1. Supporting Students Through Fitness to Practise Hisham Khalil and Liz Hellier Students matter Conference 17 April, 2018

2. Fitness to Practise workshop
Regulators’ guidance
Faculty policies
Examples of FTP Issues
FTP Scenarios (small group activity)
Summary

3. Nursing & Midwifery Council (NMC)
Prioritise people
Practise effectively
Preserve Safety
Promote professionalism and trust

4. Health Care Professions Council
Promote and protect the interests of service users and carers
Communicate appropriately and effectively
Work within the limits of your knowledge and skills
Delegate appropriately
Respect confidentiality
Manage risk
Report concerns about safety
Be open when things go wrong
Be honest and trustworthy
Keep records

5. General Optical Council
Listen to patients
Communicate effectively with your patients
Obtain valid consent
Show care and compassion for your patients
Keep your knowledge and skills up to date
Recognise, and work within, your limits of competence
Conduct appropriate assessments, examinations, treatments and referrals
Maintain adequate patient records
Ensure that supervision is undertaken appropriately and complies with the law
Work collaboratively with colleagues
Protect and safeguard patients, colleagues and others from harm
Ensure a safe environment for your patients
Show respect and fairness to others and do not discriminate
Maintain confidentiality and respect your patients’ privacy
Maintain appropriate boundaries with others
Be honest and trustworthy
Do not damage the reputation of your profession through your conduct
Respond to complaints effectively
Be candid when things have gone wrong

6. Faculty of Health and Human Sciences Fitness to Practice Procedure for Students
Students are fit to practise and adhere to codes of conduct mandated by regulatory professions ‘Good health and good character’ Informal Stage Stage 1 Stage 2 (Appeal to Dean) Stage 3

7. Examples of FTP Issues Mental/physical health
Falsification of records/timesheets/expenses
Poor attendance and engagement
Unprofessional behavior
Inappropriate use of Social media
Harassment/bullying
Academic misconduct. e.g Plagiarism
Health issues; failure to disclose/engage with treatment
Criminal behavior - conviction, caution or reprimand
Drug or alcohol misuse
Aggressive, violent or threatening behaviour
Failure to disclose
Confounding factors?
Mental/physical health
Breakdown of relationship with mentor

10. Fitness to Practise
oduction/document/path/8/8906/PUPS MD_Fitness_to_Practise_Policy_and_Proc edure.pdf

11. Fitness to Practise Clinical practise Conduct and Professionalism
Health
Stage I: Emerging concerns
Stage II: Ongoing Concerns
Stage III: Urgent Concerns

12. Examples of Fitness to Practise Issues
Health issues; failure to disclose/engage with treatment
Criminal conviction, caution or reprimand
Drug or alcohol misuse
Aggressive, violent or threatening behaviour
Failure to disclose

13. Examples of Fitness to Practise Issues
Poor attendance and engagement
Persistent poor professionalism
Probity e.g. signing for someone when not there, forging an entry in an assessment
Unprofessional behaviour outside school/clinical placements
Harassment
Academic misconduct. e.g Plagiarism

14. Examples of Disclosures to Regulators

15. Medical student disclosure to the GMC
7144 applications received for provisional registration in 2017, of which 938 included disclosure of one or more fitness to practise issues (13% of the total);
Of the 938 disclosures, 203 applications were referred to the GMC Registration Investigation Team;
In 2017, the GMC refused provisional registration to 7 applicants (from the original 7144 applications)

16. Medical student disclosure to the GMC
Source:
Fitness to practise matters that UK medical graduates declared to the GMC 2017

17. The Role of the Investigator

18. The Investigator
Awareness for FTP gidance by regulators and Faculty FTP policy
No conflict of interest
Impartiality
Report writing

19. FTP- Scenarios-Small groups

20. Case Study I (FHHS)

21. Case Study II (FMD)

22. Summary