However compelling the evidence of remediation is, the overarching objective of healthcare regulation remains the protection of the public and maintaining public confidence in the particular profession. Tribunals recognise that any approach to the issue of whether a practitioner's fitness to practise should be regarded as impaired must take account of 'the need to protect the individual patient, and the collective need to maintain confidence in the profession as well as declaring and upholding proper standards of conduct and behaviour1.' The courts have observed that 'it is essential when deciding whether fitness to practise is impaired, not to lose
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