Lamming -v- General Medical Council [2008] ALL ER (D) 92 (Sep) 

 

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The appellant doctor had received in error, over several months, salary payments totalling over £31,000. The appellant had kept the money knowing that he should not have received it and he falsely asserted in a letter that it represented funding for study leave that had been granted to him. The appellant had paid back £8,750, and accepted that the conduct was dishonest.

 

In considering the case, at the sanction stage of proceedings, the history that the panel had to take into account included the fact that in August 2004 a Professional Conduct Committee had found the appellant guilty of serious professional misconduct in that he had dishonestly represented his qualifications and experience. In respect of the earlier finding, the appellant had been suspended for a period of three months.

 

The appellant represented himself over several days at the most recent panel hearing and had made submissions in mitigation. The panel adjourned the case after the close of submissions and subsequently erased the appellant's entry from the register.

 

The appellant appealed on two grounds namely, the panel should have adjourned the proceedings to enable the appellant to seek legal advice and representation at the point when they were considering the penalty of erasure, and the imposition of erasure as a sanction, was disproportionate in the circumstances.

 

In dismissing the first ground of appeal, the court found that the appellant had ably conducted his case throughout the duration of the fitness to practise hearing, and was able to put forward his case on penalty fully. Although there may be cases where it would be appropriate for the panel to decide to adjourn proceedings, this was no such case, and there had no procedural unfairness demonstrated. In respect of the second ground of appeal, the court held that it was not possible to say that the panel was wrong in its decision to make the appellant subject to erasure. The panel had applied all of the considerations fully and in a highly structured way. It had balanced the public interest considerations with the effect of serious dishonesty against the personal position of mitigation of appellant, including his health at the material time and at the time of their decision.

 

In addition the panel was entitled to take a particularly serious view of the course of conduct, as the misconduct related to a large sum of money over a long period of time; the most recent acts of dishonesty compounded by the dishonest letter that the appellant had sent to the trust when these allegations came to light. Furthermore, the panel were entitled to have in mind the earlier General Medical Council (GMC) proceedings in 2004.

 

In the circumstances, the sanction was not disproportionate and the appeal would be dismissed in its entirety.

 

Teresa Murphy is a barrister in Blake Lapthorn's Professional Regulatory team. Please contact her on 0207 814 5403, or email her at teresa.murphy@bllaw.co.uk

 

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