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The GDC received a complaint about the Registrant, concerning the treatment she provided to a patient under her care. Following an investigation by the GDC into these concerns, allegations were put to the Registrant in relation inadequate diagnostic assessment, treatment, and management of the patient’s condition, not providing the patient with appropriate information on treatment and payment options such that this compromised the patient’s ability to give informed consent, inappropriate referral practice, failures in radiographic practice, and failings in record keeping. Having considered these matters the Case Examiners considered that there was a real prospect that a Practice Committee might find the following: that the factual allegations concerning this complaint were capable of being found proved, the Registrant’s alleged actions constituted misconduct, and that her fitness to practise was currently impaired. Accordingly, the Case Examiners considered that these matters ought to be referred to a Practice Committee for consideration but, in line with their statutory powers. However, they further considered that the circumstances of this case were such that they would be prepared to offer the Registrant the opportunity to enter into undertakings with the GDC, as an alternative to these matters being referred to a Practice Committee. The Case Examiners considered that this was a proportionate response to the risks posed in this case, and that successful completion of the activity described in their undertakings would likely assist the Registrant in addressing relevant concerns as to her fitness to practise, and so sufficiently protect the public. 1. I undertake to provide the GDC, within seven days, the contact details and arrangements for any appointment I accept or are currently undertaking which requires GDC registration, and allow the GDC to exchange information with my employer or any contracting body for which I provide dental services. I also undertake to provide the GDC, within seven days, the contact details for the commissioning body in whose Dental Performers List I am included, or seeking inclusion (at the time of application). 2. From the date that these undertakings take effect, I undertake to inform the GDC within seven days of being notified of: a. any formal disciplinary action taken against me b. any NHS investigation c. any regulatory or enforcement action taken against me or a practice for which I am the registered provider d. any patient complaint received about my clinical practice or conduct at work. 3. I undertake to inform the GDC, within seven days of these undertakings taking effect, if I am registered with any overseas regulator (or equivalent authority) or within seven days of making an application for registration with any overseas regulator or equivalent authority. 4. I undertake to agree to the appointment of a development adviser, nominated by me and approved by the GDC, to support me in addressing and the alleged concerns with my practice which the Case Examiners have identified. The development adviser shall be a person who meets the requirements of the GDC Guidance ‘Development adviser: person specification’. I will provide relevant contact details and a curriculum vitae of the proposed development adviser to the GDC to assist in their consideration as to the suitability of any person I propose to act in this role. 5. I undertake to have a GDC approved development adviser in place within one month of these undertakings taking effect. 6. I undertake to provide a copy of the Case Examiner decision to which these undertakings relate to my GDC approved development adviser, and to forward written evidence of my compliance with this undertaking to the GDC within seven days of the development adviser being approved by the GDC.

7. I undertake to work with the development adviser to formulate a Personal Professional Development Plan, specifically designed to address alleged deficiencies in the following areas of my practice, being my approach and competence in terms of: • considering and conducting diagnostic assessments, • treatment and management of presenting patient conditions, • provision of appropriate information to patients as to treatment options, and relevant funding options for treatment, so as to support the ability for them to appropriately consent, • assessing appropriate factors when considering referral of patients to other clinicians, • radiographic practice, and associated reporting and record keeping • record keeping, to ensure that clinical records are maintained in an accurate and comprehensive manner. The content of this Personal Professional Development Plan may comprise of any relevant training and development activities (e.g. training courses, mentoring arrangements, case-based discussions, clinical audits, etc) which the development adviser, in their professional opinion, considers will most effectively address the above matters. 8. I undertake to provide an initial draft of my Personal Professional Development Plan to the GDC within seven days of my first meeting with my development adviser, and in any event within one month of my development adviser being approved by the GDC. 9. I undertake to meet with my development adviser regularly to discuss and review my progress towards achieving the aims set out in my Personal Professional Development Plan. The frequency of these meetings shall be set in agreement with my development adviser, but the gap between such meetings must not be more than three months. 10. I undertake to ensure that updated copies of my Personal Professional Development Plan are counter-signed by my development adviser, confirming that relevant activity detailed on it has been successfully completed to their satisfaction. I further undertake to provide such counter-signed copies of my Personal Professional Development Plan, along with copies of any documentation demonstrating successful progress in terms of addressing the issues identified in undertaking 7 above, to the GDC every six months, to enable ongoing monitoring and assurance of my compliance with these undertakings and to inform any future Case Examiner review. 11. I undertake to inform the following parties that my registration is subject to the undertakings listed at 1 to 10: • Any organisation or person employing me or who has an arrangement with me to undertake dental work (within seven days). • Any professional regulatory body I am registered with (within seven days), or apply to be registered with (at the time of application). • Any locum agency or out-of-hours service I am registered with (within seven days), or apply to be registered with (at the time of application). • Any prospective employer (at the time of application), or any organisation or person with whom I intend to enter into an arrangement to undertake dental work (at the time the arrangement is made). • The commissioning body in whose Dental Performers List I am included (within seven days), or seeking inclusion (at the time of application) I undertake to forward written evidence of my compliance with this undertaking to the GDC within seven days of notifying the relevant parties of my undertakings.