Summary
麻豆影院 supports the principle of modernising the GMC鈥檚 legislative framework where this improves patient safety, public confidence and the effectiveness of regulation. However, throughout the consultation there is limited detail on the specific problems the proposals are intended to address and how the changes would operate in practice.
In particular, RCPCH would welcome further detail on:
- the rationale for proposals that expand or alter the GMC鈥檚 powers and functions
- how independence and proportionality within fitness to practise and appeals processes will be maintained
- the future role of Royal Colleges in education, training and quality assurance
- how specialties and sub-specialties will continue to be recognised and protected within any revised registration or enhancement framework.
麻豆影院 is particularly concerned that the proposed changes relating to specialties and registration enhancements could reduce the visibility or stability of specialties and sub-specialties over time. This is especially important in paediatrics, where sub-specialties play a significant role in workforce planning, training pathways and maintaining standards of care for children and young people.
麻豆影院 supports the recommendation from the Leng Review to change the title physician associate to physician assistant as an important step towards improving role clarity for patients, families and healthcare teams.
We note the recommendation of the Mann Review that the GMC should retain powers to appeal certain tribunal decisions. While the College has concerns regarding the proportionality and rationale for retaining and expanding these powers alongside the existing role of the Professional Standards Authority, we would welcome further information from DHSC on the justification for this approach and how duplication within the appeals system will be avoided.
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