109-645: The United Examining Board was formed in 1993 to administer non-university qualifying examinations in medicine and surgery. The diplomas offered by the United Examining Board were registerable with the General Medical Council in order to register as a medical practitioner in the United Kingdom , and an individual who had passed the examination could become a Pre-registration house officer . The qualifications offered by
218-539: A Written Ministerial Statement in the Justice section entitled 'Health Care Workers, Social Workers and Social Care Workers' in which he said: I have today laid before Parliament a Command Paper, "Enabling Excellence-Autonomy and Accountability for Healthcare Workers, Social Workers and Social Care Workers" (Cm 8008) setting out the Government's proposals for how the system for regulating health care workers across
327-453: A medical malpractice lawsuit ). The outcomes of hearings are made available on the GMC website. Historically the handling of concerns had two streams: one regarding health, the other about conduct or ability, but these streams have been merged, into a single fitness-to-practice process. The GMC has powers to issue advice or warnings to doctors, accept undertakings from them, or refer them to
436-527: A registered charity in 2001. The Medical Act 1858 established the General Council of Medical Education and Registration of the United Kingdom as a statutory body. Initially its members were elected by the members of the profession, and enjoyed widespread confidence from the profession. All the GMC's functions derive from a statutory requirement for the establishment and maintenance of
545-430: A "backdoor into medicine". The United Examining Board was dissolved in 2007. This United Kingdom university, college or other education institution article is a stub . You can help Misplaced Pages by expanding it . General Medical Council The General Medical Council ( GMC ) is a public body that maintains the official register of medical practitioners within the United Kingdom . Its chief responsibility
654-420: A Hung Parliament, the party with the most seats has the opportunity to form a coalition with other parties, so their combined seat tally extends past the 326-seat majority. The House of Commons is the most powerful of the components of Parliament, particularly due to its sole right to determine taxation and the supply of money to the government. Additionally, the prime minister and leader of the government sits in
763-479: A UK medical school for one of two reasons; the first being those who had failed to obtain their primary medical qualification equivalent to a Bachelor of Medicine and Surgery ; and the second being that students were allowed to sit these exams, or their precursors, before they were able to take the degrees from their own universities and so sitting this exam could mean earlier GMC registration and therefore enabled them to earn money sooner. They were criticized as being
872-562: A bill may only delay its passage for a maximum of two parliamentary sessions over a year. After this, the bill may receive royal assent and become law without the Lords' consent. Like in the House of Commons, the House of Lords may scrutinise governments through asking questions to government ministers that sit in the Lords and through the operation of a small number of select committees . The Lords used to also exercise judicial power and acted as
981-462: A career in medicine until the point that they retire. The merger, which took effect on 1 April 2010, was welcomed by both PMETB and the GMC. A registered medical practitioner may be referred to the GMC if there are doubts about their fitness to practise. The GMC is concerned with ensuring that doctors are safe to practise . Its role is not, for example, to fine doctors or to compensate patients following problems (compensation might be addressed through
1090-467: A court of law any charge rendered for medical advice, attendance or surgery unless he is registered. Section 47 provides that only those registered can act as physicians, surgeons or medical officers in any NHS hospital, prison, in the armed forces or other public institutions. Section 48 invalidates certificates, such as sick notes or prescriptions, if signed by someone who is unregistered. Section 49 imposes penalties via criminal offences for pretending to be
1199-489: A fitness-to-practise panel. The GMC's fitness-to-practise panels can accept undertakings from a doctor, issue warnings, impose conditions on a doctor's practice, suspend a doctor, or remove them from the medical register (when they are said to be 'struck off'). It has been repeatedly established that the GMC's fitness to practise processes disproportionately affects non-white doctors. Black and ethnic minority doctors are complained about more, investigated more frequently, issued
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#17327727378551308-467: A medical emergency to alert other road users to their presence and intentions. They can also make a doctor's car more visible if they have stopped at an accident scene. They do not confer exemptions to road traffic legislations. Since 2001, the GMC's fitness-to-practise decisions have been subject to review by the Council for Healthcare Regulatory Excellence (CHRE), which may vary sentences. The GMC
1417-526: A new election will be held. Parliaments can also be dissolved if two-thirds of the House of Commons votes for an early election. Formerly, the demise of the Sovereign automatically brought a Parliament to an end, the Crown being seen as the caput, principium, et finis (beginning, basis and end) of the body, but this is no longer the case. The first change was during the reign of William and Mary, when it
1526-540: A period of work in the UK. Limited registration was abolished on 19 October 2007 and now international medical graduates can apply for provisional or full registration depending on their level of experience – they still have to meet the GMC's requirement for knowledge and skills and for English language. The form and content of the register is specified in The General Medical Council (Form and Content of
1635-534: A presumption that a Parliament will last for five years, unless two thirds of the House of Commons votes for an early general election, or the government loses the confidence of the House. This was repealed by the Dissolution and Calling of Parliament Act 2022 , which restored the ability for the government to call an early election while keeping five year terms. Summary history of terms of the Parliament of
1744-571: A register, which is the definitive list of doctors as provisionally or fully "registered medical practitioners", within the public sector in Britain. The GMC controls entry to the List of Registered Medical Practitioners ("the medical register"). The Medical Act 1983 (amended) notes that, "The main objective of the General Council in exercising their functions is to protect, promote and maintain
1853-476: A registered medical practitioner. Through which, by an Order in the Privy Council , the GMC describes "The main objective of the General Council in exercising their functions is to protect, promote and maintain the health and safety of the public". The GMC is funded by annual fees required from those wishing to remain registered and fees for examinations. Fees for registration have risen significantly in
1962-571: A revolutionary unicameral parliament for the independent Irish Republic, called Dáil Éireann . In 1920, in parallel to the Dáil, the Government of Ireland Act 1920 created home rule parliaments of Northern Ireland and Southern Ireland and reduced the representation of both parts at Westminster. The number of Northern Ireland seats was increased again after the introduction of direct rule in 1973. The Irish republicans responded by declaring
2071-481: A ruling on the 18th of June 2021 by a UK court for the first time found the GMC guilty of racial discrimination in its disciplinary procedures. The mortality and morbidity among doctors going through GMC procedures has attracted attention. In 2003/4 between 4 and 5% of doctors undergoing fitness to practice scrutiny died. In response to a request for information in accordance with the Freedom of Information Act 2000 ,
2180-519: A single organization. A forthcoming reform to medical registration is the introduction of revalidation of doctors, more similar to the periodic process common in American states, in which the professional is expected to prove his or her professional development and skills. Revalidation is scheduled to start in 2012. On 16 February 2011, the Secretary of State for Health , Andrew Lansley , made
2289-610: A tie. Both Houses normally conduct their business in public, and there are galleries where visitors may sit. Originally there was no fixed limit on the length of a Parliament, but the Triennial Act 1694 set the maximum duration at three years. As the frequent elections were deemed inconvenient, the Septennial Act 1715 extended the maximum to seven years, but the Parliament Act 1911 reduced it to five. During
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#17327727378552398-523: A warning on "over-regulation" Dr Clare Gerada , a former chair of the Royal College of General Practitioners , commented: We already spend up to one billion pounds regulating doctors. We are one of the most over-regulated professions around and there will always be people who fall through. If we pile on more and more regulation, we will never win. Following the suicide of Professor John E Davies from Guy's Hospital, London , HM Senior Coroner for
2507-665: Is also accountable to the Parliament of the United Kingdom through the Health Select Committee . In its first report on the GMC, the Committee described the GMC as "a high-performing medical regulator", but called for some changes to fitness-to-practice rules and practices, including allowing the GMC the right to appeal sentences of its panels. In the 2000s, the GMC implemented wide-ranging reforms of its organisation and procedures. In part, such moves followed
2616-558: Is chosen by a single constituency by the First-Past-the-Post electoral system. There are 650 constituencies in the United Kingdom, each made up of an average of 65,925 voters. The First-Past-the-Post system means that every constituency elects one MP each (except the constituency of the Speaker, whose seat is uncontested). Each voter assigns one vote for one candidate, and the candidate with the most votes in each constituency
2725-429: Is committed only when such a person deliberately and falsely represents himself as being a registered practitioner or as having a medical qualification. The rationale of the criminal law is that people should be free to opt for any form of advice or treatment, however bizarre... Registration with the GMC confers a number of privileges and duties. GMC registration may be either provisional or full. Provisional registration
2834-565: Is dissolved by virtue of the Dissolution and Calling of Parliament Act 2022 and previously the Fixed-term Parliaments Act 2011 . Prior to that, dissolution was effected by the Sovereign, always on the advice of the Prime Minister. The Prime Minister could seek dissolution at a time politically advantageous to their party. If the Prime Minister loses the support of the House of Commons, Parliament will dissolve and
2943-403: Is elected as MP to represent their constituency. Members sit for a maximum of five years, although elections are generally called before that maximum limit is reached. A party needs to win 326 constituencies (known as "seats") to win a majority in the House of Commons. If no party achieves a majority, then a situation of no overall control occurs – commonly known as a "Hung Parliament". In case of
3052-676: Is eligible from 2015 to 2025 under the Lords Spiritual (Women) Act 2015 . Formerly, the Lords Spiritual included all of the senior clergymen of the Church of England—archbishops, bishops, abbots and mitred priors. The Lords Temporal consists of 92 hereditary peers and all life peers appointed under the Life Peerages Act 1958 (currently numbering around 700). Two hereditary peers sit ex officio by virtue of being
3161-522: Is granted to those who have completed medical school and enter their first year (F1) of medical training; this may be converted into full registration upon satisfactory completion of the first year of postgraduate training. In the past, a third type of registration ("limited registration") was granted to doctors who had graduated outside the UK and who had completed the Professional and Linguistic Assessment Board examination but who were yet to complete
3270-707: Is held in the House of Lords Chamber. Before 2012, it took place in November or December, or, in a general election year, when the new Parliament first assembled. From 2012 onwards, the ceremony has taken place in May or June. Upon the signal of the Monarch, the Lord Great Chamberlain raises their wand of office to signal to Black Rod , who is charged with summoning the House of Commons and has been waiting in
3379-475: Is in contrast with the position in respect of animals, where it is a criminal offence under the Veterinary Surgeons Act 1966 for someone who is not a registered veterinary surgeon (or in certain more limited circumstances a registered veterinary nurse) to provide treatment (save in an emergency) to an animal they do not own. Parliament , since the enactment of the 1858 Act, has conferred on
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3488-470: Is stopping the political system from evolving within the UK and hampering modernisation. The Lords Spiritual of the Lords' currently consists of the archbishops of Canterbury and York , the bishops of London , Durham and Winchester (who sit by right regardless of seniority) and 21 other diocesan bishops of the Church of England , ranked in order of consecration , subject to women being preferred if one
3597-503: Is to "protect, promote and maintain the health and safety of the public" by controlling entry to the register, and suspending or removing members when necessary. It also sets the standards for medical schools in the UK. Membership of the register confers substantial privileges under Part VI of the Medical Act 1983. It is a criminal offence to make a false claim of membership. The GMC is supported by fees paid by its members, and it became
3706-525: The Council for Healthcare Regulatory Excellence was created instead to share best practice. Sir Liam said the CHRE had been "reasonably successful" but it would be "worth looking at the possibility of a merger" between the GMC and NMC. Concern has resulted from several studies that suggest that the GMC's handling of complaints appears to differ depending on race or overseas qualifications, but it has been argued that this might be due to indirect factors. However
3815-793: The Crown Dependencies and the British Overseas Territories . It meets at the Palace of Westminster in London . Parliament possesses legislative supremacy and thereby holds ultimate power over all other political bodies in the United Kingdom and the Overseas Territories. While Parliament is bicameral , it has three parts: the sovereign , the House of Lords , and the House of Commons . The three parts acting together to legislate may be described as
3924-534: The Earl Marshal or the Lord Great Chamberlain . Each of the other 90 are elected for life upon a seat becoming vacant. 15 members are elected by the whole House whilst the other 75 are elected by all the hereditary peers , including those not sitting in the Lords. Currently, a standing rule divides these seats between the parties with a replacement peer from one party subject to an election only by peers of that party. Formerly, all hereditary peers were members of
4033-551: The English Civil War . The wars established the constitutional rights of Parliament, a concept legally established in the Glorious Revolution in 1688 and the subsequent Bill of Rights 1689 . Since then, no British monarch has entered the House of Commons when it is in session. On Black Rod's approach, the doors are slammed shut against them, symbolising the rights of parliament and its independence from
4142-507: The King-in-Parliament . The Crown normally acts on the advice of the prime minister , and the powers of the House of Lords are limited to only delaying legislation. The House of Commons is the elected lower chamber of Parliament, with elections to 650 single-member constituencies held at least every five years under the first-past-the-post system . By constitutional convention , all government ministers , including
4251-443: The Parliament of England (established 1215) and the Parliament of Scotland ( c. 1235 ), both Acts of Union stating, "That the United Kingdom of Great Britain be represented by one and the same Parliament to be styled The Parliament of Great Britain." At the start of the 19th century, Parliament was further enlarged by Acts of Union ratified by the Parliament of Great Britain and the Parliament of Ireland , which abolished
4360-666: The Reform Act 1832 , the electoral system for the House of Commons was progressively regularised. No longer dependent on the Lords for their seats, MPs grew more assertive. The supremacy of the British House of Commons was reaffirmed in the early 20th century. In 1909, the Commons passed the " People's Budget ", which made numerous changes to the taxation system which were detrimental to wealthy landowners. The House of Lords, which consisted mostly of powerful landowners, rejected
4469-507: The Second World War , the term was temporarily extended to ten years by Acts of Parliament. Since the end of the war the maximum has remained five years. Modern Parliaments, however, rarely continued for the maximum duration; normally, they were dissolved earlier. For instance, the 52nd , which assembled in 1997, was dissolved after four years. The Septennial Act was repealed by the Fixed-term Parliaments Act 2011 , which established
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4578-447: The UK's supreme legislative court . Appeals were not heard by the whole body, but a committee of senior judges that were appointed to the Lords to act for this purpose. This power was lost when it was transferred to the newly created Supreme Court of the United Kingdom in 2009. Many members of the general public have questioned the need for The House of Lords in today's society. They say it
4687-709: The Budget. On the basis of the Budget's popularity and the Lords' consequent unpopularity, the Liberal Party narrowly won two general elections in 1910. Using the result as a mandate, the Liberal Prime Minister, H. H. Asquith , introduced the Parliament Bill, which sought to restrict the powers of the House of Lords. (He did not reintroduce the land tax provision of the People's Budget.) When
4796-581: The Commons lobby. Black Rod turns and, under the escort of the Door-keeper of the House of Lords and an inspector of police , approaches the doors to the Chamber of the Commons. In 1642, King Charles I stormed into the House of Commons in an unsuccessful attempt to arrest the Five Members , who included the celebrated English patriot and leading Parliamentarian John Hampden . This action sparked
4905-586: The Commons—or "Content!" and "Not-Content!" in the Lords—and the presiding officer declares the result. The pronouncement of either Speaker may be challenged, and a recorded vote (known as a division ) demanded. (The Speaker of the House of Commons may choose to overrule a frivolous request for a division, but the Lord Speaker does not have that power.) In each House, a division requires members to file into one of
5014-517: The Crown. After the pro forma bill is introduced, each House debates the content of the Speech from the Throne for several days. Once each House formally sends its reply to the Speech, legislative business may commence, appointing committees, electing officers, passing resolutions and considering legislation. A session of Parliament is brought to an end by a prorogation . There is a ceremony similar to
5123-412: The GMC and I had clear-cut evidence that I was innocent but they withheld evidence during my fitness-to-practice tribunal in 2018. It is a landmark victory and the first time it has ever been done against the GMC. They basically look at your name and where you are from and they decide the case beforehand based on that — it is pretty shocking, to be honest. My background was the only difference between me and
5232-745: The GMC powers to grant various legal benefits and responsibilities to those medical practitioners who are registered with the GMC - a public body and association, as described, of the Medical Act 1983 , by Mr Justice Burnett in British Medical Association v General Medical Council. Registration brings with it the privileges, as they are described, set out in Part 6 of the Act. In reality, they comprise prohibitions for all those not registered. Section 46 prohibits any person from recovering in
5341-506: The GMC revealed that 68 doctors had died recently whilst undergoing a fitness to practice investigation, In an internal report, "Doctors Who Commit Suicide While Under GMC Fitness to Practise Investigation", the GMC identified 114 doctors, with a median age of 45, who had died during the previous nine years, and had an open and disclosed GMC case at the time of death, and in which 28 had committed (24) or attempted (4) suicide and recommended 'emotional resilience' training for doctors. In
5450-630: The Government will revisit the issue of consolidating the sector into a more cost-effective configuration. Sir Liam Donaldson , a former chief medical officer had recently told the Mid Staffordshire Foundation Trust public inquiry that he had been involved in discussions about the Nursing and Midwifery Council merging with the General Medical Council, but proponents had "backed off" from the idea and
5559-724: The House of Lords, the bill is called the Select Vestries Bill , while the Commons equivalent is the Outlawries Bill . The Bills are considered for the sake of form only, and do not make any actual progress. Both houses of the British Parliament are presided over by a speaker, the Speaker of the House for the Commons and the Lord Speaker in the House of Lords. For the Commons, the approval of
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#17327727378555668-418: The House, having acquiring this position by virtue of having the confidence of the other members. This also means that the House is also the primary location in which the government faces scrutiny, as expressed through Question Time and the work of various select committees . The State Opening of Parliament is an annual event that marks the commencement of a session of the Parliament of the United Kingdom. It
5777-660: The Lords Spiritual being bishops of the Church of England and the Lords Temporal being Peers of the Realm . The Lords Spiritual and Lords Temporal are considered separate " estates ", but they sit, debate and vote together. Since the passage of the Parliament Acts 1911 and 1949 , the legislative powers of the House of Lords have been diminished of that of the House of Commons. Whilst the Lords debates and votes on all bills (except money bills ), their refusal to pass
5886-472: The Lords from blocking a money bill (a bill dealing with taxation), and allowed them to delay any other bill for a maximum of three sessions (reduced to two sessions in 1949), after which it could become law over their objections. However, regardless of the Parliament Acts of 1911 and 1949, the House of Lords has always retained the unrestricted power to veto any bill outright which attempts to extend
5995-511: The Lords refused to pass the bill, Asquith countered with a promise extracted from the King in secret before the second general election of 1910 and requested the creation of several hundred Liberal peers, so as to erase the Conservative majority in the House of Lords. In the face of such a threat, the House of Lords narrowly passed the bill. The Parliament Act 1911 , as it became, prevented
6104-635: The Lords, until the passage of the House of Lords Act 1999 limited their numbers to 92. Life peers are appointed by the monarch, on the advice of the prime minister. Typically, these are members of the party of the prime minister, however some peers from other parties are also generally appointed. As of 2019, the House consists of 650 members; this total includes the Speaker, who by convention renounces partisan affiliation and does not take part in debates or votes, as well as three Deputy Speakers, who also do not participate in debates or votes but formally retain their party membership. Each Member of Parliament (MP)
6213-476: The Monarch, the House of Lords , and the House of Commons . As a result, a bill must be passed by both houses (or just the House of Commons under the Parliament Act 1911 ) and receive royal assent for it to become law. Executive powers (including those granted by legislation or forming part of the prerogative) are not formally exercised by Parliament. However, these powers are in practice exercised on
6322-555: The Register) Regulations 2015. Details recorded include name, address, date of qualification, gender, date of birth, photograph, fitness to practice history, restrictions and whether or not they hold a licence to practice. Not all details on the register are made available to the general public. The GMC administers the Professional and Linguistic Assessment Board test (PLAB), which has to be sat by non- European Union overseas doctors before they may practise medicine in
6431-638: The Shipman killings . They followed a direction set by the UK government in its white paper , Trust, Assurance and Safety. In 2001, freemasonry was added to the register of interests of council members that the GMC published. One of the key changes was to reduce the size of the Council itself, and changing its composition to an equal number of medical and lay members, rather than the majority being doctors. Legislation passed in December 2002 allowed changes in
6540-404: The Sovereign is required before the election of the Speaker becomes valid, but it is, by modern convention, always granted. The Speaker's place may be taken by the Chairman of Ways and Means , the First Deputy Chairman, or the Second Deputy Chairman. (The titles of those three officials refer to the Committee of Ways and Means, a body which no longer exists.) Prior to July 2006, the House of Lords
6649-413: The Sovereign) instruct them to elect a Speaker. The Commons perform the election; on the next day, they return to the House of Lords, where the Lords Commissioners confirm the election and grant the new Speaker the royal approval in the Sovereign's name. The business of Parliament for the next few days of its session involves the taking of the oaths of allegiance . Once a majority of the members have taken
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#17327727378556758-415: The State Opening of Parliament proceeds directly. To avoid the delay of opening a new session in the event of an emergency during the long summer recess, Parliament is no longer prorogued beforehand, but only after the Houses have reconvened in the autumn; the State Opening follows a few days later. Each Parliament comes to an end, after a number of sessions, in anticipation of a general election. Parliament
6867-442: The State Opening, but much less well known to the general public. Normally, the Sovereign does not personally attend the prorogation ceremony in the House of Lords and is represented by Lords Commissioners. The next session of Parliament begins under the procedures described above, but it is not necessary to conduct another election of a Speaker or take the oaths of allegiance afresh at the beginning of such subsequent sessions. Instead,
6976-406: The Tooke Report which advised that the Postgraduate Medical Education and Training Board should be assimilated into the GMC. Whilst recognising the achievements made by PMETB, Professor John Tooke concluded that regulation needed to be combined into one body; that there should be one organisation that looked after what he called 'the continuum of medical education', from the moment someone chooses
7085-523: The UK as a registered doctor. A registered practitioner found to have committed some offences can be removed from ("struck off") the medical register. The GMC is now empowered to license and regularly revalidate the practice of doctors in the UK. When the licensing scheme was introduced in 2009, 13,500 (6.1%) of registered doctors chose not to be licensed. Unlicensed but registered doctors are likely to be non-practising lecturers, managers, or practising overseas, or retired. Whereas all registered doctors in
7194-415: The UK is subject to revalidation. However, unlicensed but registered doctors in the UK are still subject to fitness-to-practice proceedings, and required to follow the GMC's good medical practice guidance. The GMC sets standards of professional and ethical conduct that doctors in the UK are required to follow. The main guidance that the GMC provides for doctors is called Good Medical Practice. This outlines
7303-414: The UK were offered a one-off automatic practise licence in November 2009, since December 2012 no licence will be automatically revalidated, but will be subject to a revalidation process every five years. No doctor may now be registered for the first time without also being issued a licence to practice, although a licensed doctor may give up their licence if they choose. No unlicensed but registered doctor in
7412-403: The UK, separate from the registration system, since 3 December 2012. Due to the principle of autonomy and law of consent there is no legislative restriction on who can treat patients or provide medical or health-related services. In other words, it is not a criminal offence to provide what would be considered medical assistance or treatment to another person – and not just in an emergency. This
7521-437: The United Examining Board were either the or the These examinations were usually taken either by partly trained refugee doctors, or by doctors who had been trained at an overseas medical school not recognised by the World Health Organization , or by other overseas graduates who wished to transfer more easily from limited to full registration with the General Medical Council . They were also taken by students who had attended
7630-411: The United Kingdom Following a general election, a new Parliamentary session begins. Parliament is formally summoned 40 days in advance by the Sovereign, who is the source of parliamentary authority. On the day indicated by the Sovereign's proclamation, the two Houses assemble in their respective chambers. The Commons are then summoned to the House of Lords, where Lords Commissioners (representatives of
7739-421: The United Kingdom and social workers in England should be reformed. Within the Command Paper :- Should any regulators wish to propose mergers with other regulatory bodies to reduce costs as part of this work, the Government will view these proposals sympathetically. If the sector itself is unable to identify and secure significant cost reductions over the next three years, and contain registration fees, then
7848-552: The advice of government ministers , who much be drawn from and be accountable to the Parliament. Whilst the monarch is a constitutive element of parliament, they do not debate bills or otherwise contribute to political debate. Their royal assent is required for a bill to become law; however this has not been refused since 1708 and is largely formal. The House of Lords is known formally as "The Right Honourable The Lords Spiritual and Temporal in Parliament Assembled",
7957-400: The age of 18, end-of-life care, and conflicts of interest. The GMC regulates medical education and training in the United Kingdom. It runs 'quality assurance' programmes for UK medical schools and postgraduate deaneries to ensure that the necessary standards and outcomes are achieved. In February 2008 the then Secretary of State for Health , Alan Johnson , agreed with recommendations of
8066-546: The area wrote to Niall Dickson with her Regulation 28: Report to Prevent Future Deaths: This is the second death of a doctor that has come before me over the last 2 years where a GMC investigation into the doctor's practice has been found to play a part. Academics at King's College London researched the effects of increased regulatory transparency on the medical profession and found significant unintended consequences . As doctors reacted anxiously to regulation and media headlines, they practised more defensively. The GMC
8175-491: The automatic right of hereditary peers to sit in the House of Lords, although it made an exception for 92 of them to be elected to life-terms by the other hereditary peers, with by-elections upon their death. The House of Lords is now a chamber that is subordinate to the House of Commons. Additionally, the Constitutional Reform Act 2005 led to abolition of the judicial functions of the House of Lords with
8284-428: The borough of Old Sarum , with seven voters, could elect two members, as could the borough of Dunwich , which had almost completely disappeared into the sea due to land erosion. Many small constituencies, known as pocket or rotten boroughs , were controlled by members of the House of Lords ( peers ), who could ensure the election of their relatives or supporters. During the reforms of the 19th century, beginning with
8393-452: The coming year. The speech reflects the legislative agenda for which the Government intends to seek the agreement of both Houses of Parliament. After the monarch leaves, each Chamber proceeds to the consideration of an "Address in Reply to His Majesty's Gracious Speech." But, first, each House considers a bill pro forma to symbolise their right to deliberate independently of the monarch. In
8502-557: The composition of the Council from the following year, with the number of members reducing from 104 to 35, increasing the proportion of lay members. In July 2011, the GMC accepted further changes that would separate its presentation of fitness-to-practise cases from their adjudication, which would become the responsibility of a new body, the Medical Practitioners Tribunal Service . The GMC had previously been criticised for combining these two roles in
8611-483: The creation of the new Supreme Court of the United Kingdom in October 2009. Under the UK's constitution , Parliament is the supreme legislative body of the state. Whilst the privy council can also issue legislation through orders-in-council , this power may be limited by Parliament like all other exercises of the royal prerogative . The legislative authority, the King-in-Parliament , has three separate elements:
8720-721: The elections to these home rule Parliaments, held on the same day in 1921 , to be the basis of membership for a new Dáil Éireann. While the elections in Northern Ireland were both contested and won by Unionist parties, in Southern Ireland, all 128 candidates for the Southern Irish seats were returned unopposed. Of these, 124 were won by Sinn Féin and four by independent Unionists representing Dublin University (Trinity College). Since only four MPs sat in
8829-505: The granting of charitable status the GMC obtained tax relief backdated to 1 April 1994. Charities pay no more than 20% of normal business rates on the buildings they use and occupy. The GMC received confirmation of 80% business rates relief effective from April 1995. As of 2014 , the accounts submitted by the GMC to the Charity Commission showed an income of £97 million, spending of £101M with reserves of £68M. The GMC
8938-524: The guy who was let off and he was my main comparison throughout this whole case. He was white and I have a Muslim name and I'm mixed race. Unfortunately, with the NHS, there is an undercurrent of hidden racism and, sadly, it is rife throughout the system, right up to the regulator". Gaining registration with the GMC (whether provisional or full) also allows the registrant to fit and utilise green flashing lights to their car. Such lights can be used when attending
9047-457: The health and safety of the public." Secondly, the GMC regulates and sets the standards for medical schools in the UK , and liaises with other nations' medical and university regulatory bodies over medical schools overseas, leading to some qualifications being mutually recognised. Since 2010, it has also regulated postgraduate medical education. Thirdly, the GMC is responsible for a licensing and revalidation system for all practising doctors in
9156-406: The hearing, Dr Karim said: "Right from the outset, the GMC saw me as a guilty black doctor and withheld evidence that could have proven my innocence. Dr Karim described being wrongly accused of bullying was "pretty devastating". He said: "You feel as though everything has collapsed and is falling apart. When you've done nothing, you realise people can be so vindictive. I was discriminated against by
9265-813: The home rule Southern Irish parliament, with the remaining 124 being in the Republic's Second Dáil , the home rule parliament was adjourned sine die without ever having operated. In 1922, pursuant to the Anglo-Irish Treaty , the revolutionary Irish Republic was replaced by the Irish Free State , recognised by the United Kingdom as a separate state (and thus, no longer represented in the Westminster Parliament), while Northern Ireland would remain British, and in 1927, parliament
9374-631: The judiciary as a whole), though the Lords remain largely self-governing. Decisions on points of order and on the disciplining of unruly members are made by the whole body, but by the Speaker alone in the Lower House. Speeches in the House of Lords are addressed to the House as a whole (using the words "My Lords"), but those in the House of Commons are addressed to the Speaker alone (using "Mr Speaker" or "Madam Speaker"). Speeches may be made to both Houses simultaneously . Both Houses may decide questions by voice vote ; members shout out "Aye!" and "No!" in
9483-499: The last few years: 2007 fees = £290, 2008 fees = £390, 2009 fees = £410, 2010 fees = £420, 2011 fees = £420, with a 50% discount for doctors earning under £32,000. In 2011, following the Command Paper "Enabling Excellence-Autonomy and Accountability for Healthcare Workers, Social Workers and Social Care Workers", registration fees were reduced by the GMC in accordance with the Government's strategy for reforming and simplifying
9592-401: The latter and added 100 Irish MPs and 32 Lords to the former to create the Parliament of the United Kingdom of Great Britain and Ireland. The Royal and Parliamentary Titles Act 1927 formally amended the name to the "Parliament of the United Kingdom of Great Britain and Northern Ireland", five years after the secession of the Irish Free State . The United Kingdom of Great Britain and Ireland
9701-650: The life of a parliament. The result of the 1918 general election in Ireland showed a landslide victory for the Irish republican party Sinn Féin , who vowed in their manifesto to establish an independent Irish Republic . Accordingly, Sinn Féin MPs, though ostensibly elected to sit in the House of Commons, refused to take their seats in Westminster, and instead assembled in 1919 to proclaim Irish independence and form
9810-702: The monarch. They then strike, with the end of their ceremonial staff (the Black Rod), three times on the closed doors of the Commons Chamber. They are then admitted, and announce the command of the monarch for the attendance of the Commons. The monarch reads a speech, known as the Speech from the Throne , which is prepared by the Prime Minister and the Cabinet , outlining the Government's agenda for
9919-461: The most severe punishment more frequently, and are least represented in all aspects of governance in the GMC. On 18 June 2021, the GMC, for the first time in its history was found guilty of racial discrimination against a non white doctor by a UK court. A ruling from Reading employment tribunal found that the GMC had discriminated against Dr Karim a consultant urologist based on his race by continuing an investigation into him when it did not investigate
10028-692: The oath in each House, the State Opening of Parliament may take place. The Lords take their seats in the House of Lords Chamber, the Commons appear at the Bar (at the entrance to the Chamber), and the Sovereign takes the seat on the throne. The Sovereign then reads the Speech from the Throne —the content of which is determined by the Ministers of the Crown—outlining the Government's legislative agenda for
10137-517: The prime minister, are members of the House of Commons (MPs), or less commonly the House of Lords, and are thereby accountable to the respective branches of the legislature. Most Cabinet ministers are from the Commons, while junior ministers can be from either house. The House of Lords is the upper chamber of Parliament, comprising two types of members. The most numerous are the Lords Temporal , consisting mainly of life peers appointed by
10246-501: The professional interest, rather than that of the patient". Former President of the General Medical Council, Sir Donald Irvine, called for the current Council to be disbanded and re-formed with new members. Parliament of the United Kingdom The Parliament of the United Kingdom of Great Britain and Northern Ireland is the supreme legislative body of the United Kingdom , and may also legislate for
10355-490: The replacement of a duty to, "Act without delay if you have good reason to believe that you or a colleague may be putting patients at risk," to a new duty to, "Take prompt action if you think that patient safety, dignity or comfort is being compromised". Alongside the guidance booklet are a range of explanatory guidelines, including a new one about the use of social media. The GMC also provides additional guidance for doctors on specific ethical topics, such as treating patients under
10464-406: The same allegation against a white doctor. The tribunal heard Dr Karim was an internationally renowned urologist of mixed black African and European descent who had been a whistle blower in a case about surgeons performing operations without appropriate training. Following the GMC investigation, Dr Karim attended a fitness-to-practice hearing in 2018, after which he was cleared of any wrongdoing. After
10573-469: The sovereign on the advice of the prime minister, plus up to 92 hereditary peers . The less numerous Lords Spiritual consist of up to 26 bishops of the Church of England . Before the establishment of the Supreme Court of the United Kingdom in 2009, the House of Lords performed judicial functions through the law lords . The Parliament of the United Kingdom is one of the oldest legislatures in
10682-399: The standard of professional conduct that the public expects from its doctors and provides principles that underpin the GMC's fitness-to-practise decisions. Originally written in 1995, a revised edition came into force in November 2006, and another with effect from 22 April 2013. The content of Good Medical Practice has been rearranged into four domains of duties. Their most significant change is
10791-530: The system for regulating healthcare workers in the UK and social workers and social care workers in England and requiring that "[A]t a time of pay restraint in both the public and private sectors, the burden of fees on individual registrants needs to be minimised." The GMC maintains a register of medical practitioners. However, no law expressly prohibits any unregistered or unqualified person from practicing most types of medicine or even surgery. A criminal offence
10900-467: The then Chief Medical Officer , published a report titled Good doctors, safer patients , which appeared in 2006. Donaldson echoed concerns about GMC FTP procedures and other functions of the Council. In his view, complaints were dealt with in a haphazard manner, the GMC caused distress to doctors over trivial complaints while tolerating poor practice in other cases. He accused the Council of being "secretive, tolerant of sub-standard practice and dominated by
11009-450: The two lobbies alongside the Chamber; their names are recorded by clerks, and their votes are counted as they exit the lobbies to re-enter the Chamber. The Speaker of the House of Commons is expected to be non-partisan, and does not cast a vote except in the case of a tie; the Lord Speaker, however, votes along with the other Lords. Speaker Denison's rule is a convention which concerns how the Speaker should vote should he be required to break
11118-428: The upcoming year. Thereafter, each House proceeds to the transaction of legislative business. By custom, before considering the Government's legislative agenda, a bill is introduced pro forma in each House—the Select Vestries Bill in the House of Lords and the Outlawries Bill in the House of Commons. These bills do not become laws; they are ceremonial indications of the power of each House to debate independently of
11227-528: The world, and is characterised by the stability of its governing institutions and its capacity to absorb change. The Westminster system shaped the political systems of the nations once ruled by the British Empire , and thus has been called the " mother of parliaments ". The Parliament of Great Britain was formed in 1707 following the ratification of the Treaty of Union by Acts of Union passed by
11336-591: Was created on 1 January 1801, by the merger of the Kingdoms of Great Britain and Ireland under the Acts of Union 1800 . The principle of ministerial responsibility to the lower house (Commons) did not develop until the 19th century—the House of Lords was superior to the House of Commons both in theory and in practice. Members of the House of Commons (MPs) were elected in an antiquated electoral system , under which constituencies of vastly different sizes existed. Thus,
11445-402: Was most heavily criticised by Dame Janet Smith as part of her inquiry into the issues arising from the case of Dr Harold Shipman . "Expediency," says Dame Janet, "replaced principle." Dame Janet maintained that the GMC failed to deal properly with Fitness to Practise (FTP) cases, particularly involving established and respected doctors. In response to the Shipman report, Sir Liam Donaldson ,
11554-449: Was presided over by a Lord Chancellor (a Cabinet member), whose influence as Speaker was very limited (whilst the powers belonging to the Speaker of the House of Commons are vast). However, as part of the Constitutional Reform Act 2005 , the position of Speaker of the House of Lords (as it is termed in the Act) was separated from the office of Lord Chancellor (the office which has control over
11663-472: Was registered as a charity with the Charity Commission of England and Wales on 9 November 2001. The Commissioners having considered the court and the Commission's jurisdiction to consider an organisation's status, which had previously been considered by the courts, in issues of charitable status. Charities do not normally have to pay income tax or corporation tax, capital gains tax or stamp duty. Following
11772-422: Was renamed the Parliament of the United Kingdom of Great Britain and Northern Ireland. Further reforms to the House of Lords were made in the 20th century. The Life Peerages Act 1958 authorised the regular creation of life peerage dignities. By the 1960s, the regular creation of hereditary peerage dignities had ceased; thereafter, almost all new peers were life peers only. The House of Lords Act 1999 removed
11881-523: Was seen to be inconvenient to have no Parliament at a time when succession to the Crown could be disputed, and an Act was passed that provided that a Parliament was to continue for six months after the death of a Sovereign, unless dissolved earlier. Under the Representation of the People Act 1867 Parliament can now continue for as long as it would otherwise have done in the event of the death of
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