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EXTERNAL REVIEW:

 
47. All hospital departments, centres, courses etc should be subjected to a vigorous external independent review. The Royal Colleges should be similarly subjected to external reviews.
 

LOCAL REMEDIAL ACTION:

 
48.

Unless there is a functioning remedial process in place, revalidation will not be effective. These must be in place before commencing revalidation.

49. All remedies must be reasonable and practicable. No impracticable or improbable requirements must be imposed.
50. Revalidation should not be a tool for further NHS monopoly or ethnic cleansing or locum-cleansing.
 

THE ROLE OF THE ROYAL COLEGES:

 
51. The processes must be all independent of one another.
52. The Royal Colleges are involved in every aspect of career so that they are not independent.
52.1. The Colleges conduct courses and examinations which generate finance.
52.2. The Colleges have a voice in almost all job appointments in the NHS through their regional advisers.
52.3. The Colleges are involved with job plans for posts, and the creation and recognition of posts. They would refuse to accept a good safe doctor working in a post they do not recognise.
52.4. The Colleges have always displayed anti-locum views.
52.5. The Colleges are also involved with private hospitals where individuals with College connections control admittance rights.
52.6. The Colleges have no consistent standards or criteria for judging competence.
52.7. The Colleges accredit specialists, assess for CCST, and assess trainees.
52.8. The Colleges are very active in policy-making, and influence decision making.
52.9. The high level of race relations litigation involving Colleges, their advisers, and the findings of the MacPherson Inquiry leave ethnic minority doctors in distrust of them.
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