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PJ Online homeThe Pharmaceutical Journal
Vol 277 No 7429 p666
2 December 2006

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Letters to the Editor

The profession

Reluctant to help GMC again

From Mrs E. Homer, MRPharmS

I recount a salutary tale for any pharmacist performing his or her professional responsibilities.

Just over two years ago I identified a patient who was “double-scripting”. The patient presented a private prescription for dihydrocodeine and diazepam from a doctor in London. This patient was also registered with one of the local GP practices. After speaking to the patient’s GP who was unaware of any other doctor prescribing for his patient, I contacted the police drug officer. The case was investigated and sometime later I was asked to give a written statement to a solicitor at the General Medical Council. About 12 months ago I received a letter from the GMC saying that I would be required to give evidence in person at a fitness-to-practise hearing against the doctor under investigation. I spoke to the GMC several times to confirm that I would be needed in person and it was categorically confirmed on each occasion that this was the case. I was instructed to book the time off work for the duration of the hearing.

After the hearing I completed an expenses form and submitted it to the GMC. The GMC does not recognise pharmacists as professional people and will only pay about £50 per day loss of earnings. (I expect plumbers, electricians, etc, would also be disappointed with this). I have written and explained that in order to practise a pharmacist has to be registered with the Royal Pharmaceutical Society and pay an annual membership fee. Despite this information the GMC is still disputing my claim for locum rates.

The whole exercise has cost me in the region of £1,000 (two days loss of earnings, hotel accommodation, travel costs, etc, to London) and so far I have received nothing.

In view of my experience I would be reluctant to get involved with such a case again. Incidentally the doctor in question was reprimanded by the GMC and banned from prescribing opiates and benzodiazepines in the future — so at least the general public are being protected thanks to my vigilance.

Eleanor Homer
LLangattock, Monmouth

 

PETER SWAIN, head of case presentation at the General Medical Council, responds:

Because we are unable to see the name of the correspondent when issuing this response we are unable to identify the particular case that they are referring to and therefore cannot directly respond to the points raised.

We are grateful for the assistance of witnesses in helping our fitness-to-practise procedures and we certainly do not wish to see people left out of pocket by attending a hearing. We must comply with the requirements of the Inland Revenue and, as a registered charity, the Charity Commission, so we only reimburse expenses within a defined policy. Our rates for loss of earnings are taken from the rates paid to witnesses in criminal or civil court proceedings. This includes an enhanced rate for professional witnesses such as pharmacists. We are unable to pay above the court rates for notional loss of earnings where no locum was engaged; we will reimburse the reasonable costs of a locum for a pharmacist or other professional witness on receipt of evidence of the actual cost incurred in engaging the locum. We would welcome the opportunity to review the relevant claim if the person concerned contacts us directly.

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