“…While there is limited evidence on the extent to which the Core Competencies are applied by individual services, and whilst there is some concern that emphasis on competencies reflects the malign influence of managerialism and may divert CES from the primary goal of moral inquiry towards more institutional or bureaucratic goals (King, 1999;Bishop, Fanning, and Bliton, 2009), there is little doubt that debate about the competencies of CES has had a significant impact on the establishment of standards for CES services (Adams, 2009;Bishop, Fanning, and Bliton, 2009). A parallel development to developing practice standards to enhance quality has been the push to professionalise clinical ethics expertise (Tarzian, 2009;Childs, 2009;Frolic and PHEEP Steering Committee, 2012;Acres et al, 2012;Reel, 2012). For some, professionalization is not only necessary and desirable but also inevitable given the increasing emphasis on standards, quality and accountability, concerns about medical liability and the emergence of the patient safety movement (Acres et al, 2012).…”