Performance

Role of the College and HAs
Stronger role for the College
Our review has ascertained that there is confusion and ambiguity about the College’s role and a reluctance to involve them fully, partly due to the perception by
some that the College has a role in advocacy of physicians rather than their accountability and management. This is strongly denied by the College and their role
and function is clearly defined on their website. However, while confusion exists the College finds it difficult to assert their role.
The management team of the College is widely held in high regard, and this aspect should be built on when redefining and enhancing the College’s role which
should concentrate on quality and its stewardship.
Our recommendations fall into two categories:
1. Those where roles should be realigned with HAs, where the system can be streamlined to use resources, information and skills to best effect; and
2. Recommendations that enhance the role of the College and position it to lead initiatives as and wherever appropriate.
We understand that the recommendations below address historic and systemic issues whereby the College has taken on a number of roles in the absence of
other leadership and that there may be a cost associated with the transfer of any functions both to and from the College. However, our recommendations seek to
address closing gaps in the system, rather than the cost of providing support in different areas.
Suggestion for Improvement #18: The Ministry should work with the College to agree the financial and organizational impact of any realignment of role. While
some of that impact may be derived from contributions to the College, other aspects may need to be agreed centrally.
Enhancing the role of the College (1) – Provincial Performance Management Framework
The College should be an integral part of the new performance management framework. As this involves all organizations across the system and the Ministry, we
have included recommendations in the Accountability section above.
Ministry of Health 57
Provincial Review of Physician Licensing, Credentialing, Privileging & Performance Management
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