Nid ydym yn gwybod a yw'r ymateb mwyaf diweddar i'r cais hwn yn cynnwys gwybodaeth neuai peidio - os chi ywDr David Waghorn mewngofnodwch a gadael i bawb wybod.

Request for information for a possible Pre Inquest Review Hearing regarding investigations carried out by the General Medical Council of registered medical practitioners

We're waiting for Dr David Waghorn to read recent responses and update the status.

Dear General Medical Council,

Following the suicide of Professor John E Davies from Guy’s Hospital, London, the HM Senior Coroner for the area wrote to Mr. Niall Dickson, then Registrar of the GMC, with her Regulation 28: Report to Prevent Future Deaths: [1]

“This is the second death of a doctor that has come before me over the last 2 years where a GMC investigation into the doctor’s practice has been found to play a part.” [2]

And

The recent unexpected cardiac death of Dr Petrus J Jooste, of whom the inquiry is being held, and who had previously made a Freedom of Information request to the Ministry of Justice entitled 'Threshold for investigation of doctor's deaths'. [3]

And

The E-petition to Parliament made by Dr Helen Bright 'Confidential enquiry into the deaths of doctors subject to fitness to practice investigations by the General Medical Council'. [4]

And

The Internal Review by the GMC from Ms. Sarndrah Horsfall of the 114 doctors that had died during 2005 and 2013 inclusive and had an open and disclosed GMC case at the time of death - 'Doctors who commit suicide while under GMC fitness to practise investigation'. [5]

Please could you provide details, in the public and national interest, of the cause of death from 2005 (when the GMC introduced electronic data systems) to date, of all medical doctors registered with the GMC and who had an investigation of their practice under the statutory provisions and obligations of the Medical Act 1983.

Yours faithfully,

Dr David Waghorn

Cc (and GMC Response) - The Rt Hon. Dr Sarah Wollaston MP, Chair of the Health Select Committee.

1. 'Reports to Prevent Future Deaths'. https://www.judiciary.uk/related-offices...

2. 'Date of report: 13 February 2014 Ref: 2014-0063 Deceased name: John Davies Coroners name: Dr Fiona Wilcox Coroners Area: London Inner (West) Category: Other related deaths'. https://www.judiciary.uk/wp-content/uplo...

3. 'Threshold for investigation of doctor's deaths'
https://www.whatdotheyknow.com/request/t...

4. 'Confidential enquiry into the deaths of doctors subject to fitness to practice investigations by the General Medical Council' https://petition.parliament.uk/archived/...

5. 'Doctors who commit suicide while under GMC fitness to practise investigation' https://www.gmc-uk.org/-/media/documents...

FOI, General Medical Council

Thank you for getting in touch. Please note this is an automated email.

 

We’ll get back to you as soon as we can with a further acknowledgement.
You’ll usually hear from us on the next working day, but it might take a
little longer during busy periods.

 

In the meantime, if you want any further information about the GMC, please
visit our website.

 

 

Thank you

 

Information access team

General Medical Council

Email: [GMC request email]

Telephone: 0161 923 6365

Working with doctors Working for patients

The General Medical Council helps to protect patients and improve medical
education and practice in the UK by setting standards for students and
doctors. We support them in achieving (and exceeding) those standards, and
take action when they are not met.

dangos adrannau a ddyfynnir

FOI, General Medical Council

Dear Dr Waghorn

 

Your information request – F19/10013/ME

Thank you for your email dated 23 February, in which you have requested
information about doctor deaths since 2005.

 

How we will consider your request

 

We’re going to consider your request under the Freedom of Information Act
2000 (FOIA). The FOIA gives us 20 working days to respond, but we’ll come
back to you as soon as we can.

 

Who to contact

 

Mark Ellen will be handling your request. If you have any questions you
can call him on 0161 923 6347 or email him at [1][email address].

 

Yours sincerely

Sadie Jones

Information Access Officer

[2][email address]

0161 250 6889

 

General Medical Council

3 Hardman Street

Manchester

M3 3AW

dangos adrannau a ddyfynnir

 

Please use this email address for all replies to this request:

[8][FOI #555411 email]

 

Is [9][GMC request email] the wrong address for Freedom of Information requests
to General Medical Council? If so, please contact us using this form:

[10]https://www.whatdotheyknow.com/change_re...

 

Disclaimer: This message and any reply that you make will be published on
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-------------------------------------------------------------------

Working with doctors Working for patients

The General Medical Council helps to protect patients and improve medical
education and practice in the UK by setting standards for students and
doctors. We support them in achieving (and exceeding) those standards, and
take action when they are not met.

dangos adrannau a ddyfynnir

Mark Ellen (0161 923 6347), General Medical Council

2 Atodiad

Dear Dr Waghorn

 

Reference: IAT/ME/F19/10013

 

Thank you for your e-mail of 23 February 2019. I am sorry for the delay in
responding to you. 

 

Until January 2018 our data recording system didn’t have systematic
potential to record causes of death. You are aware of the GMC Review
carried out by Sarndrah Horsfall and published in 2014. Ms Horsfall
undertook a detailed manual case review covering the years 2005-2013. We
are therefore able to provide you with the information relating to cause
of death that was identified in her review. That is contained in the
attached Table A.

 

Following the review by Ms Horsfall,  we commissioned Professor Louis
Appleby, a UK mental health expert, to oversee a review of our fitness to
practise procedures in order to reduce the impact on vulnerable doctors.
He recommended systematic recording of the cause of death of doctors under
investigation and we introduced a new method to systematically record that
in January 2018. In the intervening period from 2013 after the Horsfall
report and 2018 when we introduced systematic recording our records may
not be complete. The attached Table B shows the information we do hold
covering the years 2014-2017.  

 

o In 2014 we know of one  doctor who was under GMC investigation and
where an inquest has recorded a verdict of suicide. This is the only
record we have of a doctor in the years 2014-2016 who took their own
life whilst under active investigation.

 

o In 2017 we know of one doctor who took their own life. For reference,
in 2016 and 2017 we carried out more than 2700 full investigations.

 

In relation to the data we have collected since 2018, we propose to
publish that data on a periodic basis, however we are currently carrying
out quality assurance on that data and considering the appropriate time
for publication in view of needing to ensure we don’t risk identifying
individuals. Accordingly, I consider that the following FOI exemption
applies to the information you have asked for in respect of 2018:

 

Section 22 of the FOIA is the exemption which applies to information
intended for future publication. This exemption is subject to a public
interest test and I believe that the public interest in maintaining the
exemption outweighs the public interest in disclosing the information.

 

I'm sorry I couldn’t provide all the information you requested. You can
appeal against the decision not to release the 2018 information. If you do
want to appeal, please set out your reasons and e-mail Julian Graves,
Information Access Manager, at [1][email address].   You can also
appeal to the Information Commissioner, the regulator of the FOIA and DPA
– we can provide more details about this if you need them.

 

I hope that the information I have provided is helpful to you. 

 

 

Kind regards

Mark Ellen

 

 

Mark Ellen
Information Access Team
General Medical Council
3 Hardman Street
Manchester  M3 3AW
Direct Line: 0161 923 6347

 

 

dangos adrannau a ddyfynnir

Dear Mark Ellen (0161 923 6347),

Thank you for your response and your attached Tables. For your information, the Inquest of Dr Petrus Jooste, to be held by Her Majesty's Coroner for the Exeter and Greater Devon District, is listed for the 7th January 2020 - details are at https://www.exgdcoroner.org.uk/hearings/....

I will forward the information, that you have provided on behalf of the GMC under FOIA, to Mr Philip C Spinney - HM Senior Coroner for the District, for the Court's assistance.

Ms. Sarndrah Horsfall in her report states:

"The review identified 114 doctors that had died during 2005 and 2013 inclusive and had an open and disclosed GMC case at the time of death.

An assessment was then undertaken of each case to ascertain the cause of death against case definitions of suicide and suspected suicide.

24 cases were classified as ‘suicide’ and 4 as ‘suspected suicide’. The total cases under review are 28."

However, Table A, as provided by the GMC, and entitled 'Table showing all deaths and causes, whilst under FTP procedures, 2005-2013' only lists 86 doctors' deaths in that period - none of which are described as 'suicide' or 'suspected suicide' rather as 'accidental death', 'accidental overdose' or 'misadventure'.

For the purposes of the HM Coroner's duty to determine the manners and causes of death, please could you identify which of the doctors' deaths have been self-inflicted whilst under GMC investigation procedures?

Yours sincerely,

Dr David Waghorn

Mark Ellen (0161 923 6347), General Medical Council

I am out of the office until Thursday 2 January 2020 and will have no
access to e-mails during this time. Please direct any enquiries to the
Information Access Team ([GMC request email]) Tel 0161 923 6365.

 

 

Mark Ellen

Working with doctors Working for patients

The General Medical Council helps to protect patients and improve medical
education and practice in the UK by setting standards for students and
doctors. We support them in achieving (and exceeding) those standards, and
take action when they are not met.

dangos adrannau a ddyfynnir

FOI, General Medical Council

Dear Dr Waghorn,

Your information request - IR1-2544677291
Thank you for your email via what do they know dated 9 December which we
received on 11 December. In your request you ask for us to identify which
of the doctors' deaths have been self-inflicted whilst under GMC
investigation procedures from the information you received previously on
the below request. I’m sorry for the delay in acknowledging your request.
This is due to a significant amount of requests being received.

How we will consider your request

We’re going to consider your request under the Freedom of Information Act
2000 (FOIA). The FOIA gives us 20 working days to respond, but we’ll come
back to you as soon as we can.

 

Who to contact

Mark Ellen will be handling your request. If you have any questions you
can call him on 0161 923 6347 or email him at [1][email address].

 

Yours sincerely

Lauren Barrowcliffe
Information Access Team Assistant

 

[2][email address]

0161 240 8356

General Medical Council

3 Hardman Street

Manchester

M3 3AW

 

From: Mark Ellen (0161 923 6347)
Sent: 02 April 2019 11:40
To: 'Dr David Waghorn' <[FOI #555411 email]>
Subject: Re: Your Request

 

Dear Dr Waghorn

 

Reference: IAT/ME/F19/10013

 

Thank you for your e-mail of 23 February 2019. I am sorry for the delay in
responding to you. 

 

Until January 2018 our data recording system didn’t have systematic
potential to record causes of death. You are aware of the GMC Review
carried out by Sarndrah Horsfall and published in 2014. Ms Horsfall
undertook a detailed manual case review covering the years 2005-2013. We
are therefore able to provide you with the information relating to cause
of death that was identified in her review. That is contained in the
attached Table A.

 

Following the review by Ms Horsfall,  we commissioned Professor Louis
Appleby, a UK mental health expert, to oversee a review of our fitness to
practise procedures in order to reduce the impact on vulnerable doctors.
He recommended systematic recording of the cause of death of doctors under
investigation and we introduced a new method to systematically record that
in January 2018. In the intervening period from 2013 after the Horsfall
report and 2018 when we introduced systematic recording our records may
not be complete. The attached Table B shows the information we do hold
covering the years 2014-2017.  

 

o In 2014 we know of one  doctor who was under GMC investigation and
where an inquest has recorded a verdict of suicide. This is the only
record we have of a doctor in the years 2014-2016 who took their own
life whilst under active investigation.

 

o In 2017 we know of one doctor who took their own life. For reference,
in 2016 and 2017 we carried out more than 2700 full investigations.

 

In relation to the data we have collected since 2018, we propose to
publish that data on a periodic basis, however we are currently carrying
out quality assurance on that data and considering the appropriate time
for publication in view of needing to ensure we don’t risk identifying
individuals. Accordingly, I consider that the following FOI exemption
applies to the information you have asked for in respect of 2018:

 

Section 22 of the FOIA is the exemption which applies to information
intended for future publication. This exemption is subject to a public
interest test and I believe that the public interest in maintaining the
exemption outweighs the public interest in disclosing the information.

 

I'm sorry I couldn’t provide all the information you requested. You can
appeal against the decision not to release the 2018 information. If you do
want to appeal, please set out your reasons and e-mail Julian Graves,
Information Access Manager, at [3][email address].   You can also
appeal to the Information Commissioner, the regulator of the FOIA and DPA
– we can provide more details about this if you need them.

 

I hope that the information I have provided is helpful to you. 

 

 

Kind regards

Mark Ellen

 

 

Mark Ellen
Information Access Team
General Medical Council
3 Hardman Street
Manchester  M3 3AW
Direct Line: 0161 923 6347

 

 

dangos adrannau a ddyfynnir

Mark Ellen (0161 923 6347), General Medical Council

Dear Dr Waghorn

 

IR1-2544677291

 

Thank you for your further e-mail. 

 

I can clarify that the table of 86 doctors that I sent to you under cover
of my e-mail of 2 April 2019 lists the cause of death (where known) of
those doctors that Ms Horsfall’s report did not class as suicide or
suspected suicide. Thus, if you add those 86 doctors to the 24 that were
classed as suicide and the 4 as suspected suicide, the total is 114. That
was the total number of doctors that the report looked at. 

 

I hope that this clarification is helpful to you.

 

Kind regards

Mark 

 

 

 

 

Mark Ellen
Information Access Team
General Medical Council
3 Hardman Street
Manchester  M3 3AW
Direct Line: 0161 923 6347

 

From: FOI
Sent: 18 December 2019 14:30
To: '[FOI #555411 email]'
<[FOI #555411 email]>
Subject: RE: Your Request

 

Dear Dr Waghorn,

Your information request - IR1-2544677291
Thank you for your email via what do they know dated 9 December which we
received on 11 December. In your request you ask for us to identify which
of the doctors' deaths have been self-inflicted whilst under GMC
investigation procedures from the information you received previously on
the below request. I’m sorry for the delay in acknowledging your request.
This is due to a significant amount of requests being received.

How we will consider your request

We’re going to consider your request under the Freedom of Information Act
2000 (FOIA). The FOIA gives us 20 working days to respond, but we’ll come
back to you as soon as we can.

 

Who to contact

Mark Ellen will be handling your request. If you have any questions you
can call him on 0161 923 6347 or email him at [1][email address].

 

Yours sincerely

 

Lauren Barrowcliffe
Information Access Team Assistant

 

[2][email address]

0161 240 8356

General Medical Council

3 Hardman Street

Manchester

M3 3AW

 

From: Mark Ellen (0161 923 6347)
Sent: 02 April 2019 11:40
To: 'Dr David Waghorn' <[3][FOI #555411 email]>
Subject: Re: Your Request

 

Dear Dr Waghorn

 

Reference: IAT/ME/F19/10013

 

Thank you for your e-mail of 23 February 2019. I am sorry for the delay in
responding to you. 

 

Until January 2018 our data recording system didn’t have systematic
potential to record causes of death. You are aware of the GMC Review
carried out by Sarndrah Horsfall and published in 2014. Ms Horsfall
undertook a detailed manual case review covering the years 2005-2013. We
are therefore able to provide you with the information relating to cause
of death that was identified in her review. That is contained in the
attached Table A.

 

Following the review by Ms Horsfall,  we commissioned Professor Louis
Appleby, a UK mental health expert, to oversee a review of our fitness to
practise procedures in order to reduce the impact on vulnerable doctors.
He recommended systematic recording of the cause of death of doctors under
investigation and we introduced a new method to systematically record that
in January 2018. In the intervening period from 2013 after the Horsfall
report and 2018 when we introduced systematic recording our records may
not be complete. The attached Table B shows the information we do hold
covering the years 2014-2017.  

 

o In 2014 we know of one  doctor who was under GMC investigation and
where an inquest has recorded a verdict of suicide. This is the only
record we have of a doctor in the years 2014-2016 who took their own
life whilst under active investigation.

 

o In 2017 we know of one doctor who took their own life. For reference,
in 2016 and 2017 we carried out more than 2700 full investigations.

 

In relation to the data we have collected since 2018, we propose to
publish that data on a periodic basis, however we are currently carrying
out quality assurance on that data and considering the appropriate time
for publication in view of needing to ensure we don’t risk identifying
individuals. Accordingly, I consider that the following FOI exemption
applies to the information you have asked for in respect of 2018:

 

Section 22 of the FOIA is the exemption which applies to information
intended for future publication. This exemption is subject to a public
interest test and I believe that the public interest in maintaining the
exemption outweighs the public interest in disclosing the information.

 

I'm sorry I couldn’t provide all the information you requested. You can
appeal against the decision not to release the 2018 information. If you do
want to appeal, please set out your reasons and e-mail Julian Graves,
Information Access Manager, at [4][email address].   You can also
appeal to the Information Commissioner, the regulator of the FOIA and DPA
– we can provide more details about this if you need them.

 

I hope that the information I have provided is helpful to you. 

 

 

Kind regards

Mark Ellen

 

 

Mark Ellen
Information Access Team
General Medical Council
3 Hardman Street
Manchester  M3 3AW
Direct Line: 0161 923 6347

 

 

dangos adrannau a ddyfynnir

Nid ydym yn gwybod a yw'r ymateb mwyaf diweddar i'r cais hwn yn cynnwys gwybodaeth neuai peidio - os chi ywDr David Waghorn mewngofnodwch a gadael i bawb wybod.