Book contents
- Frontmatter
- Contents
- List of figures, tables and boxes
- List of contributors
- Foreword
- Introduction: mapping the territory
- 1 The ethical importance of boundaries to intimacy
- 2 The patient's perspective: impact and treatment
- 3 Teaching ethics and ethical behaviour to medical students
- 4 With the benefit of hindsight: lessons from history
- 5 The prevalence of boundary violations between mental health professionals and their clients
- 6 Psychiatry: responding to the Kerr/Haslam Inquiry
- 7 The general practitioner and abuse in primary care
- 8 Boundaries and boundary violations in psychotherapy
- 9 Sexual therapies: ethical guidelines, vulnerabilities and boundaries
- 10 Obstetrics and gynaecology: a special case?
- 11 Nurses as abusers: a career perspective
- 12 Medical management: governance and sexual boundary issues
- 13 Dealing with offending doctors: sanctions and remediation
- 14 Defending doctors: the protection society's experience
- 15 Regulation and its capacity to minimise abuse by professionals
- 16 The role of the General Medical Council
- Appendix 1 Extract from Vulnerable Patients, Safe Doctors
- Appendix 2 Codes of ethics of psychiatric associations in other countries
- Appendix 3 Guidance from the Council for Healthcare Regulatory Excellence
- Appendix 4 Examples of determinations by the General Medical Council's Fitness to Practise panels
- Appendix 5 Website resources and information
- Index
- Plate section
Appendix 4 - Examples of determinations by the General Medical Council's Fitness to Practise panels
Published online by Cambridge University Press: 02 January 2018
- Frontmatter
- Contents
- List of figures, tables and boxes
- List of contributors
- Foreword
- Introduction: mapping the territory
- 1 The ethical importance of boundaries to intimacy
- 2 The patient's perspective: impact and treatment
- 3 Teaching ethics and ethical behaviour to medical students
- 4 With the benefit of hindsight: lessons from history
- 5 The prevalence of boundary violations between mental health professionals and their clients
- 6 Psychiatry: responding to the Kerr/Haslam Inquiry
- 7 The general practitioner and abuse in primary care
- 8 Boundaries and boundary violations in psychotherapy
- 9 Sexual therapies: ethical guidelines, vulnerabilities and boundaries
- 10 Obstetrics and gynaecology: a special case?
- 11 Nurses as abusers: a career perspective
- 12 Medical management: governance and sexual boundary issues
- 13 Dealing with offending doctors: sanctions and remediation
- 14 Defending doctors: the protection society's experience
- 15 Regulation and its capacity to minimise abuse by professionals
- 16 The role of the General Medical Council
- Appendix 1 Extract from Vulnerable Patients, Safe Doctors
- Appendix 2 Codes of ethics of psychiatric associations in other countries
- Appendix 3 Guidance from the Council for Healthcare Regulatory Excellence
- Appendix 4 Examples of determinations by the General Medical Council's Fitness to Practise panels
- Appendix 5 Website resources and information
- Index
- Plate section
Summary
The following eight cases, supplied by the GMC, were heard by Fitness to Practise Panels and the final determinations are given in full. They are included here to give real-life examples of doctors who breached boundaries and the GMC principles of Good Medical Practice (GMP). The GMC advises that it does not give clear thresholds between acceptable and unacceptable behaviour: each case which comes before a Fitness to Practise Panel is judged on its own merits and assessed on the particular circumstances of the case.
Cases 1 and 2 led to 12 months’ suspension from the Medical Register; cases 3–8 led to erasure.Case 1
Summary
The doctor was admonished by a Medical Council outside the UK for pursuing an inappropriate relationship with a vulnerable psychiatric patient.
Relevant paragraphs of Good Medical Practice
The case relates to the Relationships with patients section of GMP, specifically paragraph 32 on maintaining trust in the profession. It also relates to the Probity section, specifically paragraphs 56 and 57 on being honest and trustworthy.
Determination on impaired fitness to practise
The Panel has now considered, on the basis of facts found proved, whether Dr X's fitness to practise is impaired, pursuant to section 35C(2)(e) of the Medical Act 1983 as amended, namely by reason of a determination by the X Medical Council to the effect that his actions amounted to professional misconduct.
The Panel has given detailed consideration to the evidence submitted, based upon the transcripts of the proceedings before the X Medical Council on [date]. It has noted the contents of text messages which passed between Dr X in [date] and a patient, Ms T, who had been under his care for a considerable period of time up to the termination of his contract in [date]. It also took account of the correspondence between Dr X and the X Medical Council and the report by Dr L [date] which was submitted to the X Medical Council Fitness to Practise Committee. The Panel has heard and accepts the evidence of Ms T's extreme vulnerability as a consequence of her social, medical and psychiatric history. That vulnerability would have been known to Dr X, even if he was not fully aware of the entirety of her history.
- Type
- Chapter
- Information
- Abuse of the Doctor-Patient Relationship , pp. 209 - 229Publisher: Royal College of PsychiatristsPrint publication year: 2010