Creating and developing BMA policy

See how BMA policy is formed through motions to the Annual Representative Meeting and the Branch of Practice Conferences. Read our top tips and advice for writing a good motion.

Location: UK
Audience: All doctors
Updated: Friday 6 December 2024
Hands voting on motions at ARM 2023

The RB (Representative body), which consists of delegates from all BMA divisions and branches of practice, regional and national councils, meets each year at ARM to establish and develop BMA policy. 

When a motion is passed at ARM, it becomes a resolution and is handed to the appropriate body for implementation and it ultimately becomes BMA policy.

Policy can also be developed through the representative conferences organised by the branches of practice. In matters where the branches of practice have delegated authority, this can be the final statement of policy on a subject.

Resolutions from annual representative meetings and the branch of practice conferences can be found on the policy database.

 

Top tips for writing a good motion

Your motion is more likely to be chosen if it comes with a call for action that the Association or branch of practice can take forward.

The video above gives comprehensive motion writing advice – it was created for ARM, but the information on good motion writing is also applicable for branch of practice conferences.

When writing your motion, make sure it is:

  • topical, accurate and concise
  • comprehensible and logical
  • likely to prompt good debate in a subject area on which it is desirable for the BMA to develop or change policy.

Motions should be clear statements and:

  • start with the words "That this conference..." or, for ARM, “That this meeting...”
  • cover the essential problem which needs to be solved (for example: “That this conference welcomes, regrets, deplores, denounces...”)
  • cover the essential principle which underlies the solution (for example using words like reaffirm, recognise, declare)
  • cover the essential proposal at the heart of the motion (for example: “That this meeting affirms, believes, recommends, urges...”)

Further aspects to consider

  • The equality implications of the proposals in the motion, making sure that the motion does not have any inadvertent consequences (see below)
  • The implications of the proposals for patients and the public (see below), particularly in terms of access to and the quality of health services
  • The implications of the proposals for colleagues in other branches of practice.
Do
  • Choose issues which are topical and new and not a repeat of existing policy. Check the policy database before submitting any motion.
  • Include a proposal for action as this is far more useful in shaping policy and therefore makes a better motion.
  • Use sections if you have several clear calls for action. As each section could be voted on separately this allows for motions which may contain a controversial element.
  • Ensure that any subsections of a motion only deal with one point of principle and don't reference other subsections as they may be divided by the agenda committee. Each subsection must flow from the opening stem of the motion and be understandable without reference to the other subsections as the meeting may vote against one or more of the other subsections.
  • Be concise and clear - write in plain English, explain any abbreviations and try not to go above 150 words. Try to keep the number of subsections to a minimum. Agenda committees will usually prefer no more than four.
  • Ask for help if you're struggling - the agenda committee is there to assist you, so send through your ideas, drafts and questions - it's what they are there for.
  • Be original - conferences need exciting, topical debates. Even if your motion fails it can still offer the conference a valuable perspective and an interesting debate. 
Don't
  • Write long opening paragraphs explaining the issue – save that for your speech proposing the motion. Avoid being repetitive, vague or didactic.
  • Include quotations or actual sums of money both of which run the danger of being inaccurate or out of date and thus invalidating the motion. Again, these points can be covered in a speech.
  • Submit motions which are already policy. Check the policy database first, or check with the agenda committee.
  • Be afraid to submit a motion. They are key to us developing and shaping BMA policy into the future. 

Equality considerations and evaluating the potential for discrimination for your proposed motion

Meaningful consideration must be given to how to both avoid creating discriminatory policy outcomes and to ensuring that the process of policy development does not involve negative or discriminatory practices.

When drafting the text for you proposed motion work through the following questions:

1. What are the intended consequences of this motion?

2. Does it breach or potentially breach, or offend established codes, standards, and legislation?

Including but not limited to:

  • The BMA Code of Conduct incorporated the BMA’s values and behaviour principles.
  • The Equality Act 2010 and other equalities and human rights legislation
  • European Convention on Human Rights
  • Employment Law
  • Criminal law e.g. hate crime
  • GMC standards for doctors e.g. Good Medical Practice (updated 2024)

Members can propose motions that challenge any of these standards. But there should be consideration of the potential for unlawful discrimination.

3. How might the implementation of the proposed motion impact negatively on individuals or groups with protected characteristics?

4. Could the proposed motion contribute to inequality, or disadvantage or discriminate against any individuals or groups with protected characteristics?

5. Will the activity of communication about this motion have a negative impact on a group of individuals?

6. Could the motion give rise to a reasonable perception that the motion is discriminatory even if it may not ultimately be discriminatory?

The protected characteristics are age, gender reassignment, being pregnant or on maternity leave, disability, race (including colour, nationality, ethnic or national origin); religion or belief, sex and sexual orientation. Case law has also determined that the following characteristics are also covered, caste, ethical veganism, non-binary and gender fluidity. Discrimination law is covered in the Human Rights Act 1998 and the Equality Act 2010 in England, Wales and Scotland with similar legislation in Northern Ireland (with the addition of political opinion as a protected characteristic).

Read more about the BMA and EDI in the BMA corporate equality, diversity and inclusion strategy 2022-25.

If you have any questions about equality considerations, please do get in touch with the Corporate EDI team ([email protected]) or the policy EIC team ([email protected]).

Have you explored any patient considerations for your proposed motion:

  • Have you considered the impact your proposed motion will have on patients accessing and receiving care?
  • Have you considered if your proposal could impact negatively or disadvantage some groups of patients and if so, does your proposal contain actions to mitigate against this?

If you have any questions about the impact your motion will have on patients please get in touch with PLG by emailing [email protected]

 

A sample motion

Below is an example of a previous motion, to give you an idea of the language and construction to use when writing your motion.

"That this meeting notes with dismay the inability of the National Health Service to accommodate recent outbreaks of seasonal disorders, and the resulting threats to ongoing health provision for all citizens and calls upon the Government to redress this appalling situation by:

i) Providing an immediate cash injection to underwrite an increase in high-dependency beds in all regions of the UK

ii) Funding critical care training for enough nursing staff to support the additional high dependency beds

iii) Guaranteeing to improve salaries, conditions and career prospects for nurses

iv) Taking urgent measures to attract back nurses who have left the profession"

or

"That this conference is extremely concerned at the introduction of post-CCT fellowship posts and demands that these:

i) have defined training objectives that genuinely cannot be provided within CCT

ii) be created only to meet a proven and unmet need for consultants with particular sub-specialist skills

iii) be without service commitment

iv) not continue beyond 2010"

 

How to submit a motion

Please be aware that motion deadlines occur approximately two to three months prior to conferences taking place.

Consultants conference

Motions must be submitted in advance by Medical staff and regional consultants committees.

Resident doctors conference

Members can submit motions via their RRDC representatives.

Medical academics conference

Motions for the medical academics conference are submitted by MASC and its subcommittees or any representative to the conference by advance email.

 

Medical students conference

Each UK medical school, MSC subcommittees, Regional Services Liaison Group, MSC (including co-optees) and devolved committees can submit motions via designated representatives.

Conference of public health medicine

Motions by anyone attending the conference can be submitted to the PHMC secretariat. If you cannot attend but wish to submit a motion, it is encouraged to ask a colleague to submit a motion in their name.

SAS conference

Motions can be submitted via regional and national SASCs to the SASC Agenda Committee.

Conference of LMCs

Motions can be submitted via the LMCs (Local medical committees) and their conference representatives. 

Retired members conference

Members can submit motions via the designated retired members conference representatives.

Conference of honorary secretaries of BMA divisions and regional councils

Motions may only be submitted by honorary secretaries of BMA divisions and regional councils.

Contact the motion advisory service

This motion advisory service provides:

  • advice
  • facts and figures or information on existing policy
  • helps you submit your motion correctly for consideration.

Please include your name, membership number, branch of practice and nation when contacting us, so we can respond to your enquiry as soon as possible.

Contact the motion advisory service via [email protected].