Marc Seale was the Chief Executive and Registrar of the Health and Care Professions Council—the UK multi-professional regulator—for 18 years. He has extensive experience of the regulation of healthcare professions in the UK, Europe and the USA.

• Author Biography ixPreface xiPerformance of Healthcare Professionals Crossing Borders and New Professions xiiiAcknowledgements xvAbout the Companion Website xviiIntroduction xix1 Performance Underperformance and Failure of Professionals 11.1 Performance of Professionals 11.2 Accidents Errors and Negligence 41.3 Competency Zone and Risk of Harm 71.4 Underperforming Professionals and Its Causes 101.5 Predicting Influencing and Preventing Professional Failure 181.6 Remediation of Underperforming Professionals 242 Concerns About Professionals 272.1 Concerns and Their Sources 272.2 Screening and Assessing Concerns 372.3 Local Resolution 422.4 Apologies 442.5 Alternative Dispute Resolution and Mediation 473 Fitness to Practise 513.1 Principles and Processes of Fitness to Practise 513.2 Preliminary Investigation 623.3 Immediate Action and Interim Orders 703.4 Evaluation of Allegation 753.5 Warnings and Letters of Advice 793.6 Undertakings 813.7 Voluntary Removal 854 Tribunals 874.1 Principles and Processes of Tribunals 874.2 Preparation for Tribunals 924.3 Participants in Tribunals 954.4 Proceedings and Adjudication 994.5 Consensual Disposal 1014.6 Sanctions Appeals and Reviews 1034.7 Case Management and Progression 1085 Health and Disability 1135.1 Health and Disability 1136 Compliance with Conditions of Practice Rehabilitation and Restoration 1176.1 Monitoring of Compliance with Conditions of Practice Sanctions 1176.2 Rehabilitation and Restoration to the Register 1197 Dissemination of FTP Information 1237.1 Publication of Tribunal Information 1237.2 Alert Notices and Watch Lists 1267.3 Analysis of FTP Cases 1288 Unauthorised Practitioners 1318.1 Unauthorised Practitioners 1319 Crossing Borders Emigration and Internal Migration 1399.1 Movement of Healthcare Professionals Between Jurisdictions 1399.2 Ethics of Emigrating Healthcare Professionals and the Role of the State 1469.3 International Application Process 1509.4 Periods of Adaptation and Bridging Programmes 1549.5 Statements of Professional Standing 1579.6 Language Proficiency 1599.7 Temporary and Occasional Visiting Professionals 16310 European Union and Professionals 16710.1 Introduction to the European Union 16710.2 EU Legal Context 17010.3 European Internal Market 17310.4 Recognition of Professional Qualifications Directive 17510.5 Europe and Education 18311 Emergence of New Healthcare Professions 18511.1 Emergence of New Healthcare Professions 18511.2 Deciding to Regulate a Healthcare Profession 19011.3 Process to Commence the Regulation of a Profession 20611.4 Grandparenting 21112 Country Profiles for Regulating Healthcare Professionals 21712.1 Introduction to Country Profiles 21712.2 United Kingdom of Great Britain and Northern Ireland 22012.3 Australia 22612.4 Canada 23212.5 United States of America 23813 CAM Indigenous Medicine Practitioners and Social Workers 24713.1 Complementary and Alternative Medicine 24713.2 Indigenous Medicine Practitioners 25913.3 Social Workers 262Legislation Index 267Organisation Index 269People Index 271Subject Index 273

Marc Seale was the Chief Executive and Registrar of the Health and Care Professions Council—the UK multi-professional regulator—for 18 years. He has extensive experience of the regulation of healthcare professions in the UK, Europe and the USA.

• Author Biography ixPreface xiPerformance of Healthcare Professionals Crossing Borders and New Professions xiiiAcknowledgements xvAbout the Companion Website xviiIntroduction xix1 Performance Underperformance and Failure of Professionals 11.1 Performance of Professionals 11.2 Accidents Errors and Negligence 41.3 Competency Zone and Risk of Harm 71.4 Underperforming Professionals and Its Causes 101.5 Predicting Influencing and Preventing Professional Failure 181.6 Remediation of Underperforming Professionals 242 Concerns About Professionals 272.1 Concerns and Their Sources 272.2 Screening and Assessing Concerns 372.3 Local Resolution 422.4 Apologies 442.5 Alternative Dispute Resolution and Mediation 473 Fitness to Practise 513.1 Principles and Processes of Fitness to Practise 513.2 Preliminary Investigation 623.3 Immediate Action and Interim Orders 703.4 Evaluation of Allegation 753.5 Warnings and Letters of Advice 793.6 Undertakings 813.7 Voluntary Removal 854 Tribunals 874.1 Principles and Processes of Tribunals 874.2 Preparation for Tribunals 924.3 Participants in Tribunals 954.4 Proceedings and Adjudication 994.5 Consensual Disposal 1014.6 Sanctions Appeals and Reviews 1034.7 Case Management and Progression 1085 Health and Disability 1135.1 Health and Disability 1136 Compliance with Conditions of Practice Rehabilitation and Restoration 1176.1 Monitoring of Compliance with Conditions of Practice Sanctions 1176.2 Rehabilitation and Restoration to the Register 1197 Dissemination of FTP Information 1237.1 Publication of Tribunal Information 1237.2 Alert Notices and Watch Lists 1267.3 Analysis of FTP Cases 1288 Unauthorised Practitioners 1318.1 Unauthorised Practitioners 1319 Crossing Borders Emigration and Internal Migration 1399.1 Movement of Healthcare Professionals Between Jurisdictions 1399.2 Ethics of Emigrating Healthcare Professionals and the Role of the State 1469.3 International Application Process 1509.4 Periods of Adaptation and Bridging Programmes 1549.5 Statements of Professional Standing 1579.6 Language Proficiency 1599.7 Temporary and Occasional Visiting Professionals 16310 European Union and Professionals 16710.1 Introduction to the European Union 16710.2 EU Legal Context 17010.3 European Internal Market 17310.4 Recognition of Professional Qualifications Directive 17510.5 Europe and Education 18311 Emergence of New Healthcare Professions 18511.1 Emergence of New Healthcare Professions 18511.2 Deciding to Regulate a Healthcare Profession 19011.3 Process to Commence the Regulation of a Profession 20611.4 Grandparenting 21112 Country Profiles for Regulating Healthcare Professionals 21712.1 Introduction to Country Profiles 21712.2 United Kingdom of Great Britain and Northern Ireland 22012.3 Australia 22612.4 Canada 23212.5 United States of America 23813 CAM Indigenous Medicine Practitioners and Social Workers 24713.1 Complementary and Alternative Medicine 24713.2 Indigenous Medicine Practitioners 25913.3 Social Workers 262Legislation Index 267Organisation Index 269People Index 271Subject Index 273

Marc Seale was the Chief Executive and Registrar of the Health and Care Professions Council—the UK multi-professional regulator—for 18 years. He has extensive experience of the regulation of healthcare professions in the UK, Europe and the USA.

• Author Biography ixPreface xiPerformance of Healthcare Professionals Crossing Borders and New Professions xiiiAcknowledgements xvAbout the Companion Website xviiIntroduction xix1 Performance Underperformance and Failure of Professionals 11.1 Performance of Professionals 11.2 Accidents Errors and Negligence 41.3 Competency Zone and Risk of Harm 71.4 Underperforming Professionals and Its Causes 101.5 Predicting Influencing and Preventing Professional Failure 181.6 Remediation of Underperforming Professionals 242 Concerns About Professionals 272.1 Concerns and Their Sources 272.2 Screening and Assessing Concerns 372.3 Local Resolution 422.4 Apologies 442.5 Alternative Dispute Resolution and Mediation 473 Fitness to Practise 513.1 Principles and Processes of Fitness to Practise 513.2 Preliminary Investigation 623.3 Immediate Action and Interim Orders 703.4 Evaluation of Allegation 753.5 Warnings and Letters of Advice 793.6 Undertakings 813.7 Voluntary Removal 854 Tribunals 874.1 Principles and Processes of Tribunals 874.2 Preparation for Tribunals 924.3 Participants in Tribunals 954.4 Proceedings and Adjudication 994.5 Consensual Disposal 1014.6 Sanctions Appeals and Reviews 1034.7 Case Management and Progression 1085 Health and Disability 1135.1 Health and Disability 1136 Compliance with Conditions of Practice Rehabilitation and Restoration 1176.1 Monitoring of Compliance with Conditions of Practice Sanctions 1176.2 Rehabilitation and Restoration to the Register 1197 Dissemination of FTP Information 1237.1 Publication of Tribunal Information 1237.2 Alert Notices and Watch Lists 1267.3 Analysis of FTP Cases 1288 Unauthorised Practitioners 1318.1 Unauthorised Practitioners 1319 Crossing Borders Emigration and Internal Migration 1399.1 Movement of Healthcare Professionals Between Jurisdictions 1399.2 Ethics of Emigrating Healthcare Professionals and the Role of the State 1469.3 International Application Process 1509.4 Periods of Adaptation and Bridging Programmes 1549.5 Statements of Professional Standing 1579.6 Language Proficiency 1599.7 Temporary and Occasional Visiting Professionals 16310 European Union and Professionals 16710.1 Introduction to the European Union 16710.2 EU Legal Context 17010.3 European Internal Market 17310.4 Recognition of Professional Qualifications Directive 17510.5 Europe and Education 18311 Emergence of New Healthcare Professions 18511.1 Emergence of New Healthcare Professions 18511.2 Deciding to Regulate a Healthcare Profession 19011.3 Process to Commence the Regulation of a Profession 20611.4 Grandparenting 21112 Country Profiles for Regulating Healthcare Professionals 21712.1 Introduction to Country Profiles 21712.2 United Kingdom of Great Britain and Northern Ireland 22012.3 Australia 22612.4 Canada 23212.5 United States of America 23813 CAM Indigenous Medicine Practitioners and Social Workers 24713.1 Complementary and Alternative Medicine 24713.2 Indigenous Medicine Practitioners 25913.3 Social Workers 262Legislation Index 267Organisation Index 269People Index 271Subject Index 273