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Command paper

Enabling Excellence Autonomy and Accountability for healthcare workers, social workers and social care workers. Command paper. Government proposals for….. Regulating UK health/social care workers To sustain and develop standards Assure the safety of users of services

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Command paper

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  1. Enabling Excellence Autonomy and Accountability for healthcare workers, social workers and social care workers.

  2. Command paper • Government proposals for….. • Regulating UK health/social care workers • To sustain and develop standards • Assure the safety of users of services • More independence for workers, employers, regulators • Balanced by more effective accountability

  3. Why the need for change? • Regulatory framework is… • Complex • Expensive • In need of continual updating which means Govt. intervention • Overly reliant on central control

  4. Key themes • Cost of regulation • Effective regulation • Independence and accountability of regulators • Unregulated workers - voluntary registration • Ensuring continuing fitness to practise • Regulation of social care workforce • UK-wide approach to regulation

  5. Cost of regulation • £200 million direct costs • Indirect costs arising from inflexible regs • Duplication of effort central/local • Approach to FtP drives costs • Poor use of local solutions • Cost efficiency review • Mergers? Govt. will consider proposals

  6. Effective regulation • ‘Right-touch’ regulation – protect not control • Minimum regulatory force • Risk of individual failings best tackled locally • 4–layer model of regulation • Stress on employers’ duty to mitigate risks • Limited application for private practitioners.

  7. Independence and accountability • New legal framework - confer more autonomy • Reduce reliance on Govt./speed change • Balanced by enhanced accountability • More powers for CHRE? Section 28 • Select Committee scrutiny? • More governance reforms – smaller Councils • All stakeholders – employers/commissioners

  8. Voluntary registration • Statutory regulation may be disproportionate • Voluntary registration – assured by CHRE • Regulators’ power to set up voluntary registers • Links to wider regulation - ISA, Disclosure Scot • Voluntary but employers can favour members • Herbal/Chinese medicine practitioners • NHS managers? Further inquiry

  9. Ensuring continuing FtP • Revalidation of doctors • For others, one size fits all inappropriate • Emphasis on cost/benefit analysis • Build an evidence base • Key duty lies locally - employers, providers etc. • Govt. bid to check quality of EU migrants

  10. Regulation of social care • Proposals for reform in England • Transfer of GSCC’s functions to the HPC • CHRE’s remit extended • No case to regulate home /adult social care • Voluntary register • Exploring models of common standards for health/adult social care workers

  11. UK-wide approachto regulation • Govt. commitment to reform of UK regulation • But need to take account of 4 parts of the UK • Devolved powers in N Ireland, Scotland • Committed to work with NI, Scotland, Wales on devolved matters • Social work/care proposals – England only

  12. Implementation • New status, powers, funding for CHRE • Explore scope for voluntary registration • Cost efficiency review – CHRE • Commission new Bill – Law Commission • Explore accountability mechanisms • EU directive changes, power to transfer fines • Governance changes/appts. advice - CHRE

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