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Medical Council · NMBI · Dental Council · PSI · CORU · Complaint or fitness to practise inquiry

Remediation for Fitness to Practise for healthcare professionals facing a complaint to their regulator or a fitness to practise inquiry

Your regulator wants to see what has changed — and a promise is not evidence.

  • Promises — a promise to be more careful, with no evidence behind it
  • Irrelevant CPD — courses that do not touch the concern raised
  • Records — notes altered after the event or stock records falsified
  • Practice — an infection control or communication lapse, and nothing changed since
  • Boundaries — a boundaries breach with a patient or a colleague, and no safeguard in place
  • Fees — costly treatment without the alternatives, and no change of practice
  • Hearing — remediation done, but not yet set out for a committee
  • Any other concern — where your regulator wants to see what has changed

Facing a complaint or a fitness to practise inquiry in which you must show what you have done about it — before the Medical Council, NMBI, the Dental Council, the Pharmaceutical Society of Ireland or CORU?

This course is for a healthcare professional who has to show remediation in a complaint or fitness to practise inquiry. This course helps you remediate — and show the remediation, with a dated certificate for your written response, your reflection, an undertaking or an inquiry.

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Immediate access · certificate on completion · twelve months' access

  • 2 CPD hours
  • Self-paced
  • Written for Ireland
  • CPD certificate
  • From €70 a course (Bulk Buy of 10)
Our team

At a glance

Who it is for
Any healthcare professional in Ireland who has to show remediation — in a response to a complaint, at the preliminary stage, under an undertaking or conditions, at a fitness to practise inquiry or when sanction is considered
Regulator covered
Applies to practitioners registered with the Medical Council, NMBI, the Dental Council, the Pharmaceutical Society of Ireland or CORU
Length
8 sections, 40 lessons, 2 CPD hours
Format
Self-paced, online, immediate access, twelve months from purchase
Certificate
Certificate issued by Healthcare Ethics Courses on completion, dated, with the course title and 2 CPD hours
Price
€100 · from €70 a course (Bulk Buy of 10)
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Certificate issued by Healthcare Ethics CoursesRemediation courses for regulatory processes.

2CPD hours, issued by Healthcare Ethics Courses
8Sections, seven closing with a reflective quiz
40Lessons, plus a post-course assessment
€100 (€70 with Bulk Buy 10)One off. Twelve months' access

The certificate you will receive

Sample certificate of continuing professional development for Remediation for Fitness to Practise, issued by Healthcare Ethics Courses, showing the name John Smith, 2 CPD hours and a date of completion, marked SAMPLE
Sample. Your certificate carries your name, the course title and the date you complete the course.

How healthcare professionals use it

  • With a written response to your regulator or its preliminary committee, alongside a reflection
  • When an undertaking or a consent is discussed, or in your evidence to an inquiry committee
  • As a dated record of remediation for the regulator when sanction is considered
Buy this course — €100 (€70 with Bulk Buy 10)

Who this course is for

Asked what you have done about it

A letter, a committee or your adviser wants to know what has changed since the lapse. Remediation is the answer when it is targeted, verifiable and sustained; the course shows what that looks like in five professions.

Facing a complaint to your regulator

The Medical Council, NMBI, the Dental Council, the PSI or CORU has written to tell you of a complaint. Your first written reply is where your remediation is first read, and the course gives it a structure you can follow under pressure.

Asked for an undertaking

At the Medical Council’s preliminary stage a doctor may be asked to undertake not to repeat the conduct or to be referred to a professional competence scheme. The Council’s undertakings guidance describes undertakings as a mechanism for remediation, and the course covers the evidence that shows it.

Facing a fitness to practise inquiry

The complaint has gone to a Fitness to Practise Committee, a Professional Conduct Committee or a Health Committee. Remediation completed before the hearing, dated and documented, is evidence you can put before the committee and the regulator.

Under conditions or a sanction

Conditions on your registration, or a sanction, may ask you to show that the concern has been addressed. Section 4 sets out the components of a remediation portfolio, and you receive a dated certificate for 2 CPD hours.

Facing an allegation of professional misconduct

Altered notes, a hand hygiene lapse, falsified stock records, costly treatment without the alternatives, a boundary crossed. Section 3 compares weak and strong remediation for each, and Section 5 follows five further cases through to the evidence.

The concerns this course speaks to

A promise in place of evidence

I will try to be more careful. A short statement with nothing behind it is the weak remediation the course begins with (Section 3). Strong remediation is targeted at the concern, verifiable by someone else and sustained over time.

CPD unrelated to the concern

Hours logged on a subject the complaint did not raise. Section 4 covers CPD as one component of a portfolio: relevant, documented and applied in practice, alongside audits, supervision, feedback and reflective writing.

Dishonesty in records

Notes altered after a consent discussion was missed; stock records falsified to hide an error. The course compares weak and strong remediation for both (Section 3) and follows record-keeping dishonesty through to six months of audited dispensing records and a mentor report (Section 5).

A clinical or communication lapse

A hand hygiene protocol not followed; a patient’s concerns dismissed in a consultation. The course shows the remediation for each: CPD in the area, a ward checklist and supervisor reports, or reflective writing and patient feedback showing a changed consultation style (Sections 3 and 5).

Professional boundaries with a patient or a colleague

A personal friendship with a vulnerable client, or a working relationship with a colleague that crossed the same line. Remediation for a boundary with a patient or a colleague needs clear corrective action and independent oversight: the course follows a boundary case through CPD, transfer of care, reflective logs and supervisor attestations (Sections 3 and 5).

Fees, consent and transparency

Costly treatment offered without the cheaper alternatives. The course shows written treatment plans setting out every option, refunds where appropriate, targeted CPD and an audit of 20 subsequent cases (Section 5).

A portfolio no one can follow

Certificates without reflection, reflection without evidence, evidence without a link to the concern. Section 6 covers reflective statements, a structured portfolio and the integration of evidence, so the remediation reads as one account.

Remediation at a hearing

Defensive or evasive answers that undo good evidence. Section 6 covers behaviour at a hearing — calm admission of responsibility, reference to what has been learned, evidence presented clearly — and presentation style.

Facing a complaint to your regulator or a fitness to practise inquiry? This course helps you remediate — and show it.

Buy this course — €100 (€70 with Bulk Buy 10)

What the course covers

Eight sections and 40 lessons, with a reflective quiz closing each of the first seven and a post-course assessment at the end.

Section 01

Introduction — What Is Remediation and Why It Matters in Irish Healthcare

Four lessons

Section 02

Regulator Perspectives on Remediation — Medical Council, NMBI, PSI, Dental Council, CORU

Six lessons

Section 03

Weak vs Strong Remediation — What Regulators Look For

Six lessons

Section 04

Key Components of Remediation Portfolios — CPD, Audits, Supervision, Feedback

Six lessons

Section 05

Case Studies — Remediation in Action Across Irish Professions

Six lessons

Section 06

How to Present Remediation in Portfolios and Hearings

Five lessons

Section 07

Embedding Remediation into Professional Identity and Lifelong Practice

Five lessons

Section 08

Conclusion and Key Takeaways

Two lessons, Conclusion and Key Takeaways, and the post-course assessment

Show every lesson title
Section 01 · Introduction — What Is Remediation and Why It Matters in Irish Healthcare
What Is Remediation?; Why Remediation Matters for Patients; Why Remediation Matters for Regulators; Remediation as Lifelong Practice.
Section 02 · Regulator Perspectives on Remediation — Medical Council, NMBI, PSI, Dental Council, CORU
Medical Council of Ireland; Nursing and Midwifery Board of Ireland (NMBI); Pharmaceutical Society of Ireland (PSI); Dental Council of Ireland; CORU — Health and Social Care Professionals Council; Shared Regulator Themes.
Section 03 · Weak vs Strong Remediation — What Regulators Look For
Medicine — Documentation Lapse; Nursing — Infection Control Breach; Pharmacy — Dishonest Record-Keeping; Dentistry — Financial Misconduct; Allied Health (CORU) — Boundary Violation; Shared Patterns.
Section 04 · Key Components of Remediation Portfolios — CPD, Audits, Supervision, Feedback
Continuing Professional Development (CPD); Clinical or Administrative Audits; Supervision or Mentorship; Patient and Colleague Feedback; Reflective Writing; Integration of Evidence.
Section 05 · Case Studies — Remediation in Action Across Irish Professions
Medicine — Communication Failure; Nursing — Confidentiality Breach; Pharmacy — Record-Keeping Dishonesty; Dentistry — Consent and Transparency; Allied Health (CORU) — Boundary Violation; Shared Lessons Across Professions.
Section 06 · How to Present Remediation in Portfolios and Hearings
Reflective Statements; Structured Portfolios; Evidence Integration; Behaviour at Hearings; Presentation Style.
Section 07 · Embedding Remediation into Professional Identity and Lifelong Practice
Remediation as Professional Identity; Daily Habits That Sustain Remediation; Role of Mentorship and Supervision; Remediation and Resilience; Sustaining Remediation Across a Career.
Section 08 · Conclusion and Key Takeaways
Conclusion; Key Takeaways.

How to show remediation in a response to a complaint or fitness to practise inquiry

Whether it is read at the preliminary stage, by an inquiry committee or by the regulator deciding a sanction, remediation is read for evidence. These are the four parts to set out, and what the course gives you for each.

Remediation is what you did; evidence is how anyone else can know you did it.

  1. The concern, namedThe specific lapse the remediation addresses, in plain words.Section 1 defines remediation as targeted, relevant, verifiable and ongoing.
  2. What you didTargeted CPD, a changed system or checklist, supervision or mentoring.Section 4 covers each component, and Section 5 five cases across the professions.
  3. The evidenceAudits, supervisor or mentor reports, feedback and reflective writing.Section 6 shows how to integrate the evidence in a structured portfolio — and this course is a dated item for it.
  4. That it has lastedSustained change over time, not a one-off activity.Section 7 covers embedding remediation in daily practice, with mentorship and supervision.

A certificate on its own is a start; a certificate with the change it led to is remediation.

Take advice from your indemnifier, your union or professional body, or a solicitor before you respond to anyone.

Facing a complaint to your regulator or a fitness to practise inquiry? This course helps you remediate — and show it.

Buy this course — €100 (€70 with Bulk Buy 10)

How this course helps with a complaint or fitness to practise inquiry

What the regulators say about remediation

The Medical Council’s undertakings guidance says undertakings “provide a mechanism for the remediation and development of a Practitioner”, and its Guidance on Sanctions says a doctor may present evidence about how they have addressed issues or concerns. NMBI’s Guidance on Sanctions lists among mitigating factors “whether the nurse or midwife has taken remedial action where appropriate”. CORU says “Undertakings are agreed commitments by the registrant to address identified concerns.” (trends report).

Remediation you can evidence

The course compares weak and strong remediation in five situations (Section 3), sets out the components of a remediation portfolio — CPD, audits, supervision or mentorship, patient and colleague feedback, and reflective writing (Section 4) — and follows five cases across medicine, nursing, pharmacy, dentistry and the CORU professions (Section 5). For the stages from the first letter to the High Court, see the fitness to practise process in Ireland, explained.

Read the primary sources

Who wrote it

Dr Shehzad Iqbal, course author and facilitator at Healthcare Ethics Ireland

Dr Shehzad Iqbal

Course author and facilitator, Healthcare Ethics Ireland

Dr Iqbal wrote this course. He combines clinical practice with a formal postgraduate qualification in healthcare law and ethics, and has worked with registrants across the regulated health professions, online and face to face, since 2020.

He founded Probity & Ethics in the United Kingdom in 2020 and Healthcare Ethics Courses, which issues the certificates, in 2025. More about us.

MBBS · MRCS · MRCGP · Postgraduate Certificate in Healthcare Law and Ethics, University of Dundee

Written and reviewed by Dr Shehzad Iqbal. Last reviewed .

In short

Remediation for Fitness to Practise is a two-hour, self-paced remediation course for healthcare professionals in Ireland — registered with the Medical Council, NMBI, the Dental Council, the Pharmaceutical Society of Ireland or CORU — who face a complaint, a preliminary decision, an undertaking or a fitness to practise inquiry and have to show what they have changed. It defines remediation as a structured process of corrective action that is targeted, relevant, verifiable and ongoing; sets out how the five regulators’ codes frame it; compares weak and strong remediation in five situations; covers the components of a remediation portfolio — CPD, audits, supervision, feedback and reflective writing; follows five case studies across the professions; shows how remediation is presented in a portfolio and at a hearing; and covers embedding it in daily practice. Eight sections, the first seven closing with a reflective quiz, a post-course assessment, and a dated certificate from Healthcare Ethics Courses. It is remediation and dated evidence of it; it decides no complaint, and it is not a substitute for advice from your indemnifier, your union or professional body, or a solicitor.

What remediation means to the Irish regulators

Remediation is the concrete steps taken so that a lapse does not happen again, with evidence that they were taken. The Medical Council’s undertakings guidance treats remediation as one purpose of an undertaking, and counts a practitioner who will undertake retraining or other remedial measures among the factors it weighs. NMBI’s Guidance on Sanctions counts remedial action taken where appropriate among mitigating factors. CORU describes undertakings as agreed commitments to address identified concerns, and in the cases it concluded in 2022 to 2024 undertakings were the largest single Committee of Inquiry outcome.

The course draws the same line between weak and strong remediation for every profession: vague apologies, minimisation and irrelevant CPD on one side; honest admission, a link to the standard, targeted CPD, independent audits, supervisor reports and sustained improvement on the other.

In a written response, name the concern, say what you did about it, attach the evidence, and show that the change has lasted.

What these words mean

The three terms that decide where a complaint goes, and the words the course is built on.

Preliminary Proceedings Committee
The committee of the Medical Council, NMBI, the PSI and CORU that looks at a complaint before any inquiry: it may take no further action, suggest mediation, conclude the matter with an undertaking or a consent where its Act allows, or refer the complaint to an inquiry. At the Dental Council the Fitness to Practise Committee considers whether there is a prima facie case.
Fitness to practise inquiry
The hearing stage: before the Fitness to Practise Committee at the Medical Council, NMBI and the Dental Council, and before the Professional Conduct Committee or the Health Committee at the PSI and CORU. Any sanction heavier than an advice, admonishment or censure takes effect only when the High Court confirms it.
Professional misconduct
A ground of complaint under four of the Acts and, under the Dentists Act 1985, a ground for an application for an inquiry. The Dental Council describes it as a serious falling short in the standards expected of a dentist; the PSI as behaviour that goes against its Code of Conduct for registered pharmacists; CORU as any act, omission or pattern of conduct that breaches the Code.
Remediation, the portfolio and the other terms the course uses
Remediation
A structured process of corrective action following a lapse in professionalism, competence or probity, to show learning, accountability and sustained change. Targeted, relevant, verifiable and ongoing.
Remediation portfolio
A structured package of evidence: CPD certificates, reflective writing, audits, supervisor or mentor reports, and patient or colleague feedback, each linked to the concern.
Targeted CPD
Continuing professional development on the subject of the concern, documented and applied in practice. CPD on an unrelated subject is weak remediation.
Audit
A clinical or administrative review of practice that gives measurable evidence of improvement: specific, repeated and, where possible, independently verified.
Supervisor or mentor report
An independent, regular report specific to the area of concern, confirming that behaviour has changed.
Insight
Understanding what went wrong, why, and its effect on patients, colleagues and trust. Remediation without insight is a certificate; insight without remediation is an account.
Conditions
Requirements attached to registration as a sanction. Like the other heavier sanctions, they take effect only when the High Court confirms them.

The Acts a complaint is made and decided under

Ireland’s five health regulators each work under their own Act, all five amended by the Regulated Professions (Health and Social Care) (Amendment) Act 2020. These are the sections that say who may complain, on what grounds, and who looks at the complaint first.

Medical Council — Medical Practitioners Act 2007, section 57

A person, including the Council, may complain to the chief executive officer. The grounds include professional misconduct, poor professional performance, a relevant medical disability, and a failure to comply with a condition, an undertaking or a consent. The chief executive officer looks at the complaint first, an Authorised Officer may gather the facts, and the Preliminary Proceedings Committee decides whether there is enough cause to take further action. Read it.

For this course: The Medical Council’s undertakings guidance describes undertakings as a mechanism for remediation; Section 4 covers the evidence that shows it.

NMBI — Nurses and Midwives Act 2011, section 55

A person, including the Board, may complain to the chief executive officer. The grounds include professional misconduct, poor professional performance, non-compliance with a code of professional conduct, a relevant medical disability, and an irregularity in relation to the custody, prescription or supply of a controlled drug. A Preliminary Proceedings Committee, assisted by a case officer, may refer a complaint to the Fitness to Practise Committee for a sworn oral inquiry. Read it.

For this course: NMBI counts remedial action taken where appropriate among mitigating factors; Section 3 compares weak and strong remediation of a nurse’s infection control lapse.

Dental Council — Dentists Act 1985, section 38

The Council or any person may apply to the Fitness to Practise Committee for an inquiry, on grounds that include alleged professional misconduct and alleged unfitness to practise by reason of physical or mental disability. This is an application for an inquiry rather than a complaint: the Fitness to Practise Committee considers whether there is a prima facie case, and if there is, it holds the inquiry. Read it.

For this course: Section 5 follows a dentist’s remediation of a consent and transparency lapse through to an audit of 20 subsequent cases.

Pharmaceutical Society of Ireland — Pharmacy Act 2007, section 35

A complaint may be made in writing by or on behalf of any person, or by the registrar. The grounds include professional misconduct, poor professional performance, the effect on practice of a physical or mental ailment, emotional disturbance, or alcohol or drug addiction, and a failure to comply with a condition or an undertaking. The PSI separates a concern from a statutory complaint, which is for issues of a serious nature; its Preliminary Proceedings Committee may refer a complaint to a committee of inquiry or to mediation. Read it.

For this course: Sections 3 and 5 follow a pharmacist’s remediation of dishonest record-keeping through to six months of audited records.

CORU — Health and Social Care Professionals Act 2005, section 52

A complaint may be made to the Council by or on behalf of any person, or by a registration board. The grounds include professional misconduct, which CORU describes as any act, omission or pattern of conduct that breaches the Code, and poor professional performance. The Preliminary Proceedings Committee screens out complaints that are trivial, vexatious, without substance or made in bad faith; the Professional Conduct Committee deals with conduct or competence, and the Health Committee with whether a registrant’s health is affecting their ability to practise. Read it.

For this course: CORU describes undertakings as agreed commitments to address identified concerns; Section 5 follows a social worker’s remediation of a boundary lapse.

Also engaged: Sanctions — advice, admonishment or censure, conditions, suspension and cancellation (erasure under the Dentists Act): Medical Practitioners Act s.71, Nurses and Midwives Act s.69, Dentists Act ss.39 to 41, Pharmacy Act s.48, Health and Social Care Professionals Act s.66 · High Court confirmation — the heavier sanctions take effect only when the High Court confirms them; an advice, admonishment or censure on confirmation or once the appeal window of 21 or 30 days passes without an appeal · The 2020 Act — the Regulated Professions (Health and Social Care) (Amendment) Act 2020, which amended all five Acts in stages from 2021 to 2025.

Courses with the Ethics and Professionalism pair written to your own regulator’s code — for doctors, nurses and midwives, dentists, pharmacists and all other healthcare professionals, or every course →

Frequently asked questions

What does remediation mean in a fitness to practise case?

The concrete steps you take so that the lapse does not happen again, with evidence that you took them. The course defines strong remediation as targeted at the concern, relevant, verifiable and sustained: CPD on the subject, a changed system, audits, supervision or mentoring, feedback and reflective writing, put together so that each item supports the others.

When should I start remediation?

As soon as you have taken advice. Remediation completed and dated before a committee decides is evidence it can weigh; the Medical Council’s undertakings guidance and NMBI’s Guidance on Sanctions both treat remedial action as relevant. Agree with your adviser what you will say about it, and when, before you write to anyone.

What evidence of remediation do committees look for?

The course sets out the components of a remediation portfolio: CPD certificates relevant to the concern, audits repeated over time, supervisor or mentor reports, anonymised patient or colleague feedback, and reflective writing linked to your code (Section 4). It shows why a combination of these is stronger than any one, and how to present them (Section 6).

Can this course be part of my remediation?

It can be part of the evidence, but no course decides a complaint. It gives you a dated certificate of 2 CPD hours and shows how to build the rest of the remediation around it. Whether a course meets a particular undertaking or condition depends on its wording, so read it with your adviser before you enrol.

I have been asked for an undertaking. What does remediation have to do with it?

At the Medical Council’s preliminary stage a doctor may be asked to undertake not to repeat the conduct or to be referred to a professional competence scheme, and the Council’s undertakings guidance describes undertakings as a mechanism for the remediation and development of a practitioner. CORU describes undertakings as agreed commitments to address identified concerns.

How do I present remediation at a hearing?

With a structured portfolio and calm, honest engagement. Section 6 covers reflective statements, portfolio structure, integration of evidence, behaviour at a hearing and presentation style: clear language, every item linked to the concern and the code, and an ongoing commitment as well as past activity.

Should I take advice before I respond?

Yes — before anything is written to the regulator, a committee or your employer. If you work for a public health agency, note that the Clinical Indemnity Scheme says it does not provide representation at disciplinary proceedings or before professional regulatory bodies. Whatever your profession, ask your indemnifier, your union or professional body, or a solicitor. Nothing on this page is legal advice.

How long does it take, and how long do I have access?

The course is 2 CPD hours, self-paced, with access for twelve months from purchase. The certificate is issued on completion, dated, with the course title and the CPD hours. Whether the hours count towards your own CPD requirement is for your regulator or scheme to say: doctors must undertake a minimum of 50 hours in each scheme year, and CORU registrants must achieve 30 CPD credits in every 12-month period.

Can I get a certificate with a later date?

No. The certificate records the date you completed the course, and that date does not change. If your regulator, an inquiry committee or an employer asks for recent evidence, you buy the course again: half price within twelve months of your original purchase, the full €100 after that.

Will anyone be told that I am taking the course?

No. Nobody is told you are enrolled. We do not share participant details with any regulator, an employer, a union or an indemnifier; the certificate reaches them only if you attach it to your own response.

Remediation rests on insight and is explained in a reflection. These are the courses that pair with this one.

Insight for Fitness to Practise

What insight is, how the five regulators frame it, weak and strong demonstrations of insight, and how insight is shown in a portfolio and at a hearing.

2 CPD hours · €100 (€70 with Bulk Buy 10)

Reflection for Fitness to Practise

Weak and strong reflective statements, the Gibbs, Rolfe and Johns models, reflection against apology and justification, and the reflective portfolio.

2 CPD hours · €100 (€70 with Bulk Buy 10)

Ensuring No Repeat of Misconduct or Mistake in Future Practice

Risk factors for a repeat, weak and strong assurances of non-repetition, and the evidence that change has been made and kept.

2 CPD hours · €100 (€70 with Bulk Buy 10)

Fitness to Practise for Healthcare Professionals

What fitness to practise means to the five regulators, the concerns behind a case, weak and strong responses, and professionalism at a hearing.

2 CPD hours · €100 (€70 with Bulk Buy 10)

Dealing with a Complaint or Investigation Professionally

Responding to a complaint, employer and regulatory investigations, records and evidence, and protecting your wellbeing while the matter is open.

2 CPD hours · €100 (€70 with Bulk Buy 10)

Rebuilding Trust of Patients, Colleagues, the Public and the Regulator

How trust is lost, and how it is rebuilt with patients, the public, teams and the regulator: insight, remediation and future risk.

2 CPD hours · €100 (€70 with Bulk Buy 10)

Professionalism for Healthcare Professionals

Core attributes of professionalism, the Irish regulators’ standards, lapses and their consequences, and professionalism in communication, documentation and digital practice.

2 CPD hours · €100 (€70 with Bulk Buy 10)

Remediation for Fitness to Practise

This course. What remediation is, weak and strong remediation, the components of a portfolio, and how remediation is presented.

2 CPD hours · You are here

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