Below is an assessment of the range of risks that we perceive to be particularly relevant to the continuation of study for our students, how these risks will differ based on the different needs of our student and an assessment of how likely we think the risks will crystallise.
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When looking at the SGUL as a whole, we assess it to be very unlikely that SGUL will no longer be able to operate, decide to cease our activities, or that we would lose the power to award degrees. This scenario would have big impact and affect all students. We are the second oldest medical school in the United Kingdom and trace our heritage back to 1733. We are financially sustainable (see below) and ambitious for our future. We have recently published our new strategic vision which covers the period until 2030. This will enable us to continue our vision of improving health through inspiring education and focussed research.
We are one of five London universities with a medical course and whilst there is healthy competition between medical courses in London we are the only one (and indeed in the UK) that is solely dedicated to medicine, healthcare and science and we are unique in sharing our site with an acute Hospital, St George’s University Hospitals NHS Foundation Trust. Our courses are in priority areas, there is strong demand for our courses amongst applicants and a need for our graduates. The integration of patients, healthcare workers, students and scientists creates a vibrant and dynamic environment that is unique and students are immersed in this from day one. Being in Tooting, London, we are both part of a global city and a thriving local community. We take pride in our location – in our links with the local community, including its schools; in the employment opportunities we bring; and in its diversity. We consider that our geographic location and our status is very unlikely to have a negative effect on our ability to operate successfully.
The risk of SGUL failing to ensure the financial sustainability needed for our students’ continuation of study is unlikely. This is mitigated by our detailed annual budgeting process delivering surplus in line with the long-term financial plan as well as regular reporting and forecasting with academic and professional staff regularly meeting finance managers to review variances. We plan to deliver operational and cash surpluses over the medium to long term with sufficient liquidity to deliver day to day activities. Long term plans are sent to the Office for Students (OfS) and no challenge has been received. In addition, financial management and controls are overseen by council and subject to internal audit. Our externally audited financial statements going back to 2009 are available on our available on our website.
The Office for Students (OfS) is the government-approved regulatory and competition authority for the higher education sector in England from 1 April 2018. In April 2018, the OfS visited SGUL to undertake an Assurance Visit and SGUL was given the statement of “we are able to place reliance on the accountability information” this is the highest level of assurance available as a result of the OfS’ visit. The OfS takes a risk-based approach to regulation and puts in place additional monitoring requirements for universities considered to be at higher risk. The OfS requires all providers to submit an Annual Financial Return each year to assess the financial sustainability, management and governance arrangements; SGUL is not subject to any additional monitoring by the OfS. This provides further evidence to suggest it is very unlikely that SGUL will fail due to poor management, governance or not being financially sustainable.
SGUL has a robust business continuity plan to respond to any incident which causes or may cause interruption to the normal operations of SGUL, and that could potentially affect the continuity of study. Such incidents could include involving (a) Building infrastructure (e.g. power, water); (b) Staff and Students (e.g. travel disruption, bad weather, pandemic); (c) Systems, networks, data or Information services; (d) Loss or inaccessibility of premises (including Halls of Residence); and NHS Trust Major Incidents that could have an impact on teaching. The recent pandemic has taught us that these scenarios are possible, however our processes have been tested and have proved effective. It is therefore unlikely that students will be significantly interrupted in their studies, though some disruption and delay is possible.
Key elements of our Business Continuity Plans include: (1) Emergency Response Plans (e.g. fire and evacuation plans); (2) Crisis Management Team Plans; (3) Institute and Departmental Recovery Plans; (4) Emergency Communications Procedures; (5) Media/PR Communications Strategies; (6) Information Services Recovery Plans; (7) Alternative Premises Strategies; (8) Integration with St George’s University Hospitals NHS Trust and National Blood Service; and (9) effective online delivery of teaching and services. Electronic communication with staff and students has proved effective in ensuring students know how we will be mitigating and preserving the continuity of their studies as far as possible in the meantime. We will be cognisant of the individual needs of students when making decisions about how best they can continue their studies. For example, some students may be unable to travel to Tooting (due to caring responsibilities, for example).
A constituent college of the University of London since 1836, SGUL has traditionally awarded University of London degrees. The Privy Council awarded SGUL taught and research degree awarding powers in its own right in 2009 and all students commencing studies from 1 September 2012 have been awarded SGUL degrees. There is no restriction or condition on our entitlement to award degrees and it is very unlikely that SGUL will lose its power to award degrees.
The University of London Act 2018 paved the way for St George’s, University of London to have official University status which was awarded to St George’s in March 2022 and came into effect on 30 June 2022. Note, this will not affect SGUL’s ability to award degrees.
We have a well-established process for developing, reviewing and approving the academic and business cases for new programme proposals to ensure that they are aligned to our strategy and that they are financially viable before we validate (a process which assures the quality and standards of new programmes) them. The validation process is outlined in the Quality Manual. All validated programmes must be reviewed from time to time and Programmes will normally be reviewed at least once every five years (Periodic Review) to ensure that we continue to be assured of the high teaching quality and academic standards we expect of SGUL programmes.
The periodic review process considers all aspects of teaching quality and academic standards. It also confirms that programmes are supported by adequate physical and human resources. Details of current periodic reviews are available here. It is unlikely that a programme will not be validated or pass its periodic review. If there are any issues with a programme or programmes, it will be picked up and dealt with as part of Annual Programme Monitoring (which is the year-on-year process by which the staff who have responsibility for the delivery of a programme evaluate the effectiveness of the programme in achieving its stated aims, and the success of students in attaining the programme’s learning outcomes).
We have processes for registering research students that confirm the quality of their research programme, adequacy of the supervisory team, availability of specialist resources, access to doctoral training and monitoring of student progress.
One of our main strategic objectives is to continue to invest in a high-quality physical and virtual infrastructure and each year we have an estates capital programme to ensure this, if an issue emerges which will affect the delivery of teaching this is prioritised for investment and mitigated as necessary in the short term, for example, by seeking access to external facilities. Over the past few years, students will have seen new teaching spaces such as the Curve Lecture Theatre and improvements in renovating teaching space, lecture theatres, teaching facilities, the refurbished and expanded the postgraduate common room and other social space, such as the Students’ Union. We, therefore, consider it
unlikely that our estate will not be fit for purpose.
SGUL is a distinctive higher education provider in that we focus solely on healthcare sciences, the bio-sciences and medicine, with many of our programmes leading to professional registration. At the level of the professional programme, SGUL has two main regulators: the General Medical Council (GMC) and the Health and Care Professionals Council (HCPC). The loss of accreditation from these, or other Professional, Statutory, and Regulatory Bodies would be a significant risk our students’ continuation of study, however we assess the likelihood of losing our accreditation to be unlikely. We have well established quality assurance processes and the regulators regularly undertake their own quality assurance exercises via monitoring and visits. We are in good standing with our regulators.
The Office for Students (OfS) is the regulator for the Higher Education Sector. The OfS aims to ensure that every student, whatever their background, has a fulfilling experience of higher education that enriches their lives and careers. Their work covers all students whether undergraduate or postgraduate, national or international, young or mature, full-time or part-time, studying on a campus or by distance learning. SGUL is on the OfS Register of Providers in the ‘approved (fee cap)’ category and meets the on-going conditions of registration. We are very passionate about ensuring that our students and indeed our whole community thrives and this and our current education and student experience section of our strategic vision, is very well aligned with the expectations of the OfS. We therefore think it is very unlikely that we will fail to meet all conditions of registration with the OfS.
Many of the degree programmes offered by SGUL rely on the provision of clinical placements so that our students can undertake their practical training. A loss of all student placements would have significant impact our students’ continuation of study, however we assess the likelihood of this occurring to be unlikely. It is possible, however, that from time to time placement providers decide not to take students or change the placements available, by either increasing, decreasing or offering different specialities. It is also possible that occasionally NHS regulators may identify problems with the quality of clinical care or postgraduate training that would lead us to temporarily remove students from a clinical site pending remedial actions by the site.
The university works closely with its placement providers, we continually review provision and work to identify new opportunities. This provides assurance to SGUL that there is resilience in the placement system should one placement provider fail. Our student recruitment targets are carefully set with a view to the availability of placements. Most clinical placement providers receive payment for teaching students, so as well as supporting education, they are able to earn additional income. In some areas we are able to use our inhouse facilities to replicate placement experience and practise skills.
Our core portfolio of undergraduate programmes is well-established, the first cohort of our newest undergraduate degree, BSc Clinical Pharmacology graduated in 2022. Where we develop a new programme this is supported by market research and a business case to provide assurance regarding sustainability. It is possible from time to time it may be necessary to discontinue a programme. If that is the case, the needs of continuing students will be our overriding priority and we will look to “teach out” the current students.
We also offer a number of specialist postgraduate programmes. Periodically, we refresh our postgraduate portfolio to ensure that our programmes are relevant to providing outstanding education, up-to-date and attractive to potential students. Through this process, we occasionally withdraw a programme that is no longer viable. The shorter duration of our postgraduate programmes and small cohort sizes allows us to manage the programme closure process quickly and efficiently and without disruption to students. It is also possible that we will make changes to our postgraduate portfolio. For example, we are in the process of expanding our postgraduate education portfolio and developing new programmes, such as our new MSc Heart Failure programme which first recruited in January 2022.
It is also possible that within programmes, we may decide to make changes to the content or mode of delivery of programmes or modules to ensure our programmes remain up-to-date, attractive to students, aligned to the requirements of any relevant professional or statutory body and/ or the needs of the healthcare sector or industry. Any changes will be made in line with the requirements of the Competition and Markets Authority requirements. See below for how we would mitigate this to preserve continuation of study.
We do not have any programmes that are dependent on one individual, so it is very unlikely that a programme would cease due to not having appropriate members of staff. We benefit from a high quality and committed academic workforce who would be able to ensure all programmes are covered. Specialist expertise exists across our extensive healthcare networks.
Postgraduate research students are supervised by a team of supervisors rather than an individual supervisor. This has many benefits, but, in particular, helps to mitigate the risk of a supervisor not being able to continue for example due to illness or leaving the university. It is therefore unlikely that a student will lose their supervisor.
The university may occasionally be affected by industrial action. In recent years strikes which have affected other institutions have not badly affected St George’s due to the variety of unions which staff are members of. It is possible that teaching will be affected by strike action in the university or the NHS. During any period of industrial action the university will monitor teaching affected and take mitigating action.
It is unlikely that we will be unable to recruit enough undergraduate students to our programmes to make them feasible. Our programmes are popular and prepare students for important roles with excellent employment and career prospects. Our programmes have also proved popular in clearing and adjustment and high-quality students are able to be recruited.
It is possible that some postgraduate programmes will not recruit enough students. Where this is repeatedly the case, and as we look at developing and expanding our postgraduate provision, we may decide to discontinue a particular programme or modify a particular element of the programme. See below for how we would mitigate this to preserve continuation of study.
St George’s has held a Student Sponsor licence (previously a Tier 4 licence) since the 23rd February 2009, this licence is not due to be renewed until March 2025. St George’s has applied for and successfully passed the annual Basic Compliance Assessment (BCA) each year since. On this basis, it is unlikely that St George’s will lose its licence.
Compliance activities take place at all stages of the student lifecycle: admissions (immigration history checks, time limit on study, academic progression etc.); at registration (enrolment, record keeping etc.); during study for the tracking of students (attendance, work placements etc.); and for student reporting (withdrawals, IOS, changes in circumstances).
We have a collaboration with the University of Nicosia (UNic) that allows UNic to deliver our MBBS programme under a franchise agreement. SGUL has decided to withdraw from the partnership. The collaboration is underpinned by a long term legally-binding agreement which requires both parties to work constructively to ensure that all students are supported fully until they have completed the programme.
We are permitted by the General Medical Council to award UK primary medical qualifications (PMQs). This means that all SGUL MBBS graduates including those that complete the MBBS under the franchise agreement with UNic are eligible to apply for provisional registration with the GMC. As a consequence, the franchise agreement has been subject in full to all GMC quality assurance processes. In the very unlikely event that we were to lose our entitlement from the GMC to award PMQs, we would agree an appropriate teach-out strategy with the GMC for all students including those students registered under the franchise agreement. Specifically, we would support the University of Nicosia in finding an alternative franchise partner or arrange for students to continue their studies at a different provider. In all cases, we would take into account the individual needs of each student. For example, a student’s nationality may have an impact on where they study.
Under the Franchise Agreement, UNic is required to let us know in good time if any issues arise which may prevent the UNic from delivering the MBBS to the high standard we expect. These issues might include matters related to its financial sustainability and its standing with the relevant governmental and regulatory authorities in Cyprus. It is very unlikely that issues of this kind will occur. If that were the case, we would put in place a framework to enable students to complete the programme in Cyprus or elsewhere. UNic is in good finance health and in good standing with its national regulators.