Author Biography ix
Preface xi
Foundations of Regulation xiii
Acknowledgements xv
About the Companion Website xvii
Introduction xix
1 Regulation 1
1.1 Introduction to Regulation and Regulators, 1
1.2 The Regulatory Process, 21
1.3 Effective, Efficient, and Ethical Regulators, 26
1.4 Autonomy, Independence, Accountability, and Scrutiny of Regulators, 34
1.5 The Healthcare Delivery System and its Regulators, 40
2 Risk 49
2.1 Risk, 49
2.2 Risk and Regulation, 55
2.3 Enterprise Risk Management, 57
2.4 Risk of Harm, 62
2.5 Risk-Based Regulation, 72
2.6 Risk and the Intrusiveness of the Regulatory Process, 75
3 Framework for Regulating Healthcare Professionals 79
3.1 Framework for the Regulation of Healthcare Professionals, 79
3.2 Stakeholders in the Regulation of Healthcare Professionals, 87
3.3 Key Stakeholders and their Influence, 103
3.4 Identifying Professionals, 110
3.5 Processes used to Restrict Access to the Labour Market, 121
4 Standards 143
4.1 Introduction to Standards, 143
4.2 Standards for the Regulation of Healthcare Professionals, 149
4.3 Format of Standards, 151
4.4 Establishing and Revising Standards, 154
4.5 Sharing Standards, 158
5 Guidance 163
5.1 Guidance, 163
6 Safe and Effective Practice 167
6.1 Introduction to Safe and Effective Practice, 167
6.2 Competence - Knowledge and Skills, 172
6.3 Scope of Practice, 175
6.4 Standards of Competency, 182
6.5 Perishability of Competences, 187
6.6 Distribution of Competency Levels within a Profession, 191
6.7 Values and Behaviour Framework, 195
6.8 Ethical Healthcare and Healthcare Professionals, 197
6.9 Values and Behaviours of Healthcare Professionals, 205
6.10 Standards of Conduct, 210
7 Regulating Healthcare Professionals 223
7.1 Advantages and Disadvantages of Regulating Healthcare Professionals, 223
7.2 The Regulatory Contract, 236
7.3 Purpose and Objectives of Regulating Healthcare Professionals, 242
8 Legal Principles and Processes for Regulating Professionals 247
8.1 The Law, 247
8.2 Legal Principles and Processes, 250
8.3 Legalisation, 255
8.4 Developing, Enacting, Amending, Reforming, and Repealing Legislation, 259
8.5 Appeals and Judicial Reviews, 264
8.6 Systems and Structures of Government, 268
8.7 Privy Council, 270
8.8 Legislation of Statutory Regulators, 272