropriate in the light <strong>of</strong> their<br />

individual circumstances. An alternative approach would be for the statute to take<br />

a more prescriptive approach to certain aspects <strong>of</strong> the rules for issuing sanctions.<br />

However, this would be difficult to achieve in practice because all <strong>of</strong> the<br />

regulators currently have such varied requirements.<br />

9.115 In order to future pro<strong>of</strong> the new legal framework, we believe there should be a<br />

mechanism to allow new sanctions to be added <strong>and</strong> for sanctions to be removed<br />

(<strong>and</strong> consensual forms <strong>of</strong> disposal). In our view, this is a decision best left to<br />

Government due to the public interest in such matters. Furthermore, there would<br />

be concerns about giving the regulators such a broad-ranging <strong>and</strong> unchecked<br />

power to, for example, introduce any form <strong>of</strong> sanction or consensual disposal.<br />

We, therefore, propose that the Government should be given a regulation making<br />

power to add new sanctions to the above list, or remove any sanctions. Since any<br />

such regulations must take the form <strong>of</strong> a statutory instrument, Parliament would<br />

have oversight over such matters. This power would also apply similarly to<br />

consensual disposals.<br />

Terminology<br />

9.116 We are conscious that Parliamentary Counsel will choose the appropriate<br />

language to be used in the legislation, but in some areas the implications <strong>of</strong><br />

certain terms carry important messages for the public <strong>and</strong> practitioners. One such<br />

area is the language used in relation to sanctions. Just as there is variety in the<br />

availability <strong>of</strong> different sanctions between the regulators, there is also variety in<br />

the terms used to describe similar sanctions. The introduction <strong>of</strong> a single statute<br />

<strong>of</strong>fers an opportunity to harmonise the language used to describe the various<br />

sanctions. This would help to ensure a common shared language across the<br />

regulators <strong>and</strong> assist legal clarity.<br />

9.117 We welcome views on the nomenclature used in our proposed list <strong>of</strong> sanctions<br />

88<br />

The precise form <strong>of</strong> words will depend on the eventual approach that is taken to the main<br />

duty <strong>of</strong> the regulators (see Part 3).<br />

185

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