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Medical Regulation in the United Kingdom: Challenging Old and New Orthodoxies’

John Martyn Chamberlain, Marty Chamberlain Orcid Logo

XVIII International Sociological Association World Congress of Sociology

Swansea University Author: Marty Chamberlain Orcid Logo

Abstract

This paper explores recent developments in the governance of the medical profession in the United Kingdom. In particular, it focuses on the changes in medical regulation made by the state through the 2008 Health and Social Care Act. Perhaps most importantly the Act brought about substantial reforms...

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Published in: XVIII International Sociological Association World Congress of Sociology
Published: Yokohama, Japan International Sociological Association 2014
Online Access: http://www.isa-sociology.org/congress2014/
URI: https://cronfa.swan.ac.uk/Record/cronfa29734
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spelling 2016-09-11T17:01:59.6174079 v2 29734 2016-09-03 Medical Regulation in the United Kingdom: Challenging Old and New Orthodoxies’ 98bbc13e72a7ce4126a562a668e50144 0000-0001-6067-6561 Marty Chamberlain Marty Chamberlain true false 2016-09-03 CRIM This paper explores recent developments in the governance of the medical profession in the United Kingdom. In particular, it focuses on the changes in medical regulation made by the state through the 2008 Health and Social Care Act. Perhaps most importantly the Act brought about substantial reforms to the regulatory body responsible for overseeing medical regulation – the General Medical Council (GMC) – introduced the performance surveillance and appraisal tool revalidation to monitor medical practitioners’ clinical practice, as well as made changes to the hearing of fitness to practice cases by the GMC when a doctor is accused of medical malpractice. The paper outlines how these changes have challenged several orthodoxies surrounding medical governance pertaining to, firstly, the role of the public and other health and social care professions in the regulation of doctors, and secondly, how social scientists have traditionally conceptualised contemporary trends in the relationship between the medical profession, the public and the state. The paper argues that it is important for social scientists interested in the study of medical regulation to remember that current developments in the governance of doctors must be analysed within the broader socio-economic-political context. For recent reforms in medical governance are to no small measure bound up with a broader shift in how ‘good governance’ is conceptualised and operationalized under neo-liberal mentalities of rule as the state seeks to promote ‘at a distance’ a certain type of citizen-subject congruent with the enterprise form within the risk saturated conditions associated with high modernity. The paper concludes by arguing that we currently sit at the apex of far-reaching changes in medical regulation, the full affects of which will not be known for at least another generation, and it is therefore vitally important to investigate contemporary reforms in medical governance while bearing in mind the need to challenge current conceptual orthodoxies within both professional practice and the academic literature. Conference Paper/Proceeding/Abstract XVIII International Sociological Association World Congress of Sociology International Sociological Association Yokohama, Japan 13 7 2014 2014-07-13 http://www.isa-sociology.org/congress2014/ COLLEGE NANME Criminology COLLEGE CODE CRIM Swansea University 2016-09-11T17:01:59.6174079 2016-09-03T08:45:12.4220768 Faculty of Humanities and Social Sciences Hilary Rodham Clinton School of Law John Martyn Chamberlain 1 Marty Chamberlain 0000-0001-6067-6561 2
title Medical Regulation in the United Kingdom: Challenging Old and New Orthodoxies’
spellingShingle Medical Regulation in the United Kingdom: Challenging Old and New Orthodoxies’
Marty Chamberlain
title_short Medical Regulation in the United Kingdom: Challenging Old and New Orthodoxies’
title_full Medical Regulation in the United Kingdom: Challenging Old and New Orthodoxies’
title_fullStr Medical Regulation in the United Kingdom: Challenging Old and New Orthodoxies’
title_full_unstemmed Medical Regulation in the United Kingdom: Challenging Old and New Orthodoxies’
title_sort Medical Regulation in the United Kingdom: Challenging Old and New Orthodoxies’
author_id_str_mv 98bbc13e72a7ce4126a562a668e50144
author_id_fullname_str_mv 98bbc13e72a7ce4126a562a668e50144_***_Marty Chamberlain
author Marty Chamberlain
author2 John Martyn Chamberlain
Marty Chamberlain
format Conference Paper/Proceeding/Abstract
container_title XVIII International Sociological Association World Congress of Sociology
publishDate 2014
institution Swansea University
publisher International Sociological Association
college_str Faculty of Humanities and Social Sciences
hierarchytype
hierarchy_top_id facultyofhumanitiesandsocialsciences
hierarchy_top_title Faculty of Humanities and Social Sciences
hierarchy_parent_id facultyofhumanitiesandsocialsciences
hierarchy_parent_title Faculty of Humanities and Social Sciences
department_str Hilary Rodham Clinton School of Law{{{_:::_}}}Faculty of Humanities and Social Sciences{{{_:::_}}}Hilary Rodham Clinton School of Law
url http://www.isa-sociology.org/congress2014/
document_store_str 0
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description This paper explores recent developments in the governance of the medical profession in the United Kingdom. In particular, it focuses on the changes in medical regulation made by the state through the 2008 Health and Social Care Act. Perhaps most importantly the Act brought about substantial reforms to the regulatory body responsible for overseeing medical regulation – the General Medical Council (GMC) – introduced the performance surveillance and appraisal tool revalidation to monitor medical practitioners’ clinical practice, as well as made changes to the hearing of fitness to practice cases by the GMC when a doctor is accused of medical malpractice. The paper outlines how these changes have challenged several orthodoxies surrounding medical governance pertaining to, firstly, the role of the public and other health and social care professions in the regulation of doctors, and secondly, how social scientists have traditionally conceptualised contemporary trends in the relationship between the medical profession, the public and the state. The paper argues that it is important for social scientists interested in the study of medical regulation to remember that current developments in the governance of doctors must be analysed within the broader socio-economic-political context. For recent reforms in medical governance are to no small measure bound up with a broader shift in how ‘good governance’ is conceptualised and operationalized under neo-liberal mentalities of rule as the state seeks to promote ‘at a distance’ a certain type of citizen-subject congruent with the enterprise form within the risk saturated conditions associated with high modernity. The paper concludes by arguing that we currently sit at the apex of far-reaching changes in medical regulation, the full affects of which will not be known for at least another generation, and it is therefore vitally important to investigate contemporary reforms in medical governance while bearing in mind the need to challenge current conceptual orthodoxies within both professional practice and the academic literature.
published_date 2014-07-13T03:36:12Z
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score 11.012678

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