1. Michael Guthrie, Director of Policy and Standards
PSA research conference, 11 March 2016
Using poor outcomes to achieve improved outcomes: learning from fitness to practise cases
Title slide instructions

2. Fitness to practise Average of around 60% of expenditure (PSA 2012).
Increasing volumes in some professions.
Outcomes / experience considered to be unsatisfactory.
Learning and use of that learning (PSA Standards for good regulation).
Systematic analysis, particularly at high volume.

3. The challenges of prevention
Rethinking regulation (PSA 2015).
Insights into the behavioural impact of regulation (e.g. Quick 2011; McGivern et al 2015).
A limited (and prescribed) toolkit.
‘Reaction and sanction’ / process led approaches → ‘Softer’ regulatory interventions (Sparrow 2008).
Measurement; delivery at scale; accountability?
Harnessing the system to drive engagement.

4. Paramedics and social workers in England
Profession / year
% of total cases
Number of registrants
% of register
Paramedics
10.65
21,185
6.40
12.86
20,097
6.24
Social workers in England
57.65
88,397
26.72
52.45
88,946
27.63

5. Planned research Literature review Interviews / focus groups / surveys
Case review
Deliberative methodology
Empirical evidence to support our assumptions
Advice on future methodologies – future work in house?
A basis for joint working

6. Thank you for listening www.hcpc-uk.org
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