What to tell us when you apply guide

Guide for registered doctors

If you are already registered, the pages below will help you complete the declaration on your application to:

  • give up your registration (voluntary erasure)
  • restore your licence to practise
  • complete the annual return for revalidation
  • move from provisional to full registration.

If you have already told us about something, and your circumstances haven’t changed since your last application, you don’t need to tell us again.   

What to tell us about your health

You need to tell us if:

  • an employer has raised concerns about how you managed a health condition, that led to a formal process (for example concerns that you did not follow medical or specialist advice)
  • an employer has raised concerns about how a health condition affected your ability to work as a doctor, that led to a formal process
  • you self-referred concerns to an employer because your health condition affected your ability to work as a doctor and this led to a formal process.
  • you have a serious communicable disease.

What do you mean by ‘formal process’?

A senior or HR manager could start a formal process to support you, or to investigate the concerns. This could lead to a formal meeting, committee, hearing or similar where action is taken after the process has finished. We only need to know about concerns raised that led to a formal process.

We consider these bullet points to be part of a formal process:

  • written notification sent to you (by letter or email) about concerns that have been raised and giving you the opportunity to comment
  • a formal meeting with a manager or supervisor in a workplace where you are providing medical services, in which they raise concerns
  • a referral to a panel, hearing, committee or similar.

Outcomes of a formal process can include:

  • a formally documented decision following any of the above that requires you to improve how you manage your condition (for example to engage with medical or specialist services and to follow their advice)
  • any action taken, including health-related conditions imposed or undertakings agreed on your practice, if your behaviour or performance was affected by your health.

More information about what to tell us about your health

You can find more information on what to tell us about health here:

What you don’t need to tell us

You don’t need to tell us if you know or suspect you have Covid-19. You should follow the current public health advice, including self-isolating. To find answers to common questions read our guide on coronavirus.

Informal communication about a health condition

It is normal for your manager/supervisor to talk to you or email you informally after you’ve been unwell to make sure you’re well enough to return to work. We don’t consider this to be raising a concern and you don’t need to tell us about this when you apply.

Informal support processes

Sometimes your employer will support you with a health condition informally. This can take various forms including, offering you additional support to return to work after a period of absence due to a health condition. We don’t consider this support to be a formal process and you don’t need to tell us about this when you apply.

A formal process to adjust your practice where no concerns have been raised

If you need to adjust your practice because of a health condition, your employer will usually agree suitable adjustments to support you and allow you to continue to practice safely, for example, working less than full time. In these circumstances we don’t need you to tell us about this when you apply. You only need to tell us if concerns were raised about how you managed your health condition or your health condition affected your practice that led to a formal process.

Does having a health condition mean you will have concerns?

Having a health condition (including a long-term condition or serious communicable disease) is not, itself, a reason for us to have concerns about your fitness to practise.  What we consider is whether your health condition affects your ability to practice as a doctor. Or for a serious communicable disease, the risk you could pass it to a patient or a colleague and whether you are following independent medical advice.  Even if your health condition is serious , it doesn’t necessarily mean that you can’t practice safely.

Cautions, convictions, fixed penalties and other police actions

You need to tell us if:

  • you have a formal caution or conviction issued to you by the police or a court (if your caution or conviction is protected by law in the UK, you don’t need to tell us)
  • you received a penalty notice for disorder in the upper tier or had other action taken against you by the police or a similar organisation.

What other police actions and fixed penalties do I need to tell you about?

Read our guide about other police actions and fixed penalties to help you decide if you need to tell us something. There are some actions you don’t need to tell us about. For example, you don’t need to tell us about fixed penalty notices.

Action by employers or regulators and negligence claims made against you

You need to tell us if:

  • an employer or contracting organisation has raised concerns about your professional performance, professionalism or behaviour that led to a formal process
  • an organisation* has investigated concerns about your fitness to practise or refused to register you or give you a licence to practise
  • a medical malpractice or negligence claim has been made against you that was settled out of court, upheld or is still ongoing**

*The organisation could be a regulator, an exam board, a coroner, a licensing organisation or a similar organisation. This includes non-medical organisations.

**You don’t need to tell us about negligence claims made against you which are being dealt with under a clinical negligence scheme for NHS or HSC trusts and GPs in the UK (for example CNST and CNSGP).

What do you mean by ‘formal process’?

A senior or HR manager could start a formal process to support you, or to investigate the concerns. This could lead to a formal meeting, committee, hearing or similar where action is taken after the process has finished. We only need to know about concerns raised that led to a formal process.

We consider these bullet points to be part of a formal process:

  • receiving written notification (by letter or email) about concerns that have been raised and giving you the opportunity to comment 
  • being excluded from work while under investigation
  • being invited to attend a formal panel meeting, tribunal or hearing
  • being notified in writing of the outcome of a panel meeting, tribunal or committee hearing.

Outcomes of a formal process can include:

  • being given a formal written warning
  • agreeing to undertake retraining or being supervised
  • agreeing to a plan to address the concerns about your professionalism or behaviour
  • having local restrictions or conditions put on your practice
  • being dismissed from your employment.

More information about action taken against you

You can find more information on:

Performance, professionalism and other concerns

You need to tell us if there is anything else about your professional performance, professionalism or behaviour that might raise a concern about your fitness to practise as a doctor in the UK.

You can find more information on our guide for performance, professionalism and other concerns.