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Effective nursing regulation

Healthcare regulators perform four core functions for patients and registrants, writes Andrea James

In January 2012, the (then) health secretary Andrew Lansley commissioned the Council for Healthcare Regulatory Excellence (CHRE) to carry out a strategic review of nursing regulatory body, the NMC. The final report, published on 3 July 2012, concluded problems at the NMC existed 'at every level, in every system'.

Key criticisms included 'cultural problems built up over a number of years', 'poor planning, an absence of clear decision-making processes, unreliable management information and a collective failure to link activity with cost'.

Many have since called for the NMC's abolition, but it is unlikely transferring the NMC's staff and functions to another body would solve problems overnight; many of the problems existed, to a lesser degree, in its predecessor body, the UK Central Council for Nursing, Midwifery and Health.

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