GMC Overview Professor Sir Peter Rubin What we

GMC Overview Professor Sir Peter Rubin

What we are An independent medical regulator Edinburgh Belfast Our statutory duty is to “protect, promote and maintain the health and safety of the public” Manchester Cardiff London

What we do Education Register Standards Fitness to Practise

GMC Guidance

GMC staff: 617

What we spent in 2010: £ 90. 1 million

GMC in numbers 239, 300 Doctors on the Medical Register 228, 787 Calls to the GMC contact centre (approx 900 a day) 79311 Fax, letter and email enquiries 6, 832, 691 Visits to GMC website and LRMP online

What are our big challenges? • • Revalidation Consequences of EU Directives Ensuring the independence of adjudication Co-ordinating all stages of medical education following merger with PMETB • Delivering value for money • Communicating effectively with the medical profession

Revalidation What is revalidation? Confirm doctor is up to date and fit to practise Renewal of licence When will it start? Autumn 2012

Revalidation – why?

Revalidation n Generic standards of practice set by the GMC n Specialist knowledge n and skills set by GMC with guidance on how to meet those standards provided by the Colleges n Annual appraisal Multi source feedback once or twice in 5 years

Revalidation n Positive affirmation of a doctor’s fitness to practise by a Responsible Officer n The final decision on whether or not to revalidate any doctor remains with the GMC

Revalidation What are the challenges? n It’s got to be simple but effective n Early identification and remediation of problems – not a once in 5 years event

EU issues 1. Language assessment. Main legal impediment to the GMC ensuring language competence is domestic rather than European. 2. Fitness to practise information. There is no legal duty on regulators to proactively share information about doctors who are unfit to practise. 3. Medical Education. Mutual recognition of professional qualifications focuses on duration of training rather than its content, quality and outcomes.

Fitness to Practise 2010

Fitness to Practise 2010 Warning 188 7153 complaints 226699 doctors in practice 2066 GMC investigations 1474 to employer Advice 459 No action 497 3613 Conditions not GMC 107 314 hearings 239 erased/ suspended

Fitness to Practise Panel Appeals 2006 - 2010

Education • Realise savings following merger with PMETB • Consolidate quality visits and oversight • Develop greater coherence between the various stages of education and training • Develop smarter data bases • Improve engagement with students and doctors in training

Education - undergraduate • Ensure implementation of Tomorrow’s Doctors • Keep student registration under review

Education - postgraduate • Ensure coherence, clarity and fitness for purpose of curricula and assessments • Ensure training environments are fit for purpose Training v Experience

Education: what defines a doctor? • Synthesise conflicting and incomplete information • Deal with uncertainty • Manage risk • Accept ultimate responsibility for their actions

GMC Overview Professor Sir Peter Rubin