This site is intended for healthcare professionals only

Best practice involves quality improvement

Written by: | Published:

HCAs must be regulated HCAs must be regulated

Whenever there is a question mark over health or social care quality, ministers react with proposals to increase scrutiny and strengthen regulation. This may well be required, but as nurses point out in our news focus there should be equal emphasis on encouraging and supporting staff to achieve excellence.

A spectrum exists, ranging from 'quality assurance' (stopping people from doing their worst) to 'quality improvement' (helping people to do their best) and the current focus is squarely on the former.

I would argue that a balance is required in order to facilitate a culture in which compassion thrives, and practice remains safe but in which nurses are able to embrace innovation and develop services to meet patients' needs. This balance must be addressed and where regulation is needed, it must be put in place, not simply discussed, costed, then dismissed. While wishing to increase health care scrutiny, ministers are loathe to put their hands in their pockets.

The call for compulsory healthcare assistant (HCA) registration and regulation is loud and clear and comes not only from other health professionals and patients but from support workers themselves. In a recent survey by IN's sister publication the British Journal of Healthcare Assistants, 93% of 385 HCA respondents agreed there should be a compulsory registration for healthcare support workers. A total of 76% agreed support workers should be regulated.

Despite this, the government continues, stubbornly, to support its policy of voluntary registration for HCAs belying the rhetoric that it will do whatever it takes to stamp out serious care failings. Ministers are keen to impose a statutory duty of candour on those working in health; perhaps they should be reminded of their own duty of candour and requested to adhere to it.

Sarah Wild, editor, Independent Nurse

What do you think? Leave a comment below or tweet your views to @IndyNurseMag

This material is protected by MA Healthcare Ltd copyright.
See Terms and Conditions.



Please view our Terms and Conditions before leaving a comment.

Change the CAPTCHA codeSpeak the CAPTCHA code

Most read articles from Practice Nursing Journal

Practice Nursing Journal latest issue and most read articles.

Click here to read a selection of free to access articles from Practice Nursing Journal


Sign up to the newsletter


Independent Nurse is the professional resource for primary care and community nurses, providing clinical articles for practice nurses and prescribers.


Subscribe to our newsletter and stay up to date with the latest nursing news.

Stay Connected

Stay social with Independent Nurse by following us on Twitter, liking us on Facebook or connecting on LinkedIn.


Need access to some of our older articles? You can view our archive, or alternatively contact us.

Contact Us

MA Healthcare Ltd.
St Jude's Church, Dulwich Road
London, SE24 0PB

Tel: +44 (0)20 7738 5454
Registered in England and Wales No. 01878373

Meet the team


Find out how to contribute to Independent Nurse here.