69. Concepts of remediation and insight rather than 'punishment'.

The extent to which the practitioner has taken steps to remediate can be of crucial importance, therefore, when the tribunal, sometimes many months or years after the events which have given rise to the proceedings, is considering impairment of fitness to practise.

Even in cases where the misconduct is objectively very serious, tribunals have concluded that impairment is not established where, for example, 'the act of misconduct was an isolated error on the part of a medical practitioner and that the chance of it being repeated in the future is so remote that his or her fitness to practise [is