title: Understanding the debate around regulation of support workers.
abstract: While much is written about the regulation of healthcare support workers (HCSWs), many authors and policy makers do not distinguish between assumption and evidence. As calls for compulsory regulation of HCSWs grow louder, it is crucial that the evidence underpinning the debate on both sides is considered carefully and critically. The authors reviewed journal articles and policy documents with the specific aim of clarifying the arguments for and against further regulation from an evidence-based perspective. The majority of material recommended HCSW regulation, however, the mechanisms by which regulation would deliver better patient care were often missing and were rarely evidence-based. This article provides clear definitions of the key terms and processes needed to engage in the debate, followed by a summary of the arguments for and against the regulation of support workers.
authors.affiliation: PhD Researcher, School of Medicine, University of Manchester.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Vaughan
authors.affiliation: Work-Based Education Facilitator, WBEF Network, University Hospital of South Manchester.
authors.forename: Karen
authors.initials: K
authors.lastname: Melling
authors.affiliation: Work-Based Education Facilitator, WBEF Network, University Hospital of South Manchester.
authors.forename: Lynn
authors.initials: L
authors.lastname: O'Reilly
authors.affiliation: Work-Based Education Facilitator, WBEF Network, University Hospital of South Manchester.
authors.forename: Denise
authors.initials: D
authors.lastname: Cooper
mesh_terms: D006282:Health Personnel; D006801:Humans; D016365:Liability, Legal; D011361:Professional Competence; D024382:Professional Role; D011787:Quality of Health Care; D006113:United Kingdom