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Understanding standards: regulation and revalidation

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Abstract:

Throughout the last decade there has been an ever-expanding process of change in the culture and work practices of doctors across the NHS. One of the impacts of this change has been a concurrent growth in the development of regulation and standards for doctors in all areas of their practice. Such standards address not only statutory issues, but are also based around national regulation, local governance, professional behaviours, clinical competence, education, and training and service provision. In parallel with the growth of standards, there has been an increase in the number of stakeholder organisations interested in how healthcare is delivered across the service. The planned introduction of revalidation is one of the most significant changes in the regulation of doctors for many years. However, as revalidation draws nearer, there still seems to be considerable confusion throughout UK healthcare about the role and purpose of national regulation, how it links to the processes of appraisal and revalidation, and what it all means in practice. The aim of this paper is to consider the various types of standards and stakeholders that are relevant to doctors within the NHS and, more specifically, to consider their impact on the development of activities in support of revalidation.

Keywords: APPRAISAL; ASSESSMENT; CLINICAL PRACTICE; REGULATION; REVALIDATION; STANDARDS

Document Type: Regular Paper

Publication date: August 1, 2005

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