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What we mean by fitness to practice

Fitness to Practice

Being fit to practice requires an EMT at any grade to have the skills, knowledge, good health and good character to do their  job safely and effectively, this includes those registered with other agencies. 

All full registrants of the UKREMT must be "Fit to Practice" 

When we say that a registrant is ‘fit to practice’ we mean that they have the skills, knowledge and character to practice their profession safely and effectively. 

However, fitness to practice is not just about professional performance. It also includes acts by a registrant which may affect public protection or confidence in the profession. This may include matters not directly related to professional practice. 

We will always investigate if an allegation is made that a registered EMT does not meet our standards for skills, education and behaviour. If necessary, we will act by removing them from the register permanently or for a set period of time. 

Concerns about a Registrant

If you have concerns about a registered EMT and believe they are not fit to practice, please contact us via email to with your concerns as we maybe able to resolve your concerns via our informal procedure before taking it to the FTP Panel. 

We investigate various allegations including: 

  • Misconduct 
  • Lack of competence 
  • Not having the necessary knowledge of English 
  • Criminal behaviour 
  • Serious ill health. 

It is our role as the UKREMT to make sure that the EMTs fitness to practice is meeting our standards, while they remain on the register. 

It is not the duty of patients or the public or indeed facebook groups to decide whether a registrant is fit to practice. However, they can raise their concerns if they feel the safety of patients or the public are at risk. We are not responsible for regulating hospitals or other healthcare settings. 

Any registrant found on any social media platform bringing a registrants FTP into question or in that matter the UKREMTs will be suspended under FTP as failure to raise a concern on a registrant when you have concerns, is in itself an FTP question on your own registration.

We do not regulate paramedics or nurses as they are regulated by their own registration schemes. However, if a concern is raised on a paramedic or nurse on the UKREMT register this will be forwarded to the FTP panel of their relevant body.


The EMT Code presents the professional standards that full registrant and associate registrants of the UKREMT must uphold in order to be registered with us. 

Effective from 30th January 2018, this Code reflects the world in which we live and work today, the changing roles and expectations of those that work in the arena of pre-hosptial care as both EMTs and those just entering the profession as associate registrants. 


It is structured around four themes – prioritise people, practise effectively, preserve safety and promote professionalism and trust. 

Developed from the NMC code and with some of our Fellows who passionate about good pre-hospital care, the Code can be used by EMTs as a way of reinforcing their professionalism.  

Failure to comply with the EMT Code may bring their fitness to practice into question. 

FTP Downloads

UKREMT Fitness to Practice Procedure Ver2.2 (pdf)


The EMT Code (pdf)


UKREMT EMT Clinical Record Keeping 2020 (pdf)


FTP Raise a Concern Form (pdf)