79 FIVE Changes for specialists II: The new regulatory system for specialists Introduction For doctors, at the end of the 1990s, the standard, statutory process for achieving inclusion in the Specialist Register of the General Medical Council (GMC) and thereby becoming eligible to apply for NHS consultant posts was via satisfactory completion of specialist training in public health medicine. A similar process was introduced by the General Dental Council (GDC) for dentists becoming consultants in dental public health. This process was in line with the
There is an urgent need to rethink relationships between systems of government and those who are ‘governed’. This book explores ways of rethinking those relationships by bringing communities normally excluded from decision-making to centre stage to experiment with new methods of regulating for engagement.
Using original, co-produced research, it innovatively shows how we can better use a ‘bottom-up’ approach to design regulatory regimes that recognise the capabilities of communities at the margins and powerfully support the knowledge, passions and creativity of citizens. The authors provide essential guidance for all those working on co-produced research to make impactful change.
Modernising health care: Reinventing professions, the state and the public is a crucial contribution to debates about the rapid modernisation of health care systems and the dynamics of changing modes of governance and citizenship.
Structured around the role of the professions as mediators between state and citizens, and set against a background of tighter resources and growing demands for citizenship rights, Ellen Kuhlmann’s book offers a much-needed comparative analysis, using the German health care system as a case study. The German system, with its strongly self-regulatory medical profession, exemplifies both the capacity of professionalism to re-make itself, and the role of the state in response, highlighting the benefits and dangers of medical self-regulation, while demonstrating the potential for change beyond marketisation and managerialism.
Kuhlmann critically reviews dominant models of provider control and user participation, and empirically investigates different sets of dynamics in health care, including tensions between global reform models and nation-specific conditions; interprofessional dynamics and changing gender arrangements; the role of the service-user as a new stakeholder in health care; and the rise of a new professionalism shaped by social inclusion.
Modernising health care provides new approaches and a wealth of new empirical data for academics and students of health policy, medical sociology and sociology of professions, and for health policy makers and managers.
This comprehensive yet concise textbook is the first to provide a focused, subject specific guide to planning practice and law. Giving students essential background and contextual information to planning’s statutory basis, the information is supported by practical and applied discussion to help students understand planning in the real world. The book is written in an accessible style, enabling students with little or no planning law knowledge to engage in the subject and develop the necessary level of understanding required for both professionally accredited and non-accredited courses in built environment subjects. The book will be of value to students on a range of built environment courses, particularly urban planning, architecture, environmental management and property-related programmes, as well as law and practice-orientated modules.
There are significant variations in how healthcare systems and health professionals are regulated globally. One feature that they increasingly have in common is an emphasis on the value of including members of the public in quality assurance processes. While many argue that this will help better serve the public interest, others question how far the changing regulatory reform agenda is still dominated by medical interests.
Bringing together leading academics worldwide, this collection compares and critically examines the ways in which different countries are regulating healthcare in general, and health professions in particular, in the interest of users and the wider public. It is the first book in the Sociology of Health Professions series.
In the context of the ‘cross-cutting’ policy ambitions of the current Labour government, Working together or pulling apart? examines the contribution of the NHS to the multi-agency and inter-professional child protection process. Applying the insights of policy network and inter-organisational analysis, the text:
provides detailed information on the current role played by a range of health professionals within child protection;
investigates the nature and operation of the central policy community and local provider networks;
considers the tensions arising from differences of professional power and knowledge, organisational cultures and agendas, and governance and regulation;
examines the impact of wider socio-political changes on the operation of the child protection process, at both central and local levels.
Working together or pulling apart? will be essential reading for all those working in child protection, at both strategic and frontline levels, within the NHS and other agencies. In addition, it will be of interest to staff and students on undergraduate or postgraduate courses in health, social work, public and social policy.
Including the voices of key protagonists in the development of the public health workforce, this book is an important addition to the history of public health in England. It charts events leading to the unique achievement, from 2003, of specialist status, equivalent to public health medical consultants, for those from non-medical backgrounds. Setting these changes in context it discusses implications for practitioners and the wider UK public health workforce. A lively and comprehensive review of policy change, Multidisciplinary public health: Understanding the development of the modern workforce concludes with a reflection on the new public health system under way in England, making useful comparisons with the rest of the UK. This is an invaluable resource for anyone with an interest in public health, including public health academics and relevant postgraduate students.
UK austerity policies include anti-regulatory pressures to ‘free up’ private capital to produce wealth, employment and tax revenues. This topical book by a recognised scholar on the regulation of corporate crime and social harm considers the economic, political and social consequences of the economic crisis, the nature of social protection and the dynamics of the current crisis of regulation. It is unique in documenting how economic and social welfare are inconsistent with corporate freedom, and in an empirical and theoretical analysis of regulatory reform within the context of wide-scale social change.
Based on empirical research and with a focus on environmental, food, and workplace safety, it considers how we reached the current crisis of anti-regulation and how we might overcome it. The author proposes radically rethinking ‘regulation’ to address conceptual, policy and practical issues, making the book essential reading for those interested in this important topic.
Medical sociology has long been concerned with the role played by specialist forms of expertise in enabling the governance of ‘troublesome’ social groups – including those who are unwell, ‘deviant’ and criminally insane. However, only recently has it begun to explore how the state ensures the public is protected from acts of medical malpractice, negligence and criminality. Against the background of a series of high-profile scandals, including the case of Dr Harold Shipman who murdered over 200 of his patients, this topical and authoritative book examines how the regulation of doctors has been modernised by reforms to the Medical Practitioners Tribunal Service and the introduction of the quality assurance process of medical revalidation. In doing so, it questions whether there is evidence to support the argument that revalidation serves the public interest by ensuring that individual doctors are fit to practise.
Highlighting areas of good practice and areas for further research and development, the book is ideal for academics and postgraduates interested in medical sociology, socio-legal studies, medical law, medical education, health policy and related subjects
Cross-border education is a fast growing and diverse global market, but little is known about how international students actually live. Using international and cross-country comparative analysis, this book explores how governments influence international student welfare, and how students shape their own opportunities.
As well as formal regulation by government, ‘informal regulation’ through students’ family, friendship and co-student networks proves vital to the overseas experience. Two case study countries - Australia and New Zealand - are presented and compared in detail. These are placed in the global regulatory and market contexts, with lessons for similar exporter countries drawn.
Regulating international students’ wellbeing will be of interest to international students, student representative bodies, education policy makers and administrators, as well as civil servants and policy makers in international organisations. Students and researchers of international and comparative social policy will be drawn into its focus on a little understood but vulnerable global population.
