Raising and acting on concerns about patient safety

About our Raising and acting on concerns guidance


This guidance sets out our expectation that all doctors will, whatever their role, take appropriate action to raise and act on concerns about patient care, dignity and safety. 


 Good medical practice (2013) says:

24. You must promote and encourage a culture that allows all staff to raise concerns openly and safely.

25. You must take prompt action if you think that patient safety, dignity or comfort is or may be seriously compromised.

a. If a patient is not receiving basic care to meet their needs, you must immediately tell someone who is in a position to act straight away.

b. If patients are at risk because of inadequate premises, equipment1  or other resources, policies or systems, you should put the matter right if that is possible. You must raise your concern in line with our guidance and your workplace policy. You should also make a record of the steps you have taken.

c. If you have concerns that a colleague may not be fit to practise and may be putting patients at risk, you must ask for advice from a colleague, your defence body or us. If you are still concerned you must report this, in line with our guidance and your workplace policy, and make a record of the steps you have taken.


Follow the guidance in paragraph 23 of Good medical practice, if the risk arises from an adverse incident involving a medical device.


This guidance explains how to apply the principles in Good medical practice. It is separated into two parts.

  • Part 1: Raising a concern gives advice on raising a concern that patients might be at risk of serious harm, and on the help and support available to you. 
  • Part 2: Acting on a concern explains your responsibilities when colleagues or others raise concerns with you and how those concerns should be handled. 2 

General Medical Council (2012) Leadership and management for all doctors.

How this guidance applies to you


In this guidance, the terms ‘you must’ and ‘you should’ are used in the following ways. 

  • ‘You must’ is used for an overriding duty or principle.
  • ‘You should’ is used when we are providing an explanation of how you will meet the overriding duty.
  • ‘You should’ is also used where the duty or principle will not apply in all situations or circumstances, or where there are factors outside your control that affect whether or how you can follow the guidance.

While this guidance provides suggestions about what to do and who to approach, it cannot be exhaustive. As a result, you will need to use your judgement to apply the principles to your particular circumstances. If you are not sure how this guidance applies to your situation, you should get advice from the individuals and bodies suggested in this guidance.


You must be prepared to explain and justify your decisions and actions. Only serious or persistent failure to follow our guidance that poses a risk to patient safety or public trust in doctors will put your registration at risk.