This site is intended for health professionals only
Wednesday 23 May 2012
Facebook Twiter Linkedin

GPs criticise plans for GMC regulation of doctors’ private lives

By Andrew McNicoll | 19 Sep 2011

The GMC is consulting on whether it should regulate doctors' lives ‘outside of medicine', triggering fears among GPs that it is seeking to replicate the ‘intrusive' approach taken by teaching regulators.

GMC officials launched an online poll open to the public earlier on whether it should actively regulate doctors' private lives, as a precursor to including the issue in a full review of the Good Medical Practice guidance being opened next month.

The regulator already has the power to investigate cases where complaints are launched about a doctors' behaviour outside of medicine, where there are fears it could have an impact on their work. But GPs fear the GMC's new consultation signals an appetite to extend its powers.

GPs contacted by Pulse drew parallels with the General Teaching Council's decision to introduce a new Code of conduct in 2009 that triggered rising investigations into teachers' private conduct. The code has been labelled ‘intrusive' by teaching unions and seen teachers investigated for having pictures on Facebook showing them drunk or, in one case, in a bikini.

The GMC's poll is launched on Facebook this month and simply asks: ‘Do you think the GMC should regulate doctors' lives outside medicine?'

Niall Dickson, GMC chief executive, said: 'We do already investigate complaints about a doctor's actions outside work that would have the potential to damage patients' trust in their doctor or in the profession as a whole.'

‘This month we are asking whether the GMC should care about something that a doctor does outside of work, for example if they posted homophobic or racist remarks on a public website.

‘We hope doctors will get involved in the online debate and respond to our formal consultation when it launches next month.'

Dr John Hughes, a GP in Manchester, said: ‘This aspect of GMC control is something that should have passed in to history decades ago. I note the General Teaching Council has been attempting something similar.'

‘Doctors are human beings, prone to behave in a variety of manners, similar to the general spread of the population. Unless their actions in their private lives are illegal or abusing the trust of others as a result of the doctor's position they should not come under GMC scrutiny.'

Dr Una Coales, a GP in Stockwell, south London, said: ‘I do not think the GMC should get more involved in doctors' lives, quite the reverse.'

Dr Philip Fielding, a GP in Cheltenham, said: ‘We should always be aware of the need for high probity whether we be wearing our stethoscopes or not. But the question of regulation sounds heavy handed. Can we not start with the bankers first?'

READERS' COMMENTS

Julian Hall, GP Partner,
19 Sep 2011
The remit of the GMC should be restricted to concidering the conduct of a medical practitioner's behaviour only when it has an impact on his/her ability to practice medicine or has a fundamental impact on the trust between Dr/patient. It is deciding what examples of behaviour would fall under this remit which is difficult. In my opinion, this should be limited to clinical negligence and criminal convictions. Outside this, the GMC have no mandate on which to dictate how we conduct our personnal lives. I would concider any such attempt to be an infringment of my civil liberties. Should the GMC take such a communist/dictatorship attitude, could the content of what we write on forums such as this be used as evidence during fitness to practice hearings? Freedom itself would be compromised!
Average (0Votes)
Top
Peter Windross, GP Partner,
19 Sep 2011
I'm under absolutely no doubt that what we write on forums is already considered for FTP hearings.
Average (0Votes)
Top
Anonymous, GP Partner,
19 Sep 2011
THE GMC clearly have a limited understanding of The Human Rights Act 1998-Article 2.

I'd suggest that they receive some basic lectures on the subject to avoid a potential prosecution over likely future legal challenges.
Average (0Votes)
Top
Simon Ruffle, GP Partner,
19 Sep 2011
Anonymous partner- it can be 'justified' under Article 8 and would be tested under the right to privacy. Do you think my moonlighting as a Dr Striposcope with my especially long stethescope might have to stop?
Flippancy aside they'll be those who'll not care about this as never do anything 'wrong' but it is the abuse of investigative powers that have led to arrests under the terrorism act and to journalistic malpractice. (Just in case someone's watching I never strip, that would be a crime against humanity.)
Average (0Votes)
Top
Brian Mansfield, GP Partner,
19 Sep 2011
I can see a lot of interesting legal arguements on conflict with the Human Rights Act if they try - to whose advantage?
Average (0Votes)
Top
Anonymous, GP Partner,
19 Sep 2011
The GMC could also be subject to The Protection from Harrassment Act 1997-their interference would have to be proven to be necessary and proportionate under Article 8, section 2 otherwise they would be in breach of ECHR. This does not mean trivia. Its no good being stuck in the old days like those old-fashioned consultants whom menaced junior doctors. Those days of submission to older doctors are GONE FOREVER thank God.
Average (0Votes)
Top
Anonymous, GP Partner,
19 Sep 2011
Lots of doctors already feel a lack of confidence in the GMC's heavy handedness. I see this as a way to control and deprofessionalise doctors and an increase in bureacracy. They will ask for more subscription fee next following a self imposed "increase workload". Doctors are humans too like the rest of the population. Unless it is patient related leave our private lives PRIVATE. Anonymous as I do not trust the GMC.
Average (0Votes)
Top
Anonymous, GP Partner,
19 Sep 2011
Feeling menaced by risking open professional debate is the tragedy of "modern medicine". It is sad that we aren't even allowed to think anymore so what chance do we have of intellectual discussion with our masters. Until the profession can treat itself with respect rather than intimidation, what chance can there be for professional enlightenment or treating patients with care and respect.
Average (0Votes)
Top
Carlos Knorr, GP Partner,
19 Sep 2011
If we allow previous drug takers to become home secretary or even prime minister, why cant we get slush on weekend and put or silly faces on facebook. My concern is that the GMC with their probe into our private lives will not safeguard the reputation of the medical profession but rather riducule it as the Conservative did with their back to basic campaign !!
Average (0Votes)
Top
Vinci Ho, GP Partner,
19 Sep 2011
Here is the story:
An 'obviously' overweight and heavily smoking GP advised his diabetic patient to lose weight and ended up with a complaint as patient thought the advices were patronising, coming from somebody who was not 'disciplined' himself .
According to this new GMC mentality , this doctor should be deemed 'unfit ' to practise.The patient is always right !!!
The bottom line is the definition and interpretation of this 'unacceptable personal behaviour interfering with one's medical practice.'
I should shut up now or I will be another one on the wanted list of GMC
Average (0Votes)
Top
Mustapha Tahir, GP Partner,
19 Sep 2011
Allow me be the devil advocate. We Doctors supported the Government in telling citizens not to smoke, not to drink above a non scientifically validated limits, We watched our obese patients being chastised. We remined silent when stringent criteria for fertility treatment under NHS were put in place by different PCTs. We are living witnesses to the so called post code rationing, both explicit and implicit. Now that big brother is contemplating scrutinising our private lives and believes, we are all up in arms! Diabolical? Selfish? Just thinking aloud.........
Average (0Votes)
Top
Carlos Knorr, GP Partner,
20 Sep 2011
Dear Dr Tahir
I'm sorry but I completely fail to understand your point.
Are you saying that as doctors we cannot be patients and hence make an informed decision on our treatment ? because if you are , I strongly advise you that you read the NHS patient charter and put it urgently in your PDP.
Are you also saying that the 20 bilion pounds savings that the NHS must find over the next 4 yrs was a GP's idea ?

kind regards
Average (0Votes)
Top
John Gillespie, GP Partner,
20 Sep 2011
The GMC has proven itself weak and ineffective at showing a lead and taking a stand on the big moral issues of the day: abortion, euthanasia and the protection of the unborn. They are not competenet nor morally fit to judge.
Average (0Votes)
Top
Lucy Reid, PCT,
20 Sep 2011
I wouldn't worry too much - if the government have their way you won't have a personal life as you'll be too busy providing online consultations and attending commissioning meetings 24/7.
Average (0Votes)
Top
David Church, GP Partner,
21 Sep 2011
I see no problem in what the GMC proposes, since I understand it is a power they already have, to investigate if behaviour of a doctor MAY be inappropriate in terms of personal relations with patients, or reflect on profession as a whole. What we do in our so-called private lives, if done in front of anyone who knows we are professionals, (or on facebook, etc), is not private, but is relevant to our public image. I am sure the GMC will be 'proportionate' and sensible in it's response, as it will not want to raise frivolous investigations unfoundedly. (and some say I am paranoid so that may be a conservative attitude). What happens completely in private within the family at home however, (so long as not an indicator of risk to patients), should stay private, and GMC again I am sure will avoid getting involved in internal family arguments, etc.
Average (0Votes)
Top

ADD YOUR COMMENTS

Please note You must be a registered user of PulseToday and logged in to add comments. Opinions expressed below are those of the writers and do not necessarily reflect those of PulseToday. Comments are considered in the public domain and may be used in future Pulse coverage. We accept no responsibility, legal or otherwise, for the accuracy or the content of member comments.

Comment*

You must be logged in to add a comment.Clickhere to login.

SIGN UP FOR EMAIL NEWSLETTERS

Keep up-to-date with the latest changes to the NHS, CPD and clinical guidelines. Sign up below or find out more.

POLL

Is self-care the answer to the NHS efficiency drive? Read the full story here