All examiners are required to write or peer review at least two examination questions per year and the process for doing this is below.

Question selection for exam sitting
- Question Lead (QL) reviews question bank and selects 6-8 questions to be sent to Exams Administrator (EA) 12 weeks before exam date. Balance of the following:
 
- At least one from each of the four domains:
- Health Protection
 - Health & wellbeing
 - HCPH
 - Data
 
 - Three actor and three role-player questions
 - Variety of Public health topics
 
- EA sends latest versions of these questions and date last used to QL (2 working days)
 - QL checks they are fit for purpose. Includes quality check of contents/layout. Confirms the six questions for exam and returns to EA (10 working days)
 - EA shares questions with the Chief Officer (CO) to sense check the balance of scenarios in terms of settings, topics and role player/actor roles, and a high-level overview of the quality and content of the scenarios. Confirmation given to QL and EA (2 working days)
 - EA to send for Devolved Nation’s To check questions for acceptability and that no country-specific details are included. Return comments to EA, any issues to QL (5 working days).
 - Once returned – EA does final formatting and removes track changes (3 working days)
 - EA send questions to Logistics Lead (LL) for FINAL proof reading (5 working days)
 - LL sends back to QL and EA
 - Final selection sent to CO for info
 - EA prints questions (3 weeks pre exam)