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GP leaders instruct GPs to stop written reflections in light of Bawa-Garba case

GP leaders have declared they have no confidence in the GMC, following the recent case of Dr Hadiza Bawa-Garba.

At the LMCs Conference in Liverpool today, LMC leaders also called on the BMA to advise GPs to ’disengage from written reflection in both appraisal and revalidation’ until new safeguards are put in place, with the chair of BMA Wales warning that royal colleges have been asked to submit their members’ reflections to the GMC.

They voted in favour of the motion that said it had ‘no confidence in the GMC as a regulatory body’, despite BMA leaders warning against the motion.

The GP Committee warned that it would harm the relationship with the regulator.

As part of the same motion, conference agreed to lobby the Health Select Committee to review the GMC’s conduct in the case, with proposer Dr Zoe Norris arguing that GPs cannot rely on a review a commissioned by health secretary Jeremy Hunt.

Dr Norris, chair of the BMA GP Committee’s sessional subcommittee, said: ‘GPs have lost all confidence in the ability of the GMC to be objective and to genuinely balance patient safety against the reality of being a doctor in the modern NHS.

’When you after your 14 hour day in your eighth month of working a partner down with another sick, with your list going up and up, when you make a mistake, are you confident that the GMC will be fair objective and balanced in its investigation of you? GPs have no confidence in the GMC as our regulatory body.’

However, BMA Wales chair and GPC pensions lead Dr David Bailey, said: ‘We have to have a GMC, we have to have a regulator, the public demands it and rightly so.

’We can’t start from scratch again and actually whilst there are real problems at the top of the GMC, the people who work for it are actually by and large people who understand the problems that doctors have, have empathy, have professionalism and are trying to do a good job so we have to try and reform the GMC from within, we have to change their policy particularly in light of the Bawa-Garba case but starting from scratch is not the way to do it. The way to actually engage with the GMC is not to pass a motion of no confidence.’

Motion passed in full

THE GPC: That the GPC seeks the views of conference on the following motion from the Sessional GPs Subcommittee: That conference, following the recent case of Dr Bawa-Garba;

(i) has no confidence in the GMC as a regulatory body

(ii) directs GPC to advise GPs disengage from written reflection in both appraisal and revalidation until adequate safeguards are in place

(iii) request the Health Select Committee review the GMC’s conduct regarding this case

(iv) mandates GPC to urgently implement a system whereby GPs can make collective statements of concern regarding unsafe care.

Readers' comments (38)

  • BMA leaders warn against motion?
    Who cares. we do not HAVE a healthy relationship with our regulator, the GMC.
    Now it is your job BMA leaders to represent us- or you too should stand aside and allow those who will.
    And quite right too about a different reviewing body. I wouldn't trust anything with Hunt's grease stains on it.

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  • I trust that the quoted Dr David Bailey will not be involved in any future engagements between the BMA and GMC.
    He is right that a regulator is needed, but sometimes best to rip it up and start again.
    Also good motions passed. Now lets get on with it. Thats another month that Dr Bawa Garba has not been working.

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  • Ripping up the GMC would just open a barn door for the government to take control of regulation itself. I believe an independent and fair regulator is essential. The GMC is not fit for purpose as it is - the fish stinks ftom it’s head. Given that a vast proportion has declared no confidence (and I am sure a number of other colleges will follow), the moment has come for the GMC leadership to resign and make way for a parliamentary inquiry into its failings.

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  • It's high time GMC appreciate that they have abondoned their Slogan “Protecting patient and supporting Doctors”.
    They have become the arm the Govt . Why should profession put up with the regulatory body
    who exploits the subscriber?

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  • GMC has lost the trust of GP’s! This is serious and must be addressed and resolved! Hunt is now presiding over a crisis. He must fix it or risks demoralized workforce who will make the NHS unmanageable! Perhaps that is his long term aim! Blame the GP’s!!

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  • Hallelujah! I really hope this momentum for change keeps up, then maybe some of us medical refugees may think of returning home...

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  • great to see some positive actions here.

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  • Finally a ray of hope for us all and a beginning perhaps for a reversal of the GMC’s
    Appalling treatment of this poor young doctor. The criminal case was wrong, the attitude of the GMC was wrong and we felt powerless to help her. I sincerely hope that this is start of something new that patients and doctors can feel confident in.

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  • I suspect Dr Bailey is another 1 session a week clueless joker. If the public demand a regulator they can jolly well pay for it !

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  • I have not met a doctor yet who has confidence in the GMC.

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  • I presume the GMC leaders have very thick skins and will be in denial about their gross incompetance

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  • Well done Zoe. And boo, David Bsiley.

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  • What was the point of me doing all the significant event analyses and reflective analyses as one of the five rolling criteria for annual appraisals and revalidation if I’m now instructed to not write reflections?! All the hours I put in for appraisals etc. so that I couldn’t be over criticised seem to have been for nothing.But that takes nothing away from the awful treatment that the junior doctor got for an event that could have been for any of us assuming that I’m not the only doctor who accepts that he or she isn’t perfect.

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  • What is GMC doing about failing NHS. These organisations wag their tail to the government otherwise they will cease to exist.simple as that.

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  • Vinci Ho

    This is how the world is going at the moment. Because of all the anger and discontent towards establishments, populism rises . Populism is a phenomenon and bears certain moral argument , whether one likes it or not . If the establishment insists its way resisting drastic changes ,it faces the real threat of extinction. History has provided that lesson repeatedly.
    This is an uproar and outcry at the right time and right place. Those who choose to defend the indefensible should be so ashamed of themselves.
    Let’s hear the voices of the rebels.......

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  • Vincenzo Pascale

    So far I've not worked in the UK, because I perceive the GMC as enemy. I'm used to to feel Spanish or Italian Medical Council very close to our needs, even having in count the needs of our patient.

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  • Zoe Norris has more spine, integrity and more B***s than our other so called leaders...... HSL should take note....... Zoe Norris has significantly more support talking to my colleagues than HSL whom we perceive, as a small group of GPs, to be a light weight and ineffectual. Is there anyone else out there who feels Zoe would represent us better than HSL?

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  • Judges and Juries depend on expert opinion. In this Judgement that of Dr Simon Nadel [ 10]
    But, he is patently and obviously wrong on several counts.
    At 10] he states this from the 1st set of tests' Any competent Junior doctor would have realised the condition [ Sepsis] ', the conclusion' DR BG is ' manslaughter negligent' for failure to do so.

    BUT, when the Consultant Dr O'Riordan is shown these tests at 1630, he does not say ' Gosh, Dr BG, this is severe Sepsis'. HE FAILS TO RECOGNIZE what a junior doctor should have, according to Dr Nadel. So, Dr Nadel is just plainly wrong.
    However, this is also Dr BG's fault for NOT EMPHASIZING these tests.
    Come on, this is utter rubbish.
    Either the tests are recognizable or they are not. The Consultant did not recognise the condition. [ actually because it is equally applicable to ACEI AKI in dehydration]
    Dr. Nadel's statement is wrong ipso facto and thus so is the conviction
    There are many other such obvious medical mistakes in his evidence and that is what we should be looking at.
    THE PRIME PROBLEM is the completely wrong medical expert opinion.

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  • Took Early Retirement

    "We can’t start from scratch again and actually whilst there are real problems at the top of the GMC, the people who work for it are actually by and large people who understand the problems that doctors have, have empathy, have professionalism and are trying to do a good job so we have to try and reform the GMC from within, we have to change their policy particularly in light of the Bawa-Garba case but starting from scratch is not the way to do it."

    Appalling to read this. Where does he get his information from?

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  • This comment has been moderated

  • I suspect the RCGP is also an organisation of haters of frontline non academic frontline working GPs,who are not involved in the powerpoint and prawn sandwich brigadesr academics.They are pretty poor at recognising who does most of the FtF contact and supporting them, they seem to tow the governments line and release load of unrealistic research.If I ever get time in the next few days when the membership department is open I will have great pleasure in extracting myself form the College.Of course they dont provide 8-8 7 days a week service 9 til 5 only.

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