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GMC to investigate fitness to practice referrals

It wants to understand why some doctors are referred for fitness to practise issues more than others

Mark Gould

Monday, 23 April 2018

The GMC has commissioned a major project to better understand why some doctors, particularly from black and minority ethnic (BME) groups are referred to the regulator for fitness to practise issues more than others.

The work will be led by Roger Kline, a research fellow at Middlesex University Business School and Dr Doyin Atewologun, a faculty member at Queen Mary University of London’s School of Business and Management and an expert in work psychology, diversity and leadership.

Mr Kline, who was formerly NHS England’s joint director for Workforce Race Equality Standard Research and Engagement, has previously published a wide range of work on workforce diversity in healthcare.

Dr Atewologun was an academic adviser to the Parker Review on the ethnic diversity of UK Boards and has recently co-published a review of unconscious bias training for the Equality and Human Rights Commission (EHRC).

Their research will enable the GMC to work with clinical leaders to properly develop supportive and open workplaces, where doctors’ interactions with the GMC, and their processes, are appropriate and fair.

Although previous studies have found that the GMC’s processes do not introduce disproportionality in investigations into doctors, research has not yet established deeper reasons behind why certain groups of doctors are referred to the GMC by their employers more often. The work will cover all four countries in the UK and cover a broad range of types of employers.

GMC chief executive Charlie Massey, said: "Audits have consistently found that our fitness to practise processes and guidance are fair and consistent and do not introduce bias.

"But we do know that there is an overrepresentation of BME doctors that have been complained about and we want to know more about what is driving this, as well as whether there is an under representation of other doctors. That is why we are intensifying our efforts to understand better this issue through more detailed research, analysis and advice.

"This research will allow us to work more closely with clinical leaders to properly develop supportive and open workplaces, where doctors’ interactions with the GMC, and with processes owned by the GMC, are appropriate and fair."

The research has also been welcomed by NHS Employers chief executive Danny Mortimer. He said: "It’s important we can better understand why there are a disproportionate number of black, Asian and minority ethnic doctors who are subject to fitness to practise referrals.

"Whilst the work will look at what improvements can be made by the regulator, there will be important learning that can be applied by employers as well."

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