Archive for February 2009

PACA Press Release - Letter in the British Medical Journal - “The GMC’s Procedures and their enactment, in reference to Professor Southall’s hearing.”

Once again PACA is concerned to find information about the actions of the GMC in the case of a highly respected paediatrician involved in child protection work that shows a failure to follow natural justice and due process in their disciplinary procedures.

Dr Leonard Williams, who is a member of PACA, was asked to give evidence at a review fitness to practice hearing about Professor Southall at the GMC in 2008. His pre-hearing instructions were that he should accept the findings of the 2004 panel, and debate whether the sanctions imposed upon Professor Southall should be lifted. As such there was no need to read Professor Southall’s original report. In his written evidence, he accepted and reiterated the criticisms of the 2004 panel but argued that it was right, with the passage of time, to lift those sanction. However while giving oral evidence; he was questioned about the merits of the 2004 hearing.

Shortly after giving his evidence, Dr Williams was sent information which convinced him that some of the statements that he had made about the actions of Professor Southall in the Clark case had been incorrect. As required by the GMC’s own advice to expert witnesses, he was required to make this clear in writing to the panel/judge and he attempted to do this by writing to Professor Southall’s defence team, instructing that his letter be shown to the panel. An objection was raised to the entry of this letter and the legal assessor who works for the GMC advised that the panel should not see Dr Williams’ letter.

We find this decision almost unbelievable and once again reveals injustice meted out to Professor Southall. The result was that the GMC Panel criticised some of Professor Southall’s actions based on incorrect expert data. The media picked up the criticisms and ran with those rather than the main findings, which were that Professor Southall had been correct in contacting the child protection team following his viewing of a television programme that to him raised concerns about the safety of a child and a possible miscarriage of justice resulting in a mother being imprisoned. The GMC Panel also determined that the concerns he had raised about a nosebleed in a 6 week old baby 10 days before that baby was, according to the Criminal Court, suffocated, were not only appropriate but also supplemented by new research that had been published since his hearing before the GMC in 2004. The adverse reports in the media were also compounded by an article in the British Medical Journal which made strong reference to the criticisms. (NEWS: Southall is allowed to return to child protection work. Dyer BMJ 2008; 337: a1811)

One important consequence of this relates to Professor Southall’s imminent appeal in the High Court against the actions of the GMC in 2006-2007. The incorrect criticisms of some of Professor Southall’s report, produced for a pre-trial liaison meeting for the Family Court, may have impaired his Appeal if it wasn’t for the integrity of Dr Williams, who has made public the failure of the GMC to address his incorrect expert evidence.

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Read the Letter online on the BMJ website

PACA Press Release - Vexatious Complaints, the GMC agree with PACA

Press Release - 10/02/2009

The GMC Fitness to Practise Committee has now acknowledged shortcomings, pointed out by PACA, in GMC procedures relating to complaints involving child protection. Following a Freedom of Information request, PACA has now discovered that the GMC plans to change its procedures.

The GMC acknowledged that they currently have no power to deal with serial or patently vexatious complainants, and that this may create unfairness for individual doctors who are either the specific target of a vexatious complainant or the random target of a serial complainant. Such circumstances are well recognised in Child Protection work, where some perpetrators of child abuse try and avoid responsibility for their actions by criticising the professionals involved.
The GMC has commented ‘the current rules do not provide us with the flexibility to deal as effectively as we would like with serial complaints or complaints that are clearly vexatious. Although such complaints are relatively uncommon, they can be very resource intensive and are unfair to doctors.’ At a meeting of the Fitness to Practice Committee in November 2008, GMC members agreed to pursue a change to their rules to allow them to reject serial or patently vexatious complaints.

A PACA spokesperson said ‘We are extremely pleased that the GMC has responded constructively to our reasoned arguments about the particular circumstances of complaints in Child Protection. Whilst we are in general highly supportive of the work of the GMC in maintaining professional standards to promote patient safety, we feel that the needs of children for protection were previously being overlooked. ‘

Doctors involved in this work may find themselves caught between the interests of parents and children, and may find themselves the subject of complaint by aggrieved parents who have been implicated in child abuse. As we see from the tragedy of cases like Victoria Climbie and others since, if children are to be properly protected, then professionals must be able to voice and act on reasonably held concerns without fear of being accused of malpractice. This GMC decision is a major step forward and we applaud them for it. ‘
Further information and comment is available from PACA via

http://www.paca.org.uk

Downloadable version of the press release (PDF)

Vexatious Complaints, the GMC agree with PACA - Article

PACA has been drawing attention for a long time to the GMC’s lack of a vexatious complaints policy. Vexatious complaints have been a serious problem for Health Professionals trying to safeguard children. For this reason as well as sending, out this press release, three PACA members have written a paper for publication in the Archives of Diseases of Childhood on A Way To Restore British Paediatricians’ Engagement With Child Protection Arch. Dis. Child. 2009 : adc.2008.154997v1

Here is the link:
http://adc.bmj.com/cgi/rapidpdf/adc.2008.154997v1