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Appendix 3: Fitness to Practice referral foaminess to Practice Incident Report/Referral Form When completing this form please give as much detail as possible in relation to the concerns/incident that
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How to fill out fitness to practise referral

01
To fill out a fitness to practise referral, follow these steps:
02
Obtain the necessary documents: Gather all relevant information and supporting documents related to the case.
03
Identify the purpose of the referral: Determine the reason for making the referral and outline the specific concerns or allegations against the individual's fitness to practise.
04
Prepare the referral form: Fill out the official fitness to practise referral form provided by the relevant regulatory body or authority.
05
Provide detailed information: Clearly state the facts and provide all relevant details related to the individual's conduct, competence, or health issues that may affect their ability to practise.
06
Include supporting evidence: Attach any supporting evidence or documentation that substantiates the concerns raised in the referral.
07
Maintain confidentiality: Ensure that all sensitive information is kept confidential and shared only with authorized parties involved in the investigation or evaluation process.
08
Submit the referral: Once the referral form is complete and all necessary documents are attached, submit it to the appropriate regulatory body or authority as per their specified procedure.
09
Follow up: If required, follow up with the regulatory body or authority to track the progress of the referral and provide any additional information requested.
10
Note: It is recommended to seek legal advice or guidance from the relevant professional association or regulatory body to ensure compliance with specific procedures and requirements.

Who needs fitness to practise referral?

01
Fitness to practise referrals are typically required in the following scenarios:
02
Employers: Employers may need to make a fitness to practise referral if they have concerns about an employee's conduct, competence, or health issues that may impact their ability to perform their professional duties.
03
Colleagues or fellow professionals: Other professionals who have direct knowledge or evidence of an individual's misconduct, incompetence, or health problems may need to make a fitness to practise referral to protect public safety and uphold professional standards.
04
Patients or service users: Patients or service users who experience or witness inappropriate or harmful behavior by a healthcare professional may need to file a fitness to practise referral to ensure their own safety and the wellbeing of others.
05
Regulatory bodies or professional associations: These organizations often receive referrals from various sources, including employers, colleagues, patients, or service users, to review and evaluate the fitness to practise of their registered members.
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A fitness to practise referral is a process through which concerns about a professional's ability to perform their duties safely and effectively are reported to the relevant regulatory body.
Any individual or organization that has concerns regarding a professional's competence, conduct, or health is required to file a fitness to practise referral, including employers, colleagues, or patients.
To fill out a fitness to practise referral, one must provide detailed information on the professional's alleged issues, including descriptions of the incidents, any evidence, and the impact on patient safety or professional integrity.
The purpose of fitness to practise referral is to ensure the safety of the public by evaluating whether a professional is competent and fit to continue practicing in their field.
The information that must be reported includes the professional's name, the nature of the concerns, specific incidents or patterns of behavior, any witnesses, and supporting evidence.
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