GMC failed to act on doctors’ suicide risk

GMC failed to act on doctors? suicide risk

Pulse, the GPs’ publication, has reported that 13 doctors died while General Medical Council (GMC)  'failed to act' on suicides risk. The GMC should have ‘immediately ceased’ their fitness-to-practise cases and ’urgently reformed’ processes after concerns were first raised about the high numbers of doctors taking their own life while under investigation, a new review has concluded.

The review, Suicide whilst under the GMC’s fitness-to-practise investigation: Were they preventable?, published in the Journal of Forensic and Legal Medicine suggests that there were 13 deaths by suicide while the GMC was conducting a review of its fitness-to-practise procedures.  As such, GMC review last year of 28 doctors who died by suicide while under fitness-to-practise (FTP) investigation between 2005 and 2013 was ‘reactive’, when it could have been proactive.

The new review - written by Dr David Casey, a GP and a tutor in medical law, ethics and professionalism at the University of Central Lancashire, and Dr Kartina Choong, a senior lecturer in law and ethics at University of Central Lancashire - also criticises coroners for not raising FTP investigations as a possible suicide risk earlier.

The GMC’s review, led by Sarndrah Hosfall, the chief executive for the National Patient Safety Organisation, outlined a number of core recommendations that it needed to implement in order to improve its fitness-to-practise processes – in a bid to offer more support vulnerable doctors under investigation.

The review found:

  • Some doctors were receiving multiple letters from the GMC, with one doctor receiving up to five letters over a four-day period;
  • Many doctors felt the GMC’s tone was ’accusatory’, with a failure to show compassion;
  • Doctors felt they did not receive any support, and there was ‘minimal’ communication with them;
  • And there were unacceptable delays in investigating some concerns, in some cases leading to a higher risk of suicide.
  • But the new study claims that the concerns were first raised in 2012 by an FOI request by a psychiatrist, and that there should have been immediate action before the review was published in 2014.

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