The General Medical Council (GMC) has published new guidance aimed at ensuring greater clarity and consistency in handling fitness to practise concerns. This updated framework, effective from Friday, 30 May, will help case examiners and key decision makers assess whether concerns about a doctor indicate a risk to public protection. The framework focuses on three key questions:
  • Seriousness of the concern – Factors like repeated behaviour, abuse of position, or involvement of vulnerable individuals can increase the severity.
  • Impact of relevant context – Considerations such as the doctor’s working environment or personal circumstances.
  • Doctor’s response – Whether they have shown insight and remediation.
While the thresholds for fitness to practise concerns remain unchanged, this marks the first time a single set of core principles will be applied across all GMC fitness to practise decision makers. The guidance also aligns decisions about doctors with those concerning physician associates and anaesthesia associates. This update follows last year’s introduction of guidance on concerns related to violence and dishonesty, which provided decision makers with more discretion on lower-risk cases.
UK Fitness to Practise News

Anthony Omo, General Counsel and Director of Fitness to Practise at the General Medical Council, said:

‘Protecting the public is at the heart of what we do. This new and updated guidance will make it easier for our case examiners and decision makers to apply our principles fairly and consistently, while at the same time maintaining patient safety.

‘And by being transparent about our approach we are making it easier for doctors, complainants and the public to understand how we assess concerns and reach decisions about a doctor’s fitness to practise.

‘This work reinforces our ongoing commitment to deliver a fitness to practise process that is fair, flexible and compassionate, as well as effective.’

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