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General Osteopathic Council

GOsC: CPD scheme and fitness to practise for osteopaths

The four required elements of the three-year CPD scheme, the Osteopathic Practice Standards, how hearings and sanctions work, and courses and free tools written for osteopaths.

UK doctor writing notes at her desk while reviewing professional standards

CPD for osteopaths: the short version

CPD for osteopaths in the UK is set by the General Osteopathic Council (GOsC) and runs over a three-year cycle. Over that cycle you need 90 hours of CPD, at least 45 of them learning with others, plus three specific elements: an objective activity, an activity on communication and consent, and a Peer Discussion Review towards the end.

The hours are the easy part to understand. The specific elements are where osteopaths more often get caught out, so most of this page is about them. We also cover the Osteopathic Practice Standards, the GOsC's hearings and sanctions guidance, and where our courses and tools fit. For other professions, see the regulators hub.

Healthcare Practise UK is an independent provider. We are not affiliated with or endorsed by the GOsC. The facts below come from the GOsC's own CPD and standards sites, listed in the sources at the end. Check them there before relying on them for your own record.

The GOsC CPD scheme requirements

ElementRequirementWhat it means in practice
CycleThree yearsYour cycle dates are shown in your GOsC account
Total CPD90 hoursRoughly 30 hours a year if spread evenly
Learning with othersAt least 45 hoursHalf your total must involve other people
Objective activityAt least oneExternal feedback on your practice that you analyse and reflect on
Communication and consentAt least one activityCPD focused on this topic
Peer Discussion ReviewTowards the end of the cycleA structured conversation with a peer about your CPD

The GOsC's scheme overview also says it randomly selects 5 to 10% of osteopaths each month to review their CPD evidence. Keeping records up to date as you go is the simplest way to be ready if you are selected.

A simple CPD cycle
  1. PlanIdentify what you need to learn for your practice.
  2. LearnCourses, reading, supervision and learning with others.
  3. ReflectWhat changed in your thinking and why it matters.
  4. ApplyUse the learning with patients or service users.
  5. RecordKeep evidence in the format your regulator asks for.

Recommended courses

Written for UK registrants and mapped to what GOsC guidance asks of you.

  • GOsC

    Professionalism and Professional Standards for Osteopaths

    It is written for osteopaths registered with the General Osteopathic Council (GOsC) who want to strengthen their professional conduct and regulatory compliance. Where the companion ethics course concentrates on moral…

    2 hours of learning£69 + VAT
  • GOsC

    Ethics and Ethical Standards for Osteopaths

    Osteopathic care is hands-on, often involves undressing, touches areas of the body patients may feel vulnerable about, and is usually delivered in private practice where the osteopath is also running…

    2 hours of learning£69 + VAT
  • All UK regulators

    Module on Insight for Healthcare Professionals

    This module explores insight: the self-awareness that lets healthcare professionals understand their actions, recognise their impact and learn from experience. It covers what insight is and why it matters, when…

    1.5 hours of learning£45 + VAT
  • GMCNMCHCPC+5 more regulators

    Reflection for Healthcare Professionals

    This CPD module helps healthcare professionals in the UK understand and strengthen reflective practice. It explains what reflection is and why it matters, the UK regulatory context, structured models of…

    1.5 hours of learning£45 + VAT
  • GMCNMCHCPC+2 more regulators

    Remediation for Healthcare Professionals

    This CPD module helps healthcare professionals in the UK understand and undertake effective remediation. It explains what remediation is and why it matters, the UK regulatory and employer context, the…

    1.5 hours of learning£45 + VAT

GOsC remediation coursesStart the pathway for GOsC

Getting the three specific elements right

The objective activity

The point of the objective activity is outside feedback on your practice, which you then analyse and reflect on. What you learn from the feedback, and what you change, matters as much as the activity itself. Record what the feedback showed, what surprised you and what you did next.

Communication and consent

This must be at least one CPD activity focused on communication and consent. For osteopaths, consent is closely tied to touch, exposure and explaining treatment options, so learning that deals with those situations is the most relevant. Our osteopathy ethics course covers informed consent in osteopathic examination and treatment, and shared decision-making, which makes it a natural fit for this element when you reflect on how it applies to your patients.

The Peer Discussion Review

The Peer Discussion Review happens towards the end of the cycle. You talk through your CPD record with a peer. It goes far better when you have reflective notes written during the cycle rather than reconstructed at the end. The reflective statement builder is a quick way to keep short, structured notes in your own words after each activity.

A useful habit for all three elements is to write two or three sentences within a week of each activity: what you did, what you noticed about your own practice, and one thing you will do differently. Those notes become the raw material for the review conversation, and they are also the kind of reflection a panel would expect to see if your practice were ever questioned. Keep them free of anything that could identify a patient, such as names, dates of birth or unusual clinical details.

Tracking 90 hours and 45 with others

The two totals that matter are hours overall and hours with others. Self-paced learning, including our courses, counts on the learning-alone side. If most of your CPD is reading and online study, you will need to plan group learning deliberately: study groups, peer supervision, conferences and courses where you interact with other people.

Our free CPD and revalidation tracker lists the GOsC requirements as a checklist you can tick off, including the objective activity and the communication and consent activity, and keeps running totals of your hours and your hours with others as you log activities. Your entries stay in your browser and can be printed or saved as a PDF for your own records.

The Osteopathic Practice Standards

The Osteopathic Practice Standards (OPS) are the standards of conduct and competence every osteopath must meet. The current version was published by the GOsC on 1 September 2018 and came into effect on 1 September 2019. It is organised in four themes:

  • Communication and patient partnership
  • Knowledge, skills and performance
  • Safety and quality in practice
  • Professionalism

These themes are a useful lens when you plan CPD: a year spent entirely on clinical technique leaves the communication and professionalism themes thin. They are also the standards a panel will measure your conduct against if a concern is raised.

Hearings, sanctions and fitness to practise

Where a concern about an osteopath reaches a hearing, it is decided by the GOsC's Professional Conduct Committee or, for health matters, its Health Committee. The GOsC publishes Hearings and Sanctions Guidance (2025) for those committees. Because the detail of how sanctions are chosen is set out there, read the current version, ideally with your representative, rather than relying on summaries.

Across UK healthcare regulators, the questions panels ask when deciding current impairment are broadly similar: whether you have insight into what went wrong and its effect on patients and trust, what you have done to remediate it, whether your reflection is genuine and your own, and how likely it is to happen again. Final decisions of all nine regulators can be reviewed by the Professional Standards Authority under section 29.

Courses alone are not enough. A certificate shows you completed some learning; it does not show that you understood the concern or changed how you practise. Pair any course with honest reflection and evidence from your practice since, such as patient feedback, audit or supervision notes. The remediation readiness check shows which of these you can already evidence, and the remediation pathway turns the gaps into a dated plan.

Insight, remediation and reflection
  1. InsightUnderstanding what went wrong, why, and its effect on others and on trust.
  2. RemediationPractical steps that address the concern, such as targeted learning and supervised practice.
  3. ReflectionShowing what you learned and how your practice has changed.

Courses written for osteopaths

Professionalism and Professional Standards for Osteopaths

Built around the Osteopathic Practice Standards. It covers patient-centred care, integrity, accountability, confidentiality, communication and record keeping, then the standards on knowledge and competence, safety and quality, and public trust. Later modules deal with boundaries, including the strict prohibition on sexual or romantic relationships with patients, commercial pressures and social media, what happens when standards are breached, and how professionalism links to fitness to practise.

Ethics and Ethical Standards for Osteopaths

Applies autonomy, beneficence, non-maleficence and justice to osteopathic work, including informed consent in examination and treatment and avoiding harm in manual therapy. It covers the GOsC fitness to practise process, CPD and reflective practice, honest advertising, the duty of candour, record keeping and professional boundaries in osteopathic practice.

Core modules for any concern

The Module on Insight, the Module on Reflection and the Module on Remediation cover the three ideas panels return to most often.

Each course takes about 2 hours, according to the course file, ends with 15 scenario-based questions with an 80% pass mark and a guided reflective account, and issues a certificate of completion from Healthcare Practise UK. Count them as learning alone in your CPD record. Prices are shown live from our course portal.

A calm next step

If you are simply planning CPD, start with the tracker and fill the elements you have not yet done. If a concern has been raised, get advice first from your professional association, indemnity insurer or a solicitor, then work through the pathway at your own pace. Nothing here is legal advice, and no tool or course can predict or decide the outcome of a case.

Free tools for GOsC registrants

  • Remediation pathway

    All the tools in one guided flow: readiness check, course bundle, reflection, testimonials, timeline and an evidence portfolio you can save as a PDF.

  • Remediation readiness check

    A self-assessment of your insight, remediation, reflection, testimonials, CPD and risk of repetition, with the gaps to work on.

  • Reflective statement builder

    Regulator-specific prompts that help you structure a reflective statement in your own words.

  • Testimonial request letter

    A clear, honest letter asking a colleague or manager for a testimonial that covers what panels look for.

  • CPD and revalidation tracker

    Log CPD against your regulator's cycle and see what is still to do before renewal or revalidation.

  • Hearing timeline planner

    Work back from a key date to a realistic plan for courses, reflection and testimonials, with a calendar file.

  • Which course do I need?

    Four quick questions that point you to the courses that match your regulator and situation.

Frequently asked questions

How many CPD hours do osteopaths need?

90 hours over a three-year cycle, of which at least 45 must be learning with others. You also need an objective activity, a communication and consent activity and a Peer Discussion Review.

What counts as an objective activity?

An activity that gives you external feedback on your practice, which you then analyse and reflect on. Check the GOsC CPD site for the examples it accepts and record what you changed as a result.

When does the Peer Discussion Review happen?

Towards the end of your three-year cycle. You talk through your CPD record and reflections with a peer, so keeping notes during the cycle makes it much easier.

Do your courses count as learning with others?

No. Our courses are self-paced, so they count as learning alone. They can help with your total hours and the communication and consent element, but you will need group learning for the 45 hours with others.

Which version of the Osteopathic Practice Standards applies?

The version published on 1 September 2018, which came into effect on 1 September 2019. It has four themes: communication and patient partnership, knowledge, skills and performance, safety and quality in practice, and professionalism.

Is Healthcare Practise UK linked to the GOsC?

No. We are an independent provider and are not affiliated with or endorsed by the GOsC. We link to its guidance so you can check every fact at the source.

Not sure where to start?

Tell us your regulator and the concern. The pathway shows the courses that fit, helps you write your reflection and puts your evidence in order. It is free and nothing leaves your browser.