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Sanctions Guidance is not a score sheet – Court of Appeal findings from GMC v Gilbert & PSA
Jessica Etherington
The MHSWR 1999, made under the Health and Safety at Work etc. Act 1974, places a duty on employers to assess the risks to the health and safety of employees and others affected by their work activities.
Employers with five or more employees must record the significant findings of their risk assessments and any groups of employees especially at risk (e.g. young workers, pregnant workers, disabled persons).
Risk assessment is a five-step process that focuses on systematically managing workplace hazards:
According to Craig Lydiate, Director at Eighty20 Risk Systems, "Too often we see organisations treat risk assessments as a ‘tick-box’ exercise. But the most effective assessments are dynamic—they reflect operational changes, seasonal work patterns, and new technologies. Risk management must be a living process.”
To be effective, risk assessments require competent persons - those with the necessary training, experience, and knowledge. Training should focus on:
Craig Lydiate adds "Empowering staff through targeted training not only enhances safety but creates a culture where risk awareness is second nature. This is what drives real change on the ground.”
According to Andrew Sanderson, a health and safety specialist at Kingsley Napley LLP "Legal compliance is not just about avoiding enforcement - it’s about ensuring that risk is proportionately and demonstrably managed. Failure to undertake adequate risk assessments can expose employers to criminal liability, civil claims, and reputational harm.”
The Health and Safety Executive (HSE) and local authorities are responsible for enforcing the MHSWR. They have broad powers to:
Penalties for non-compliance include unlimited fines and, in serious cases, imprisonment for responsible persons.
Andrew Sanderson warns "We are increasingly seeing the HSE taking a more assertive approach to enforcement, especially where there is a pattern of neglect or where vulnerable groups are affected. The courts have also shown little leniency for businesses that fail in their risk assessment duties.”
A well-executed risk assessment is not just a legal requirement - it is a vital tool in protecting your workforce, ensuring productivity, and maintaining your organisation’s integrity.
Employers should view the MHSWR not as an administrative burden but as a structured framework to prevent harm before it occurs.
As Craig Lydiate aptly concludes "Good risk assessment isn’t just about compliance - it’s about leadership. It’s about sending the message that people’s safety comes first.”
Andrew Sanderson specialises in the transport sector, with particular expertise in road transport matters including Public Inquiries before the Traffic Commissioners and Transport Appeal Tribunal, defending road transport prosecutions in the Magistrates’ and Crown Court, health and safety, corporate manslaughter, and Coroners’ Inquests.
Craig Lydiate is the Managing Director at Eighty20 Risk Systems, a web-based H&S Software supplier, providing our award winning E20 platform to all sectors of the economy, from manufacturing and construction firms to housing groups and charitable bodies.

In a judgment handed down on 6 February 2026, the Court of Appeal (CoA) dismissed appeals by both the General Medical Council (GMC) and the Professional Standards Authority (PSA) to overturn the decision to suspend, rather than erase, a consultant surgeon from the medical register.
The judgment arrives at an interesting moment. In November 2025, the Medical Practitioners Tribunal Service (MPTS) introduced new Sanctions Guidance based on bandings structured around low, medium and high-risk levels, replacing the previous approach that required tribunals to start with the least restrictive sanction. The Court’s findings in Dr Gilbert’s matter should now influence how this guidance is applied.
On 5 February 2026, the Health and Care Professions Council (HCPC) published an important update outlining significant changes to its Fitness to Practise (FTP) decision-making framework. The HCPC has said that these changes represent a step forward in enhancing consistency, transparency and public protection within the regulatory process.
In this blog, we cover the press round-up in the regulatory and professional discipline – January 2026
On 13 January 2026, the GPhC published an update to its inspection decision‑making framework, marking an important shift in how pharmacy inspections will be conducted and evaluated going forward. This revised framework seeks to strengthen regulatory clarity, incorporate recent legislative developments, and support more consistent, transparent decision‑making across the sector.
The regulatory landscape for accountants is progressively evolving, driven by heightened public expectations, increased scrutiny of professional conduct, and a greater push for transparency across regulated professions.
The Association of Chartered Certified Accountants (ACCA) has confirmed that from March 2026, most exams will return to in-person settings. Remote assessments will only be permitted in exceptional circumstances, such as medical needs or where no exam centre is available. This change reverses the flexibility introduced during the Covid-19 pandemic.
The High Court has quashed a Nursing and Midwifery Council (NMC) decision to strike off a nurse following a review hearing.
The Institute of Charted Accounts in England and Wales (‘ICAEW ’) has recently imposed a severe reprimand, a £5000 fine and £6,473 costs on a member who failed to cooperate with them during the investigation process. The tribunal found that the member failed to provide information, explanations and documents requested by the ICAEW Conduct Department, including anti-money laundering policies, share documentation, and other requested materials. It was decided this breached the ICAEW’s Investigation and Disciplinary Regulation 16.1.
This blog contains a Press Round-Up: Regulatory and Professional Discipline for December 2025.
A recent Deloitte Australia AI mishap underscores the risks of reliance on Generative AI tools and should be a warning light for accountants in light of new AI usage requirements in the ICAEW Code of Ethics.
There was a good deal of surprise last week when the government announced that lawyers, accountants and company service providers will in future be supervised by the FCA for money laundering purposes.
The Financial Reporting Council (FRC) has launched a consultation on proposed reforms to its Audit Enforcement Procedure (AEP), aiming to introduce greater flexibility and proportionality in how audit concerns are addressed. Since its inception, the AEP has faced criticism, particularly from mid-tier firms, for its limited adaptability to cases of varying complexity and seriousness. These concerns have been especially pronounced among firms encouraged by the FRC to enter the Public Interest Entity (PIE) audit market to foster competition.
Here is the press round-up in the Regulatory and Professional Discipline sector covering the following dates: August and September 2025
The Joint Insolvency Committee, in collaboration with the Institute of Chartered Accountants in England and Wales (ICAEW), the Institute of Chartered Accountants of Scotland (ICAS) and the Insolvency Practitioners Association (IPA), has approved and issued a revised Insolvency Code of Ethics. The updated Code took effect from 1 October 2025.
The Institute and Faculty of Actuaries (IFoA) has introduced new Diversity, Equity and Inclusion (DEI) requirements to the Actuaries’ Code and associated Guidance following a lengthy and wide-ranging consultation process with members, employers and other stakeholders.
These revisions reflect a broader regulatory trend, mirroring developments at bodies such as the SRA and ICAEW, towards strengthening professional ethics and workplace culture, particularly in relation to the fair treatment of others.
The UK’s approach to counter terrorism preparedness has taken a significant step forward with the passing of the Terrorism (Protection of Premises) Act 2025 (Martyn’s Law).
Fire safety is not just a compliance issue—it is a matter of protecting lives, assets, and reputations. Under the Regulatory Reform (Fire Safety) Order 2005 (FSO), employers, landlords, and those in control of premises have a legal duty to ensure adequate fire safety measures are in place. Failure to comply can lead to severe legal and financial consequences, but more importantly, it puts people at unnecessary risk.
Ensuring the safety and health of employees is a cornerstone of responsible business practice in the UK. At the heart of this responsibility lies the legal requirement to carry out workplace risk assessments—a duty enshrined in the Management of Health and Safety at Work Regulations 1999 (MHSWR). This article sets out the legal framework surrounding risk assessments, outlines practical steps for compliance, and includes expert insights from Andrew Sanderson of Kingsley Napley and Craig Lydiate of Eighty20 Risk Systems.
Pursuing a career in law is already a significant challenge without the added stress of worrying whether past mistakes could block your path to becoming a solicitor. Early-life convictions, cautions, academic disciplinary actions, or financial issues may all impact your eligibility for admission by the Solicitors Regulation Authority (SRA).
The Ministry of Justice published Guidance on 2 June 2025 regarding the introduction of new legislation to prohibit the use of non-disclosure agreements (“NDAs”) by higher education institutions in relation to certain complaints under the Higher Education (Freedom of Speech) Act 2023 (“the Act”). The changes, which had originally been given Royal Assent in 2023 but were placed on hold when the new Government came into power, took effect on 1 August 2025. The higher education sector is leading the way when it comes to the use of NDAs and while the changes will not see a total ban on NDAs, it paves the way forward for greater transparency and accountability during student misconduct proceedings.
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Jessica Etherington
Tajmina Begum
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