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Policing the profession? Regulatory reform, restratification and the emergence of Responsible Officers as a new locus of power in UK medicine

Doctors' work and the changing, contested meanings of medical professionalism have long been a focus for sociological research. Much recent attention has focused on those doctors working at the interface between healthcare management and medical practice, with such ‘hybrid’ doctor-managers prov...

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Autores principales: Bryce, Marie, Luscombe, Kayleigh, Boyd, Alan, Tazzyman, Abigail, Tredinnick-Rowe, John, Walshe, Kieran, Archer, Julian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pergamon 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137071/
https://www.ncbi.nlm.nih.gov/pubmed/30064094
http://dx.doi.org/10.1016/j.socscimed.2018.07.042
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author Bryce, Marie
Luscombe, Kayleigh
Boyd, Alan
Tazzyman, Abigail
Tredinnick-Rowe, John
Walshe, Kieran
Archer, Julian
author_facet Bryce, Marie
Luscombe, Kayleigh
Boyd, Alan
Tazzyman, Abigail
Tredinnick-Rowe, John
Walshe, Kieran
Archer, Julian
author_sort Bryce, Marie
collection PubMed
description Doctors' work and the changing, contested meanings of medical professionalism have long been a focus for sociological research. Much recent attention has focused on those doctors working at the interface between healthcare management and medical practice, with such ‘hybrid’ doctor-managers providing valuable analytical material for exploring changes in how medical professionalism is understood. In the United Kingdom, significant structural changes to medical regulation, most notably the introduction of revalidation in 2012, have created a new hybrid group, Responsible Officers (ROs), responsible for making periodic recommendations about the on-going fitness to practise medicine of all other doctors in their organisation. Using qualitative data collected in a 2015 survey with 374 respondents, 63% of ROs in the UK, this paper analyses the RO role. Our findings show ROs to be a distinct emergent group of hybrid professionals and as such demonstrate restructuring within UK medicine. Occupying a position where multiple agendas converge, ROs' work expands professional regulation into the organisational sphere in new ways, as well as creating new lines of continuous accountability between the wider profession and the General Medical Council as medical regulator. Our exploration of ROs' approaches to their work offers new insights into the on-going development of medical professionalism, pointing to the emergence of a distinctly regulatory hybrid professionalism shaped by co-existing professional, managerial and regulatory logics, in an era of strengthened governance and complex policy change.
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spelling pubmed-61370712018-09-19 Policing the profession? Regulatory reform, restratification and the emergence of Responsible Officers as a new locus of power in UK medicine Bryce, Marie Luscombe, Kayleigh Boyd, Alan Tazzyman, Abigail Tredinnick-Rowe, John Walshe, Kieran Archer, Julian Soc Sci Med Article Doctors' work and the changing, contested meanings of medical professionalism have long been a focus for sociological research. Much recent attention has focused on those doctors working at the interface between healthcare management and medical practice, with such ‘hybrid’ doctor-managers providing valuable analytical material for exploring changes in how medical professionalism is understood. In the United Kingdom, significant structural changes to medical regulation, most notably the introduction of revalidation in 2012, have created a new hybrid group, Responsible Officers (ROs), responsible for making periodic recommendations about the on-going fitness to practise medicine of all other doctors in their organisation. Using qualitative data collected in a 2015 survey with 374 respondents, 63% of ROs in the UK, this paper analyses the RO role. Our findings show ROs to be a distinct emergent group of hybrid professionals and as such demonstrate restructuring within UK medicine. Occupying a position where multiple agendas converge, ROs' work expands professional regulation into the organisational sphere in new ways, as well as creating new lines of continuous accountability between the wider profession and the General Medical Council as medical regulator. Our exploration of ROs' approaches to their work offers new insights into the on-going development of medical professionalism, pointing to the emergence of a distinctly regulatory hybrid professionalism shaped by co-existing professional, managerial and regulatory logics, in an era of strengthened governance and complex policy change. Pergamon 2018-09 /pmc/articles/PMC6137071/ /pubmed/30064094 http://dx.doi.org/10.1016/j.socscimed.2018.07.042 Text en © 2018 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bryce, Marie
Luscombe, Kayleigh
Boyd, Alan
Tazzyman, Abigail
Tredinnick-Rowe, John
Walshe, Kieran
Archer, Julian
Policing the profession? Regulatory reform, restratification and the emergence of Responsible Officers as a new locus of power in UK medicine
title Policing the profession? Regulatory reform, restratification and the emergence of Responsible Officers as a new locus of power in UK medicine
title_full Policing the profession? Regulatory reform, restratification and the emergence of Responsible Officers as a new locus of power in UK medicine
title_fullStr Policing the profession? Regulatory reform, restratification and the emergence of Responsible Officers as a new locus of power in UK medicine
title_full_unstemmed Policing the profession? Regulatory reform, restratification and the emergence of Responsible Officers as a new locus of power in UK medicine
title_short Policing the profession? Regulatory reform, restratification and the emergence of Responsible Officers as a new locus of power in UK medicine
title_sort policing the profession? regulatory reform, restratification and the emergence of responsible officers as a new locus of power in uk medicine
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137071/
https://www.ncbi.nlm.nih.gov/pubmed/30064094
http://dx.doi.org/10.1016/j.socscimed.2018.07.042
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