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Healthcare Ethics Ireland

Medical Council of Ireland · Preliminary Proceedings Committee · Fitness to Practise Committee · High Court confirmation

For Doctors in Ireland

Remediation courses for Doctors facing a Medical Council complaint, fitness to practise inquiry or allegation of professional misconduct

Remediation courses for doctors registered with the Medical Council of Ireland who have been told of a complaint, are answering an Authorised Officer or the Preliminary Proceedings Committee, or are preparing for an inquiry before the Fitness to Practise Committee.

  • A complaint to the Medical Council about your conduct, your performance or your health
  • A letter from the Council’s chief executive officer or an Authorised Officer asking for your response
  • A Preliminary Proceedings Committee decision, or a request for an undertaking or a consent
  • A notice of inquiry before the Fitness to Practise Committee with an allegation of professional misconduct
  • An allegation of poor professional performance, or a referral to the performance assessment scheme
  • A concern about a boundary with a patient or a colleague, consent, confidentiality or records
  • A sanction under consideration by the Council, or conditions or an undertaking that call for study you can evidence
  • Any other ethical concern or allegation of unethical conduct
  • 24 courses
  • 2 CPD hours per course
  • Certificate on completion
  • Written to the Guide to Professional Conduct and Ethics
  • From €70 a course (Bulk Buy of 10)
Our team

At a glance

Who it is for
Doctors facing a Medical Council complaint, an Authorised Officer’s letter, a Preliminary Proceedings Committee decision, a fitness to practise inquiry or a decision on sanction
Regulator covered
The Medical Council of Ireland under the Medical Practitioners Act 2007 — its chief executive officer, its Preliminary Proceedings Committee and its Fitness to Practise Committee — and confirmation by the High Court
CPD
2 hours per course
Access
Immediate, online, twelve months from purchase
On completion
A dated certificate for your response, your reflection or your remediation plan
Price
From €70 a course (Bulk Buy of 10)

Certificate issued by Healthcare Ethics CoursesRemediation courses for regulatory processes.

Buying several

A remediation portfolio is better with more courses

Courses are €100 each (€70 with Bulk Buy 10). If you are building a remediation plan you may need several. Bulk Buy is 2 or more courses: two courses are €175, three are €250, five are €400 (20 per cent off) and ten are €700 — ten for the price of seven, a saving of €300. The saving is applied in the basket.

The more courses you choose, the less each one costs

CoursesPriceYou savePer course
1€100No saving€100
2€175€25€88
3€250€50€83
5€400€100€80
10€700€300€70

If you are responding to a complaint or a fitness to practise inquiry, you can start with the Core Set — the ethics and professionalism pair written for your profession, insight, reflection, remediation, ensuring no repeat, the fitness to practise process, dealing with a complaint, and rebuilding trust — and add courses for the specific concern raised.

Choosing your courses

Which courses should you take?

The Core Medical Council Remediation Set applies to every complaint, whatever the concern. Choose the type of concern named in your letter and you will see the courses that address it directly.

Core Medical Council Remediation Set

Recommended for every complaint you are currently facing, whatever the concern. These cover insight, reflection, remediation and the risk of repetition — the four things a remediation response has to show before the Preliminary Proceedings Committee, the Fitness to Practise Committee and the Council decide.

Recommended for every complaint · 9 courses Certificate · 2 CPD hours

Choose the concern raised

Select the type of concern named in your letter. The Core Set above applies to every complaint whatever the concern.

Ethics & Ethical Conduct

If the complaint concerns ethical judgement or behaviour, or an allegation of unethical conduct measured against the Guide to Professional Conduct and Ethics.

Primary recommended courses 15 the 9 Core Set courses apply to every complaint — the rest address this concern directly

Further relevant courses 9 related areas that can arise alongside this concern

Professionalism, Conduct & Attitude

If the complaint alleges unprofessional behaviour or conduct, or raises concerns about communication, documentation or your attitude towards patients or colleagues.

Primary recommended courses 14 the 9 Core Set courses apply to every complaint — the rest address this concern directly

Further relevant courses 10 related areas that can arise alongside this concern

Probity, Honesty and Financial Integrity

If the complaint concerns dishonesty, an altered or falsified record, a misleading claim, fees or billing, or a conflict of interest.

Primary recommended courses 12 the 9 Core Set courses apply to every complaint — the rest address this concern directly

Further relevant courses 12 related areas that can arise alongside this concern

Professional Boundaries: Patients & Colleagues

If the complaint concerns professional or ethical boundaries with a patient or a colleague, a dual relationship, sexual misconduct, consent or a chaperone.

Primary recommended courses 13 the 9 Core Set courses apply to every complaint — the rest address this concern directly

Further relevant courses 11 related areas that can arise alongside this concern

Clinical Care, Prescribing and Records

If the complaint concerns the care itself — an allegation of poor professional performance, prescribing, clinical judgement or the record of it.

Primary recommended courses 14 the 9 Core Set courses apply to every complaint — the rest address this concern directly

Further relevant courses 10 related areas that can arise alongside this concern

Complaint, Investigation and Inquiry

If you are answering a complaint, an Authorised Officer, the Preliminary Proceedings Committee or a notice of inquiry and need to understand what each stage asks of you.

Primary recommended courses 9 the 9 Core Set courses apply to every complaint — the rest address this concern directly

Further relevant courses 15 related areas that can arise alongside this concern

The full library

All 24 courses for doctors

Every course is €100 (€70 with Bulk Buy 10), carries 2 CPD hours, and issues a dated certificate on completion. Access is immediate and runs for twelve months from purchase. Each appears under at least one concern above. Bulk Buy is 2 or more courses, from €175 for two to €700 for ten, on the Bulk Buy page.

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

Insight for Fitness to Practise

Insight matters at every stage, whatever the allegation. Helps you understand what the Medical Council means by the word, shows you how to demonstrate insight rather than assert it, and supports you in putting it in writing before any committee decides anything.

Medical Council code Add to basket

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

Reflection for Fitness to Practise

Helps you write a reflection that can be read closely by the Medical Council or an inquiry committee, analysing what happened rather than describing it. Takes you through structured models and supports you through the feelings that get in the way of honest writing.

Medical Council code Add to basket

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

Remediation for Fitness to Practise

Supports you in building a remediation plan around the concerns actually raised, rather than collecting certificates. Shows you how to document what you have changed, and how to avoid the mistakes that make remediation read as compliance rather than change.

Medical Council code Add to basket

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

Fitness to Practise for Healthcare Professionals

Walks you through the process you are in: what a complaint to the Medical Council means, what happens at each stage from the first letter to an inquiry and the High Court, and what interim suspension, conditions, suspension or cancellation would involve. A sensible first course if the letter you received is the first you have heard of any of this.

Medical Council code Add to basket

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

Dealing with a Complaint or Investigation Professionally

Takes you through answering a complaint: what the Medical Council and its committees ask of you, in what order, and what is asked of you at each stage. Helps you avoid the defensive responses that make matters worse, and manage the strain while you wait.

Medical Council code Add to basket

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

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

For matters where trust has broken down with patients, with colleagues, or with the regulator itself. Covers apology and open disclosure under the Patient Safety (Notifiable Incidents and Open Disclosure) Act 2023, and supports you in demonstrating that trustworthiness has been restored rather than promising it.

Medical Council code Add to basket

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

Ethics and Ethical Standards for Doctors

Helps you understand what the Guide to Professional Conduct and Ethics expects of you where the concern is about your judgement, your honesty, or your conduct towards patients. Supports you in handling it openly and writing the reflection the Medical Council or an inquiry committee will read.

Medical Council code Add to basket

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

Professionalism and Professional Standards for Doctors

Helps you see where conduct, attitude or behaviour towards patients and colleagues fell short of the Guide to Professional Conduct and Ethics, and why that matters to the Medical Council. Supports you in building the insight and reflection that go into a remediation response.

Medical Council code Add to basket

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

Medical Ethics Course

A broader course for matters where several concerns have been raised at once, or where the allegations are serious. Helps you work through difficult decisions in clinical practice and supports you in rebuilding trust with the Medical Council.

Medical Council code Add to basket

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

Professional Ethics Course

For matters where your honesty, integrity or accountability in day-to-day practice has been questioned. Helps you see how these lapses happen and what they mean for patients and colleagues, and supports you in responding credibly while a complaint is open.

Medical Council code Add to basket

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

Duty of Candour for Healthcare Professionals

Being open after something goes wrong is a duty, not a courtesy, and since 26 September 2024 open disclosure of a notifiable incident is required by law in Ireland. Helps you apologise properly, hold the conversation itself, and record it, and explains why a failure to disclose can become a separate allegation from the error that prompted it.

Medical Council code Add to basket

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

Confidentiality in Healthcare Practice

A conversation overheard, records accessed, or something shared that should not have been. Helps you understand when disclosure is lawful and when it is required, covers telehealth and digital records, and supports you in remediating a breach.

Medical Council code Add to basket

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

Privacy, Consent and Chaperone in Healthcare Practice

Reminds you what valid consent requires, how it should be recorded, and when a chaperone should be offered, and helps you reflect on an examination or a procedure that has been questioned in a complaint.

Medical Council code Add to basket

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

Effective Communication for Healthcare Professionals

For a complaint about how you spoke to a patient, a family or a colleague, or about what was not said. Helps you look again at the conversation, and supports you in showing the Medical Council what you would do differently.

Medical Council code Add to basket

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

Documentation for Healthcare Professionals

A record amended after a complaint is made turns a clinical matter into one of honesty. Reminds you what accurate, timely notes look like, how an error in a record should be corrected, and how records are read at an inquiry.

Medical Council code Add to basket

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

Ensuring Teamwork and Collaboration

For concerns that involve colleagues rather than patients: conflict, handover, delegation, or how you behave within a team. Helps you understand what went wrong and supports you in evidencing changed working relationships to the Medical Council.

Medical Council code Add to basket

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

Prescribing Guidance and Standards for Healthcare Professionals

Prescribing matters depend on the detail: high-risk medicines, records, and prescribing for yourself, your family or your friends. Reminds you why each attracts scrutiny and supports you in responding where prescribing forms part of the complaint.

Medical Council code Add to basket

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

Ensuring Clinical Competence and Patient Safety

For a concern about your clinical judgement, your competence or patient safety, knowledge or performance. Helps you work within the limits of your competence, recognise the early signs of declining performance, and show the Medical Council that competence has been restored.

Medical Council code Add to basket

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

Probity and Honesty for Healthcare Professionals

If your letter questions your honesty, begin here. Helps you understand what honesty and integrity mean in records, declarations, certificates and fees, and supports you in rebuilding trust through a documented remediation plan.

Medical Council code Add to basket

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

Financial Integrity for Healthcare Professionals

For matters involving money: fees, billing, claims, or an interest you did not declare. Helps you understand how these matters arise and what they mean for your registration, and supports you in responding to a complaint or an audit.

Medical Council code Add to basket

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

Professional Boundaries Course

A complaint about a boundary with a patient or a colleague is serious wherever it is heard. Helps you see where the boundary is, how they are crossed gradually and without intent, and supports you in putting credible remediation together.

Medical Council code Add to basket

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

Ethical Boundaries with Patients and Colleagues

For a dual relationship, a relationship that became too close, contact outside work, or gifts, with a patient or a colleague. Reminds you of the warning signs and the power imbalance that makes these matters serious, and helps you show insight and accountability afterwards.

Medical Council code Add to basket

Before anything else

Who decides — the Preliminary Proceedings Committee, the Fitness to Practise Committee or the Council?

The Medical Council of Ireland regulates doctors under the Medical Practitioners Act 2007. It looks at the health, performance and conduct of individual registered doctors, not at disputes between a doctor and a patient. Since 6 May 2025, when the 2020 Act was commenced for the Council, a complaint goes first to the chief executive officer; the Preliminary Proceedings Committee decides whether to take further action, the Fitness to Practise Committee hears an inquiry, the Council decides the sanction and the High Court confirms it.

Check who signed your letter: the chief executive officer or an Authorised Officer is the first stage, the Preliminary Proceedings Committee the second, and a notice of inquiry means the Fitness to Practise Committee.

The complaint arrives

Any person, including the Council itself, may complain to the chief executive officer, and the Council tells the doctor in writing. The CEO may reject a complaint that is frivolous or vexatious. The grounds in section 57 are professional misconduct, poor professional performance, a relevant medical disability, a breach of a condition, an undertaking or a consent, a prohibition or restriction on practising elsewhere, a contravention of the Act, and a conviction for an indictable offence.

The Authorised Officer

The CEO may assign an Authorised Officer. The officer gives you notice in writing, may obtain records and an expert opinion, and asks you for information within a set period. You then receive the Investigation Report and not less than two weeks to respond to it (2025 CEO and PPC Procedures). The Council publishes no fixed deadline for your first reply, so take advice at once. This is the earliest point at which dated remediation can be shown.

The Preliminary Proceedings Committee

The Council says the PPC will decide if there is “enough cause to take further action”. It may ask for more information, suggest informal resolution or mediation, take no further action, request an undertaking or a consent, refer the doctor to the performance assessment scheme, or refer the complaint to the Fitness to Practise Committee where there is a prima facie case. The Council says the decision at the investigation stage cannot be appealed. In 2023 the PPC made 286 decisions and referred 61 (Annual Report 2023).

Undertakings and consents

Under the Council’s 2025 procedures the PPC may ask a doctor to undertake not to repeat the conduct, to undertake to be referred to a professional competence scheme, to consent to medical treatment, or to consent to censure. If the doctor agrees, the complaint is concluded. The Council’s guidance on undertakings says they “provide a mechanism for the remediation and development of a Practitioner”, and weighs the level of insight the practitioner has shown.

The inquiry and the Council’s sanction

A referred complaint is heard by the Fitness to Practise Committee at an inquiry, in public unless the Council decides the hearing is to be held in private or part private; in 2023 there were 23 inquiry hearings, 12 in public and 11 in private. The committee reports to the Council, which decides the sanction under section 71: advice, admonishment or censure; censure with a fine of up to €5,000; conditions; transfer to another division of the register; suspension; cancellation; or a bar on applying for restoration. Interim suspension is possible under section 60.

The High Court, and what does not change

Every sanction other than an advice, admonishment or censure takes effect only when the High Court confirms it, and the Council applies to the Court for that confirmation (section 74); the lighter three take effect once the Court confirms them or the 21 days to appeal pass without an appeal. At every stage the same four things are asked of you, set out below.

In short

What are Medical Council remediation courses for doctors?

Medical Council remediation courses are self-paced online courses taken by a doctor registered in Ireland to evidence insight, reflection and remediation in response to a complaint to the Medical Council, an Authorised Officer’s investigation, a Preliminary Proceedings Committee decision, or an inquiry before the Fitness to Practise Committee. They are not a Council product: they give you independent, dated evidence that you identified the concern and acted on it.

This page carries 24 such courses written for doctors, €100 each (€70 with Bulk Buy 10), or less as a Bulk Buy of 2 or more: ten for €700, saving up to €300. They are written to the Guide to Professional Conduct and Ethics for Registered Medical Practitioners, 9th edition, effective from 1 January 2024. Nine form a Core Set for any complaint; fifteen are grouped by type of concern. Every course carries 2 CPD hours and a dated certificate from Healthcare Ethics Courses.

No course decides a complaint, and no provider can promise an outcome. The Council’s Guidance on Sanctions says that “Mitigating factors may reduce the severity of the sanctions to be imposed”. Remediation started while the matter is open is easier to evidence than material put together just before a decision.

Medical Council complaints

Supporting doctors through a Medical Council complaint or fitness to practise inquiry

Courses
24, written for doctors in Ireland
Price
€100 (€70 with Bulk Buy 10) per course · Bulk Buy: 2 courses €175, 3 €250, 5 €400, 10 €700 (ten for the price of seven)
CPD per course
2 hours
Core Set
9 courses, 18 CPD hours
Written to
The Guide to Professional Conduct and Ethics for Registered Medical Practitioners, 9th edition (effective from 1 January 2024)
Certificate
Issued by Healthcare Ethics Courses on completion
Bodies covered
The Medical Council, its chief executive officer and Authorised Officers, the Preliminary Proceedings Committee, the Fitness to Practise Committee and the High Court
Format
Online, self-paced, immediate access · face-to-face courses on set dates
Access
Twelve months from purchase, with unlimited revisiting

A complaint to the Medical Council is one of the hardest things a doctor deals with. In 2023 the Council received 353 complaints against 391 doctors, from a register of 29,488 (Annual Report 2023). Demonstrating active, documented remediation is one of the few parts of the process within your control while everything else waits.

Representation is a separate question. The Clinical Indemnity Scheme covers clinical negligence claims for staff of public health agencies, but its own guide says it does not provide representation at disciplinary proceedings or before professional regulatory bodies. Medical Protection says Medical Council complaints are not covered by the scheme, and offers advice and representation for Fitness to Practise proceedings; the MDU says it can support issues the scheme does not cover. Speak to Medical Protection, the MDU, your union or a solicitor before you write to anyone.

Why it matters

What the Medical Council is actually assessing

Once the facts are settled, the Council’s Guidance on Sanctions, dated 28 May 2024, sets out what counts for and against a doctor before the Preliminary Proceedings Committee, the Fitness to Practise Committee or the Council.

Four things, in this order

A remediation response is easier to read when it shows four things, in this order: that you understand what went wrong, that you accept responsibility for your part in it, that you recognise the effect on the patient, on colleagues and on public confidence in the profession, and that you have changed as a result. That structure is ours. The Guidance on Sanctions itself says a doctor may demonstrate insight by providing evidence of their understanding of the problem (paragraph 6.1.1), that an apology to anyone affected at an early stage counts in a doctor’s favour (6.1.1), and that a marked lack of insight or contrition may be an aggravating factor (5.3).

Insight is evidenced, not asserted

The guidance asks for evidence of understanding and of how concerns have been addressed. A statement that you have reflected is not that evidence. A dated certificate, attached to a written reflection that names the concern, is.

Open disclosure is now the law

The Patient Safety (Notifiable Incidents and Open Disclosure) Act 2023 commenced on 26 September 2024, except section 68 (S.I. 482/2024). CORU says it applies to all public and private health services and their staff, and that for a notifiable incident open disclosure must happen within 24 to 48 hours. A response that defends the clinical decision but says nothing about whether the patient was told leaves the central question unanswered.

Records are judged twice

Once as clinical care and once as evidence. Late entries, gaps and retrospective additions will be noticed. Amending a record once you know of a complaint turns a clinical matter into one of honesty, a harder allegation to answer.

Colleagues are in the Guide too

The Guide to Professional Conduct and Ethics says a doctor must raise concerns where patient safety or care is being compromised by the practice of colleagues (paragraph 3.1). Conduct towards a colleague, or silence when a colleague’s practice put a patient at risk, is measured against the same Guide.

Starting early costs nothing

Undertaking remediation is not an admission of anything. The Council’s undertakings guidance weighs a practitioner’s willingness to undertake remedial measures. Enrol and start the same day.

Why these courses

Why a certificated course helps in a response to the Medical Council

A response has to show what you understand and what has changed. These are the six things a course can contribute to that, and the limits of each.

Evidence somebody else can verify

Your own account of your own improvement is the weakest evidence available. A dated certificate issued by an external provider is not your account: it is a record that exists independently of you, showing what you studied and when you did it.

Immediate access, when timing is the point

Enrol and start the same day. There is nothing to schedule and no cohort to wait for, which matters when you are asked to show prompt action to the Medical Council, to your indemnifier, or to an employer running its own process alongside the complaint.

Written to the Guide to Professional Conduct and Ethics

A complaint is measured against the Guide to Professional Conduct and Ethics for Registered Medical Practitioners (9th edition), not against general professional-development material. Each course is written to the Guide to Professional Conduct and Ethics and to the stages of a complaint to the Medical Council, in the words the Medical Council itself uses for the process.

Grouped by the concern actually raised

Read the concern in your letter, choose the matching type above, and the page shows the Core Set alongside the courses that address that concern directly. Study that answers the concern reads very differently from a list of everything available.

The certificate is one part

A certificate evidences completion. A certificate together with your own written reflection — what you understood, what you accept, what changed — evidences insight. The courses are built so that the reflection has something specific to attach to.

The kind of study advisers ask for

Your indemnifier, your union or professional body, or a solicitor can advise doctors facing a complaint on what evidence a response needs, and structured, documented study with a dated certificate is evidence that can be checked. That does not mean any of them, or the Medical Council, names a particular course, and we do not claim it.

Who wrote these courses

Author and course facilitator

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

Dr Shehzad Iqbal

Founder and course facilitator, Healthcare Ethics Ireland

Every course is written and facilitated by Dr Iqbal, who combines clinical practice with a formal postgraduate qualification in healthcare law and ethics. A remediation course has to speak to the clinical reality of how concerns arise and to the regulatory standards against which they are afterwards judged.

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 .

Key terms

What the Medical Council and the Fitness to Practise Committee mean by insight, reflection and remediation

Insight means understanding what went wrong, why it happened, and the effect it had on the patient, on colleagues and on public confidence in the profession. The Guidance on Sanctions weighs it for and against a doctor (paragraphs 6.1.1 and 5.3, above), at every stage from an undertaking at the Preliminary Proceedings Committee to the Council’s decision on sanction.

Reflection is that understanding set down honestly and in your own words: what happened, what you would do differently, and what you have already changed. A reflection that describes events without analysing them, or analyses the system without reaching your own part, does not do that work.

Remediation is the concrete steps taken so the same thing does not happen again, with evidence that they happened. In the Council’s words, “This may include training to address specific concerns, mentoring or coaching” (paragraph 6.2.1). The Undertakings and Consents Guidance weighs insight and remedial measures at the earlier stage too. Insight without remediation is an account; remediation without insight is a certificate.

The words in the letter

Complaint
The start of the process, not a finding. Under section 57 of the Medical Practitioners Act 2007 any person, including the Council, may complain to the chief executive officer, who may assign an Authorised Officer.
Preliminary Proceedings Committee
The Council committee that decides whether there is enough cause to take further action, from no further action or an undertaking to referral to the Fitness to Practise Committee. Its decision cannot be appealed. In 2023 it made 286 decisions and referred 61.
Fitness to Practise Committee
The Council committee that holds the inquiry into a referred complaint, in public unless the Council decides otherwise, and reports its findings to the Council, which decides the sanction.
Professional misconduct
The first ground of complaint in section 57. Conduct is measured against the Guide to Professional Conduct and Ethics for Registered Medical Practitioners, 9th edition, effective from 1 January 2024. Under section 57(2) it can relate to conduct outside the State.
Poor professional performance
The second ground in section 57: competence rather than conduct. The Preliminary Proceedings Committee can refer a doctor to the performance assessment scheme, or ask for an undertaking to be referred to a professional competence scheme. Under the Council’s 2025 rules every doctor must complete a minimum of 50 hours of CPD in each scheme year.
Undertakings and consents
An agreed way of concluding a complaint at the Preliminary Proceedings Committee stage, such as an undertaking not to repeat the conduct or a consent to censure. Breaching an undertaking is itself a ground of complaint.
Sanctions
What the Council may impose under section 71 after an inquiry, from advice, admonishment or censure to conditions, suspension or cancellation. Mitigating factors may reduce the sanction; a marked lack of insight or contrition may aggravate it.
High Court confirmation
Under section 74 a sanction other than an advice, admonishment or censure takes effect only when the High Court confirms it. Since 14 March 2022 an advice, admonishment or censure takes effect only when the Court confirms it, or when the 21 days to appeal under section 75 pass without an appeal.

These descriptions summarise how the terms are used by the Medical Council and in the Medical Practitioners Act 2007, with short quotations from the published pages and guidance listed under Sources below. They are not legal advice. Your indemnifier, your union or professional body, or a solicitor should advise on your own case.

Questions doctors ask us

Frequently asked questions

Which courses should I take for a Medical Council complaint?

Start with the nine Core Set courses: the standards you are measured against, through Ethics and Ethical Standards for Doctors and Professionalism and Professional Standards for Doctors, both written to the Guide to Professional Conduct and Ethics, and the insight, reflection and remediation a response has to show. Then add the courses matched to the concern in your letter. Take advice before you respond.

Who decides my complaint: the Preliminary Proceedings Committee, the Fitness to Practise Committee or the Council?

All three, at different stages. Since 6 May 2025 the Council’s chief executive officer looks at the complaint first and may assign an Authorised Officer. The Preliminary Proceedings Committee decides whether there is enough cause for further action, and may ask for an undertaking or a consent. A referred complaint goes to an inquiry before the Fitness to Practise Committee, which reports to the Council. The Council decides the sanction; the High Court confirms it.

Can I be suspended before an inquiry?

Yes, in limited circumstances. The Council says interim suspension is possible under section 60 of the Medical Practitioners Act 2007, and says no more than that about how an application is made or decided. If you receive notice of one, contact your indemnifier or a solicitor the same day, because what you put in writing first shapes everything that follows. The courses can be taken while a suspension is in force.

Do I get a certificate, and will it count towards my CPD?

Yes. Healthcare Ethics Courses issues a certificate for every course, recording 2 CPD hours, the course title and the date of completion, which is what makes it usable as evidence in a response or a remediation plan. Under the Council’s 2025 rules a doctor must complete a minimum of 50 hours of CPD in each scheme year through a professional competence scheme. Ask your scheme how the hours should be recorded.

How long do I have access to a course?

Access runs for twelve months from the date of purchase. You start immediately, work at your own pace, and there is no schedule to keep to within that period. Finishing a course does not end your access: once you have completed it and downloaded your certificate you can return to the material whenever you wish for the rest of the twelve months, at no further cost.

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. Revisiting the material inside your twelve months does not produce a newly dated one. If you need a certificate with a later date because the Council, the Fitness to Practise Committee or an employer has asked for recent evidence, you buy the course again: half price within twelve months of your original purchase, the full €100 after that.

Will completing courses resolve my complaint?

No. No course, from us or from anyone else, determines the outcome of a complaint, a Preliminary Proceedings Committee decision, an inquiry or the Council’s decision on sanction, and a provider suggesting otherwise should be treated with caution. What a course can do is help you build the insight and reflection your response needs, and give you a dated, verifiable certificate to evidence it.

How do I evidence insight and remediation to the Medical Council?

By evidence, not assertion: a written reflection that names the concern, with dated certificates attached. The Council’s Guidance on Sanctions says a doctor may demonstrate insight by providing evidence of their understanding of the problem, and may present evidence about how they have addressed concerns. Structure the response around the four things set out above, from understanding what went wrong to showing you have changed. The Insight, Reflection and Remediation courses address each.

The Preliminary Proceedings Committee has asked for an undertaking, or my conditions require a course. Do these qualify?

The Council’s 2025 procedures allow the committee to ask a doctor to undertake to be referred to a professional competence scheme, and the Council can attach conditions to registration. Our Ethics, Professionalism, Professional Boundaries and Ethical Boundaries courses are written for remediation and each issues a dated certificate. Whether a course satisfies a particular undertaking or condition is for the Council to decide, so read the wording with your adviser before you enrol.

Can I take a course if my registration is suspended or has conditions?

Yes. There is no registration check and no requirement to hold current registration. The courses are open to doctors who are suspended, who have conditions attached to their registration, who have given an undertaking, or who are working towards restoration to the register, as well as to those with a live complaint. If conditions require something specific, check the wording with your adviser before choosing.

The complaint is about professional boundaries. What applies?

The Guide to Professional Conduct and Ethics, 9th edition, is the standard a complaint about a boundary with a patient or a colleague is measured against, and the Ethical Boundaries and Professional Boundaries courses are written to it. Maintaining the boundary is the doctor’s responsibility, not the patient’s or the colleague’s, and that applies to a dual relationship as much as to any other boundary concern. Take advice before responding, and before contacting anyone involved.

The complaint is about my health. Is that a disciplinary matter?

A relevant medical disability is a ground of complaint under section 57 of the Medical Practitioners Act 2007, and the Council has a Health Committee. At the Preliminary Proceedings Committee stage the Council may ask a doctor to consent to undergo medical treatment as a way of concluding the complaint. This page does not describe the Health Committee’s procedure, so ask the Council or your indemnifier how your matter will be handled.

I qualified outside Ireland. Are these courses relevant?

Yes. A doctor who trained elsewhere may be working through an unfamiliar process while responding to a complaint, and the vocabulary differs: a chief executive officer who screens the complaint, an Authorised Officer, a Preliminary Proceedings Committee, undertakings and consents, a Fitness to Practise Committee, and confirmation by the High Court. Since the 2020 Act, a prohibition or restriction on practising in another jurisdiction is itself a ground of complaint.

Is what I do confidential?

Yes. Courses are taken privately online at your own pace. We never share participant details with the Medical Council, the Fitness to Practise Committee, an employer, a union or an indemnifier unless you choose to do so yourself. You can complete a course before deciding whether to include it in a response at all; nothing reaches anyone until you attach the certificate to your own submission.

Other professions

Courses for the other Irish regulators

We publish equivalent remediation courses, written to each regulator’s own code, for every healthcare professional in Ireland.

Sources

Every source cited on this page

Each fact above comes from one of these pages, Acts and documents.

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