Mr Abiodun Fakokunde FWACS MRCOG

Cons. Obs. and Gynae. & Clinical Lead Women’s HealthNorth Middlesex University Hospital, London

MANSAG Rep at the GMC/BME Forum

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

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?

Place of qualification

Number of Doctors

High Impact decision

Relative Odds (RO) further investigation

RO for Referral for further Adjudication

RR for Erasure or suspension

UK 4702 30% 1 1 1

Outside UK but within EU

624 43% 1.67 2.14 2.16

Outside EU

2190 46% 1.61 1.68 1.48

Total 7526 cases

BMJ 2011: Humphrey, Hickman, Guilford

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”

Allegation category

Asian or Asian British

Black or Black British

Mixed Other Ethnic group

Total allegations

Clinical Care 1107 (49%) 226 (46%) 95 (49%) 167 (46%) 1595

Probity 417 (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

Health 64 14 6 9 93

Maintaining Good Med Practice

60 7 3 3 73

Teaching and Supervision

7 2 0 2 11

Compliance wt GMC Inv

7 0 0 1 8

Total 2223 (68%) 491 (15%) 192 (6%) 361 (11%) 3267

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

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

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

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

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