Job: Senior Decision Maker: Fitness to practise, General Medical Council

14 February 2019
Salary £70,715 – £76,365 (pro-rata)
Closes 06 Mar 2019

Home based (requirements to travel to Manchester Head Office)

The General Medical Council (GMC) sets the standards for medical students and doctors across the UK. We support them to achieve and exceed those standards, with the aim of improving medical education and practice. We protect patients by taking appropriate action when these standards aren’t met.

Offering an excellent salary and benefits, this unique part-time role is an opportunity to join a diverse team of medical and lay case examiners. As a senior member of the fitness to practise team, your main responsibility will be to agree the outcome of an investigation with a lay colleague. In reaching a decision, you will use your medical knowledge and experience, communication, listening and analytical skills. The role will provide a valuable insight into work of the GMC, and the fairness of the investigation process. The experience of working in this role will provide a rich source of material for your personal development and appraisal.

You will be on the GP or specialist register in a general medical speciality, will hold a licence to practise and will maintain clinical commitments outside the GMC.

Previous experience of medico legal or tribunal work may be an advantage but is not essential, as comprehensive training and support will be provided.

The role is home based, but you will need to attend team and other occasional meetings in the Manchester or London offices. The initial training period will involve regular attendance at a GMC office, predominantly in Manchester.

Consultation: GMC Consent guidance

26 November 2018

We’re consulting on our revised Consent guidance which outlines what doctors should consider when discussing treatment and care with patients. 

The updated guidance focuses on the importance of communication, personalised conversations, and doctors and patients making decisions about treatment and care together.

We’ve restructured it and made it clearer, so it’s easier for doctors to apply in practice. And we’ve provided more advice, including steps to follow when making decisions in different circumstances.

The guidance reflects the law, policy and healthcare settings in all four countries of the UK.

Tell us what matters to you

The consultation is open until Wednesday 23 January 2019 and there are several ways you can take part.

Accessing the consultation in other languages and formats

We can provide paper copies and other formats (such as large print) on request. The consultation documents are also available in Welsh.

Please email for further details.


If you have any questions about the review or consultation please contact our Consent review team on or 020 7189 5404.

If you’d like to submit a consultation response in hardcopy please send it to: Consent Review Team, General Medical Council, 350 Euston Road, London NW1 3JN.

What have we done so far?

We’ve gathered evidence through our own and commissioned research as well as engagement, to understand what issues to address.

We’ve worked with our Task and Finish group who provided expert input from a legal, medical, health, social care and patient perspective to review the evidence.

We’ve now redrafted our guidance to:

  • focus on how doctors can support patient decision making and involve patients in decisions about their care as far as possible
  • focus on the importance of doctors finding out what is meaningful for their patients and helping them explore the different options
  • include practical suggestions and examples to explain how the principles apply
  • make it more accessible by referring less to the law and more to the principles on which the law is based.

Why are we updating the guidance?

Good consent practice is at the heart of the doctor-patient relationship, but we know it’s sometimes challenging to get this right. Our guidance sets out good practice principles for making decisions about care, from the treatment of minor conditions to major interventions with significant risks or side effects.

Since it was last published in 2008, there have been shifts in the legal, policy and workplace environments. Doctors are telling us that increasing pressures and demands on their practice can make it difficult to seek and record a patient’s consent in line with our guidance and the law.

We want to support doctors and patients to have meaningful conversations and to make shared decisions. Therefore we have updated the guidance to ensure that it is still clear and helpful, relevant to doctors’ needs, and consistent with the law.

We want the final guidance to be shaped by doctors on the medical front line, patients, and healthcare organisations. It’s therefore vital that we hear as many views as possible.

News: GMC launches new guidance on end of life treatment and care

25 May 2010

The GMC has launched its new guidance Treatment and care towards the end of life: good practice in decision making. It is also available in pdf format. The guidance comes into effect on 1 July 2010 and replaces the booklet Withholding and withdrawing life-prolonging treatments: Good practice in decision-making (2002).

The GMC writes: “The key purpose of the guidance is to help doctors navigate the complex issues often raised in such a complicated and sensitive area of health care. To ensure the delivery of good medical practice across the UK, it is important all doctors familiarise themselves with the guidance. It may also prove useful for other health care professionals, patients and carers.

Equality, dignity and respect for the individual are key themes in the guidance and it emphasises that improving communication between doctors, patients, family and carers and the healthcare team is vital to providing good care towards the end of life. Important additions to the new guidance include:

  • Advice on advance care planning and responding to requests for treatment
  • Handling decisions involving neonatal and infant care
  • Approaching discussions about organ and tissue donation
  • Doctors’ responsibilities to the patient after death
  • Making decisions on clinically assisted nutrition and hydration

The guidance is the outcome of a two-year development period which included consultation with a wide range of individuals and organisations with an invested interest in end of life care including doctors, charities, medical organisations, major world faiths, patients with life limiting or terminal illness and their families and carers.  This input has helped shape the advice we have published.”

News: GMC announces new guidance on Confidentiality

28 September 2009

“New guidance on doctors’ obligations to maintain patient confidentiality is launched today. Confidentiality (2009) sets out the principles of confidentiality and respect for patients’ privacy that doctors are expected to understand and follow.

The new guidance comes into effect on 12 October 2009 when it will replace Confidentiality: Protecting and providing information (2004) and the accompanying Frequently Asked Questions.”

Consultation: GMC End of life treatment and care guidance

16 June 2009

The General Medical Council is consulting on draft guidance entitled End of life treatment and care: Good practice in decision-making. The consultation closes on 13 July 2009. You can listen to the talks given at a consultative conference and an interview with the Chair of the GMC’s End of Life Care Working Group, Lady Christine Eames. When approved, the new guidance will replace the 2002 guidance entitled Withholding and Withdrawing Life-Prolonging Treatments, which was challenged (albeit eventually unsuccessfully) in the Lesley Burke case.

GMC Consultation: new End of Life guidance

29 March 2009

The General Medical Council has launched a consultation on new draft guidance, End of life treatment and care: Good practice in decision-making. The consultation runs until 13 July 2009, and is open to anyone with an interest in the issues covered by the guidance.