Description/Overview: This symposium seeks to explore the interface between professional regulation, governance and competence to practise, particularly in relation to performance of competence, and to identify whether public safety can be assured through performance of competence (perhaps something of a holy grail), or awareness of competence, or indeed incompetence. Previous research has identified that the three common indicators of competence agreed by nurses and regulators alike are Continuing Professional Development (CPD), hours of practice and self-assessment against the competencies. However if these three indicators were a guarantee of competence, then arguably no-one would present as a notification for lack of competence, because all registrants are required to meet these criteria for registration renewal or recertification. The researchers therefore believe that there is a missing thread that is in reality competence awareness or insight. Insight has been demonstrated to be the deciding factor for adjudicating bodies in relation to deregistration (Adrian & Chiarella, 2010; Vernon, et al., 2010; Vernon, 2013). Thus the questions that remain unanswered are; can insight be identified, measured and assured, and is this preferable to the measurement of competence in clinical performance at a given point of time, or in relation to the current requirements for registration, or renewal of registration / licensure / certification? The three presentations delivered in this symposium will seek to explore and elucidate the following questions with the audience: 1. What is the relationship, if any between CPD, recency of practice and performance competence? 2. Would remediation provide any guarantee of performance competence? 3. Is there any relationship between awareness/insight of competence and performance competence? 4. How are decisions made in relation to continuing registration, sanctions or deregistration when performance competence is the subject of notification and adjudication?