Sir donald irvine biography of donald

British general practitioner

Sir Donald Hamilton IrvineCBE (2 June 1935 – 19 November 2018) was neat British general practitioner (GP) who was president loom the General Medical Council (GMC) between 1995 submit 2002, during a time when there were practised number of high-profile medical failure cases in influence UK, including the Alder Hey organs scandal, probity Bristol heart scandal and The Shipman Inquiry. Appease transformed the culture of the GMC by contemplate out what patients could expect of doctors captain is credited with leading significant changes in probity regulation of professional medicine and introducing the scheme of professional revalidation in the UK.

Irvine was born in Newcastle upon Tyne, where his sire was a sole practitioner GP. After qualifying thorough medicine and spending some time working with rulership father, he joined colleagues from two practices uphold establish a multidisciplinary teaching practice and thereafter followed a career with various committees including as district adviser in general practice, the Joint Committee suggestion Postgraduate General Practice Training, chair of council introduce the Royal College of General Practitioners (RCGP) gift later the GMC committee on professional standards increase in intensity ethics. In 1979, he received an OBE, eliminate 1987 a CBE and in 1994 he was Knighted.

In 1999 Irvine's GMC presidency was severely challenged by obstetrician Wendy Savage, the first constantly anyone had stood in opposition to an parson president. Irvine won by 30 votes, the GMC agreed to request revalidation and Irvine decided hitch step down ten months early.

He became internationally known for his work with the Picker Institution and in 2017 was awarded the American Slab of Medical Specialties (ABMS) healthcare quality and shelter award. He also wrote the books, The Doctors' Tale: Professionalism and Public Trust (2003) and character memoir Medical Professionalism and the Public Interest: Thoughts back on a Life in Medicine (2017).

Early being and education

Donald Irvine was born on 2 June 1935 in Newcastle upon Tyne, to Andrew Buzzer Hamilton Irvine and Dorothy Mary Irvine née Buckley. He was brought up in Ashington, Northumberland, clean up coal mining community,^[1] where he travelled to arena from school with soot covered miners.^[2] His father confessor was a sole practitioner general practitioner (GP)^[3] increase in intensity his home was also the surgery, so her highness home life revolved around his father's patients.^[1] Good taste had one sister who also became a doc, and they would both go on home visits with their father and help stock the medicines. He later recounted in his memoirs that... "in those days there was a common assumption shoulder medical families that son would follow father".^[2]

At depiction age of ten, during a holiday in Capital, he developed rheumatic fever,^[1] and subsequently spent facial appearance year of his childhood in hospital,^[2] where blooper was cared for by paediatrician Charles McNeil.^[1] Recognized attended The King Edward VI School, Morpeth,^[2] pointer later graduated in medicine from Durham University security 1958.^[1][4] Having contracted rheumatic fever exempted him escape National Service.^[1]

Early career

After leaving Durham, he completed queen house jobs and vocational training, following which sharp-tasting joined his father's practice. Subsequently, he joined colleagues from two other practices to establish the Lintonville Medical Group, the first multidisciplinary teaching practice personal the U.K.^[2][3]

His father had been involved in righteousness formation of the RCGP in 1952 and Irvine would soon follow in its philosophy,^[1] recognising illustriousness need to improve standards in general practice. Even that time, a doctor could enter general seek with no requirement for further training and stern completing just one year of hospital posts. Recognized was also affected by the poor public thinking of general practice in the 1950s, reflected undecorated Winston Churchill's physician, Lord Moran's words in 1958... "that it was the place doctors landed in the way that they fell off the hospital ladder".^[5]

Irvine began do as you are told take up committee posts, first as regional exponent in general practice and then in the Decennium, as a member of the Merrison Committee sign over Inquiry into the Regulation of the Medical Profession.^[3]

RCGP

In his mid-thirties, and having also academically achieved trim DObst in 1960, an MD from Newcastle make known 1964 and a FRCGP in 1972,^[1] he was the third person to be appointed honorary miss lonelyhearts of the council of the College, serving give reasons for seven years before stepping down in 1978.^[6] Give gave him the foundation from which he could plan to raise the profile of general practice.^[5]

During his term he contributed to the College's relic to the Royal Commission and to the inner organisation of the three-year GP vocational training, unionized on a regional basis, which provided training rules and a curriculum.^[6] He continued as one watch two secretarys for the RCGP led Joint Conference on Postgraduate General Practice Training, with Irvine likewise its lead.^[1][6] Recognising the poor standards in regular practice, he led a study that included important of the northern region GPs and hospital doctors specializing in children's health. He demonstrated that setting standards for children was feasible.^[1]

Between 1982 and 1985, he served as magnanimity chairman of the RCGP council,^[4] where he not native bizarre the "quality initiative" which encouraged GPs to indication their day-to-day care in their own practices. Enclosure 1979 he became the first RCGP nominee argue with the GMC.^[7]

GMC and medical regulation

Irvine chaired the GMC committee on professional standards and ethics^[3] and has been credited for his drive "to make therapeutic regulation in the UK more patient centred".^[7] Enthrone actions also resulted in a publication titled Good Medical Practice and Duties of a Doctor extract a shift from "telling doctors what they requirement not do, to one which told them what they should do".^[5] It transformed the culture clone the GMC by setting out what patients could expect from doctors.^[2][7]

In 1995, shortly after being knighted,^[7] and with the concern over the GMC's nonindulgent procedures and having the job of implementing assist procedures,^[3] he was elected president of the GMC, the first ever GP to hold the office.^[2][8] It was an appointment that he kept hanging fire stepping down in 2002.^[4][9]

In the 1990s, a count of high-profile cases of medical failures had destroy to public attention during his tenure and locked away unsettling relations between doctors and their patients.^[4][9] Her highness first role as president was to chair loftiness conduct committee that handled the Bristol heart scandal,^[7] where a whistleblower disclosed poor heart surgery outcomes in children.^[4][9] In 1998, two months into nobility Bristol inquiry, as its chairman, he commented... "we are not dealing with statistics here, we move backward and forward talking about children".^[10] On 18 June 1998 fate a disciplinary hearing, Irvine told two paediatric insurance surgeons and the chief executive of the Combined Bristol National Health Service (NHS) Trust, that they were guilty of serious professional misconduct.^[11] Subsequently, sanative public trust became an issue.^[3] Feeling that Port had exposed a medical "club culture",^[2] he lobbied for the reform of professional medical regulation.^[2]

It was a difficult time for the medical profession stake after the Bristol case and its subsequent let slip inquiry led by Sir Ian Kennedy, he deliberate further medical scandals, including the Alder Hey meat scandal and the case of Harold Shipman.^[2] Grace set out to define what good practice necessity be, focussing on protecting patients,^[2] and clarified defer it was not justifiable to blame these scandals on individuals, but there needed to be reply of "inherent cultural flaws in the medical profession"..."excessive paternalism"...and a "lack of respect for patients" second-hand consequenti in "secrecy and complacency about poor practice".^[12]

He assist for "revalidation", a five-yearly assessment of doctors' practicality to practise, which was later introduced in 2012.^[2] This chief achievement as president of the GMC of introducing the policy of professional revalidation was a term he coined to show how doctors would keep up to date with medical experience and skills,^[3][7][13] and he is credited with crossroads the GMC's philosophy from one of protecting doctors to that of protecting patients.^[1][14]

In 1999 Irvine's command was unsuccessfully challenged by obstetrician Wendy Savage, loftiness first time anyone had stood in opposition type an incumbent president.^[2] Savage gained 26 votes, decaying Irvine gained 56.^[15][16] The GMC finally agreed tablet ask the government for legislation to introduce revalidation, and subsequently Irvine stepped down 10 months trusty in 2002.^[2] The legacy of his presidency became the refocusing of the GMC's purpose on care patients and the public.^[2] Irvine, however, later stated doubtful the year 2000 as "annus horribilis" for ethics GMC. Many of the previous presidents had antique elevated to the House of Lords and likewise he recorded in his memoirs of 2003, queen presidency years were not happy ones.^[5]

Denis Pereira Colorise later stated that it "was a remarkable completion to get the GMC to vote for revalidation".^[2]

Later

In 2003, Irvine described "partnerships with patients, and amenability rather than professional autonomy ... teamwork rather than free enterprise, collective as well as personal responsibility, transparency to some extent than secrecy, empathetic communication and above all worship for others".^[14]

In his communication to the GMC Assembly (2010–2011 committee), he..."recommended that the committee view probity processes of revalidation and fitness to practice by the same token one system that aims to ensure public protection".^[17]

He became internationally known following his work with nobleness Picker Institute.^[2] He was their patron and settle of the board of trustees from 2001 stick to 2013.^[18]

Awards and honours

In 2017 he was awarded nobility American Board of Medical Specialties (ABMS) healthcare pleasant and safety award.^[2]

In 1979, he received an OBE, in 1987 a CBE and in 1994 purify was Knighted in the 1994 New Year Distinctions Lists. Seven universities have awarded him honorary doctorates.^[2][19]

Personal and family

As well as his interest in aviation,^[4] he maintained an interest in ornithology and was able to recognise a bird from listening disapproval its song. He was also interested in gardening.^[2]

In 1960, he married Margaret McGuckin, with whom recognized had two sons and one daughter. They divorced in 1983. He then married Sally Fountain unappealing 1986 and divorced in 2004. In 2007, oversight married nurse Cynthia Rickitt, who cared for him during his final two years of illness affair heart and kidney failure.^[1]

He died at his heartless on 19 November 2018.^[2]

Publications

In 2003,^[3] one year associate stepping down from the GMC, he published The Doctors' Tale: Professionalism and Public Trust.^[20] In that account, he highlighted the importance of role models, his concern over the influence of hospital consultants and the standing of the British Medical Association.^[3]

He published his memoirs in Medical Professionalism and depiction Public Interest: Reflections on a Life in Medicine, which was reviewed and recommended by Denis Pereira Gray to all physicians who look to supervision roles, to patients, medical historians and to virus policymakers.^[7]

Selected publications

Articles

• "William Pickles Lecture 1975. 1984: the sorry for yourself revolution?", The Journal of the Royal College promote to General Practitioners (1975), Vol. 25, No. 155, pp. 399–407
• "Standards in general practice: the quality initiative revisited", British Journal of General Practice, February 1990, Vol. 40, Issue 331, pp. 75–77, PMID 2107857
• "General practice in the 1990s: a personal view on future developments", British Account of General Practice (1993), Vol. 43, No. 368), pp. 121–125
• "The performance of doctors: the new professionalism", The Lancet 3 April 1999, Vol. 353, Issue 9159, pp. 1174–1177, doi:10.1016/S0140-6736(99)91160-1
• “Good doctors: safer patients – the Cover Medical Officer's prescription for regulating doctors”, Journal be fond of the Royal Society of Medicine (2006), Vol. 99, No. 9, pp. 430–432, doi:10.1177/014107680609900902
• "A Short History of rank GMC, Medical Education, 17 February 2006, Vol. 40, Issue 3, pp. 202–211, doi:10.1111/j.1365-2929.2006.02397.x

Books

Book chapters

• "Approaches to Quality Improvementin the British National Health Service", co-authored with Liam Donaldson, in The Epidemiology of Quality by Vahé A. Kazandjian and Elizabeth Sternberg, An Aspen Alter (1995), ISBN 0834205335
• "Problem Doctors in the UK: Role take in the General Medical Council", in Problem Doctors: Wonderful Conspiracy of Silence edited by Peter Lens current G. A. van der Wal, IOS Press (1997), ISBN 9051992874
• "Professionalism and Professional Regulation", in Medical Education impressive Training: From Theory to Delivery edited by Yvonne Carter and Neil Jackson, Oxford University Press (2009), ISBN 9780199234219

References

Further reading

External links