Posts Tagged ‘Disciplinaries’

Trust forced to re-examine consultant dismissal

By Mike Broad - 11th August 2009 12:37 pm

A consultant surgeon dismissed by his trust has won a high court battle to set aside the dismissal and force his employer to hold a full investigation and hearing into its allegations against him.

Barking, Havering and Redbridge University NHS Trust dismissed Mr Gideon Lauffer, on 25 June 2009, after claiming to have lost trust and confidence in him.

Mr Lauffer, with the Medical Protection Society’s representation, took the trust to the high court and on 10 August was granted an interim injunction.

The court decided that the surgeon’s dismissal breached contractual disciplinary procedures and ordered the trust to continue treating him as an employee.

The judge, Mr Justice Holroyde, said that by not following the proper procedures set out in Maintaining High Professional Standards in the Modern NHS (MHPS) the trust had arguably unfairly denied Mr Lauffer the opportunity to respond to criticisms and the chance to clear his name.

The trust was ordered to go back and follow the proper procedures which include carrying out a full investigation and consideration of all allegations. The employer was also ordered to pay Mr Lauffer’s legal costs.

The MPS said that this ruling sent a strong warning to trusts that they do not have the power to dismiss a doctor without following the contractual procedures.

The trust should have followed the procedures set out in MHPS - which are incorporated into all hospital doctors’ contracts. It requires employers to consider informal resolution and - where capability is an issue - retraining. Only if these options fail should the trust proceed to a full hearing and consider dismissing the doctor.

Dr Priya Singh, MPS medical director, said: “We brought this case because it is fundamentally about fairness not just for the doctor concerned but for all doctors. No clinician should be denied a fair hearing and the chance to clear their name.

“It is in the interests of all doctors and the wider public that trusts follow proper and fair procedures before considering dismissing medical staff. Significant public funds are invested in the training of doctors. Losing highly qualified medical staff without exploring all options, particularly in the current economic climate, is simply unacceptable.”

This high court ruling follows on from a court of appeal judgment in July 2009 in a case also brought by MPS on behalf of another of its members - Kulkarni vs Milton Keynes Hospital NHS Foundation Trust 2009. In that case, the court of appeal confirmed doctors’ rights to a fair hearing to comply with human rights legislation.

Right to legal representation at disciplinaries

By Mike Broad - 27th July 2009 12:24 pm

Hospital doctors now have the right to legal representation at disciplinary hearings with their employers.

The Court of Appeal has decided that doctors must be allowed to be represented by a solicitor or barrister instructed by a medical defence organisation in any formal internal procedures, such as for misconduct, capability or health.

The decision was made during the case of Dr Kulkarni v Milton Keynes Hospital NHS Foundation Trust, and applies to all NHS organisations.

The case involved the Court of Appeal considering the application and wording of Maintaining High Professional Standards in the Modern NHS.

The court concluded that all formal trust procedures involving doctors are subject to the rules outlined in that document.

Dr Priya Singh, medical director at MPS, welcomed the decision. “This is a landmark ruling, confirming that current NHS trust disciplinary procedures do confer a contractual right for doctors to be legally represented by their medical defence organisation,” she said.

“Clearly, this reinforces the importance for all NHS doctors to ensure that they have membership of a defence organisation which is necessary to secure the contractual rights referred to in today’s judgment.”

The court went on to make further observations which are not legally binding but if subsequently followed mean trusts will have to give all requests for legal representation  careful consideration. 

The court decided that the principles of the human right to a fair trial applied to internal proceedings because “the National Health Service is, to all intents and purposes, a single employer for the whole country” and because of the implications for their career if a doctor were to be dismissed. The court rejected the argument that the right did not apply to doctors because the GMC would decide whether the doctor was fit to practise.

Mace & Jones solicitors explained that if this was followed, doctors would be entitled to instruct any solicitor or barrister (not just a friend or one instructed by their defence organisation). More importantly, the same principle would also apply to nurses and other health professionals.