The ÄÛ²ÝÓ°Ôº is a membership organisation and registered charity, established by Royal Charter in 1518 and incorporated by an Act of Parliament. Our charitable purpose is to improve health and healthcare for the public benefit.
We achieve this by advocating for physicians and supporting high standards in medical training, clinical practice and patient care, both in the UK and internationally.
Scroll down for more information on our governance structure, leadership responsibilities, key meetings, documents, and our annual reports.
Our governance structure is focused on accountability, transparency and alignment with our charitable purpose.
Board of TrusteesÂ
The Board of Trustees is the ÄÛ²ÝӰԺ’s principal governing body. Its key meeting schedule is quarterly. The Board is responsible for:
- overseeing the ÄÛ²ÝӰԺ’s strategic direction and business plan
- ensuring effective management and administration
- upholding the ÄÛ²ÝӰԺ’s charitable responsibilities.
Board trustee membership includes:
- an independent chair
- five senior officers – the president, registrar, treasurer and two vice presidents on rotation
- three members nominated by Council
- independent members appointed by the Board (up to six).
The Board delegates some of its powers to the:
- Audit and Risk Committee (ARC)
- Finance and Resources Board (F&RB).Â
Council
ÄÛ²ÝÓ°Ôº Council meets six times a year and is responsible for:
- developing policy on professional and clinical matters
- approving key ÄÛ²ÝÓ°Ôº statements, publications and election arrangements
- addressing current issues affecting medical standards and practice.
Council membership includes senior officers, elected representatives and other representatives involved in the ÄÛ²ÝÓ°Ôº's work. The independent trustees are invited to attend Council meetings to ensure an effective relationship with the Board.
Council is chaired by the president and plays the leading role in shaping the ÄÛ²ÝӰԺ’s voice on healthcare policy and standards. It is supported by the Medical Specialties Board (MSB) which includes representatives from each medical specialty.
Council meetings – dates, agendas, minutesCommittees
The Board and Council are further supported by a range of advisory sub-committees. These groups ensure that expert voices guide our work.
Boards and committee - ÄÛ²ÝÓ°Ôº governance structureSenior officers
ÄÛ²ÝÓ°Ôº senior officers are elected or appointed through open processes and serve as trustees (vice presidents on rotation).
Meet the senior officersExecutive team
Day-to-day operations are led by the Chief Executive who is accountable to the Board of Trustees and supported by a team of executive directors.
Meet the executive leadership teamGeneral meetings of fellows (also known as Comitia)
General meetings are important for the ÄÛ²ÝӰԺ’s democratic processes and ensure that fellows have a voice in the college’s leadership and direction. They include the annual general meeting (AGM), special general meetings (held annually to elect a president on a set date as required by section 6 of the Medical Act 1860) and extraordinary general meetings.
General meetingsThe King’s Fund learning review
The King’s Fund review was commissioned by the ÄÛ²ÝÓ°Ôº following an extraordinary general meeting (EGM) on the role of physician associates (PAs) in March 2024. The report sets out recommendations on improving leadership, management and culture, and structure and processes at the college, including a governance review that considers Board effectiveness, college byelaws and how ÄÛ²ÝÓ°Ôº Council operates.
To deliver on these recommendations, the ÄÛ²ÝÓ°Ôº developed a response plan with 14 actions. A key action, an external governance review, was commissioned in June 2025.
Our response and outcome report on TKF learning reviewKey governance documents
The ÄÛ²ÝӰԺ’s governance is underpinned by a set of core documents that define its legal status, structure and decision-making processes:
- Royal Charter: Establishes the ÄÛ²ÝÓ°Ôº in 1518.
- Medical Acts: The Charter was affirmed by an Act of Parliament in 1523 with later Acts also relating to the ÄÛ²ÝÓ°Ôº – notably the .
- Bye-laws: Rules for how the ÄÛ²ÝÓ°Ôº operates, including membership, elections, meetings and powers of officers.
- Standing Orders of the Board of Trustees: Defines the role, remit and responsibilities of the Board, including its meetings and proceedings.
- Charitable purpose: A modern statement of what the ÄÛ²ÝÓ°Ôº is set up to achieve and how this has changed and developed.
These documents work together to ensure that the ÄÛ²ÝÓ°Ôº operates transparently, lawfully, and in line with its charitable objectives. Many are reviewed periodically to ensure they remain fit for purpose and reflect best practice in governance.
Annual reports and accounts
Our annual reports highlight our achievements, outline both our income and expenditure and include a brief review of our performance against our purpose and objectives.
