When things overall get worse, as usually happens, they have a new monitoring system in place which measures something previously unmeasured which they interpret as showing improvement.

Specifically, once a system of recurrent re-accreditation is in place – then medicine ceases (has ceased) to be a profession. Managers hate professions, because (when real) they cannot be managed.

On the other hand, professions (including guilds) are the only system that we know (from centuries of experience) can train and maintain professional ethics and skills against pressures of expediency and dishonesty.

But, as I say – all this is in the past…