The GMC appealed under section 40A of the Medical Act 1983, arguing that the Tribunal had erred in law by applying an outdated version of the GMC’s Sanctions Guidance, failing to consider whether the patient had suffered serious harm, incorrectly assessing the risk of repetition, and placing insufficient weight on maintaining public confidence and professional standards.
The High Court upheld three of the four grounds of appeal. It held that the Tribunal had materially erred by relying on a superseded version of the Sanctions Guidance when determining sanction. The Court also found that the Tribunal failed to address the guidance relating to serious harm suffered by the patient and adopted an incomplete assessment of future risk by considering only the likelihood of repetition rather than the seriousness of the consequences if similar misconduct were repeated.
Although the Court found material errors in the Tribunal’s sanction decision, it declined to substitute a sanction of erasure. Instead, it quashed the sanction and remitted the matter to a differently constituted Medical Practitioners Tribunal for a fresh decision on sanction in accordance with the applicable guidance.
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