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Appendix 2 - Accountability for clinical performance: individuals and organizations

Published online by Cambridge University Press:  05 January 2012

Suzanne Shale
Suzanne Shale
Affiliation:
King's College London
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Summary

The framework for regulation, oversight, management, and accountability in respect of doctors' conduct has consisted of five overlapping domains:

  1. Professional regulation by the General Medical Council (GMC) overseen by the Council for Healthcare Regulatory Excellence (CHRE; currently being renamed and given greater powers).

  2. Employee management procedures applied to doctors employed by NHS Trusts.

  3. Local regulatory framework applied to General Practitioners treating NHS patients in primary care.

  4. Service provider regulation by the Care Quality Commission.

  5. The common law, for example the crime of assault and the torts of battery and negligence.

The activities of NHS Trusts, professional regulators and lawyers are supported and augmented by the medical Royal Colleges, agencies including the National Clinical Assessment Service and the National Health Service Litigation Authority, and by doctors' own protective bodies such as the Medical Defence Union, the Medical Protection Society and the British Medical Association.

Type
Chapter
Information
Moral Leadership in Medicine
Building Ethical Healthcare Organizations
 , pp. 283 - 291
Publisher: Cambridge University Press
Print publication year: 2011

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References

White PaperTrust Assurance and Safety: The Regulation of Health Professionals in the 21st CenturyDepartment of Health 2007Google Scholar
2003
Primary Medical Performers ListsDelivering Quality in Primary Care. Advice for Primary Care Trusts on List ManagementDepartment of Health 2004Google Scholar

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