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Christian GP 'crossed the line' in discussing religion with patient

22 Sep 2011

A Christian GP who asked a troubled patient if he had considered faith in Jesus ‘crossed the line' in discussing his own religious beliefs, the GMC heard today.

 

Dr Richard Scott, a GP in Margate, Kent, appeared before a GMC Investigation Committee in Manchester today after a complaint from a 24-year-old patient who he spoke to about religion at the end of a consultation in his surgery in August 2010.

After allegedly being told ‘Go for it' by the patient, Dr Scott is said to have told him faith in Christianity might help him overcome personal problems.

Dr Scott's case has created intense media interest and prompted heated debate within the profession on the role of religion in general practice.

Under GMC rules, doctors are not allowed to impose personal or religious beliefs on patients and, if such issues are raised, it must be done in a `sensitive and appropriate' manner, the hearing was told.

Patient A, whose identity has not been made public, has decided not to attend the hearing. His own religious affiliation has not been made public.

Paul Ozin, counsel for the GMC, said: `Dr Scott said to patient A about the "additional help which he might derive from Jesus".'

Mr Ozin told the committee of an interview Dr Scott gave to BBC Radio 5 Live  with Nicky Campbell on May 24 this year, where Mr Campbell asked Dr Scott  if he was‘trying to convince [the patient] that your faith may be better...'.

Dr Scott replied: ‘Yeah, my actual words were "You might find Christianity offers you something more than your current faith does in this situation".'

Mr Campbell then said: ‘What is it that Jesus could have offered him more than his own faith?'

Dr Scott replied: ‘He had an awful lot of problems, and the thing to know, that God loves us and Jesus loves us and you can deal with stuff in the past, in  terms of hurt or guilt or fear of failure, stuff you can only really find  through Christianity.'

‘I do offer it (faith) in situations like this.'

Patient A did not take up the offer, Mr Ozin said.

He continued: ‘It is a matter of record that Patient A subsequently complained  about Dr Scott and said he was very upset about the consultation and he was offended by what he saw as the belittling of his own religion.'

‘On these facts alone Dr Scott failed to comply with the relevant GMC guidance, designed to strike the right balance between doctor and patient in  this difficult and sensitive area.'

‘A line was crossed because Dr Scott expressed his personal religious belief to a person who he knew was a vulnerable patient in a way that was plainly liable to cause the patient distress. ‘

‘He suggested Jesus or Christianity - his own religion - offered something exclusive and superior to that offered by the patient's own religion.'

The hearing in Manchester was told that the consultation in August 2010 came about because Dr Scott had a conversation with Patient A's mother in which she said her son was saying he was suicidal, and he was a patient with a ‘profile with vulnerable characteristics' and had ‘lifestyle issues' which frustrated his mother.

Paul Diamond, counsel for Dr Scott, said the GP did not accept that the young man was a vulnerable patient.

Mr Diamond added: ‘The portrayal of events by my learned friend of insensitive  and belittling and persistent discussion of religion are not accepted.'

‘Towards the end of that consultation, for a matter of minutes, Dr Scott made his professional judgment that matters of religious faith were appropriate to talk about in the context of this young man.'

‘Issues of religion were discussed. I don't think there is any dispute that it is permissible within the guidance provided by the GMC. The only question is "Was it appropriate and sensitive?" That is the nub of the dispute.'

Mr Diamond said it was the Dr Scott's case that he was professional at all times, followed an `evidentially based assessment and offered a sensible suggestion.

Mr Diamond said there were a lot of questions about this case - the patient's mother first made a complaint weeks after the consultation and the complaint from the patient came three months later.

The GMC Investigation Committee in this case has no power to put any restriction on Dr Scott's practice of medicine but could issue a warning. And speaking to Pulse ahead of the case, Dr Scott warned he could also face referral to a fitness to practise panel.

Dr Scott has yet to give evidence.

READERS' COMMENTS

Qamar Siddiqi, GP Partner,
23 Sep 2011
I thought we were supposed to be using evidence based medicine? In all seriousness though, I think the GMC is overdoing it - talk about micromanagement.
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Julian Hall, GP Partner,
23 Sep 2011
Whatever the rights or wrongs, it is probably safer for us to leave our spiritual and religous beliefs outside the consultation. I too think the GMC is overdoing it, but issues regarding faith and religion are controversial and subject to political correctness. It's not worth the potential hassle nowadays by sticking your head in the lions mouth. It is a difficult area to justify your actions in the context of clinical evidence.
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Anonymous, GP Partner,
23 Sep 2011
If a doctor believes in a sky fairy that is fine but please don't try to use it to treat patients!
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John Gillespie, GP Partner,
23 Sep 2011
Once again the GMC attacks the harmless and sincere actions of a GP, whose intervention may well have helped the patient, whilst fudging over the big moral issues of the day - abortion, the protection of the unborn....
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Anonymous, GP Partner,
23 Sep 2011
I am surprised pt decided to complain. i think gp should not talk of faith and religion in consultation .. i did not think a comment like this need to be reported to gmc. .pct or practice should sort it out in 10 minutes. gp should avoid such comments as it is not a part of allopathic medicine.
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Anonymous, Other healthcare professional,
23 Sep 2011
One s beliefs and personal experiance in life will have a role to play when managing patients as a GP, be it religious or otherwise.Dr Scott may have suggested this to his patient based on his positive experiance in his life or career and I don't feel this is wrong as long as it is never imposed on the patient!
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Markus Maiden-Tilsen, GP Partner,
23 Sep 2011
I do think it is very appropriate to talk about the spiritual aspect of health as well - it is part of the holistic approach! Never mind at first which belief you are talking about. We are also trained to offer options to our patient and offered as an options this is entirely legitimate. I am fully supportive of Dr Scotts approach and I agree that this complaint should have never even made it to the GMC! We also need to have the right to talk about religion within a consultation! No one has coerced this patient or belittled his beliefs. Furthermore how come that other religions seem to have all the right to be assertive promoting themselves in any situation but whenever Christianity is involved it becomes a great issue?
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Torquil DuncanBrown, GP Partner,
23 Sep 2011
I am concerned not only by the GMC's stance on this and the fact that it even made it that far, but also by some of the comments above by my colleagues. I suppose they may not all be qualified GP's, but if they are then they should be aware of the need for a holistic approach. After all, if I cannot build a longitudinal relationship with my patients or speak to them as a fellow human being rather than a robotic diagnostic and treatment-dispensing machine, what hope is there?! Even Hippocrates spoke of the importance of this.
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Tony Steele, Private GP,
23 Sep 2011
If the quote below is accurate of what Dr Scott said and believes, it is pretty strong stud, particularly if one has a different faith or no faith. ‘He had an awful lot of problems, and the thing to know, that God loves us and Jesus loves us and you can deal with stuff in the past, in terms of hurt or guilt or fear of failure, stuff you can only really find through Christianity.'
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Tim Southwood, GP Partner,
23 Sep 2011
Are practitioners who use therapies based ondifferent faith systems going to be summoned before the GMC too or is it purely because in C21 Britain Christian faith is not PC??
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arup Chatterjee, GP,
23 Sep 2011
I do not think GMC is over-doing it. I'd have thought so if Dr Scott had merely said, 'Find solace in Christianity....' But he went on a salesmanship drive trying to sell his faith to his hapless patient. Where does one draw the line? If a patient comes to me complaining of sexual difficulties with her husband do I say, 'well well I know somebody who can find your Gspot in 3 seconds.' I think this doctor should become a missionary.
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Anonymous, Private GP,
24 Sep 2011
In my opinion, speaking to patients about their religion, as an aid to healing, is beneficial to them. In this case, however, I agree with Arup Chatterjee. Dr Scott did over step the mark by suggesting that Christianity is the ONLY religion which can help him. The patient would have been given choice if he was given several options, including his own. In this case he was not. Aside from this, noone likes to be told their religion is inferior- this is highly insensitive and offensive to the majority of us.
Whether this matter goes to the GMC or not depends on its impact on the patient. Obviously the patient was distressed enough by the comment that after some weeks of a cooling off period, he still felt it necessary to complain.
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Anonymous, GP Partner,
26 Sep 2011
medicine is a secular proffession; discuss
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Anonymous, Salaried GP,
29 Sep 2011
I like the suggestion of the ancient Greeks that one needs physical, psychological and spiritual balance to acquire health.
Spirituality doesn't have to mean religion though.
In that context I believe it could be permissible to suggest some sort of activity , for example joining a church community to a Christian.
Never ever should any health professional suggest to a patient of a different faith to join his own faith or to indicate that his own faith is superior to the patient's.
It is called proselytising, missionaries do that. I personally deplore it but opinions can be divided over that issue.
This insensitive and ignorerant GP- colleague can't see that he is at fault and that
I find disturbing.Even more disturbing that he has no regrets whatsoever.
He needs to have 100 hrs compulsory interreligious meetings to understand more about what other religions or beliefs can offer so he can develops some form of understanding which he clearly doesn't have(I am agnostic myself).
If he refuses he must be struck off.Otherwise he might try to impose praying as a valuable and superior treatment with the next opportunity.
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