Abstract
The trust that underpins the relationship between the Government, the public and professionals has been undermined, leading to proposed changes to the regulatory framework for professionals in order to strengthen clinical governance. In the National Health Service, the Knowledge and Skills Framework is suggested as a tool for revalidation, the implications of which are discussed. Occupational therapists should no longer take trust for granted, but neither is it something that can be managed entirely by legislation. Rather, occupational therapists have both a personal and a collective responsibility to re-forge public trust.
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