Where does the money go?
Registration fees are our only source of income, and we do not receive any additional funding from Government. The Council’s proposed expenditure for 2010-11 is £5.7 million. A significant proportion of that increase is due to the costs of restructuring the organisation in response to the recommendations of the Government’s healthcare reform programme. This includes modernising our processes and systems.
2010-11 budgeted expenditure by department
| Budget area | % |
| Council | 7 |
| Secretariat | 4 |
| Standards | 4 |
| Education | 6 |
| Registration | 10 |
| FTP | 27 |
| OCCS | 2 |
| CET | 6 |
| Communications | 6 |
| Support Services | 20 |
For a detailed look at our expenditure read the Council's draft budget and business plan for 2010-11:
Draft Business Plan and Budget - Annex 1
Why has spending increased so much for 2010/11?
Fitness to practise costs have gone up, partly as a result of an increase in the number of complaints: in 2009 the number of case files opened increased by approximately 15 per cent, compared with 2008. More cases are being referred for health and performance assessments, and more expert reports are being prepared. These changes benefit registrants as they allow alternative and supportive approaches to fitness to practise issues to be considered.
Additional costs in support services include recruiting new members of the Fitness to Practise panel; training for our Fitness to Practise and Education Visitor panels; and additional investment in IT.
Does the GOC have to do all this extra work?
Yes. We cannot afford to stand still. It is our duty to respond to the diverse needs of the public – and a changing regulatory environment – in order to be an effective and efficient regulator.
Is the GOC doing anything to try and make savings?
Yes. We are committed to keeping costs down wherever possible. For example, although the number of FTP hearings has stayed the same, costs of hearings have reduced. This is due to an office refurbishment last year, which has allowed us to bring the majority of hearings in-house, saving over £40,000 compared with 2008-9 costs.
Wouldn’t it be cheaper if the GOC moved to a less expensive area?
We only pay £325 a year to be based on Harley Street. This is because the Council was set up with a 999 year lease in 1958 at a peppercorn rent. The GOC part occupies its premises with a tenant. This generates a small income which helps to offset a minor part of registrants' fees.
How does the fee compare with other UK healthcare regulators?
The increased fee is still lower than that which is set by most other UK healthcare regulatory bodies. The only regulators with smaller fees than the GOC benefit from significant economies of scale.
Why can't I pay the retention fee in instalments?
We are aware that staged payments would offer registrants the flexibility to pay their renewal fee in smaller amounts. However, because the GOC is a statutory regulator, implementing a staged payments facility is not straightforward. We would need to amend current legislation, which is a slow process – probably around 18 months. There would also be costs to adapt our systems, and additional administrative and processing costs involved, particularly for following up missed instalments. There may be disadvantages to registrants who miss a payment and are removed from the Register as a consequence, particularly if they are experiencing financial difficulties.
A detailed assessment will be carried out next year to determine the full costs and potential risks and benefits of introducing staged payments, and the likely effect on registrants’ fees, before a final decision is taken.