News
11th September 2006
18th Annual Report and Statement of Accounts for 2005
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24th July 2006
HARNEY BILL AND POLITICAL CONTROL OF MEDICAL PROFESSION
Madam, - Your editorial (July 19th) addresses the published heads of the Medical Practitioners Bill 2006. Your concentration on the disciplinary aspects of this proposed legislation is understandable given public concerns expressed during the recent scandal at Our Lady of Lourdes Hospital in Drogheda. In addition to that important function however, the Medical Council will also be responsible for:specifying and approving courses of medical education and specialist training; standards of competence; criteria for registration, which would include assessing overseas educational qualifications; skills and attributes required of medical practitioners; setting of ethical standards.However, close reading of the proposals gives rise to deeper concerns that the Minister for Health and Children is pursuing another agenda.Autonomy and self-regulation define a profession. The World Medical Association Declaration of Madrid 1987, revised in 2005, inter alia states: "The central element of professional autonomy is the assurance that individual physicians have the freedom to exercise their professional judgment in the treatment of their patients. . . As a corollary to professional autonomy the medical profession has a continuing responsibility to be self-regulating. In addition to any other source of regulation that may be applied to individual physicians the medical profession itself must be responsible for regulating the professional conduct and activities of individual physicians."The recent World Health Organisation review of the regulation and licensing of physicians in the WHO European region (2005) found: "Currently there does not seem to be general concern about this arrangement, and it is difficult to see why the medical profession should be singled out as the only profession in which this principle should be challenged in relation to standards of performance, which are largely established by the medical profession itself to safeguard the public interest."The degree of Ministerial and political rather than "lay" control of the Medical Council envisaged by this Minister can be surmised by reviewing a sequence of quotes from the heads of the Bill:"The Minister may give general policy directions to the council. . . and the council shall comply with any such directions.""The council. . . shall prepare a statement of strategy. . . within six months of commencement or appointment of a new Minister. . . in a form and manner in accordance with directions issued by the Minister. . . having regard to the policies of the Government.""The council shall consist of 25 members appointed by the Minister.""If the council fails or refuses to perform any function assigned to it under the Act the Minister may instruct the council to discharge that function." "The Minister may remove all members of the council from office if the council does not comply with a direction of the Minister."The anaemia referred to in your editorial, madam, is only evident in the lack of explicit and clear implementation of Judge Harding Clarke"s recommendations for a statutory competence assurance structure and revalidation procedures which the previous council has been calling for since 1991, as has this association.
18th July 2006
Proposed New Medical Practitioners Bill
18 July 2006 For Immediate Release Proposed New Medical Practitioners Bill The Medical Council is there to ensure the quality of education of doctors and specialists, to register doctors and to enforce professional standards. It is difficult to see how people appointed by the Minister will be more competent than elected medical professionals in carrying out these roles. If enacted, this Bill would give the Minister for Health extraordinary powers. The Minister would be able to dictate to the Medical Council how medicine should be practised in Ireland. Again, it is difficult to see how this is in the interests of competent medicine and the public good. The National Council of the Association will consider the Heads of Bill at its next meeting and will prepare a detailed submission to the Minister pointing out the many deficiencies in the proposed legislation. Ends For further information Dr David O’KeeffeVice President086 8191301 Donal DuffyAssistant Secretary General086 8176901
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