GP accused of "inappropriate, improper" behaviour
Dr John Francis Gray is accused of professional misconduct for behaviour that was
inappropriate, improper and not in the bests interests of his patients.And what did he do? He delegated his work to a nurse quacktitioner. He works somewhere in Lancashire. I have just spent a few minutes trying to locate his practice profile but was unsuccessful. Can anyone else find it?
Dr John Francis GRAY
From : 28 April 2008 To : 2 May 2008
Category : Fitness to Practise Hearings
Info :
Fitness to Practise Panel
Planned dates: 28 April to 2 May 2008
St James’s Building, 79 Oxford Street, Manchester, M1 6FQ
The Fitness to Practise Panel will meet at St James’s Building, 79 Oxford Street, Manchester, M1 6FQ to consider a new case of impairment by reason of misconduct.
Name: Dr John Francis Gray
GMC Reference Number: 2277073
Area of practice: Lancashire
The Panel will inquire into the allegation that between about January 2004 and May 2006, whilst Dr Gray was working as a GP, he provided pre-signed blank prescriptions and pre-signed blank Med.3 sickness certificates for use by a Nurse Practitioner when he knew that she was not qualified or registered to do so.
It is further alleged that during absences from his GP surgery, Dr Gray allowed a Nurse Practitioner to provide medical and emergency cover in the absence of a locum GP when he knew that she was not medically qualified or registered to so.
Dr Gray’s conduct is alleged to be inappropriate, improper and not in the bests interests of his patients.
In accordance with Rule 41(2) of the General Medical Council (Fitness to Practise) Rules 2004, the Panel may decide to exclude the public from the proceedings or any part of the proceedings, where they consider that the circumstances of the case outweigh the public interest in holding the hearing in public.Link
Labels: improper suggestions, quacktitioners, Simon Fradd
19 Comments:
Pre-signing of FP10s has happened for years. Quite often I see Rx signed, and dated that day, by a GP who I know isn't at work.
I guess it depends on how much you trust the people you are delegating to. After all, it isn't fundamentally different to a non-prescribing NP writing a Rx and then getting the GP to sign it.(often without reading it)
Many years ago one of our GPS left a pad of FP10s in the pharmacy. Then, he'd ring on a Saturday, dictate a Rx and sign it on Monday morning. It worked well. Possibly open to abuse though!
There's a JF Gray in Oldham. Dr Jf Gray.
Apologies if it's not the same guy!
Not one to miss the opportunity to have a dig at the nurse, eh? Though the nurse(s) in question know they shouldn't have worked under the conditions, it was the GP who facilitated it. Bloody stupid all round.
Stupid thing to do pre-signing prescriptions, signing them after they have been written is another common thing to happen. Though with nurse prescribing courses widely available these days and with ETP with us very soon, it will be impossible to continue this way.
Is this link any help?
I would assume the nurse in question will also be up in front of the NMC since nurses are responsible for their own actions and know the boundaries of their competence. This has nothing to do with your quacktitioner thing but more to do with not doing the job you are paid for.
John
If this Dr behaved as alleged it is just plain wrong and stupid.
This GP (if allegations are true and proved to be so - a totally different debate given the current GMC)was negligent and a fraud. I do not think we should take such behaviour as a yardstick when debating skill mix and where nurses fit in to Primary Care.
I once was involved in an old Terms of Service Hearing against a GP who let his Practice Manager do his antenatal clinic, issue presigned prescriptions and med3s and refer people to hospital with blank presigned referral letters.
Does that mean that PMs are a bad thing and should not be allowed near a GP surgery?
cornish giant
I thought this was having a dig at a doctor
John
Well, no surprise that the GP was from Lancashire, eh? They're a bit thick "oop North".
John,
It may be the use of quacktitioner in the article that vexes the Cornish Giant - It used to piss me off, but now I just let it go over my head.
Joh,
Sometimes with youre posts, it's difficult to tell!
It's difficult not to think it's a dig at an AHP when you repeatedly use the term "quacktitioner".
CG
"They're a bit thick "oop North".
Thanks!
"The Panel will inquire into the allegation that between about January 2004 and May 2006, whilst Dr Gray was working as a GP, he provided pre-signed blank prescriptions"
At least they were bloody signed...
The amount of unsigned tramadol scripts from Dr. Beelzebub's practice round the corner beggars belief.
Dr. Crippen, I agree that there may be an overuse of the quacktitioner phrase in your posts. It usually points toward your jabs at NPs instead of MDs. I think you were spot on about the stupidity of the doctor by giving out presigned prescriptions. The nurse will come up to defend her license as well.
'stupidity of the doctor'
..said the 'new' graduate whose industry is, wait for this, 'science!' hehe
of course, when the 'scientists' speak, the Crippens must shut up!
quack .. quack .. quack ...
How insulting as ever. Your rude posts will as ever be recorded for their ignorance and stupidity. What is the difference between liable and slander? Perhaps with this you are about to find out?
What a strange comment.
This is not about defamation, be it slander or libel. And, as a lawyer, not only do I know the difference, I can spell both words properly.
This is about the destruction of general practice; it is about the dumbing down of medical care to the lowest and cheapest common denominator. A GP is up in front of the GMC for handing his work over to a nurse; and an eminent ex GP leader is advocating the wholesale replacement of GPs by nurses.
If the NHS is to be front ended by an HCP staffed walk in polyclinic, disaster will follow.
John
"This is not about defamation, be it slander or libel. And, as a lawyer, not only do I know the difference, I can spell both words properly."
Well, the main skill of lawyers is twisting the facts to suit their position. Anyone capable of researching the internet will discover that Dr J F Gray has a one man practice (a la Shipman, not a million miles away from Hyde), and if anything the criticism should be levelled at one man practices, not well managed polyclinics.
The thickness of skin (or, rather, the lack of it) of some of the "noctors" who regularly post in reply to this blog continues to amuse, but not surprise.
Any threat to your reputation authority as the new NHS panacea, usually by persons wise enough to gain a medical qualification, and you throw your toys out of the pram.
Doctors continue to be pilloried in the press on the basis of fatuous arguments and, quite often, flagrant untruths. The dedication of hard-working GPs to high quality patient care continues to be eroded.
The "abuse" you witness on this forum is but a small fraction of this. QED.
I am not sure if your readers actually got my point that I actually agreed with you Dr. Crippen. I think that the blame goes both ways. The MD was wrong in leaving pre-signed scripts and the nurse practitioner was wrong in using them. They both knew that it was illegal and wrong to do so. In my practice, I don't write narcotics or controlled substances because Florida law will not allow me to do so. If I feel it's necessary to give something, I fax a copy of the visit to my collaborating MD and we discuss the case. We both come to a fair solution based on medical need. Not every patient who asks gets them. I do not practice outside my scope which is determined by the laws of my state. I consult with my collaborating MD when I need to and he consults me on my patients when he needs to. That's the way it works. If we use our education and our god-given common sense, patients lives are saved on a daily basis. I, therefore, believe that I am not lumped into the category of Quacktitioner.
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