Clinical Lead, Reasonable Adjustments

Overview

The College is now seeking to appoint a Clinical Lead for Reasonable Adjustments & Accessibility to provide both senior clinical oversight and assurance for reasonable adjustment (RA) decision‑making across the MRCGP examination, and to lead the way in ensuring fairness and accessibility is at the heart of everything we do in the examination. This role builds on an established senior disability advisory function and forms part of a revised structure that separates more the strategic clinical leadership from operational case processing, which will be undertaken by a Deputy Clinical Lead.

Overall

Purpose:

To provide senior clinical leadership and quality assurance in the design, application and governance of reasonable adjustments across all components of the MRCGP examination. The postholder will ensure that RA decisions are clinically appropriate, equitable, and compliant with the Equality Act (2010) and GMC requirements, while balancing candidate support with patient safety and examination standards. Reporting:
The postholder reports operationally to the Chief Examiner, working closely with the Deputy Clinical Lead for Reasonable Adjustments, Clinical Leads across the MRCGP, and senior colleagues in Examinations and Candidate Engagement.

• Three year term
• One diem per week (four diems per month)
• Home-based; travel reimbursed in line with RCGP policy

The RCGP sessional rate is currently £263.68 per session, with one diem equating to two sessions.

• Provide senior clinical leadership to ensure reasonable adjustment processes across the MRCGP are robust, fair, and legally compliant.
• Apply expert clinical judgement to complex or high-risk RA cases, ensuring equity of access while protecting the competence standard of the examination.
• Inform the strategic development of RA policy, EDI activity, and examination design through analysis of trends, emerging issues and risks.
• Identify and advise on legal, regulatory, or reputational risks relating to reasonable adjustments and recommend mitigations.
• Provide expert input into complaints, appeals, external reviews, or legal cases where reasonable adjustments are in scope.
• Support the College's wider EDI agenda through training, quality assurance, and advice on inclusive assessment practice.
• Work collaboratively with other MRCGP Clinical Leads to ensure consistency of approach across examination components.
• Line manage and mentor the Deputy Clinical Lead for Reasonable Adjustments.
• Support senior examinations and candidate-facing teams in the development of accurate, timely and clear candidate communications relating to reasonable adjustments.
• Current or recent MRCGP examiner (or equivalent examiner role in a comparable postgraduate clinical assessment).
• Membership of a relevant professional body (e.g. RCGP).
• Strong working knowledge of the Equality Act (2010) and its application in assessment settings.
• Sound understanding of postgraduate medical education, assessment, and regulatory frameworks.
• Excellent clinical judgement, with the ability to balance fairness, transparency, and patient safety.
• Ability to operate with discretion and authority in sensitive, high-risk or contentious situations.
• Strong communication skills and ability to work effectively with senior clinical and professional colleagues.
• Confidence working autonomously and managing competing priorities.

• Experience of reasonable adjustment decision-making or disability advisory work in examinations or education.
• Experience of postgraduate medical assessment governance or regulatory scrutiny.
• This role is particularly suited to an experienced examiner with established credibility in assessment and an interest in equitable and inclusive practice.