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If a student declares fitness to practise concerns to the GMC, what information is needed and what are the consequences of non-disclosure?

When applying for provisional registration, students need to answer a series of questions about their fitness to practise, across two sections: conduct and health. The exact questions can be seen in our declaration of fitness to practise pages (23 questions as of 2015).

Our Registration team processes all applications – if they are satisfied the applicant is fit to practise from their declaration responses, we will not need any further information. If the Registration team is not immediately satisfied with the declaration responses, they will investigate.

In the declaration of fitness to practise pages we give some examples of documentation that may be requested from the applicant to facilitate this. We may also speak to their medical school to request documentation from the school’s student fitness to practise procedures for the specific student.

The processes for assessing fitness to practise issues declared by UK students and graduates are set out in the diagram below:

Not disclosing information is extremely concerning, as honesty is one of the key professional values we expect from all doctors. Whatever the applicant has not disclosed is likely to emerge during the application process, and would mean the case was automatically referred for investigation.

Insight into an applicant’s actions and remediation are vital when making a decision about granting provisional registration, so a case involving non-disclosure is more likely to have a negative outcome. Furthermore, if something that was not disclosed at the provisional registration stage becomes known later on, this would have fitness to practise implications for the doctor who concealed it.