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The Health Professions Council - Mark Potter
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The Health Professions Council - Mark Potter



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  • Title slide instructions
  • This slide is intended to show the diverse groups that the HPC register. Points to mention: Common core of standards so that all groups will benefit from the economies of scale At the same time profession specific standards to recognise what makes each profession unique
  • Title slide instructions
  • Title slide instructions
  • Types of allegations that can consider How the Investigation work – eg demand for information, article 25 powers How Panels are convened Who makes the selection Training of Panels Statutory Framework Adversarial Facts? Impairment? – on next slide Sanction? – on next slide Representation Hearing panels must include a member of the registrant’s profession and a lay person Process identical for all registrants Hearings are open to the public Witnesses HPC seen as independent and impartial
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  • Title slide instructions
  • So if you have any queries about registration that I can’t answer today, or you think of later, here are the contact details for the registration department. Are there any questions?


  • 1. The Health Professions Council Tuesday 15 November 2011, Romanian Authorities Study Visit
  • 2. Contents
    • Welcome and Introduction
    • The HPC and the role of a UK regulator
    • Policy at HPC
    • Fitness to practise
    • Stakeholder engagement
    • Registration at HPC
        • Mutual recognition and EEA processes
        • IMI / Security verification
        • Continuing professional development (CPD)
  • 3. Health Professions Council
    • Independent UK statutory regulator of 15 professions
    • One of nine health regulators
    • Derives powers from Health Professions Order 2001
    • Purpose is “ to safeguard the health and well-being of persons using or needing the services of registrants ” – Article 3(4)
    • Separate role from professional bodies and trade unions
  • 4. HPC Register 2011
    • 219,000 registrants from 15 professions
  • 5. Processes and standards The Register
  • 6. Professional and lay input
    • 507 ‘Partners’ working across 677 partner roles
      • – Our professions and lay persons
      • Provide expertise for good decision-making
      • Approval of education and training programmes
      • Registration decisions (applications and CPD audits)
      • Fitness to practise decisions
    • Council and Committees
    • Professional Liaison Groups (PLGs)
  • 7. Policy at the HPC Tuesday 15 November 2011, Romanian Authorities Study Visit
  • 8. About the Policy and Standards Department
    • Develop policy and strategy
    Policy and Standards Consultations
  • 9. Our standards
    • Standards of conduct, performance and ethics: behaviour and attitudes expected
    • Standards of proficiency: professional knowledge, understanding
    • CPD standards: requirements for ongoing learning
    • Standards of Education and Training: we use these to approve education programmes
  • 10. Guidance
    • Explains our policies in more detail
    • Advises registrants and/or students on how they can meet our standards
    • Formal guidance is published
    • Informal guidance (advice):
    • Website
    • Email
    • Phone
    • Meetings
  • 11. The way policy works
    • Responsible for reviewing standards, updating/writing new guidance, or undertaking work on policy change
    • Write papers for Committees and Council to advise them on options
    • Require Committee and Council approval of proposals before consulting – plus legal approval
    • Meet with stakeholders on projects relevant to HPC policy
    • Provide advice on HPC policy to registrants and members of the public
    • Organise and coordinate professional liaison groups to work on policy change as needed
  • 12. Consultations
    • Normally consult for 3 months
    • Information posted online in dedicated ‘consultations’ section of website
    • Also sent to consultation list of over 400 interested organisations.
    • Certain consultations go out to all registrants
    • Respond to external consultations
  • 13. Responses to external consultations
    • Respond to public consultations relevant to our work and our registrants
    • Respond positively where possible, constructively where we disagree with proposals
    • Recent consultations we have responded to:
    • European Commission Green Paper on Modernising the Professional Qualifications Directive
    • House of Lords European Union Committee call for evidence on the Professional Qualifications Directive
  • 14. Fitness to Practise Tuesday 15 November 2011, Romanian Authorities Study Visit
  • 15. Fitness to practise: An overview of the process
    • Allegation made
    • Investigate allegation
    • Interim order imposed
    • Hearing convened
    • Case considered by final
    • hearing panel
    • Sanction imposed
    Allegation Investigation Interim Order Hearing Judgement Mediation
  • 16. Fitness to practise: when we will take action
    • Serious or persistent failure to meet standards
    • Improper relationships with service users
    • Failure to respect the autonomy of service users
    • Sexual misconduct
    • Misuse or abuse of drugs and alcohol
    • Failure to provide adequate care
    • Poor record keeping
    • Theft from a service user
  • 17. Stakeholder engagement Tuesday 15 November 2011, Romanian Authorities Study Visit
  • 18. Stakeholder engagement
    • AURE (Alliance of UK regulators in Europe): Meetings 6x annually, communicating HPC position, debates , contributing to joint statements and consultation responses
    • BMA EU forum : Bi-annual meetings, wide range of organisations represented, debates, communicating HPC position
    • BIS (Department for Business, Innovation and Skills): Developing working relationships, supporting events eg EU Commission London, coordinating HPC responses, data gathering
    • CLEAR (The Council on Licensure, Enforcement and Regulation): Supporting CEO, attending as delegate (London 2011), speaking slot (CPD)
  • 19. Stakeholder engagement
    • EU Commission: Annual meetings with CEO & Policy, developing close working relationships, attending & supporting Commission events eg Modernisation of the Professional Qualifications Directive
    • Supporting International regulators : Cypriot Ministry of Labour, Norwegian government, Hong Kong
    • European Parliament : MEP meetings with CEO, attending IMCO Committee (Internal Market and Consumer Protection Committee), supporting MEP’s assistants
  • 20. Registration at the HPC Tuesday 15 November 2011, Romanian Authorities Study Visit
  • 21. Role of the registration department
    • Maintain and publish a Register of health professionals
    • 36 full time staff
    • 100,000+ telephone enquiries per year
    • 20,000+ email enquiries per year
    • UK approved courses – over 10,000 applications per year
    • Readmission and return to practice process
    • Bi-annual renewal process
    • Audit of continuing professional development (CPD)
    • Verification checks for identity, education and career history of all overseas qualified applicants
  • 22. Routes to registration – all international applicants
    • 180 - 200 International applications received per month (25% are EEA applicants).
    • Forms downloaded from HPC website
    • Applicants advised to read standards of proficiency before applying
    • Incomplete forms returned to applicants with advice
    • Character declarations sent to fitness to practice before assessment
    • Background checks carried out to verify applicant’s identity, education and good standing
    • Use of outside agencies such as UK NARIC and Kroll International for background checks
    • Service level agreement of 10 working days for assessment decisions
  • 23. Routes to registration – international (non-EEA)
    • Applications are sent to two registration assessors from the relevant profession (HPC partners)
    • Assessment based on professional qualification and additional education, training and experience
    • Possible outcomes:
    • Accept – applicants meets all standards of proficiency
    • Further verification – additional information requested to address shortfalls in application
    • Test of competence – interview to determine borderline cases
    • Reject – applicants have automatic right of appeal
  • 24. Routes to registration - EEA applicants with mutual recognition
    • Applications are sent to two registration assessors from the relevant profession (HPC partners)
    • Assessment based on professional comparison and additional education, training and experience
    • Possible outcomes:
    • Accept – applicants meets all standards of proficiency
    • Further verification – additional information requested to address significant shortfalls in application
    • Adaptation period – normally additional supervised practice or academic module. Applicants have automatic right of appeal
    • Aptitude test – can be requested by applicant if they feel adaptation period is not required
  • 25. Role of IMI
    • Currently three HPC professions covered:
        • Physiotherapists, Practitioner psychologists, Radiographers
    • All advisors involved in processing international applications have access to the IMI system
    • Safe and mostly effective way of receiving information
    • Used in both permanent establishment cases (verification process) and in decisions on temporary provision of services cases
    • Increasing use – 10 requests within last 6 months:
        • 7 sent by the HPC (Estonia, Greece, Lithuania, Romania, Spain)
        • 3 received by the HPC (1 from Sweden, 2 from Spain)
  • 26. IMI - our experience
    • Most replies within 1 month, however some take several months to conclude – this means delays in the recognition process and unnecessary obstacles for the applying professional
    • Not all relevant authorities are willing to engage – there is no method of enforcing mandatory use
    • Unclear which authorities can be contacted in some cases (long list to choose from) – lack of explanation who is responsible for what
    • Overview of regulatory systems for each profession would be helpful
    • Still a limited number of regulated professions covered by the ‘general system’
    • Good potential for growth and extended use
  • 27. Assessment process – training issues
    • Assessors receive refresher training every two years regarding developments in legislation
    • All new assessors receive equality and diversity training
    • On-going quality monitoring to ensure recommendations are fair, appropriate and legally sound
    • All refusal and adaptation period recommendations must be approved by registration managers
    • EU Commission has reaffirmed that systematic language testing is ruled out as a condition of recognition
    • Speech and language therapy is the only profession that is exempted from this part of the directive because knowledge of the language is a core competence of the profession
  • 28. Temporary provision of services
  • 29. Post-registration and renewal
    • Name and registration number displayed on the online Register available to the public
    • Registration renewed every two years with declarations of current practice, character, health and CPD
    • £76 fee payable per year
    • Registrants lapse from the Register if they do not renew successfully – must pay and sign
    • Requirement for registrants to keep personal information up to date
    • Registrants must advise of any changes in health or character
    • Over 60% of registrants now renew using online portal
    • Over 95% of registrants successfully renew each cycle
  • 30. Continuing professional development
    • A statutory requirement for all HPC registrants since July 2006
    • Audits began in May 2008
    • Flexible outcome based approach (not points / hours)
  • 31. Questions from HPC
    • Point of contact for regarding for professions regulated by the HPC in Romania
    • Certified/official translators – process for verification
    • For professions currently regulated in Romania which HPC regulates - is there one agreed curriculum? Who is the owner?
    • Status / role of Radiography Nurses - Nurses or Radiology Technicians?
  • 32.
    • Finding out more and getting in touch
    • [email_address]
    • 0800 328 4218
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