The face of care in the UK is changing fast. From the increasing role of for-profit providers and the conflicts of interest this presents, to the rise in online services, to the expansion of new and innovative models of care…
And as the delivery of healthcare evolves, regulators need to be able to meet the challenges head-on with agility.
So, how is regulation supporting innovation and new ways of working?
In the final session of our recently held Welsh regulatory seminar, held jointly with the Welsh Government | Llywodraeth, we heard two different perspectives on whether it is necessary or desirable to regulate support workers. The arguments largely centred on whether regulation is proportionate, and whether it acts as a barrier or an enabler to new ways of working.
Claire Madsen, Executive Director of Therapies and Health Science, Powys Teaching Health Board, articulated some of the drawbacks of regulation – that it can be slow to respond, restrictive and expensive. She spoke about the need for regulation to be risk-based, and on this basis, argued that multi-professional support workers do not require statutory regulation. This is because the roles carry a lower level of risk and there are already many mechanisms in place to manage these. She called for regulation to be clear, flexible, and responsive to the needs of the population.
An alternative view was provided by Rhiannon Jones and Carolyn Middleton from the Welsh Government, who have recently completed a review on the need to regulate a ‘band 4’ nursing role (sometimes called nursing support workers or nursing associates) in Wales.
The review concluded that introducing statutory regulation for this role would be beneficial as it would support consistency and safety. In reaching this conclusion, they engaged widely with stakeholders, including clinicians, academics and unions. As a result of their review, the Minister has outlined the policy intent to regulate Nursing Associates in Wales, with the Nursing and Midwifery Council as the regulator.
These two perspectives provided food for thought on the broader conversation of how regulation responds to workforce challenges and supports new ways of working. For those in favour of more statutory regulation, it begs the question: which roles might be next in line?
We’re so excited for this partnership with SONSIEL - Society of Nurse Scientists, Innovators, Entrepreneurs & Leaders! This is going to be a game-changer for African nurses and midwives. ?? Unlocking endless possibilities for opportunity to learn, connect, and innovate. Excitedly looking forward to welcoming all the amazing nurses and midwives to this groundbreaking summit! Let’s shape the future of healthcare together leveraging technology and innovation. ! #LeaveNoNurseBehind #NursingInnovationSummit”