A powerful, important read from @deb_cohen http://www.bmj.com/content/359/bmj.j5534 … its hard not to think the @gmcuk and the courts have got this very seriously wrong...
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John Clarke Retweeted John Clarke
I've been floating this basic idea for a while, but it seems more worthy of debate now than ever. >https://twitter.com/c7rky/status/937068760502079488 …
John Clarke added,
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Replying to @C7RKY @ShaunLintern and
By “prosecution” I presume you also mean GMC/NMC sanctions too? Otherwise fear of sanction will remain.
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Replying to @jim_crawfurd @ShaunLintern and
My thinking when I wrote it was regarding criminal prosecutions, Jim. I'm open to hearing all views on how professional regulation should sit alongside it though. It's all part of the culture.
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Replying to @C7RKY @ShaunLintern and
Prosecution is the very tip of the iceberg. Most of us worry about “being in front of the GMC” for a mistake. Prosecution not really on the radar.
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Replying to @jim_crawfurd @ShaunLintern and
It's strange, but the GMC seem to have pulled off the impossible - managing to exasperate, infuriate & upset both clinicians and patients/families alike with their stance. Feels like a change is needed somewhere.
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Replying to @C7RKY @ShaunLintern and
Nail. Head. Making it publicly funded might at least resolve some of the distrust/dissatisfaction.
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Replying to @jim_crawfurd @ShaunLintern and
Good start, I agree. Doesn't matter how many times you say it, paid for by doctors, run by doctors, judging other doctors... never sounds any better. I'm sure many will dispute & defend it, but that's the external perception. And then a few poor sods get nailed to hit stats.
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Replying to @C7RKY @ShaunLintern and
Exactly. Public don’t trust it. Doctors don’t either. And doctors resent having to pay for something they see as being “out to get them”.
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Sounds a lot like the atmosphere in every regulated environment I've ever encountered tbh. Resentment is almost a natural inevitability, but especially so when regulatory credibility is lacking.
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Replying to @C7RKY @ShaunLintern and
Is self-funded regulation common? I genuinely don’t know if it is “the norm” or unusual.
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Replying to @jim_crawfurd @ShaunLintern and
I'm a bit out of the loop now, but self regulation has been common for a while. As has regulatory capture, it seems. I think most models are more indirectly funded through industry, rather than direct contribution like docs. You're all too easy to track, (& blackmail for fees).
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