GMC LRMP

Page content:

Background

An integration is required to bring across LRMP (List of Registered Medical Practitioners) data to trainees records on TIS. This page captured the LRMP data mapping and how we'd intend to bring across the LRMP data.

Currently, the LRMP can be accessed only via an SFTP share in CSV format with the following schema. The user guide has been attached to this page too, see list of attachments at the bottom of the page.

The archived space for relevant comments made previously - /wiki/spaces/TISDEV/pages/57281626

LRMP Data from Spec

Column Name	Example	Description
GMC Ref No	1393398	This is the unique seven digit reference number allocated by the GMC to each registered doctor.
Surname	Chater	The surname, last name or family name in mixed case.
Given Name	Susan	The given / first names in mixed case.
Other Names	Y/N	The doctor’s other or “middle” names in mixed case. This field will contain all of the other names that the doctor has registered with the GMC.
Gender	W	Man (M) or Woman (W)
Qualification	MB BCh	This is the name of the doctor’s Primary Medical Qualification
Year Of Qualification	1978	The year when Primary Medical Qualification exams were passed.
Place of Qualification	National University of Ireland	The name of the Place of Study for Primary Medical Qualification
PR Date (Provisional Registration)	5071978	This is the date that the doctor was first granted Provisional Registration.
FR Date (Full Registration)	8021980	This is the date that the doctor was first granted Full Registration.
Specialist Register Date	25022003	This is the date that the doctor was entered into the Specialist Register.
GP Register Date		This is the date that the doctor was entered into the GP Register.
Registration Status	Registered with Licence	The current status of a doctor's entry in the Register, including the doctor’s Licence status.
ARF Due Date ( Annual Retention Fee)	8022012	This is the date that the doctor’s Annual Retention Fee (ARF) is due.
Specialty1	General (internal) medicine	This is the specialty identified in the specialist register. Up to 7 specialties can be provided for a given doctor.
Sub_Specialty1		This is the sub-specialty identified in the specialist register. Up to 7 sub-specialties can be provided for a given doctor.
Specialty2		This is the specialty identified in the specialist register. Up to 7 specialties can be provided for a given doctor.
Sub_Specialty2		This is the sub-specialty identified in the specialist register. Up to 7 sub-specialties can be provided for a given doctor.
Specialty3		This is the specialty identified in the specialist register. Up to 7 specialties can be provided for a given doctor.
Sub_Specialty3		This is the sub-specialty identified in the specialist register. Up to 7 sub-specialties can be provided for a given doctor.
Specialty4		This is the specialty identified in the specialist register. Up to 7 specialties can be provided for a given doctor.
Sub_Specialty4		This is the sub-specialty identified in the specialist register. Up to 7 sub-specialties can be provided for a given doctor.
Specialty5		This is the specialty identified in the specialist register. Up to 7 specialties can be provided for a given doctor.
Sub_Specialty5		This is the sub-specialty identified in the specialist register. Up to 7 sub-specialties can be provided for a given doctor.
Specialty6		This is the specialty identified in the specialist register. Up to 7 specialties can be provided for a given doctor.
Sub_Specialty6		This is the sub-specialty identified in the specialist register. Up to 7 sub-specialties can be provided for a given doctor.
Specialty7		This is the specialty identified in the specialist register. Up to 7 specialties can be provided for a given doctor.
Sub_Specialty7		This is the sub-specialty identified in the specialist register. Up to 7 sub-specialties can be provided for a given doctor.
FTP Conditions Exist (Fitness to Practise)		This indicates whether the doctor has active Fitness to Practise Conditions applied to their Registration.
FTP Undertakings Exist	N	This indicates whether the doctor has active Fitness to Practise Undertakings applied to their Registration.
FTP Warnings Exist	N	This indicates whether the doctor has an active Fitness to Practise Warning.
Place of Qualification Country	Ireland	The name of the country where a doctor undertook their Primary Medical Qualification.

TIS Requirement

TISNEW-3246 - Getting issue details... STATUS

The Main fields we are interested in for TIS are:

ARF Due Date ( Annual Retention Fee) = 'GMC end date' on TIS
'FR Date (Full Registration)' or 'PR Date (Provisional Registration)' = 'GMC start date' on TIS based on the 'GMC status' the trainee hold.
GMC Status

For TIS purpose GMC has confirmed the following to be appropriate:
• GMC start date = PR date if they only have a PR and no FR date; else use the FR date if they have one; else if they don’t have any of those then no date.
• GMC end date = ARF due date if one is sent in LRMP, else no date.

“The ‘Delta’ file contains all LRMP records that have been updated in the last 24 hours.”

In a scenario where the last delta failed to update on TIS for whatever reason the following has been suggested:

GMC preserve a rolling 7 days of Delta files in the download area, which should allow us to recover from any load issues
Failing that, then the suggestion is to get the full file before carrying on with the delta
Delta files are produced 7 days a week

List of Registration Statuses and Dates

GMC status	GMC Start date	GMC End/Expiry Date
Provisionally registered with Licence	Provisional registration date	No date from LRMP
Provisionally registered without a Licence	Provisional registration date	No date from LRMP
Temporary registration with Licence	Some people with no date at all (e.g. a brain surgeon temporarily required), will not have an ARF date. Some may have a PR/FR grant date.	No date from LRMP
Temporary registration without a Licence	Some people may have no date if they’ve never been granted PR/FR in the UK. For those that do, first PR/FR grant date ever.	No date from LRMP
Registered with Licence	Full registration date	ARF Due Date ( Annual Retention Fee)
Registered without a Licence	PR/FR if held before still sent. Some people may not have PR but will have a FR. Therefore, FR date is the start date. If they have both FR and PR, then PR if the start date.	ARF Due Date ( Annual Retention Fee)
Suspended	Some people may have no date if they’ve never been granted PR/FR in the UK. For those that do, first PR/FR grant date ever.	No date from LRMP
Not Registered - Administrative Reason	Some people may have no date if they’ve never been granted PR/FR in the UK. For those that do, first PR/FR grant date ever.	No date from LRMP
Not Registered - Deceased	Some people may have no date if they’ve never been granted PR/FR in the UK. For those that do, first PR/FR grant date ever.	No date from LRMP
Not Registered - Erased after Fitness to Practise panel hearing	Some people may have no date if they’ve never been granted PR/FR in the UK. For those that do, first PR/FR grant date ever.	No date from LRMP
Not Registered - Having relinquished registration	Some people may have no date if they’ve never been granted PR/FR in the UK. For those that do, first PR/FR grant date ever.	No date from LRMP
Not Registered – Erased for false declaration	Some people may have no date if they’ve never been granted PR/FR in the UK. For those that do, first PR/FR grant date ever.	No date from LRMP
Not Registered – Erased for fraudulent application	Some people may have no date if they’ve never been granted PR/FR in the UK. For those that do, first PR/FR grant date ever.	No date from LRMP
Not Registered – Provisional registration expired	PR Date	No date from LRMP

Questions and Assumptions / Design Considerations - (Draft TBD)

TISNEW-3359 - Getting issue details... STATUS

No.	Question and Assumption	Comments
1.	API: Interaction style/pattern: Existing paradigm of TIS request to GMC Service is more consistent; registering a TIS service that the GMC notifies of changes to the List of Registered Medical Professionals. Drop the GMCDetails table, each time GMC data is needed (e.g. doctor page view) Upsert a person record triggers a call to persist the GMC data in TIS.
2.	Operations: They are: "Get all doctors" "Get doctor number 9999999" "Get doctors updated since ddmmyyyy" something else? We could make use of the 1st planned Operation (ii) but would prefer to make use of (iii), especially if specifying a very old dateSince on a “Get Doctors Updated Since” could replace the “Get All” operation. Assumption is TIS would call (iii) daily but should evaluate whether calling it more frequently would make much difference.
3	Batching/Paging: Batching/Paging of Response data is desirable if there are more than c.?10,000? records; will also need to consider batching of requested data if we have large numbers of trainees that are bulk uploaded.
4	Format: A RESTful JSON Service would be preferable, but we are just as happy to create a SOAP WebService (like the revalidation services).
5	Data: We assume the response will include the full dataset but only intend to use Status, Start & End Dates. We expect to match on Surname & GMC Number but could use further demographics (e.g. Forename or Gender). We only ever want the current information.
6	GMC's MVP/Pilot: The pilot of “Get Doctor By GMC Number” probably involves (subtasks); search for GMC data on Create or Update of Identifying information (Surname or GMC Number). scheduled job to run a search for all doctors.
7	What (if any relationship) is there between the DoctorsForDesignatedBody (revalidation) and the LRMP data? Does LRMP include more than just the doctors that we would be interested in? LRMP contains c.308K records.	After discussion, we came to conclusion there's none at the moment in the dataset.
8	Are there existing WebService Operations that could include LRMP data? No	None at present
9	If it were needed before a pilot is ready; we could create a Client to: Get the zipped CSV resources, or if that isn’t possible use something like GreaseMonkey (or import.io) to simulate logging in and scraping the resources page.
10	Do we have the current SFTS doc/data spec? Is data well populated (esp. Gender)?
11	Are there metrics (Google Analytics, person page per. week) that we can get ahead of talking to the GMC team (Pete et al.)?
12	Should we take LRMP data from ESR, which is taken from GMC until there is a GMC Service available?
13	Pete: We don't have an LRMP API at the moment. We hope to build and pilot one later next year. What would your use case be? A - "Get all doctors" B - "Get doctor number 7654321" C - "Get doctors updated since ddmmyyyy" D - something else? ... as I expect our MVP and pilot version is only likely to deliver 'B'. Your intended usage may help us steer our roadmap. TIS Team: The A → C → B is how we’d imagined a go-live would be implemented in terms of an order of what we'd use. In terms of frequency we’d use it (C → B → A); would be C daily, B on updates/creation of trainees, A to load and possibly at infrequent intervals. We're also doing some thinking about what it would look like and wanted to clarify what was meant in 2); was it every time a user looks at the record or just on every 'save' action that changes the 'identifying information'
14	Pete: A couple of challenges for consideration/discussion: Is it good API design for us to provide a payload of ~308,000 doctor records on a single API call? Would you want us to serve that method on demand? Hourly maybe? Bear in mind we would likely have hundreds of subscribers. I personally struggle to see how such an API call would be workable at scale. Is there really a requirement to keep the TIS system fully synchronised with our data? What about taking a different approach – where GMC data isn’t stored at all, but instead; every time you reviewed a record in TIS, it called our API and retrieves that individual’s data in real time? Would you agree that this is more in the spirit of modern API architecture?

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