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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

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  • Bryce, Marie
  • Luscombe, Kayleigh
  • Boyd, Alan
  • Tazzyman, Abigail
  • Tredinnick-Rowe, John
  • Walshe, Kieran
  • Archer, Julian

Abstract

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.

Suggested Citation

  • Bryce, Marie & Luscombe, Kayleigh & Boyd, Alan & Tazzyman, Abigail & Tredinnick-Rowe, John & Walshe, Kieran & Archer, Julian, 2018. "Policing the profession? Regulatory reform, restratification and the emergence of Responsible Officers as a new locus of power in UK medicine," Social Science & Medicine, Elsevier, vol. 213(C), pages 98-105.
    • Handle: RePEc:eee:socmed:v:213:y:2018:i:c:p:98-105
    DOI: 10.1016/j.socscimed.2018.07.042
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    2. McDonald, Ruth & Cheraghi-Sohi, Sudeh & Bayes, Sara & Morriss, Richard & Kai, Joe, 2013. "Competing and coexisting logics in the changing field of English general medical practice," Social Science & Medicine, Elsevier, vol. 93(C), pages 47-54.
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    Cited by:

    1. Abigail Tazzyman & Marie Bryce & Jane Ferguson & Kieran Walshe & Alan Boyd & Tristan Price & John Tredinnick‐Rowe, 2019. "Reforming regulatory relationships: The impact of medical revalidation on doctors, employers, and the General Medical Council in the United Kingdom," Regulation & Governance, John Wiley & Sons, vol. 13(4), pages 593-608, December.
    2. Jones, Lorelei & Fulop, Naomi, 2021. "The role of professional elites in healthcare governance: Exploring the work of the medical director," Social Science & Medicine, Elsevier, vol. 277(C).
    3. Price, Tristan & Tredinnick-Rowe, John & Walshe, Kieran & Tazzyman, Abigail & Ferguson, Jane & Boyd, Alan & Archer, Julian & Bryce, Marie, 2020. "Reviving clinical governance? A qualitative study of the impact of professional regulatory reform on clinical governance in healthcare organisations in England," Health Policy, Elsevier, vol. 124(4), pages 446-453.

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