1. Mr Abiodun Fakokunde FWACS MRCOG Cons. Obs. and Gynae. & Clinical Lead Women’s Health North Middlesex University Hospital, London MANSAG Rep at the GMC/BME Forum

2.  Why involve BME  Who are the BME forum members  What can we do  What have we done  Conclusion

3.  BME doctors are disproportionately represented at the GMC good medical practice issues  Raised fundamental issues: ◦ Are we poorly trained or clinically less competent? ◦ Are we not conversant with the law and custom? ◦ Is it Institutional racism or ethnic biased? ◦ Can we improve ourselves by working with the system? ◦ Is the system ready to engage with us to address the issue?

4. Place of qualificati on Number of Doctors High Impact decision Relative Odds (RO) further investigatio n RO for Referral for further Adjudicatio n RR for Erasure or suspensio n UK470230%111 Outside UK but within EU 62443%1.672.142.16 Outside EU 219046%1.611.681.48 Total7526 cases BMJ 2011: Humphrey, Hickman, Guilford

5.  Slowther et al in the Royal Society of Med Publication 2012 105(4) – concluded from their survey on Experience of non UK qualified doctors within the UK registration framework – a qualitative study: “Provision of information and education resources before registration, together with in- practice support would help to develop a more effective understanding of the GMC good medical practice code and its implication for medical practice in the UK”

6. Allegation category Asian or Asian British Black or Black British MixedOther Ethnic group Total allegations Clinical Care1107 (49%)226 (46%)95 (49%)167 (46%)1595 Probity417 (18%)123 (25%)28 (14.5%)79 (21%)647 Relationship with Pts 446 (20%)73 (15%)43 (22%)79 (21%)641 Working wt colleagues 115 (5%)56 (11%)17(8%)21 (5%)199 Health64146993 Maintaining Good Med Practice 6073373 Teaching and Supervision 720211 Compliance wt GMC Inv 70018 Total2223 (68%)491 (15%)192 (6%)361 (11%)3267

7.  Need to find a common front on why and how to reduce the discrepancy  Need to engage the BME on finding solutions to current issues with regards to medical practice in the UK  Need to tailor training to needs of each ethnic group with regards to FtP and GMP issues  Regular meetings for the last 3years ◦ 2x a year between GMC and BME representatives

8.  BMA Equality and Diversity Committee  British International Doctors Association  British association of Physicians of Indian Origin  African-Caribbean Medical Society  All British Pakistani and Physician association  British Asian Medical association  British International Doctors’ Association  Egyptian Medical Society  MANSAG  Indian Medical association  Medical Institute of Tamils  Sri-Lankan Medical and Dental Association in the UK  Muslim Doctors and Dentist Association  Christian Medical Fellowship  British Arab Medical Association  BMA – Equality and Diversity Committee and SAS Committee

9.  Engaging our membership with GMC rules and Consultation process ◦ Appraisal ◦ Revalidation ◦ Fitness to Practice panels ◦ Formation of Opinion leaders resource base  Organising seminar and conferences on current issues within the GMC Good Medical Practice  Inductions programme following passing PLAB or gaining GMC registration

10.  MANSAG has been represented at the forum since inception – A Fakokunde, E Okirie and D Anumba  Suggestions and Consultation facilitated by MANSAG on current issues ◦ Consultation on recruitment into Fitness to Practice panels ◦ Consultation on the future of adjudication and setting up of Medical Practitioners Tribunal Service ◦ Reform of the FtP procedures at the GMC ◦ Good management Practice – guidance for doctors ◦ Reviewing the PLAB test  Seminar on current issues in GMC as in the programme today

11.  Practicing outside one’s country of qualification is associated with a lot of challenges  Culture and Perception are different  Adaptation to local custom is important to achieve success  Working within the frame work of the GMC needs continuous update for our members  MANSAG needs to form a core base of Opinion leaders among our members to support the GMC work- ◦ names can be submitted to Andrea Callendar Head of Diversity division of the GMC  Continuous dialogue and participation in consultation exercise should be encouraged by MANSAG executives