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PJ Online homeThe Pharmaceutical Journal
Vol 273 No 7323 p632
30 October 2004

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Judges give self-regulation a boost …

Professional self-regulation has been reinforced by England’s most senior civil judge, who has ruled that the Nursing and Midwifery Council is better placed than judges to decide whether a nurse’s “fascination with pornography” is incompatible with his professional role.

Earlier this year, the NMC served a paediatric nurse with a caution, which will remain on his record for five years, after he was caught downloading pornography from the internet while on night duty at London’s University College Hospital. The Council for Healthcare Regulatory Excellence sent the case for review by the High Court because it believed that the caution was not a serious enough penalty. In the High Court, Mr Justice Collins ruled that the sanction was lenient, but not unduly lenient, which is the test set for intervention by the court (PJ, 3 April, p403). The CHRE appealed.

Now, the Master of the Rolls, Lord Phillips, has ruled that it is right in this case to show some deference to the view of the NMC.

He said: “The [NMC] committee was as well placed, if not better placed, than a judge or a panel of judges to decide whether [his] fascination with pornography was incompatible with his role as a nurse.” There was no error of principle or procedure in the NMC ruling, he added.

… and also undermine it in the Court of Appeal

The Master of the Rolls, Lord Phillips, has dismissed an appeal by a GP against a High Court ruling that the Council for Healthcare Regulatory Excellence can refer cases for reconsideration by the court when a health professional has been found not guilty of professional misconduct (PJ, 3 April, p403).

Lord Phillips ruled that the CHRE has power to challenge not only disciplinary decisions, but also findings of innocence of any wrongdoing. The ruling means that the CHRE can now ask the High Court to overturn a General Medical Council decision that the GP’s affair with a female patient did not amount to serious professional misconduct.

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