Today the Health Select Committee of the House of Commons met with the Professional Standards Authority to discuss their role in professional regulation. Sarah Wollaston MP and Ben Bradshaw MP both raised the issues described in our Unsafe Spaces report, which describes how one in four counsellors and psychotherapists struck off for misconduct simply carry on practising.
The meeting can be viewed online here. It’s quite a lengthy video, but all the discussion of counselling and psychotherapy is finished by 15:16 (there’s a break in the video due to a vote being called, with the meeting resuming at 15:07:15).
Something that’s of interest is that the PSA is working on a risk assessment model for which professions should be on a regulator and which should be on accredited registers. This model is described as based on three factors – the risk of the intervention, the context in which it takes place, and the vulnerability of the patient or service user. They would then go back to ministers with a recommendation as to whether or not a profession should be regulated.
Counselling and psychotherapy are mentioned as professions that the government may wish to look at as ones that could move from accredited registration to regulation. They also seem to be suggesting that arts therapists could move the other way, from regulation to accredited registration. The rationale given for this latter move (by Harry Cayton, Chief Executive of the PSA, at 15: 15:39) is that, “I’m only aware of one ever fitness to practise case involving an arts therapist, and that was for theft, or dishonesty rather than competence.” This seems to miss out the incredibly nasty case of Derek Gale, who was struck off by the HPC in 2009 for running a cult disguised as a therapy centre. Admittedly that was some years ago, but even so that leaves me concerned about the idea of arts therapists no longer being regulated.
That said, I’m pleased to hear that regulation of counselling and psychotherapy is not necessarily off the agenda, and I’ll look forward with interest to hearing about the PSA’s proposed risk assessment model.