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NHS performers lists regulation across England, Scotland, Wales and Northern Ireland: inclusion, duties, conditions, suspension, removal, hearings (PAG/PLDP) and appeals for GPs, dentists and optometrists

Practice notes
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This Practice Note outlines the National Health Service’s role in overseeing the professionals it engages to deliver NHS care. It sets out how performance lists for General Practice Medicine, Dentistry and Optometry operate to ensure that suitably qualified practitioners are available to work within the NHS. It describes the mandatory process for obtaining inclusion on the performance lists as the gateway for any professional seeking to practise in the NHS. It also explains the conditions attached to inclusion on the operating list, the ongoing duties placed on those listed, and the regulatory powers to examine suspected breaches of those conditions, including the conduct of hearings, the availability of appeals and the imposition of sanctions where non-compliance is proven.

Commissioning services in the NHS

The NHS does not share a single structure across the UK. It is first divided by country (for example, NHS England and NHS Scotland) and, in some nations, is further subdivided. NHS England, for instance, is organised into multiple Local Area Teams, while NHS Scotland, historically more centralised, is transitioning towards a Local Area Teams model...

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Sam Thomas
Sam Thomas

2BR

·       Sam is the Vice Chair of the Association of Disciplinary and Regulatory Lawyers (ARDL), and is the Chair of the Sports Law Practise Group. He represents professionals and regulators, primarily in the healthcare sector, in respect of disciplinary proceedings and NHS Performer and Contractor disputes, with appellant experience in the Administrative Court.  ·       Sam’s experience in financial regulation is growing. He regularly represents The Pension Regulator (TPR) in proceedings in the First Tier Tribunal and has recently appeared in the Upper Tribunal in relation significant matters of law. Sam has provided advice to the Financial Conduct Authority (FCA). ·       The Police Federation have instructed Sam to defend police officers accused of police misconduct, and criminal contempt.  ·       He regularly appears before the General Dental Council (GDC), General Optical Council (GOC), UK Council for Psychotherapy (UKCP) and the Nursing and Midwifery Council (NMC), and has advised with regard to the gamut of...

Web page updated on 26/05/2026

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