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CAMHS won't see you now

GMC introduces range of new fees in bid to save £2.4m

The GMC has announced a range of new fees and increased charges, which it said would particularly affect international medical graduates and GPs who are working overseas and want to maintain their GMC licence.

The regulator hopes to generate an additional £2.4m a year by 2017, and the new charges comeson top of an 8% increase in registration fees in April this year.

Following a spending review, chief executive Niall Dickson said the new fees and increases in charges were necessary because all doctors were subsidising services used by a minority of doctors.

But the BMA has warned that the introduction new charges for international medical graduates (IMGs) and returners must not become an additional barrier when general practice is in the middle of a national workforce crisis.

The new charges include:

  • An increase of almost 75% in the costs of the two Professional and Linguistic Assessment Board exams, which currently total £620 but will be raised to £1,070 by February 2016.
  • New administration fee of £250 for doctors who have retired or are working abroad but wish to retain their GMC license and £1,100 for them to go through revalidation.
  • An administration charge of £8 for GPs paying their annual fees in quarterly or monthly instalments, a 1.5% levy on credit card transactions and a £10 charge for registration status changes such as when a GP opts for ‘voluntary erasure’ of their registration.

Estimating the combined income from the changes, the GMC states: ‘The fee proposals will generate additional annual income of around £1.6 million in 2016, rising to £2.4 million from 2017 onwards.

’Inevitably the introduction of new or enhanced fee levels may attract negative feedback from those having to pay higher fees but this would be mitigated through a clear and transparent communications campaign.’

Dr Krishna Kasaraneni, BMA equality and inclusion committee chair, said: ‘At a time when doctors are seeing real-terms pay cuts year on year, we must ensure that professional costs do not change disproportionally.

‘While we are encouraged by the GMC’s continuing efforts to keep the costs of the annual retention down, it is important we ensure the fee rise for international medical graduates, who make a huge contribution to the NHS, does not become a barrier to them joining the NHS workforce and providing vital healthcare services in the UK.’

Niall Dickson said: ‘We have a longstanding principle that our fees should cover what our services actually cost to deliver. In some cases they are no longer doing that. We also believe that where possible the annual retention fee paid by all doctors should not subsidise specific services which only a small number of doctors use.

‘We will review all these fees on a regular basis, to make sure we continue to recover our costs. We are also exploring the possibility of whether we can charge for offering some services internationally.’

Readers' comments (38)

  • This should make for a lively debate...

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  • paying for voluntary erasure? just don't pay your fees. tell them you want to terminate and then don't pay. it's only a legal requirement if you want to stay on the register isn't it? i.e. payment for a service.

    also, GMC can sod right off if they think I'm paying them £200 a year at least to stay on the register when I'm in NZ/AU.

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  • This is despicable. Blackmailing doctors by £1350 in order to deter them from going abroad is morally indefensible and protectionism of the worst kind. They should be challenged in the strongest terms by the BMA and the proposal immediately taken to judicial review. Medicine is a globalised profession and introducing such barriers to trade is contrary to international business norms. They have crossed the line with this one.

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  • This comment has been removed by the moderator.

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  • Vinci Ho

    Wicked
    Absolutely wicked.....
    GP income has been always on decline last 10 years
    GMC fees can only go up , never down...

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  • well well well

    quango that champions state causes only and has no interest in doctors welfare or safety increases charges on doctors who are fed up with the current system and are looking at leaving - who would have thought.

    q'ns

    1. accountability ?
    2. why don't the people that PAY have a SAY ?
    3. where is the BMA?

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  • ROTTEN TO THE CORE!

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  • ThE GMC are relaly worth this pay increase... Come on. Don't be so mean.
    In the first cycle of revalidation they picked up all of 23 GPs that needed remediation - really useful process... Maybe that proves that we don't need the GMC as we are pretty good at what we do... Thank god the CQC will catch the rest of us and shut our surgeries down...

    And of course the GMC need to invest as th CQC will guarantee that they have plenty of work.

    And of course they should charge medics going overseas as they are clearly going for the money and not for their health

    Also the GMC has previously spent £280,000 on health insurance for its 500 employees. Shame they couldn't spend that on the workforce who actually save lives and treat patients. So we pay for their staffs private health care whilst we struggle to support our own staff in primary care.. You couldn't make it up.

    Also the board need to keep their salaries up ... You don't want to know what they take home..

    Worth every penny so please cough up and keep paying....

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  • After I was shafted by the GMC's excellent redalidation system as it was effectively impossible for doctors working outside the NHS to get revalidated (their words not mine), I took pleasure in voluntarily erasing my name from the GMC register.
    That took me quite a while while as they were obviously keen not keen to let me go as they would have been keen to keep my fees, as if that was going to happen!
    The excuse was I would have to prove that there were no pending cases against me, which was tricky as I had not worked in the NHS for many years.
    Eventually I forced them to accept this and managed to escape their clutches.
    So even if you want to voluntarily come off the register, they will put as many obsticles in your path so plan ahead to make your escape!

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  • GMC - Why do we need them,what purpose do they serve?

    There is the national performers list to keep track of GPs - extend to all our colleagues and stop being their cash cows.

    Scrap GMC as stopped representing doctors when it started persecuting its own.

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  • GMC has changed its slogan to:- Hounding the doctors, Sod the patients.
    GMC tentacles are everywhere hence we need to cough up.
    Recently came out of three year investigations because of the complaint by a fraudulent employee. It has nothing to do with patient care. I fact it's miracle that patients did not suffer due to the stress caused by GMC. GMC was looking for the non existing needle in the haystack. Helped the complainants to write the statement and searched high & dry to find me guilty, despite asking GMC to give the reasons for investigating me despite clearly seeing that complainants credibility in in tatters and also pointed out in simple plane language that :-
    1: I did not sleep with patient
    2: I did not take money from the patients
    3: I did not kill the patient
    4: I am not drug/ alcohol addict
    And that being foreigner and female I did not have cat in hell chance coming out unscathed
    Told GMC stuff their counselling service too.
    I really would like to know that the amount of your money GMC spent on me or on similar cases to mine with no relevance to patient care.
    There you have it folks why GMC needs more money from us. To borrow the phrase from fellow blogger "we are paying for our own assassination

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  • This commen=

  • What a suprise!! You can always count on the GMC to look after themselves and not those that find them.

    My case. A young early 30s GP who fled the UK and continued for 2 years to pay their exorbitant fees whilst waiting for permanent residency. I managed to get my permanent status 3 months ago and therefore an unrestricted license to practice anywhere in Canada.

    I rang the GMC a few months back and asked them if they could withdraw my registration. The kind call handler told me I would have to apply to be voluntarily withdrawn from the register and would need a certificate of good standing from my college here. I them enquired from the Canadian college how this would be arranged and was told is have to pay a fifty odd quid fee for the privilege of sending the GMC a CGS!!

    When I rang the GMC again to ask them what would happen if I simply stopped paying they guy on the other end of the phone went quiet!!!! You will be erased from the register.

    So there it is folks. I didn't pay and am now not registered due to an admin reason on the GMC website and have saved myself 50 quid and ridiculous annual fees.

    Tbh with you all I've never felt better. To be totally out of their clutches is a blessing. You always feel on edge when you know they're in the background or there's the possibility if a letter or investigation following a vexatious complaint.

    I couldn't care less for them or the RCGP either. The very best thing comrades is freedom and if you are able to escape these ghastly organisations then I strongly encourage you to do this.

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  • It's a good deterrent for doctors to leave uk and practice elsewhere!!!

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  • All said and done- this was the worst moment to hike prices. This would not only discourage overseas doctors from coming in when there is a drought in the NHS but also encourage those abroad and hoping to return at some stage, to cancel that knot with UK.

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  • Dear Editor,
    Could you kindly explore for me or encourage a discussion about any legal pitfalls if I join a Federation and this becomes a limited company.
    Does that mean that I may not be able to participate in the NHS Pension scheme as I am part of a limited company. Or is there going to be a breach of some kind because as a GMC Contract holder I cannot be a limited company? If I am able to particiapte in the NHSP scheme then why are locums registered as ltd companies not allowed to contribute to NHSP from this income.
    Thanks for looking at this.

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  • Read 'GMS' not GMC

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  • That's it. Decision made.
    I was keeping my options open by remaining registered in case I wanted to do some locum work.
    I will get revalidated in November and then withdraw from the register.
    I spoke to an ex partner recently. One doctor on maternity leave, three reduced their hours as they are burning out and can't get anyone to cover.
    How very, very sad!

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  • Wonder if this will help those doctors who have left due to over regulation? We need evidence based regulation, a fit and proper independent judge-led judicial process and the GMC is in dire need of proper regulation and accountability. Unfortunately, it doesn't seem to be happening.

    The question needs to be asked that why given there is a lack of an evidence base behind what it does is the GMC allowed to be the most bloated, wasteful and suffocating regulator of doctors in the world? Why is its dysfunctionality, conflicts of interest (eg revalidation officers who are medical directors, deans etc), its appalling track record on how it treats whistleblowers (eg Raj Mattu), patient safety issues and previous disasters (eg Shipman) not being challenged in the public arena by anyone to shut down? The GMC is a threat to patient safety and doctors alike. It must be a tool of the DOH and perhaps is told what to do in return for political cover???

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  • The GMC's running costs should be a fixed proportion of Doctor's incomes. So if we earn less they should have to tighten their belts as well and restrict their activities accordingly.

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  • So when during the year do you have to pay your fees by?

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  • Have they considered cutting staff and limiting staff salaries?
    Doubt it, let's milk doctors!
    We need support from the good Lord, amen.

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  • Reality....the GMC exists everywhere....different name, same ridiculous fees for....a name on the register....MCNZ no different. The fees go up, the service stays the same...inflation...and we can do NOTHING other than pay or give up work. I am off the register having voluntarily removed my name pre emigration...don't think could afford to reinstate...along with RCGP fee and EXORBITANT defence fees....
    My advice....leave the NHS....and take the plunge....

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  • As a retired GP, I continue to run a private Vaccine clinic for all those clients who are not illegible for the vaccines from the NHS. It has proved a very useful resource for local GP surgeries. The demand is for one half day per week. However as I have no designated body or responsible officer I will need to sit this new generic examination on areas outside my scope of practice. Pharmacists can offer the same services with little training or expertise, yet I will have to close the clinic as the costs for indemnity, appraisal, annual return and examination for revalidation now exceed the income generated. . So Another doctor with specialised training and knowledge who is capable of continuing to work is forced to go. What are the government and GMC really trying to do, certainly not retain doctors at agile of shortage.

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  • @ 11am.

    That's sad to hear. The GMC is a public relations operation. Its not an evidence based outfit.

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  • NHS costs too high, needs to find "efficiencies" to cut costs.
    GMC costs too high, increases fees to cover costs.

    It would be easier to swallow if the recent board changes hadn't come with huge pay increases.

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  • Feckin locusts ........... feeding off the carcass of medical practice in the UK .... taxation without representation ?

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  • Vinci Ho

    Can we not have a breakdown of exactly what these services ND was referring to and the actual cost of each of them? How much does GMC pay the people they employed to deliver these services?
    Talking about transparency ,huh?

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  • Bustardos of the highest order

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  • The GMC represents the public, not doctors, so why don't they pay for it? Pay the hangman? I think not.

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  • I dont get it.
    If GMC role is to protect patients , then it should be funded by tax payers money .
    We are the only group who pays for organisations to Screw ourselves like CQC [Safe,caring,efficient,responsive and well lead]
    And GMC!

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  • I must admit none of this sounds especially unreasonable to me.

    I often wonder what on earth my GMC fee gets spent on given I have virtually no contact with them expect from being maintained on their 'list' and a few mildly interesting 'booklets'. Really the only specific 'service' I have ever received for all the vast sums I've given them over the years is being revalidated, and in the past a ' certificate of good standing' that I paid for my self (fair enough). Apparently much of the fee is eaten up in fitness to practice expenses...and I think it's reasonable that we all cover that collectively given its actually a professional risk we all face.

    However I dont see why the 'collective subsidy' should extend to folk who feel they want to leave the UK and work over seas ...could they perhaps explain why I should be contributing to this for them? and I don't understand why we should collectively subsidise folk coming from outside the UK to work here either..again thats their personal choice ..why I should be subsidising their registration and language costs? That doesn't mean I don't think the country should consider paying for it. If society as a whole feels it's needs more Drs from over seas (because it can't be bothered to train and/or retain enough here) then society as a whole can contribute to the cost, I just don't see why this cost should be passed to the poor Drs already here...it ain't our fault the country doesn't have enough of us. And at the risk of boring you and provoking a wave of 'grey rage' why should we be subsidising the registration fee of retired Drs who'd like to do a bit of work here and there but who apparently cost the rest of us disproportionately as a result? Yes please continue on the register but don't expect your colleagues to subsidise this for you.

    The fees for quarterly payment is another pretty standard payment to encourage people to pay in full rather than receive what is in effect otherwise an interest free loan - again what's the problem? Or do you think the GMC should be providing interest free loans to a subsection of the profession who don't want to pay their fee in full? If so why?

    I often come on here and have a good moan. Indeed usually I'd be well up for moaning about the GMC but I don't think moaning about this is actually valid.

    I love the comments section of PULSE...but if all anyone ever does on here is moan..then it devalues the value of the debate on the site generally...and there is some excellent debate on here to be sure. The GMC has its faults but most of these changes aren't a good reason to go bashing them.

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  • Perhaps if GMC examined their own inefficiencies they would not need to raise fees: I've been under GMC 'Investigation' for over 2 years now: at 4 months in, their own independent psychiatrists identified significant mental health issues: Area Team investigated my practice and concluded I was unfit to work due to MH issues and removed me from Performers list a year ago, at which stage I decided to retire permanently: I applied for voluntary erasure which GMC refused on grounds 'I might try to reapply for registration in a couple of years': GMC then had to go to High Court to extend my suspension (at what cost?) as they still haven't got round to holding a FTP hearing, despite having all the necessary evidence and reports for at least 12 months: they've had 4 or 5 IOP hearings (at what cost) and each time courier out over a kilo of documents to several recipients including myself. n all my years in practice dealing with incompetent HAs, PCTs and CCGs, I have never encountered an organisation capable of such gross waste and time-wasting as the GMC - and such utter complacency when challenged. Unfortunately since it is we doctors and not the public who pay for all this, there is little prospect of persuading the Public Accounts Committee to investigate and hold them to account.

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  • GMC spends almost all its time persecuting doctors chasing fictitious charges from patients in the vast majority of cases.

    Time for us to stop paying an additional tax for self persecution.

    If protecting patients is what it is now all about, the DOH should be funding the witch hunts not the poor sods accused of witchcraft!

    If everyone stopped paying fees together the GMC would very quickly die the death it deserves.

    Campaign please Pulse.

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  • "However I don't see why the 'collective subsidy' should extend to folk who feel they want to leave the UK and work overseas ...could they perhaps explain why I should be contributing to this for them?"

    I doubt there are in fact many costs associated with leaving - it's just a list after all.In fact, you could argue they are subsidizing the UK docs as it is unlikely they would have much involvement with the UK GMC processes whilst away. The costs of checking revalidation are going to be the similar because it's a tick box exercise. This is political opportunism and a barrier to global medical trade. It's of course fairly contentious whether doctors should be paying for a system that 'protects the public' at all given what has been happening at the GMC recently.

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  • This is a huge response, and I agree ,probably with all of them. I had a bad experience with Fitness to practice trial, because so called G.P. expert, who made it widely known that he had recently been knighted, persisted with his "opinions", and the G.M.C. prosecutor was ordered to persist in his witch hunt, despite losing each point raised over the 10 working days it took for the prosecutor to run out of ideas, fuelled by some GMC grinder, who happened to be on holiday on a Sunny island while we were freezing in Manchester in February 2012. This informataion was given to my "team" by the prosecutor ( as I call him ). He was willing to drop the case after 4 days or so. I was cleared by the Fitness to Practice Panel on all five counts. In fact there was a hint that there should not have been an accusation in the first place.My holiday in Manchester, as I call it, cost me about £1000, and 2 weeks annual leave. I retired in September 2014.
    The GMC is a Government quango, which is peer reviewed by 4 or 5 Government quangos, so it is not surprising, they feel they can bleed and squash their working slaves. In all fairness to the "Panel" I found them very courteous and understanding.
    So pulse Magazine, I still have my black ring binder, full of all the papers, ready for you to examine. I'm sure you can contact me through my e-mail address. Yours sincerely Jonathan J. Neylon .. Dover, Kent

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  • When I moved overseas and decided to save money on GMC registration I was also told to get letters and certificates from previous employers and my new medical board, proving I had no complaints against me - basically it was guilty until proven innocent. So I didn't bother doing any of that, I simply stopped paying their fees, and was deregistered that way. Probably now a bit harder to return to th UK, but who would want to?

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  • A law and monopoly unto themselves.

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  • I think we should all stop paying GMC fees enmasse. No harm to patients, huge wake up call to government that we can be unified in action and the death of GMC all in one hit. What's there to lose?

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