Sample policy · Reg 5

Fit and proper persons (directors) policy (Reg 5)

Statutory anchor: Regulation 5, Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (SI 2014/2936) · primary source

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Verivius pack version v1.1, 2026-06-01

1. What the regulation says

the individual is of good character … has the qualifications, competence, skills and experience … is able by reason of their health … has not been responsible for, been privy to, contributed to or facilitated any serious misconduct or mismanagement … none of the grounds of unfitness specified in Part 1 of Schedule 4 apply.

take such action as is necessary and proportionate to ensure that the office or position in question is held by an individual who meets such requirements, and … if the individual is a health care professional, social worker or other professional registered with a health care or social care regulator, inform the regulator in question.

The full text of the regulation is at https://www.legislation.gov.uk/uksi/2014/2936/regulation/5. Where this policy and the regulation diverge, the regulation wins.

2. Plain British summary

If you are a body other than a partnership (a company, charity, NHS trust, etc.), every director or person doing director-equivalent work has to meet the fit-and-proper-persons standard. Good character, the right competence, sound health (with reasonable adjustments), no serious misconduct or mismanagement on their record, and none of the grounds of unfitness in Part 1 of Schedule 4.

3. Scope

This policy applies to every director, trustee, or person performing director-equivalent functions at where the provider is a body other than a partnership. It covers the appointment process for new directors, the continuing fitness of incumbent directors, the Reg 5 grounds-of-unfitness check against Schedule 4 Part 1, the information set held per director (a Reg-5-specific information set distinct from the Reg 19 Schedule 3 employee set), and the cessation arrangements when a director leaves.

(Tenant updates the angle-bracket placeholder.)

4. Roles and responsibilities

(Tenant updates the named role-holders.)

5. Procedure

The Reg 5 procedure operationalises the fit-and-proper-persons-directors standard.

  1. Appointment process. When a new director is proposed (board appointment, executive appointment, non-executive appointment, trustee appointment for a charity), the FPPR check runs before the appointment is confirmed. The check covers all five Reg 5 conditions.
  2. Good character. Reference checks, online due-diligence search, conflict-of-interest declaration, declaration of any criminal record (subject to spent-convictions rules), declaration of any prior insolvency or disqualification, declaration of any professional-regulator concern.
  3. Qualifications, competence, skills, experience. Documentary evidence of relevant qualifications, work history relevant to the director role, evidence of competence in the specific functions the director will exercise.
  4. Health. Health declaration (with reasonable-adjustment opportunity) covering any physical or mental condition relevant to the director role's intrinsic functions.
  5. No serious misconduct or mismanagement. Conduct evidence from previous roles in regulated services (where relevant), Companies House check for disqualification, Charity Commission check (for charity directors), other regulator check where applicable (FCA, Insolvency Service).
  6. Schedule 4 Part 1 grounds-of-unfitness check. The HR Lead or Company Secretary runs the grounds-of-unfitness check against the eight grounds listed in Schedule 4 Part 1: bankruptcy (within the prescribed period), insolvency-related disqualification, criminal conviction for offences listed, disqualification or suspension by a regulator, the person's previous responsibility for serious misconduct or mismanagement, removal from charity-trustee office, listing on the children's barred list or adults' barred list, any current order under MCA Schedule A1 paragraph 12 or 15.
  7. Information set. The Reg 5 information set is held per director: identity and recent photograph, criminal-record certificate at the appropriate level, qualification evidence, employment history, health information, references, declarations made during the appointment process. The set is updated continuously as new information becomes relevant.
  8. Continuing fitness. Each director undergoes an annual fitness review at the Board's standing agenda. The review re-runs the five Reg 5 conditions against any change in the year. Updated checks (renewed DBS where applicable, refreshed declarations) are added to the information set.
  9. Concern or change-in-circumstances. Where a fitness concern surfaces during the year (a director becomes the subject of a criminal investigation, declares bankruptcy, faces a regulator investigation, has a health condition affecting role), the Board reviews fitness at the earliest opportunity. The outcome is recorded. Where unfitness is established, the director is removed from office through the constitutionally-correct route.
  10. Notification on cessation. When a director leaves the role for any reason, the cessation is recorded against the director's file, and CQC is notified of the director-change through the relevant CQC channel where applicable.

6. Training requirement

Training records held in the tenant's training matrix register.

7. Audit

Compliance with this policy is monitored by the Chair of the Board:

Audit findings recorded in the tenant's audit register; actions logged in the improvement-actions register.

8. Record-keeping

Director FPPR records are held for the duration of the director's tenure plus a minimum of 6 years after the end of tenure under the Limitation Act 1980, aligned to the standard limitation period for civil claims. Records relating to serious misconduct or mismanagement may be retained longer where the matter could become the subject of future regulatory proceedings.

For company-law purposes, statutory company filings (annual returns, director-change notifications to Companies House, board minutes) follow the Companies Act 2006 retention rules (typically 6 to 10 years for board minutes; longer for the company's underlying records).

Verivius preserves the per-record audit trail indefinitely while the workspace is active.

6. Training requirement

All staff in scope complete at induction and at . Records are kept in .

(Tenant completes.)

7. Audit

Compliance with this policy is monitored by on , through <named method, e.g., quarterly file audit of N records>. Audit findings are recorded in the tenant's audit register and reviewed at on .

(Tenant completes.)

8. Record-keeping

The records this policy generates are kept for , in . The retention period reflects <statutory requirement OR Verivius operational default, as applicable>.

9. Related policies in this pack

10. Document control

Version Date Author Changes
v1 2026-05-19 Verivius (sample) Initial sample template.
v1.1 2026-06-01 Verivius (sample) Filled out Sections 3 to 8 with concrete content. Section 4 names the Provider, Board, Chair, NI, HR Lead or Company Secretary roles. Section 5 expanded to a 10-step procedure covering appointment, good character, qualifications, health, misconduct check, Schedule 4 grounds-of-unfitness check, information set, continuing fitness, concern or change-in-circumstances, cessation notification. Section 6 names director training tiers. Section 7 names the audit cadence including the per-appointment FPPR check and annual fitness review per director. Section 8 references the Limitation Act 1980 retention and Companies Act 2006 statutory-records retention.

This sample policy template was issued by Verivius as part of the Mock Inspection design partner onboarding pack. It is a template, not a substitute for legal advice or the tenant's own policy-development process. Where this template and the live regulation diverge, the live regulation wins.

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Last reviewed 1 June 2026