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Tackling and preventing sexual misconduct in health and social care

Sexual misconduct has no place in health and social care. It can cause serious harm and can undermine people’s sense of safety when they are receiving care or at work.

At the PSA, we are working to build a clearer understanding of when, where and why sexual misconduct occurs, drawing on evidence from commissioned research. This helps us to develop insights that support regulators and Accredited Registers to identify, address and prevent sexual misconduct. It can also help to highlight the significant impact this behaviour can have on both public protection and the trust we place in health and social care professionals.

Research

We first published sexual boundaries guidance in 2008.

In 2018 we published research we commissioned. This was prompted by concerns we identified into fitness to practise cases where professionals, found to have subjected colleagues to sexual harassment, were receiving less serious sanctions than those who had crossed sexual boundaries with patients. We referred three of these cases to Court using our powers to appeal regulators’ fitness to practise panel decisions; however, these appeals were unsuccessful. We wanted to challenge the belief that these types of case, as they did not directly affect patients/members of the public, were less serious and did not have the same impact on public protection and patient safety than sexual misconduct involving patients.

We have also commissioned and published research carried out by Professor Rosalind Searle.

Webinar series and research conference

Over the last two years, we have hosted a series of webinars on different aspects of sexual misconduct in health and social care.

The webinars brought together stakeholders from across the sector, including:

  • regulators
  • Accredited Registers
  • patient representative organisations
  • registrant representative organisations

Topics covered included:

  • hearing from those working to address sexual misconduct in the sector
  • reviewing the latest research evidence
  • learning from approaches used in other sectors and countries to identify what more can be done

We have now collated a set of resources arising from the webinar series, including presentations and links to other work relevant to the topics and presentations during the series.

Read the resources

Tackling sexual misconduct through our power to check and appeal fitness to practise decisions

One of our key oversight roles is reviewing final decisions made by regulators’ fitness to practise panels (our Section 29 powers). These regulator panels consider concerns or complaints about health and care professionals following an investigation and, where necessary, a hearing. Regulators send us their final panel decisions, which we review to assess whether they provide adequate public protection. Where we believe a decision falls short, we can appeal it. We have seen a rise in final decisions involving sexual misconduct and inappropriate behaviour. In response, we have taken forward appeals or share learning points with regulators.