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This command paper outlines proposed reforms to the regulation of health, social, and care workers in the UK. Aimed at enabling excellence, autonomy, and accountability, the plan addresses the need for a streamlined regulatory framework that minimizes costs while ensuring safety for service users. Key proposals include promoting voluntary registration, fostering local solutions to individual failings, and reevaluating the costs of regulation. The goal is to balance the independence of workers and regulators with effective accountability measures across all regions of the UK.
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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 • More independence for workers, employers, regulators • Balanced by more effective accountability
Why the need for change? • Regulatory framework is… • Complex • Expensive • In need of continual updating which means Govt. intervention • Overly reliant on central control
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
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
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.
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
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
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
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
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
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
