Tuesday 15 January 2013

FRAUD at the General Medical Council

The General Medical Council is funded by subscriptions from doctors. The organization is also regulator of medical profession. It is the safest place to be working for in case of the medical practitioner who is expecting disciplinary action against him/her. The key to getting in is not to disclose relevant interests on appointment. The General Medical Council has the policy which clearly states that interests must be declared on appointment to Fitness to Practice Panels and that interests must be updated but there is no willpower whatsoever to enforce this policy which had fatal results for some patients.

 Here is a bit of law when there is legal requirement to disclose information:

Fraud by failing to disclose information (Section 3)

The defendant:
  • failed to disclose information to another person 
  • when he was under a legal duty to disclose that information 
  • dishonestly intending, by that failure, to make a gain or cause a loss.
Like Section 2 (and Section 4) this offence is entirely offender focussed. It is complete as soon as the Defendant fails to disclose information provided he was under a legal duty to do so, and that it was done with the necessary dishonest intent. It differs from the deception offences in that it is immaterial whether or not any one is deceived or any property actually gained or lost.

When GMC Head of Panel Formation was informed of failures by Fitness to Practice Panellists to declare very relevant interests  no disciplinary action was taken in at least two cases. 

In one recent case there were other instances of fraud by the same panelist such as using NHS facilities for private practice without permission (illegal, but who cares). The same panelists persistently engaged in making false allegations against various professional:
a) against a Consultant Psychiatrist making false allegations he had concerns about her work when in fact doctor was a prize winner in her field (after she complained of harassment by him)
b) false allegations against a solicitor (after she complained to GMC about his lack of integrity)
c) false allegations against a professor of mathematics that he was a potential rapist and violent after he complained his partner was negligently prescribed a drug she could not tolerate

The loyalty of GMC to those doctors who essentially are frauds is just amazing.

1 comment:

  1. http://www.bmj.com/rapid-response/2011/11/03/gmc-encourage-whistleblowing-anyone-believe-it

    Doctors should to be held to account for behaviour of colleagues, say MPs
    "The GMC to encourage whistleblowing" - anyone believe it?
    Mon, 2011-08-22 14:47
    The House of Commons Health Select Committee believes that the GMC
    should send a clear signal to doctors that they must report concerns about
    a fellow doctor.[1] My experiences suggest that the GMC itself has been
    involved in concealing misconduct.
    As chair of the medical committee of a government recognised national
    organisation, I reported a group of doctors, because the committee had
    concerns about their research.[2] It involved injecting a radioactive
    isotope into patients suffering from a neurological illness. Before
    investigating the allegations, the GMC investigated me for the counter-
    charge of disparaging the doctors. The GMC investigated the allegations
    against the doctors only after clearing me, but allowed the two most
    senior doctors to voluntarily remove their names from the Medical
    Register, which meant that the charges that they had covered up misconduct
    could not be investigated. The GMC then confirmed that ethics committee
    and ARSAC approvals had not been obtained. No consent forms were
    available. It was stated that patients were only asked to give verbal
    consent. The GMC decided that it was unable to adjudicate on allegations
    of data fabrication because the authors failed to produce the data. Many
    might consider failure to produce data at the request of the GMC prima
    facia evidence of falsification. The GMC held no public hearing and issued
    no public statement. The senior doctors involved, including a medical
    professor and a consultant in nuclear medicine, who told the GMC that they
    did not understand the requirements for ethics approval and for
    administration of radioactive isotopes, were given private warnings and
    advice.
    In 2002, Dr Clive Handler was suspended from the Medical Register
    after I reported him to the GMC for financial misconduct.[2,3] Dr Handler
    had left Northwick Park Hospital in 1998 after an inquiry there revealed
    the misconduct. The GMC was informed that a severance agreement between
    the hospital and Dr Handler included an agreement not to inform the police
    or the GMC. The hospital trust board, including the Medical Director,
    Professor Peter Richards approved the agreement. At the time Professor
    Richards was a GMC member. When Dr Handler appeared before the
    Professional Conduct Committee, Professor Richards was the Committee's
    chairman and I was amazed to witnessed the bizarre conduct of a
    dysfunctional organisation. Professor Richards had to stand-down from
    hearing the case because of his involvement in the cover-up. Despite that,
    Professor Richards returned to chairing subsequent PCC hearings.
    The messages from these cases are clear. Ordinary doctors who report
    misconduct may be victimised by the GMC and the GMC tolerates its own
    members concealing crime.
    The Health Select Committee should be asking "quis custodiet ipsos
    custodes?"
    References
    1. Jacques H. Doctors should be held to account for behaviour of
    colleagues, say MPs. BMJ 2011;343:d4794.
    2. Wilmshurst P. Dishonesty in medical research. Medico-Legal Journal
    2007;75:3-12.
    3. Dyer C. GMC hearing reveals how doctor won deal to have earlier inquiry
    documents destroyed. BMJ 325 : 1189 doi: 10.1136/bmj.325.7374.1189/a
    Competing interests: I have reported concerns about conduct of other doctors.
    Peter T Wilmshurst, Consultant Cardiologist
    Royal Shrewsbury Hospital


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