68. Movement towards fitness to practise and looking forward.

A fundamental principle which runs through healthcare regulation is the concept of impairment of fitness to practise.

It is a two-limbed test: in cases of misconduct, the tribunal can only take regulatory action if a practitioner's conduct, as found proved or admitted, is deemed to amount to serious professional misconduct and to demonstrate an impairment of fitness to practise1.

Conduct amounts to serious professional misconduct if it represents a serious departure from the standards of conduct expected of a practitioner2. It is not any professional misconduct which will qualify. The professional conduct must be serious3 and mere negligence does not constitute

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