interest and whether one should regulate to a minimum,
Sir Ian is a lawyer who, for the past few decades, haslectured and written on the law and the ethics ofhealthcare. He is also Emeritus Professor of Health
Law, Ethics and Policy at the School of Public Policy,
University College of London and Visiting Professor atthe London School of Economics. He has been
involved in public life for 25 years, earning a reputation
for safeguarding the interests of members of the public
in healthcare. He led the public enquiry into the deaths
in children's heart surgery at the Bristol RoyalInfirmary,
establishment of the Healthcare Commission which he
chaired from its creation in 2004 until its abolishment
in 2009. During his time at the Commission, Sir Ian
worked to improve standards across the NHS through
access to information and knowledge for patients,
clinicians and managers. He also chaired the Nuffield
Council on Bioethics and is currently Chair of the UK
Research Integrity Office, whose remit covers theproper conduct of research in universities and otherresearch organisations.
Details of ARDL’s programme of seminars for 2013will be posted on the website in due course. ARDL SEMINAR REPORT EX PARTE NAWAZ AND THE PRIVILEGE
A very successful seminar was held at Gray’s Inn last
AGAINST SELF-INCRIMINATION IN REGULATORY PROCEEDINGS
Independent Parliamentary Standards Authority, gave a
The rules of professional bodies/regulators generally
thought-provoking and amusing talk on the subject of
what constitutes effective regulation.
information, assistance or cooperation in pursuit of theregulator’s investigatory and disciplinary functions. In
The event was very well attended by ARDL members
the course of their investigations, regulators may find
who benefitted from Sir Ian’s insights gained from his
that members (whether witnesses or individuals under
long career in regulation. An enthusiastic audience took
investigation) are reluctant to provide such assistance,
the opportunity to ask a number of questions which
on the basis that to do so may expose them either to
Many topics were covered, including the bottom-up
proceedings. The issue was considered by the High
approach to standard setting, maintaining independence
Court and Court of Appeal in R v Institute of
from stakeholders, what it means to serve the public
Chartered Accountants in England and Wales, ex parte Nawaz 1. The effect of Nawaz is that, provided
motives which had seen these immunities become
that the regulator exercises functions of sufficient
public interest, the member will not be able to claim the
The common view that one person should, so far
privilege against self-incrimination.
as possible, be entitled to tell another person to
Mr Nawaz was a member of the Institute of Chartered
Accountants in England and Wales (‘ICAEW’). As part
The long history of reaction against abuses of
of its investigatory process and under the relevant
judicial interrogation, with specific reference to
byelaw, ICAEW requested that Mr Nawaz provide
the secretive proceedings of the Star Chamber;
ICAEW with information and documents. These couldsubsequently be used against him in disciplinary
The notion that it is ‘contrary to fair play’ to put
proceedings. Having taken legal advice, Mr Nawaz
an accused in a position where he is exposed to
refused, describing the request as an effort to ‘dig the
The Investigating Committee laid a formal
complaint against Mr Nawaz of, inter alia, failing to
The desire to minimise the risk that an accused
respond adequately to the request for information. The
will be convicted on the strength of an untrue
charge was found proved against Mr Nawaz and he was
disciplined. He subsequently appealed to the High
Sedley J held that none of these motives applied to Mr
Court on the basis that the duty to provide information
violated the common law privilege against self-incrimination.
The Royal Charters constituting ICAEW and
the legislation under which it operates make it
Privilege and waiver
ICAEW’s business to investigate possible
The court held that the privilege against self-
incrimination was capable of applying in relation to all
The requirement to provide information cannot
exercises of public power, rather than being confined to
be equated with torture and is a reasonable
judicial or quasi-judicial proceedings. Notwithstanding
function of the public responsibility which an
this, by becoming a member of the ICAEW, Nawaz
individual undertakes by becoming a chartered
was taken to have contracted with the ICAEW on the
terms of its charter, byelaws and regulations and,therefore, to have prima facie waived privilege.
The same is true of the argument that an
Potential limits on waiver
exposed to punishment whatever he does. The
The main question to be decided was whether the
instinct for fair play which ordinarily makes
requirement to provide information is so wide that it
should be read down to conform with the requirements
accommodate the public interest in detecting
of public law. If so, this would limit the prima facie
malpractice in a profession which is central to
waiver of privilege and thus exclude ICAEW’s power
to call on Mr Nawaz to provide material which may
individuals and of the country as a whole;
incriminate him. Sedley J considered the decisions of
The final consideration, the risk of untrue
the House of Lords in AT and T Istel Limited v Tully2,
admissions, had no bearing in Nawaz’s case.
and R v Director of the Serious Fraud Office ex parte Smith3, which both consider in detail the nature of the
privilege in criminal and civil proceedings.
"intelligible and powerful grounds of public policy"6exist for endorsing the waiver was endorsed by the
In Smith, Lord Mustill distinguished six ‘rights to
Court of Appeal, Leggatt LJ remarking as follows:
silence’4 , the relevant one in Nawaz being ‘a generalimmunity, possessed by all persons and bodies, from
“When a person enters a profession he accepts its
being compelled on pain of punishment to answer
duties and liabilities as well as its rights and powers.
questions the answers to which may incriminate them.’
Similarly, he may acquire or surrender privilege and
His Lordship then proceeded to discuss four distinct
immunities. In my judgment, acceptance of a duty toprovide information demanded of an accountantconstitutes a waiver by the member concerned of any
1 [1997] EWCA Civ 1530 (Court of Appeal, Leggatt J); [1997]
privilege from disclosure. It is plainly in the public
P.N.L.R 433 (High Court, Sedley J2 [1993] A.C. 453 [1993] A.C. 1
interest, as well as the interests of the profession, that
the context of the majority of regulatory proceedings
the Institute should be enabled to obtain all such
(though, Colpus notwithstanding, a failure to caution
information in the profession of its members as is
could potentially have an impact on the admissibility of
any admissions in subsequent criminal proceedings). Legal Professional Privilege Other regulators and the importance of the public
While a regulatory body may have the power to
interest
The same reasoning has subsequently been applied to
communications which are subject to legal professional
solicitors’ disciplinary proceedings7 and has seen the
privilege generally fall outside such a power. Legal
courts giving significant regard to the nature of a
professional privilege can only be overridden by
regulator’s responsibilities and the public interest
inherent in their work. Provided that the public interest
necessary implication12. A notable exception relates to
solicitors’ accounts. In Parry-Jones v The Law
supervisory functions of its members is likely to be
Society13 the Law Society’s power to require solicitors
able to require information or assistance from them,
to disclose their books was held to be ‘a valid rule
notwithstanding that this may expose the member in
which overrides any privilege or confidence which
question to further regulatory proceedings.
otherwise might subsist between solicitor and client. Itenables the Law Society for the public good to hold an
Criminal proceedings and the duty to administer
investigation, even if it involves getting information as
cautions
The misconduct identified in Nawaz related to
In R (on the application of Morgan Grenfell & Co
unregistered auditing, itself a criminal offence8. In
Ltd) v Special Commissioner of Income Tax15
addition, at common law there is no absolute bar on
House of Lords held that the true justification for this
evidence in regulatory proceedings being adduced in
decision was that ‘this limited disclosure did not breach
subsequent criminal proceedings9 . Further, there is no
the clients' LPP. It does not seem to me to fall within
principle in law which debars a claimant in a civil
the same principle as a case in which disclosure is
action from pursuing an action merely because to do so
sought for a use which involves the information being
would or might result in the defendant, in taking some
made public or used against the person entitled to the
necessary procedural step in defending the civil
privilege’. The disclosure of the documents in question
proceedings, having to disclose his likely defence in
must be truly necessary to enable the investigating
parallel criminal proceedings10 . The weight of
officer to ascertain whether or not the individual in
authority therefore suggests that an individual subject
question has complied with the Solicitors’ Accounts
to professional disciplinary proceedings cannot refuse
Rules, and the material must only be used for the
to engage simply on the basis that to do so may expose
purpose of the investigation and any consequent
In addition, provided that they are not persons ‘charged
with the duty of investigating offences or charging
suspected of conduct which may amount to a criminaloffence are under no duty to administer a formalcaution to the effect that the answers given may be used
IMMUNITY FROM SUIT FOR DEFAMATION
in criminal proceedings; this exemption will apply in
IN REGULATORY PROCEEDINGS: PUBLICATION OF DECISIONS
7 Macpherson v Law Society [2005] 2837 (Admin) at paragraph 10;
The basic ingredients of a libel are satisfied when (1) A
Holder v Law Society [2005] EWHC 2023 (Admin) at paragraphs
establishes (2) that B has published (3) to one or more
34-42. 8 Sedley J remarking at p.451 ‘that such auditing can also be a
third persons (4) words which refer to A and (5) are
criminal offence emphasises, if anything, that it is not merely the
defamatory of A. Words are considered ‘defamatory’ if
they tend to lower A in the opinion of others, or if they
9 See, for example, Colpus [1917] 1 K.B. 574 where evidence givenbefore a military Court of inquiry was admissible in criminalproceedings.
12 See, for example, B & Others v Auckland District Law Society
10 Jefferson v Bhetcha [1979] 1 W.L.R. 898, though the court may
exercise its discretion to stay the civil proceedings pending the
outcome of the criminal proceedings in the interests of justice.
14 Parry-Jones, judgment of Lord Denning at p.8.
11 Police and Criminal Evidence Act 1984 s.67(9)
15 [2003] 1 A.C. 563, opinion of Lord Hoffman at p.612.
have or tend to have a substantial adverse effect on the
the Board must publish the report in such
‘Publication’ means communication to one or morepeople other than A. A does not need to prove malice
In all cases, the decision-makers have a duty to
on the part of B. In addition, B is responsible for
republication of the words if republication is a
circumstances where republication of the decision is a
foreseeable, natural and probable consequence of the
foreseeable, natural and probable consequence of the
initial publication. The burden of establishing a defence
lies on B. This article considers defences which may beavailable to independent tribunals tasked with making
Such tribunals will generally be able to claim common
decisions in relation to fitness to practise and to the
law privilege in relation to their decision. The test is
that set out in Adam v Ward16:
Under s.14 of the Defamation Act 1996, fair and
‘A privileged occasion is, in relation to qualified
accurate reports of court proceedings which are
privilege, an occasion where the person who makes a
published contemporaneously are absolutely privileged;
communication has an interest, or a duty, legal, social
this privilege does not extend to the fitness to practise
or moral, to make it to the person to whom it is made,
tribunals of regulators, who therefore have to look
and the person to whom it is made has a corresponding
elsewhere for defences for publishing defamatory
interest or duty to receive it. This reciprocity is
decisions. While justification may provide an absolute
defence, a case will need to be litigated to prove
In each of the examples cited above, the respective
justification; since litigation carries attendant risks and
tribunals are under a legal duty to communicate to the
potentially significant costs (which, even in the event
of success, may not be recouped), it is worth looking
corresponding interest or duty to receive it. Even where
there is no express statutory or contractual duty, there is
Tribunals
significant scope to argue that the tribunal will be undera social or moral duty to report its findings. It could
Article 6 ECHR requires tribunals determining an
also be argued that the guarantee of a fair and public
individual’s right to practise their chosen profession to
hearing under Article 6 ECHR requires publication of a
be independent. The majority of tribunals have a duty
decision, constituting a legal duty for the tribunal for
to either report their findings or give directions to the
It is important to note that qualified privilege is vitiated
General Medical Council: under s.35B(4)
by proof of malice. In Egger v Chelmsford17 a letter
published by the Regulations Committee of the Kennel
publish, in such manner as it sees fit, decisions
Club (which stated that it was unable to approve the
appointment of the plaintiff to judge Alsatians at a
Nursing and Midwifery Council: paragraph
show) was held to be defamatory. A number of
members of the committee were found by the court to
be actuated by malice in coming to their decision. The
particulars of any orders and decisions made by
court held that those defendants actuated by malice did
a Practice Committee, while paragraph 29(5) of
not enjoy the protection of qualified privilege, while
the Order mandates that the NMC’s Conduct
those not actuated by malice were protected by
and Competence Committee (‘CCC’) make
directions to the Registrar in relation to its
Regulators
findings. Though the Order does not direct theCCC to give specific reasons for its decision,
In relation to members of a professional body subject to
reasons are required in such cases by Article 6
disciplinary proceedings, the regulator may be able to
plead that the contractual nature of the relationship
between the regulator and the member is one whereby
Accountancy and Actuarial Discipline Board:
the member consents to the rules of the regulator,
under para 7(10) of its scheme, the Disciplinary
including publication of disciplinary findings. Some
Tribunal has a duty to make a report setting out
bodies (such as the FA) make this an explicit condition
its written decision and reasons and must sendthat decision to, amongst others, the Boarditself. Under paragraph 7(12) of the scheme,
16 [1917] A.C. 309 at p.334. 17 [1965] 1 Q.B 248.
of their rules but the nature of a regulator’s supervisory
trade, business, industry or profession, or the actions or
functions means that it is arguable that such consent
could be implied. Consent an absolute defence, but will
There are two potential obstacles to claiming this
not apply to third parties defamed by a decision, since
privilege: (1) whether a regulator can be said to report
the third party will not have given their consent to
its own conclusions; and (2) whether the decision of an
prima facie defamatory statements being made about
independent tribunal is a decision of ‘an association.
or of any committee or governing body of an
The common law privilege discussed above can be held
to apply to regulators themselves in the onward
Can a regulator ‘report’ its own conclusions?
publication of the findings of the tribunal; that said,care needs to be taken. While common law privilege
Gatley on Libel and Slander (11th Edition) notes at 16.3
may apply to publication of a decision to a complainant
that the law prior to the Defamation Act 1996 confined
or to an employer, publication to a wider audience
this statutory reporting privilege to newspapers or
(such as on the regulator’s website) may fall foul of the
broadcasters. Gatley goes on to state that ‘the policy of
reciprocity required for common law privilege. While it
the statute would seem to be aimed at protecting the
could be argued by a regulator that statute, the public
reporter and the originator cannot fairly be said to be
interest and/or the requirements of Article 6 ECHR
“reporting his own words”.
place it under a legal, social or moral duty to publishfindings of its disciplinary decisions to the general
In a footnote to this comment, however, Gatley
public, this approach carries an inherent degree of risk
mentions the unreported case of Lloyd-Allen v Adams
in which it was held that the statutory privilege inquestion applied to a councillor in respect of a
Statutory reporting privilege – s.15 Defamation Act
newspaper report of her speech which she had caused
1996
or authorised. Further, the notion that a regulator‘cannot fairly be said to be “reporting his own words”’
An alternative option for a regulator would be to seek
stems from a time when tribunals were not independent
to rely on the reporting privilege contained in s.15 of
from the regulator. Though the point has not yet been
decided, there are good reasons to think that a court
s.15 – Reports etc protected by qualified privilege
would accept that the distance between a tribunal andthe regulator as a result of the requirement for
The publication of any report or other statementmentioned in Schedule 1 to this Act is privileged
privilege held to encompass regulators publishing
unless the publication is shown to be made with
decision of their independent disciplinary tribunals.
In McCartan Turkington Breen v Times Newspapers18 In defamation proceedings in respect of the
Lord Bingham stated (referring to the fact that press
publication of a report or other statement
conferences were ‘unknown’ when the operative statute
mentioned in Part II of that Schedule, there is no
in McCartan was enacted) that statutes ‘must bedefence under this section if the plaintiff showsinterpreted in a manner which gives effect to theintention of the legislature in the social and othera) was requested by him to publish in a suitableconditions which obtain today’19. manner a reasonable letter or statement by wayof explanation or contradiction, and
Schedule 1, Part II, sub-paragraph 14(b) contains therelevant provision:
18 [2001] A.C. 277, a case regarding qualified privilege as it relatesto published reports of a public press conference. A fair and accurate report of any finding or decision of
19 Ibid p.292. See also Lord Steyn at p.296: ‘There is another[an] association. any committee or governing bodypreliminary matter to be considered. Counsel for the solicitorsof. an association formed for the purpose of promotingemphasised that the wording of paragraph 9 can be traced back toor safeguarding the interests of any trade, business,the Law of Libel Amendment Act 1888. He observed that at thattime the phenomenon of press conferences was unknown. This wasindustry or profession, or of the persons carrying on oran invitation to the House to say that press conferences could notengaged in any trade, business, industry or profession,have been within the original intent of the legislature. There is aand empowered by its constitution to exercise controlclear answer to this appeal to Victorian history. Unless they revealover or adjudicate upon matters connected with thata contrary intention all statutes are to be interpreted as "alwaysspeaking statutes".’Does an independent tribunal constitute an BOOK REVIEW ‘association’, ‘committee’ or ‘governing body’ of an association? THE REGULATION OF HEALTHCARE
On a strict interpretation of the statute, an independentPROFESSIONALS: LAW, PRINCIPLE AND
tribunal may not be considered to be an association, or
a committee, or the governing body of an association inthat
As the authors rightly say in their introduction,
association in question. Notwithstanding this, there are
healthcare regulatory law is now an established
good reasons to suggest that a court would take a
discipline. Whilst there are similarities and points of
purposive approach to the construction of the statute.
Moreover, in McCartan Lord Bingham emphasises
disciplinary law, healthcare regulation has nevertheless
developed its own principles, policy imperatives and anever-expanding volume of specialist jurisprudence. ‘"Public", a familiar term, must be given its ordinary
Joanna Glynn QC is a leading silk in this area and has
meaning. A meeting is public if those who organise it or
appeared regularly before the Fitness to Practise
arrange it open it to the public or, by issuing a general
Committees and Panels of the healthcare regulators and
invitation to the press, manifest an intention or desire
on appeal, conducting cases involving a wide-range of
that the proceedings of the meeting should becommunicated to a wider public. Press representatives
regulatory law specialist with extensive experience of
may be regarded either as members of the public (as
healthcare regulation in practice, including experience
made clear by the language of paragraph 10 of the
gained from his previous roles as general counsel to the
Schedule) or as the eyes and ears of the public to whom
Human Fertilisation and Embryology Authority and
legal advisor to the Royal Pharmaceutical Society ofGreat
It would be a perverse distinction to deny a regulator
the defence of the statutory reporting privilege but to
substantial and impressive work. The book is divided
afford the same privilege to the press, especially
considering the fact that, as cited above in relation to
Regulatory Landscape; Part 2 The Regulation of
the GMC and the NMC, a number of regulators have a
Persons Studying or Training for Entry into the
statutory duty to publish the findings of disciplinary
committees. In addition, one must consider the
attendant public interest in relation to the work of such
Professional Development and Revalidation; Part 4
Fitness to Practise and Restoration; Part 5 Complaints
The right of reply
and Discipline in the NHS in England; and Part 6 TheRegulation of Primary Care in the NHS in England.
s.15(2) gives a claimant the right to request publication
Each Part contains extensive detail and in-depth
of a reasonable letter or statement by way of
explanation or contradiction. Though the onus is on a
processes. The book is designed with practicality in
mind by the experienced authors. It is a comprehensive
circumstances in which it will be prudent for a
work which embraces the whole regulatory cycle based
on the legislation, case law and information placed in
‘Reasonable’ is unsatisfactorily opaque and may have
the public domain by the various regulators, the
Council for Healthcare Regulatory Excellence and the
With thanks to Mark Warby QC of 5 Raymond
Department of Health. In her foreword the Honourable
Mrs Justice Nicola Davies commends Joanna GlynnQC and David Gomez upon the quality and detail of
their text, and says that the book is of real assistance,
not only to those who practise and provide legal advicewithin the regulatory field – it is a source of insightfulinformation for all those who sit upon regulatorytribunals. The book indeed is that, and it provides thereader with expert, detailed and speedy access to allkey provisions.
The Regulation of Healthcare Professionals:
Principle and Process is published by Thomson Reuters
Sweet & Maxwell and valued at £170 (ISBN: 978 0
twenty-eight days later—that is, Saturday 17 March.
414 04640 5). It can be purchased by visiting
Because the appeal was lodged on Monday 19 March,
it was out of time. Rule 34(4) provides: ‘Where any
notice is sent under these rules, it shall be treated as
having been served on the day after it was sent bydelivery service.’ The appellant contended that the
reference in rule 34(4) to ‘the day after it was sent by
delivery service’ was a reference to the next workingday or business day, so that the notice was deemedserved on Monday 20 February and the time for
LEGAL UPDATE
appealing expired on 19 March 2012. The appeal waslodged that day and hence was in time. In dismissing
Gurpinar v Solicitors Regulation Authority [2012]
the appellant’s arguments, Hickinbottom J said that the
EWHC 192 (Admin)
notice of decision was deemed served on B the dayafter it was posted—that is, it was deemed served on
The primary ground of appeal by G is that the tribunal
Saturday 18 February 2012. The Court was not
wrongly proceeded to hear the allegations in his
concerned with CPR Part 52, rules 17.3–17.4A, which
absence, despite the fact that it had been told that he
appear to give time limits for an appeal based upon
was unable to be present owing to a combination of ill
different criteria. The wording of rule 34(4) is very
health and the disruption to air travel caused by the
different—namely, that when a notice is sent it shall be
Icelandic volcano in April 2010. Moore-Bick LJ, in
treated as having been served on the day after it was
dismissing G’s appeal, said that he was not persuaded
sent by delivery service. On the usual meaning of the
that certain letters or emails purportedly sent by G ever
words used, that is the next calendar day. If something
reached their intended recipients and that the only
else had been intended (such as the next working or
explanation for that is that they were not sent. At the
business day), then that could have been made clear to
hearing on 22 April 2010, the tribunal was faced with a
rebut the usual and ordinary meaning of the words
difficult and frustrating situation. One co-defendant in
used—as it is in CPR 6.26, in which all of the periods
partnership with G, N, was present, but G was not, nor
of time listed for serving documents under the CPR,
was anyone there to represent him. He had failed to
other than claim forms, refer to ‘business days’ as
serve his defence bundle. The tribunal thought that G
defined in rule 6.2(b). The scheme for service under
was ‘playing fast and loose’, and Moore-Bick LJ said it
CPR 6.26 is very different from service under rule
had good reason to think so. In the circumstances, the
34(4) of the NMC 2004 Rules. Under the CPR, service
tribunal could not be criticized for proceeding in G’s
can be effected only on a business day and service can
be dispensed with. Under the NMC Rules, there is no
such restriction, nor any provision for dispensation. Baines v Nursing and Midwifery Council; Adesina
The CPR do not apply in this case. Accordingly, the
v Nursing and Midwifery Council [2012] EWHC
time for lodging an appeal expired on Saturday 17
2615 (Admin)
March, and the appellant’s notice lodged on Monday
The first appellant, Janet Baines, was the subject of a
19 March was, consequently, out of time.
hearing before the NMC’s Conduct and Competence
The appeal by the second appellant, Victoria Adesina,
Committee on 14 February 2012, when, on the basis of
does not turn upon a question of law, but a question of
various findings of the Committee, she was ordered to
fact. There was a dispute as to when the relevant notice
was put into the post. The appellant contended that the
It was not in dispute that the decision letter dated 17
original decision notice was not posted until 9 February
February 2012 was posted by the Council by first-class
2012, which she received on 10 February 2012, and
post on that day, Friday 17 February, and was received
accordingly her notice of appeal lodged on 9 March
by the appellant in the course of the post on Monday 20
2012 was in time. However, the Council’s evidence
February 2012. The appellant wished to appeal and
was that, following the decision of the relevant
lodged an appellant’s notice with the High Court on
committee on 27 January 2012, notice was sent by first-
Monday 19 March 2012. The NMC submitted that, the
class post, although not by recorded delivery, on 30
decision notice having been posted on Friday 17
January 2012. The affidavit evidence of the Council,
February, it was, by virtue of rule 34(4) of the Nursing
made on oath, was accepted by the Court and on that
and Midwifery Council (Fitness to Practise) Rules
basis the notice of appeal was out of time.
2004, deemed served the following day, Saturday 18February. The time for lodging an appeal expired
R (Cela) v General Pharmaceutical Council [2012]
relief has been made promptly, it does not follow even
EWHC 2785 (Admin)
where an application is made promptly, that the Courtmust always grant an extension of time. There may be
The respondent, the General Pharmaceutical Council,
other relevant considerations. Here, in any event,
applied to strike out C’s notice of appeal on the
application had not been made, let alone promptly. As
grounds that it was lodged out of time and there were
to (c), whether the failure to comply was intentional, it
no justifiable grounds to extend time. Article 58(3) of
was right to say that C had never furnished positive
the Pharmacy Order 2010 provides that any notice of
evidence or explanation that failure to comply was
appeal must be filed at the High Court and served on
caused by mistake or inadvertence. As to (d), whether
the Council ‘within 28 days beginning with the day on
there is a good explanation for the failure, the answer in
which the written notice for the reasons for the decision
this case was emphatically not. As to compliance with
was sent or within such longer period as the High Court
other court orders, rule 3.9(e), it was to some extent
may in accordance with the rules of court they allow’.
striking that C was required to serve with his
On 12 December 2011, C was informed in writing of
appellant’s notice a skeleton argument and grounds of
the decision of the Council that he be suspended from
appeal, and that he had never done so, nor had there
practice for twelve months and he was informed that
ever been an attempt to remedy that. For these reasons,
the expiry of his period for appeal would be 9 January
to extend time would be of prejudice to the respondent
2012. C’s notice of appeal was issued on 24 January
Council, the committee of which had made a decision
2012 and not served on the Council until 2 March
that appeared to the Court to be impeccable and which
2012. No explanation was ever furnished to the Court
would have be denuded of effect by an extension of
and no evidence was ever served on the Court as to
time to present an appeal. For these reasons, the Court
why the notice of appeal was issued late. His Honour
refused to extend time beyond that set out in article
Judge Seys Llewellyn QC, sitting as a High Court
judge, said that he turned first to consider whether C’sappeal was one that may have merit, because ultimately
Uddin v General Medical Council [2012] EWHC
it is the interests of justice that are likely to determine
2669 (Admin)
whether time should be expended: see Gilthorpe v
U, a GP, together with her husband, owned a care
General Medical Council [2012] EWHC 672 (Admin).
home. The manager of the care home referred U to the
In the instant case, C was a pharmacist who was
GMC after U referred the manager to the Department
convicted in the magistrates’ court on 11 January 2010
of Health under the Protection of Vulnerable Adults
of theft by an employee, to which he was sentenced to a
(POVA) scheme, under which H was placed on a list
community order. The offence was carried out in
barring her from working with vulnerable adults. The
breach of trust and when employed in the practice of a
decision was later reversed. In its determination, the
pharmacist, and involved taking money from the hands
GMC’s fitness-to-practise panel, applying the test in R
of customers and not putting it into the till or
v Ghosh, made five findings of dishonesty against U.
registering the relevant order or prescription that he had
The panel concluded that U’s conduct in referring H
received the relevant monies. Before the fitness-to-
practise committee, C admitted the allegations. The
irresponsible, and that witness statements submitted by
decision of the committee as to impairment was
U had been falsified and that the material sent to POVA
unappealable and its decision on sanction, to impose a
to substantiate the referral was inaccurate. The panel
period of suspension of twelve months, was in some
included that erasure from the medical register was the
respects a humane approach, in that many cases of
only appropriate sanction. In allowing U’s appeal
dishonesty may lead to erasure and this was a breach of
Salpingectomy for hydrosalpinx prior to in vitrofertilizationPractice Committee of the American Society for Reproductive Medicine in collaboration with TheSociety of Reproductive SurgeonsThe American Society for Reproductive Medicine, Birmingham, AlabamaSalpingectomy for hydrosalpinges before in vitro fertilization increases the success rate. (Fertil SterilÒ2008;90:S66–8. Ó2008 by American
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