GMC Good Medical Practice

Function

Describes what it is to
be a good doctor

Principles

Patient care first concern

Up to date knowledge and skills

Prompt action if safety compromised

Good partnership with patients and colleages

Act openly, honestly and integrally

Duties of a
doctor

Communication, partnership, teamwork
Treat patients individually with respect (polite, considerate, respect confidentiality)
Work as a partnership with patients (listen, give suitable information, respect decisions, support caring themselves)
Work with colleagues in patient interest

Safety and quality
Prompt action if patient safety/care is compromised
Promote health of patients and public

Maintaining trust
Honest, open and integral
Never discriminate patients/colleagues
Never abuse patient's trust

Knowledge, skills and performance
Patient care is first concern
Good standard of practice (work within competence,
keep knowledge and skills up to date)

Knowledge, skills,
performance

Recording
work

Apply knowledge
and experience

Develop and
maintain

Competent in all aspects
(practice, management, teaching)

Keep skills up to date

Take part in activities to maintain skills
and support offered by employer

Know guidelines

Keep up to date with GMC, law and other reg

Work within limits of competence

Required level of English

Good
standard
of care

Providing
care

Prescribe treatment within competence

Provide treatment based on EBM

Take all steps to alleviate pain/distress

Consult colleagues

Respect patient's right to 2nd opinion

Check your tx compatible with pt's other tx

Avoid prescribing to self, family, friends

Gain consent before any exam, investigation, tx etc.

Make good use of resources

Assess patient and examine

Provide suitable investigations/treatment

Appropriate referrals

Document clearly, accurately and legibly,
at the time of event or ASAP

Keep personal records securely

Included info

click to edit

Clinical findings

Decisions and actions

Info provided

Drugs and tx

Who and when

Safety and
quality

Respond to
safety risks

Risk from
own health

Contribute/comply
with systems

Quality assurance
and improvement

Reviews and audits of own work and team,
acting effectively on outcomes

Regularly reflect on own care

Review pt feedback

Promote culture that staff can raise concerns

Take prompt action if patient
safety/dignity compromised

Consider needs of vulnerable adults
and children (safeguarding)

Offer help in emergency situations in clinic or community
(own safety, competence, other options)

Patient safety

Respond to public health requests

Report incidents involving
medical devices

Contribute to AE recognition

Contribute to enquiries

Basic care needs
(inform someone who can act)

Inadequate premises/equiptment
(raise concerns with workplace)

Colleague fitness to practice
(advice from colleague, defence body, GMC)

Record all actions taken

Consult a suitable colleague if you have a transmissible illness or illness that can affect performance (don't rely on own judgement)

Immunised against serious communicable diseases

Register with GP outside your family

Communication,
partnership,
teamwork

Teaching, training,
support, assessment

Effective comms

Working with
colleagues

Listen to patients, respect views,
answer questions honestly

Give info they want/need
in a way they can understand

Consider patient family/friends and
provide them with information and support

Be readily accessible to patient
and next of kin for info and support

Treat fairly and respectfully

Aware of behaviour influencing others

Collaborate and respect skills

Work within contracted post to ensure
adequate medical cover

Contribute to teaching and training
doctors and students

All managed staff should
have appropriate supervision

Honest and objective references/appraisals

Willing to mentor juniors

Support colleagues with issues with
performance or health (but patient safety first)

Continuity/coordination
of care

Safe transfer
between HCPs/social

Share relevant information
when handover/delegating

Check that named person has
taken over responsibility

Be satisfied that delegate has
appropriate skills to care for pt

Partnership
with patients

Individuals (dignity, privacy)

Fair treatment and respect

Polite and considerate

Share info needed
to make decisions

Progress of care, roles of team

Who in team responsible for what,
information sharing amongst HCPs

Condition, progression,
tx options (risks and benefits)

Other info e.g. teaching, research

Treat info as confidential
(even after death)

Support pt to
care for selves

Advise on lifestyle choices

Support them to make changes

Inform patients if
conciencious obj to tx

Right to see another doctor

Provide enough info to get help

Do not express dissaproval/judgement

Maintaining
trust

Treat pt and
colleagues fairly

Honesty and
integrity

Respect for patients

No sexual or improper emotional
relationship with pt/family

Do not express personal beliefs
to exploit vulnerability or cause distress

Open and honest
when things go wrong

Put it right ASAP

Apologise

Explain what happened
and likely consquences

Priority to pts based
on clinical need

Investigations based on assessment
of needs and priorites and effectiveness of tx

Don't deny tx because
condition may put you at risk
(take all steps to minimise this risk)

Do not discriminate based
on personal views

Consider and respond to disabled
patients and make reasonable adjustments

Respond promptly and honestly to complaints,
apologise where appropriate

End relationship with pt only when breakdown
prevents you providing good clinical care

Ensure adequate insurance so pt not
disadvantaged if they claim against you

Provide GMC number when requested

Conduct justifies patients' trust and
public trust in the profession

Honest about experience, qualifications, role

Act honestly when working in research
(follow guidance and governance)

Communicating info

Honest in all comms with pt and colleagues

Maintain pt confidentiality when
communicating publically

Be factual when advertising services

Writing reports

Info correct

Don't deliberately leave out
relevant info

Legal/disciplinary
proceedings

Honest when
giving evidence

Don't leave out relevant info

Check info correct

Cooperate with
formal enquiries

Be clear on limits of
competence and knowledge

Inform GMC

Police caution/criticism

Charged/guilty of criminal offence

Professional body finding for FTP

Inform relevant organisations
about any suspension or restrictions

Finances

Honest in dealings with pts,
employer, insurers etc.

Don't allow interests to affect
prescribing, tx or referrals

Be open about COI and declare

Don't accept from pts or colleagues any
gift that may be seen to affect how you prescribe/tx/refer