GMC101049.Pdf

GMC101049-0001

Cot resDondence

Volume

Date Created o,1 ;o8t1999

00157742 GMC101049-0002 GMC101049-0003

The President Sir Donald Irvine CBE

31 August 1999 GENE P~AL ~EDICAL COUNCIL Protecting patients, guiding doctors ~

,,,- CodeA

Thank you for your very interesting letter of 17 July. May I apologise for taking so long to reply, but the Royal Mail took over a month to deliver it to this offic!! It arrived here on 26 August.

It was fascinating to read your story - particularly as you worked in Ashington and had family connections with my practice.

Good luck with the organic chemistry and clinical pharmacology!

:~~~ best wishe~

Code A GMC101049-0004

The President Sir Donald Irvine CBE

31 August 1999 GENE P~AL M~EDICAL "~3-~a Floor COUNCIL Petersgate House Protecting patients, St Petersgate guiding doctors Stockport SK1 1HE

"~,’*,~ Code A

Clinician in Management

Thank you for your letter of 8 August - I am sorry about the delayed reply, but it did not arrive in our office until last week.

I would be very happy to continue to serve on the Editorial Board of the Clinicial in Management but I am sorry that I am unable to make any of the proposed dates. The diary is awful!

Code A

~78 Great Portland Street London WIN 6JE Code A GMC101049-0005

31 August 1999 GE NE P~AL ~EDICAL COUNCIL Protecting patients, Code A guiding doctors

Code A

I am writing at the end of your term of office to thank you warmly for your contribution to the Council in your time as a member. Your efforts have been much appreciated and I know that I speak for all members, and particularly those who have worked with you on the Health Committee and the President’s Advisory Committee in saying how much we shall all miss you.

With very best wishes for the future.

Code A

I78 Great Portland Strect Lop_dop, W1N 6JE i ...... ~8~-~-~ ...... l GMC101049-0006

L.~ "

27 August 1999 GENERAL M~EDICAL COUNCIL Protecting patients, ...... ’o’d’-e ...... A...... guiding doctors

Dear i ...... C_o_..d.e_._..A_ ......

Thank you for writing to ii~i~i~i~#i~i~i~i~i~ii on 24 August about the conference. The ,ii.~i@i~ii~ili is away at present and has asked me to acknowledge your letter on his behalf.

Could I ask your office to let i.T.T.T.T.T~_~.~I~_.~T.T.T.T.T.2iknow my e-mail address in case he needs to get in touch -it is iiiiiiiiiiiiiiiiiiiiii~_i~7~iiiiiiiiiiiiiiiiiiiiiand I will be happy to help in any way I can.

Yours sincerely ..... ~ ...... : ...... ~ ...... ~ ...... , Code A

I78 Great Portland Street London WIN 6JE Code A GMC101049-0007

G E N E P~AL 27 August 1999 M~EDICAL Code A COUNCIL Royal College of Radiologists Protecting pdciel%s, guiding doctors 38 Portland Place London WlN 4JQ

Dear[ ...... ~-~}-~l-~-~i~ ......

Thank you for writing to [[[[[[[~[0_-~[e_-i~[[[[[[]about confidentiality issues relating to the publication of radiographs.

This is receiving attention and a full response will be sent to you in due course.

Yours sincerely

Great Portland Street London W1N 6JE [ ...... Code GMC101049-0008

Aide Memoire for From ’ ...... 27 999

I thought you might appreciate a list of the speaking engagements you are due to do in the next three weeks whilst i._._..C_._o..d.e_._.A.._._._iS away on leave.

September

Wednesday 8

Kent Local Medical Committee - Tudor Park Marriott Hotel - Speaking to 200 GPs on Revalidation

I have arranged car to Victoria and ticket to Bearstead (one stop after Maidstone East) where you will be collected by aii~i~i~i~,~i~i~ii(red Rover) and taken to the hotel. After you speak there is a light supper and you will then be driven to Rossetti House by taxi (they are paying).

Thursday 9 and Friday 10

PLEASE REMEMBER YOUR PASSPORT

Nijmegen Conference - you are giving the keynote lecture ’Professionalism in Medicine; A new approach on Friday 10 Sept lasting 25 minutes.

All travel, hotel and currency arrangements are made and tickets are arriving on Monday 6. I have a schedule for you - but I have asked for more detail from the conference organisers.

On the first day you are being asked to speak to the heads of departments of their Medical School - title - ’The new medical professionalism;implications for medical schools’ (12.30 to 13.30) and then from 1400 you will meet with GP research fellows and again the topic will be ’The new medical professionalism’

Monday 13

Bristol Inquiry-I have booked 1st class return rail tickets for you and L._C._..o._d_._e._._A_.i GMC101049-0009

Wednesday 15

Joint Solutions Conference - ~National Orthopaedic Hospital Trust (see attached schedule). I am chasing them up at the moment because we seem not to have much in the way of information and unfortunately the conference team has been on holiday for the past two weeks. Chase Farm Enfield Chace Postgaduate Medical Centre -The duties and responsibilities of being a Doctor - a view from the GMC - in front of an audience of about 100 consultants GPs etc.

Friday 17

CHMS Council Meeting - Opportunity to address their Council on Revalidation (chief Executive accompanying you).

I hope that you find this helpful - I did not send it to you before because I knew you were very tied up with the Bristol Statement.

27 August 1999

2 GMC101049-0010

26 August1999 G ENE ~AL

University of Ulster ~EDICAL Newtownabbey COUNCIL County Antrim Protecting patients, BT37 OQB guiding doctors

~18181~I Dear ...... l I~ ...... i Annual Spring Meeting of the RCGP - 6-8 April 2001

Thank you for your letter of 11 August inviting i._._.C_._o_._d...e_._.A_._._]to take part in your 2001 conference in Belfast. i._._..C.__o._.d_._e_._.A.._._.iwould be happy to accept this invitation and thanks you for offering to pay expenses and an honorarium.

Perhaps you would care to contact me a little nearer the time - probably early in 2001 - with further details.

Yours sincerely Code A

,78 Great Portland Street London WIN 6JE i ...... -~-d~-~ ...... 7 GMC101049-0011

26 August1999 G E N E P~AL M~EDICAL Great Ormond Street Hospital for Children 30 Guilford Street COUNCIL London Protecting patients, WC1N 1EH guiding doctors

Dear[ Code

...... _.C_.o_._d._e._._A._ ...... j]has asked me to write to thank you for taking the trouble to send him a copy of ¼ guide to professional Development meetings for Consultants’. Although he is currently away from London he has read this document and would like to say how thought provoking he found it.

I will forward a copy to[ ...... ~-S~i~-~...... Directorate. Code A

~78 Great Portland Street London W1N 6JE i ...... -~8-~i~-)~ ...... ] GMC101049-0012

GE NE P AL 27 August 1999 EDICAL COUNCIL Protecting patients, University of Leeds guiding doctors Belmont Grove Leeds LS2 9NS

[_._._.c...o__d..e_.__A_._._~ meeting with medical students ¯ 18 November 1999

In recent years I have been holding informal meetings with medical students, in which selected students from different medical schools are invited to spend a day at the GMC. The students are given the opportunity to talk about the profession of medicine they are joining, to learn about the work of the GMC in regulating medical practice and to meet some of its members and see parts of the GMC in action. In the past, students have said that they enjoy the visit and have found it beneficial.

The next~ eeting will take place on 18 November 1999, starting at 10.30. The morrfing session will be an open forum, extending for about two hours, so students can talk to me about our profession, especially their education. A sandwich lunch will be provided. As the Professional Conduct Committee is due to sit on that day, students will have the opportunity to see a conduct hearing in progress, provided that the Committee is not "in camera". I am writing to ask if you are available on the 18th November 1999 to be a part of the Open Forum.

My research assistan’~, [22222222~.8_?~2~222222227is co-ordinating the day. Please telephone him on i.,. C, ode A if you would like to discuss the arrangements further. In his absence please contact

I look forward to hearing from you.

I78 Great Portland Street London W1N 6JE [ ...... ~-~~1-~-~- ...... ] GMC101049-0013

Memorandum To

Fromi

Date Code A Copyi

Revalidation ¯ Retired and other Inactive Doctors

1. I have read the papers.

2. As I understood the papers, the use of the template of Good Medical Practice is itself restrictive (of i~~.~-_e.-~.-.A.-~[s Paper). Revalidation, for all doctors, needs to cover all the content headings in GMP, and the further explanations of those which may be prepared by the Colleges for each speciality.

3. ’Retired’ doctors should have no special rights, because they are free to practice in a limited way if they choose. So if they choose to stay on, they should show their eligilibility like any other.

4. Equally, doctors inactive for any reason should nevertheless comply with the GMC requirements for revalidation.

5. A failure to follow this basic principle would result in the problems you describe in your para 4. But equally, we would be operating two standards - especially if we allowed self-certification for one group - which would be both wrong and potentially dangerous to patients.

6. If you could give me a ring on Friday 27 August we could speak fully about handling this.

Please note ¯ Revised copy - 26 August - corrected word in para 4 GMC101049-0014

Memorandum Toi

Fr~ Daj Code A Coi

Revalidation : Retired and other Inactive Doctors

1. I have read the papers.

2. As I understood the papers, the use of the template of Good Medical Practice is itself restrictive (of i[[[[[[-_.-c_.-~-_e.-_.-_A-[~[[[[~is Paper). Revalidation, for all doctors, needs to cover all the content headings in GMP, and the further explanations of those which may be prepared by the College for each speciality.

4. Equally, doctors inactive for any reason should nevertheless comply with the GMC requests for revalidation.

6. If you could give me a ring on Friday 27 August we could speak fully about handling this. GMC101049-0015

Memorandum Code A

PAC AGENDA ITEM

GMC Members on General Dental Council

Could you confirm the willingness of those listed below to serve on the GDC - they are very keen to have them all back.

I would like this included as an Agenda Item for the next PAC meeting. GMC101049-0016

GENEP AL / M EDICAL Fax numberi ~ i~ Ai COUNCIL Protecting patients, guiding doctors Direct Dial i

Direct fax L-o-[7-[-~rro-3o~o- ......

No. of pages This one Time 1.55 Date 25 Aug (inclusive) only

Dea~ Code A

Thank you for contacting me today. Can I confirm the situation regarding Revalidafion meetings.

1) ..__S...ep_..t.e_._..m__b_..e.r_. 14th dinner- I am sorry that i.~.~.~.~~#~.~.~.~.i ._c._.o_._d._.e_._._A._ ...... i cannot make this date - but as I explained on the phone, I had a very good acceptance rate for this date and a poor one for 1 September lunch.

October 13th 2pm at the BMA prior to the Top Ten meeting

Any other dates you have in the diary please ignore!

Kind regards

178 Great Portland Street London WlN 6JE GMC101049-0017

25 August1999 GENE P~AL !v~EDICAL COUNCIL Code A Protecting patients, guiding doctors

Dear.; Code

Thank you for your recorded delivery letter and enclosures of 23 August.

This matter is receiving attention and a response will follow shortly.

Yours sincerely Code A

178 Great Portland Street London WIN 6JE GMC101049-0018

25 August1999 G E N E P~AL !v~EDICAL COUNCIL Protectfng patients, guidJn~l doctors

Sir Donald Irvine ...... _.th_._a._.n_ ks L ...... _c._~:.a_.~:.K.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.i for the kind invitation to a reception on Friday 10 September but regrets he will be unable to attend

I ~78 Great Portland Street London WIN 6JE ~ ...... "~-I~’~-’~ ...... GMC101049-0019

19 August 1999

Castle Buildings Stormont Belfast BT4 3PP

Meeting on 27 July 1999

Thank you very much for taking the time to meet members of the Revalidation Steering Group on 27 July 1999. We very much appreciated the opportunity to clarify some important points with respect to the development of - and relationship between - revalidation and clinical governance.

I enclose a note of the meeting. If you have any comments, please let us know.

Yours sincerely GMC101049-0020

19 August 1999

Department of Health 79 Whitehall London SW1A 2NS

Meeting on 27 July 1999

Thank you very much for taking the time to meet members of the Revalidation Steering Group on 27 July 1999. We very much appreciated the opportunity to clarifij some important points with respect to the development of - and relationship between - revalidation and clinical governance.

I enclose a note of the meeting. If you have any comments, please let us know.

Yours sincerely GMC101049-0021

19 August 1999

...... Cod ...... A Welsh Office Cathays Park Cardiff CF1 3NQ

Meeting on 27 July 1999

I enclose a note of the meeting. If you have any comments, please let us know.

Yours sincerely GMC101049-0022

19 August 1999

Scottish Office Department of Health St Andrew’s House Edinburgh EH1 3DG

Meeting on 27 July 1999

I am sorry not to have met you on 27 July 1999. I enclose a note of the meeting, which proved to be most helpful in clarifying some important points with respect to the development of- and relationship between - revalidation and clinical governance.

I look forward to having an opportunity to discuss these matters in detail with you and your colleagues at a later stage.

Yours sincerely GMC101049-0023

25 August 1999 GENE P AL M EDICAL COUNCIL .... KIFIS-E2~Q-t]V6 ...... Protecting patients, 2a New Walk guiding doctors Leicester LE1 6TF

Thank you for your very kind letter. I was delighted to hear of your appointment as Director of the Commission for Health Improvement and wish you every success in your new role.

I gather that, as you say, an early meeting is being arranged when you, L..C.o_._d.e_._A_iand myself can get together.

I78 Great Portland Street London W1N 6JE GMC101049-0024

Code A

24 August 1999 GENEP AL M EDICAL COUNCIL Protecting patients, Department of Health guiding doctors Richmond House Whitehall SWIA 2NS

I am writing to congratu[.a_._t._e._.y._.o_.u upon your appointment to the Committee for Health Improvement. You and[._c..o..a._e_..A._ishould make a strong team.

I look forward to meeting you both shortly - I believe a meeting is being set up for an informal lunch on 7 September. It will be important to establish a good working relationship from the start.

~78 Great Portland Street London WIN 6JE ~ ...... Code A GMC101049-0025

24 August 1999

G E N E P~AL National Hospital Rikshospitalet ~EDICAL Pilestredet 32 COUNCIL N - 0027 Oslo Protecting patients, Norway guiding doctors

Deari ...... -I~-~~-~- ...... ]

Thank you for writing to [_~_~_~.T_~_~.I~.~I~_~.T_~_~£.Ti on 20 August inviting him to take parkin your symposium on 27 October.

[---~-~i~-)~--i, is currently on leave for a week so he has asked me to write to you on his behalf.

Sadly he will not be able to help you on this occasion - he has already accepted an invitation to speak at a conference in Birmingham on 26 October and then Edinburgh on 27 and 28.

Thank you again for writing.

Yours sincerely Code A

’78 Great Portland Street London WIN 6JE ...... ~’~-~1"~-’~1~ ...... GMC101049-0026

GENE PkAL 23 August 1999 !V[EDICAL

Code A COUNCIL House of Commons Protecting patients, London guiding doctors SW1A 0AA

Dear[ Code A

Thank you for your letter to i222222~-.d-i~-_~222222i of 20 August 1 999 about the complaint made by [-[_~.2~[~2~[[][

Your letter is receiving attention and a reply will follow shortly.

Yours sinc_e.~rely ...... ’-0-d’-e ...... A ......

z78 Great Portland Street London WIN 6JEi...... Code A GMC101049-0027

Code A

GE NE P~AL 23 August 1999 N~EDICAL COUNCIL Code A Pro~ec~ing patients, Department for the Health Care of the Elderly guiding doctors Glan Clwyd District General Hospital Ysbyty Glan Clwyd Rhyl Sir Ddinbych LL18 5UJ

Thank you for your letter to[ ...... ~~i-~-J~- ...... i of 16 August 1999 about the recent GMC elections.

Your letter is receiving attention and a reply will follow shortly.

Yours sincerely ...... C’-0"-d’-e ...... A ......

’78 Great Portland Street London WIN 6JE [ ...... -~-~-~...... GMC101049-0028

19 August1999

Code A GENE I~AL ...... Ag~6-d~ffSfi:fSi:iFfi157S-~-~-~is in Maternity Services 56 Lonsdale Road Oxford OX2 7EP COUNCIL ~ro~ec~Jn~q ~uidin~ doctors

Deari Code A i

,._.T...h_a_...n__k., you for sending a copy of your paper on Munchausen by Proxy to [ ...... L._C.2..d._e_._A._] I have taken the liberty of copying it to our Chief Executive and ha~-~-~i-~~-~1-~-~ ...... copy toi_~_~i#_~_~~_~_~] at home as he is away from London on a few days’ leave.

I know that they will both find this paper of interest. Code A

I78 Great P°l’tland Street L°nd°n WIN 6JEi ...... ~-6d~-,~- ...... GMC101049-0029

T/~e President Sir Donald Irvine CBE

19 August i[._9_9.9 A i College of Medicine Building GENE P~AL 16 College Road Singapore 169854 COUNCIL Protecting paiients, guiding doctors

The Performance of Doctors: the New Professionalism

Lres°PO-tief-6~i~--fii-~-~half’t~,~,~ as ~,o~,he is~or on ~’o~,r leave ~etter for o~a few ~O,~,~,~t days. ~ ,~ ~,e~ ,~e to He is delighted that you are interested in reproducing the article in the Singapore Medical Council Newsetter and, of COUrse, grants his permission for you to write to the Lancet.

We would be interested to have a copy of the relevant edition as and when it is published.

Yours sincerely ...... ~

Code A GMC101049-0030 GMC101049-0031

19 August1999 G E N E P~AL

School of Health and Related Research M~EDICAL Regent Court COUNCIL 30 Regent Street Protecting patients, Sheffield guiding doctors t $1 4DA

Dear i---(~-~i~-~--]

Please find enclosed [.T_T#I~._8_I~..I#£_T_-is alterations and corrections to the text you kindly sent us on 11 August.

We look forward to seeing a copy of the final document.

Best wishes

Yours sincerely GMC101049-0032 i

19 August 1999

GENE P~AL Royal College of General Practitioners M~EDICAL 14 Princes Gate Hyde Park COUNCIL London SW7 1PU Protecting patients, guiding doctors

Deari Code

Thank you for your phone call. I knowthati Code A iwill be delighted that-~8-(~-~-~,-i can join him on 14 September. ’ ...... ’ , ......

The plan is for the guests to have an hour long meeting starting at 6pm in the Common Room at 44 Hallam Street, and then dinner in the Small Dining room at 7.30pm.

Apart from i Code A ithe following_ wi.[!_._b._.e_._#_r._.e_._s._e._._n.;t_;_ ...... ~ ode A Please let me know if i-(~-~-~,] has any dietary preferences our chefs should be aware of...... Yo._ur~nce.r_.e_.[y ...... A ,

Great Portland Street London WIN 6JE ...... ~-6~6-~,t- ...... ] GMC101049-0033

The President Sir Donald Irvine CBE

19 August 1999 GENE I~AL M~EDICAL COUNCIL Protecting] patients, A ...... ~uidin~ doctors

Thank you for writing to i ’iiil..O.io_-.~i~iii~ion 13 August.[...... _C_...o.._d_...e..__.A.._._._.jis on leave for a few days so I have taken the liberty of copying your letter to our Registration Directorate and the Chief Executive.

You letter is receiving attention and a full reply will be sent in due course.

Yours sincerely ( ode A

~78 Great Portland Street London WIN 6JE [ Code A GMC101049-0034 GMC101049-0035

18 August1999

GENE P AL EDICAL Heath Park Cardiff COUNCIL CF14 4XN ¯ Prot~ctin£ patient& guiding doctors

D e a r !._.C_..°._d._.e_..A_.i

we’:spoke on the phone today regarding the meeting withi Code L ...... _c._..°._d_...e_.__A_ ...... i- so this letter is just by way of confirmation. I have ordered a sandwich lunch .f._o.r 1.3_0.0 in the sitting room of ii--~-~~l-~-~.--}s flat which is oni Code A ...... for lunch at 1300 enabling ! Code upstairs, and for him to go ~1ra~gn~r~[~a~c7‘-t-~F~fi6-fi~ffi~i?~fi1~.~-t~-~-58-~{~’~

I hope that these arrangements are satisfactory.

Yours sincerely Code A GMC101049-0036

18 August 1999 GENE P AL / EDICAL Code A COUNCIL Protecting patients, guiding doctors

. We spoke on the phone today regard!ng the meeting with[ ...... ~-~-~-~-~- ...... [_~.~_~e£~T£j- so this letter is just by way Of confirmation. ’ ......

I have ordered a sandwich lunch for 1300 in the sitting room of[ ..... ~~i-~-~,--!s flat which is on[ ...... -i~-~ ...... i ’ ......

As I explained,[.~.~.~.~.~.~.~._-C_-~.e.-.[~.-i,- ...... ihas been notified and the PCC session will break for lunch at 1300 enabling[21212121~i~£e_ii~21212121]to join you and [222~)~222] upstairs, and for him to go straight back to PCC when your meeting ends at 1400.

I hope that these arrangements are satisfactory.

Yours sincerely

Great Portland Street London WIN 6JE [ ...... ~8~~-~ ...... GMC101049-0037

Code A

18 August 1999 G ENE P AL

Wessex Regional Advisory Committee on Distinction Awards M EDICAL Southampton General Hospital COUNCIL Tremona Road Pro~ec~ing patients, Southampton guiding doctors SO9 4XY

Thank you for writing to [ Code A i about ACDA and Fitness to Practise Procedures. I am taking the liberty ofLf6iffb&-i’-~][i~~ a copy of your letter to our Fitness to Practise Directorate and to ...... -~-6-~1~-~ ...... i is on leave at present. i ......

I am sure that a full reply will be sent to you in due course.

Yours sincerely

I78 Great Portland Street London WIN 6JE i ...... Code GMC101049-0038

17 August1999 GE NE P~AL !v~EDICAL Royal Society of Chemistry COUNCIL Burlington House Protecting patients, Piccadilly guiding doctors London W1V OBN

Thank you for your letter to []]#~i~[e.-[_~-]] asking the GMC to nominate a Council Member to replace []]][_.-_~[d-~i~[[[[i on your Consultative Forum in October.

[[[[[~_.~i~2~[[[[[iis on annual leave at present so I have passed your letter on to the relevant Directorates and we will contact you just as soon as a decision has been made.

Yours sincerely

Code A

Great Portland Street London WIN 63E ] ...... "~-~’-,~- ...... ] - GMC101049-0039

Code A

17 August 1999 G E N E P~AL !v~EDICAL

Department of Health COUNCIL Richmond House Protectin~ patients, 79 Whitehall guiding doctors London SW1A 2NS

Supporting Implementation of Clinical Governance

Thank you for your letter about this important initiative. It is both welcome and timely. It should help us to establish the ethos and habits of quality improvement and quality assurance which should be at the heart of modern medical regulation at the level of clinical directorates and in primary care groups.

I hope to meetL ...... _C._..o._d_._.e_.__A._ ...... i when I visit Leicester in October.

We will watch this space with great interest!

With best wishes, GMC101049-0040

Memorandum To

From

Date Code A

Training for Members of FTP Committees

Thank you for your memorandum which I thought was excellent. May I make the following points and suggestions.

1) We should go ahead along the lines you propose. 2) Beyond the introductory training, we need to be thinking of continuing professional development, especially in things like ’sentencing excercises’ for PCC members. 3) We must think about the needs of chairmen who really need their own programme of professional development. 4) The screeners will also need their own programme of CPD. 5) Sometime soon, we need to talk about the preparation of legal assessors for our work. 6) Feedback for some of the lay performance assessors suggests more emphasis needed on cross-cultural/racial training. 7) I assume that the relevant arrangements for staff training are in place as part of their induction to the GMC and as part of their continuing professional development. GMC101049-0041

The President Sir Donald Irvine CBE

16 August1999

GENERAL Faculty of Medicine and Biological Sciences PO Box 138 EDICAL University Road COUNCIL Leicester LE1 9HN Protecting patients, guiding doctors

I am replying to your letter of 3 August about my visit to Leicester in October. I am looking forward to it.

I would be interested to discuss the following with you and your colleagues :-

¯ How you educate students and PRHO’s to be able to carry out the ’Duties of a Doctor;,’

¯ The teaching clinician as a role model of good medical practice;

¯ The assessment of attitudes to patients and colleagues;

¯ Quality improvement and quality assurance within clinical directorates with teaching responsibilities;

¯ The relationship between the medical school and the NHS, particularly around the emerging agenda of clinical governance and revalidation.

In respect of the last two points, it is important to involve the appropriate chairmen and chief executives of NHS Trusts and Boards if possible, together with non- executive directors.

._C_9..d_e__..A- ...... Your suggestion of meeting [ ...... iis an excellent one if it can be done, and I shall be visiting the Leicester Royal Infirmary on the afternoon of 8 October, the p..r.o_.gramme for which is already in hand through[ ...... ~-~i-~-~ ...... ’ ......

~78 Great Portland Street London W1N 6JE ~- ...... -~1~-~1~, ...... ’ GMC101049-0042

16 August1999 G E N E P~AL ~EDICAL Clinical Negligence Scheme for Trusts COUNCIL Howards House Protecting patients, Queens Avenue guiding doctors Bristol BS8 lSN

Deari Code A i

...... _C._..o.__d._.e..__A._...... j has asked me to write to thank you for sending him a copy of the Clinical Risks Management Standard document.

Although ii~i~#~.0_-i.a.~i~i~i] is actually away on leave, I send him his correspondence on a ragular basis so he has been able to read it and asked me to write on his behalf to thank you for taking the trouble to send him a copy.

Yours sincerely

Code A

-~8-~-~ ...... 178 Great Portland Street London WIN 6JE r, ...... GMC101049-0043

GENE P AL tV EDICAL 12 August 1999 COUNCIL Protecting7 patients, ~quidm~q doctors

Richmond House 79 Whitehall London SW1A 2NS

Thank you for your letter of 29 July 1999 about the duty of doctors employed by medical defence organisations to report poor practice.

The position is as follows: all doctors on our register are accountable to us for their actions; we set out the standards we expect of them in our booklet Good Medical Practice. This makes clear that all doctors have a duty to put the safety of patients first at all times. Where doctors have good reason to believe that a colleague’s health, conduct or performance is putting patients at risk they should take action appropriate to the nature, seriousness and urgency of the case. We tell them that:

’you must follow your employer’s procedures or tell an appropriate person from the employing authority, such as the director of public health, medical director, nursing director or chief executive, or a regulatory body.’ (Good Medical Practice, 1998)

This guidance applies to doctors who work in defence organisations.

We do not expect doctors always to report to us; they might find it helpful to report concerns locally since many problems can be dealt with quickly and effectively through local procedures and the defence organisations are well aware of these mechanisms. Nonetheless, problems must be reported to the GMC where, in order to safeguard patients, it is necessary to review a doctor’s registration. GMC101049-0044

It is important from the GMC’s point of view for doctors who find themselves in this position to have effective legal advice and support. We understand the difficulties faced by defence organisations in meeting their responsibilities to their clients and fulfilling their duties as registered medical practitioners. In order to discuss and explore these issues, we keep in regular touch with the leading medical defence organisations. Indeed, we will be sending them copies of this letter and the issue will no doubt be one of the matters discussed at our next meeting with them in early September.

Protecting patients, guiding doctors GMC101049-0045

13 August 1999 G E N E P AL EDICAL COUNCIL Protectin~ patients, BMA House ~uidin~ doctors Tavistock Square London WC1H 9JP

Revalidation of Junior Doctors

Thank you for your letter of 12 July 1999 informing us of the Junior Doctors Committee’s (JDC) three resolutions.

You will wish to know that on 27 July 1999 the Revalidation Steering Group formally approved the following recommendation:

Revalidation arrangements for doctors in training should be based as far as possible on existing arrangements for the monitoring, appraisal and assessment of such doctors.

The Group has asked the Education Committee to take work forward on revalidation arrangements for doctors in training.

I note the resolutions passed by the Junior Doctors Committee and am pleased that the GMC and the JDC are of one mind in our commitment to improve standards of medical practice.

With respect to the second resolution, I believe that Dr Jeremy Stern clarified the GMC’s position at the Junior Doctors Consultative Group meeting on 23 June 1999. There is no question of removal from the register by default. As [7~i_O.-i~i_e.-ii~-_2]explained, the only way in which a doctor could be removed from the register through administrative, rather than judicial, process (other than through failing to pay the annual retention fee or keeping the GMC informed of an up to date address) would be if they refused to participate in the revalidation process completely.

,78 Great Portlan(iStreet London W1N6JE[ ...... ~8~1~-~--~ ...... GMC101049-0046

As you point out, removing a doctor’s registration should be a last resort. Council has already agreed a six stage outline of revalidation which allows for action to be taken locally to improve the practice of a doctor about who.m there are concerns. This is in accordance with the GMC’s established guidance (Maintaining Good Medical Practice) and in line with the forthcoming arrangements for clinical governance. Clearly where a doctor’s practice seems to be falling below standard, every effort should be made locally to ensure that the doctor has the opportunity to make the necessary improvements. Only when such remedial action has been unsuccessful, or is impractical, would we expect a doctor to be referred to the GMC. Thereafter, no action will be taken on the registration of any doctor until the doctor had been subject to one of the GMC’s existing fitness to practise procedures. This is in accordance with Council’s decision on 10 February 1999 that:

The GMC’s fitness to practise procedures provide a sufficient mechaoism for the review of a doctor’s registration on the grounds of serious dysfunction, and any consequent action in relation to a doctor’s registration.

On the question of funding for junior doctors, as you know, this is not a matter over which the GMC has any control. However, we have made it clear that revalidation must be adequately resourced, and will continue to make this clear to those responsible for doctors’ training.

You also mention the issue of revalidation arrangements for doctors who wish to return to the profession after a career break. As you will have seen from the draft report on Categories of Doctors on the Register, we have already identified that this group of doctors will provide some challenge in terms of developing revalidation proposals. The GMC does not want to discourage doctors from returning to active medical practice, but this must be married with the public expectation that all doctors on the register are up to date and fit to practise.

Further to[iiiiiiiiiiiiii~.-_0.-i~-_.-_A.-iiiiiiiiiiiiiljs letter to you of 24 June 1999, I would be very happy to talk to members of the Junior Doctors Committee or, alternatively, we could draft an article on revalidation for JDC members. In the light of the Revalidation Steering Group’s recent decision, I feel that this would go a long way to dispelling some of the popular misconceptions about the purposes - and development - of revalidation.

I look forward to hearing from you.

Code A i

Protectin~ ~dtients, o~uidin~ ~]octors GMC101049-0047

Code A

11 August 1999 G E N E P~AL M~EDICAL Royal College of Physicians 11 St Andrews Place COUNCIL Regents Park Protecting patients, London NWl 4LE guiding doctors

Deari ...... _C._£._d._e._._A._ ......

Thank you for writing to i--(~-~i~-~--i and for letting him know about your ’Physicians as Educators’ program~6-1--~i:flffei~-~h i[._._C_9_d_.e_..A_._._.i is away at present he has seen your letter and asked me to write to thank you for the information.

I am sure you are already aware of your opposite number here at the GMC - Miss i££.i.i~_i~.~.i.~£.i.i£] to whom l am forwarding a copy of your letter and the information lest she has not seen it - I am sure she will be interested in a place at one of the workshops.

Yours sincerely Code A

Great Portland Street London W IN6JE [ ...... "~8~i~’-~- ...... GMC101049-0048

11 August 1999 G E N E P~AL M~EDICAL COUNCIL Manchester Royal Infirmary Protecting patients, Oxford Road guiding doctors Manchester M13 9WL

Dear [_._.__C...o.._d_..e._ _A_._._.j

Thank you for your letter to [[email protected]]_~717jregarding the omission of your personal details from the Members’ Handbook.

As]--~-~e-~,--] is away from London at present, and I note that you have already copied the letter to both i Code A ii have sent a note suggesting that one or other could write to you with an explanation.

I trust that this will be a satisfactory arrangement.

Yours sincerely Code A

~78 Great Portland Street London W1N 6JE . GMC101049-0049

10 August1999 GENEP~AL ~V~EDICAL

Princes Road COUNCIL Bangor Protecting patients, Gwynedd guiding doctors LL57 2BD

Dear Code A

.... _T_._h._.a_._n._..k._~ou for your letter of 7 August. Because of the nature of your letter iL~;~] L..C__o_d_.e._._A_.jis unable to reply to you personally, and I have forwarded it on to the Fitness to Practice Division for their attention.

I hope that you will receive a satisfactory reply to your queries in due course.

Yours sincerely

Code A GMC101049-0050 GMC101049-0051

10 August 1999

GENE I~AL

...... A-~5~[~{[~--~j~-~-I~l:~-~-~~-~)f Gt Britain and Ireland !V[EDICAL 35-43 Lincoln’s Inn Fields London WC2A 3PN COUNCIL Protectin~ patients, t~uidin~ doctors

DeariCode A i

Thank you for sending [’-’-(~-~’l~]-~’-~-’-’]your confidential report ’Consultant Workload’ which arrived in the offi(~-~-~~,-.--

~l " l 1~ ~1~ ~ " ~ " l " i S away at present so I am writing on his behalf to thank you for taking the rouble to send him a copy of the findings of this important enquiry.

Yours sincerely

Code A GMC101049-0052

Code A From !

Date i 0t08/99

Copy

mmond letter, I have now come across two further examples suggestin problem that I would like you look into,. The latest cases come from the Standards and Education Directorate,

...... _..C__°._d...e__..A_ ...... jwrote to me on 28 June,i.~]j-~-~:] acknowledged the letter on the day ~i: arrived in this office - 30 June - and then traceformed iJ: ~.u tr~ Standards and Education ,-lyon] which there has been no response,i ...... _C_..0__d_..e_.A_ ...... iwrote again on 2 August, Sally cepied the original traceform to me, to ii~i~_i]a,’~ a reminder, and to you. We are still awaiting a draft reply,

sl~e wrote to me following that on 13 May, Her let[er was rece°ved here on 14 May to d cat on ::::::::::::::::::::::::::::::::::::: prompted us to say ~hat she has to date received no reply, I gatt~er st~e was understandably upset.

Yesterday I received a draft reply from [ ...... ~~-~1~-~ ...... ](attached) in which there is an inadequate apology, i wot,~ld draw y6-Li~:-~t~6P;fi55-~;5 para 4 of her memorandum which I find breathtaking in its dismissal of the ¢~roblem, There is no hint of any understanding of the unacceptability of this kind of delay,

When you are back from your holiday we need to discuss how you propose that the Council can be assured [hat in future alf correspondence coming in to the GMC is answered promptly, that there is a sys[em of monitoring which enables the organisation to know, on a continuing basis, thai operational standards are being observed in practice, and that breaches a~~. automatically made known to the most senior levels of management. GMC101049-0053 GMC101049-0054

Memorandum To

From Code A Date

Copy

, mm~mm~mm~m~m~mm~mm~m~mm~mm~mm ~ Correspondence

~lgm~l~m~ ...... ( has expressed concern at the delays in providing draft replies for Presidential correspondence.

2. We had already identified the need to act on our collective failure to meet, consistently, the target dates for replies; and I know you have already begun to address the issue within your Directorates. I think it would be helpful if we could arrange to get together before the (~ii~-_o.-.~-_e.-ii~-iils return to discuss the steps that need to be taken. That will enable me, in turn, to discuss the situation with the i..-.~-_C.-~i

3. Taking a cue from [~;~-~-~S recent observations on compliance with corporate policies more generally, we should not be shy of identifying all relevant factors which impede the provision of the standard of service which the expects.

Code A GMC101049-0055

Memorandum To From Code A

Date 10 August 1999

Correspondence: Delays

1. Thank you for your memo of 10 August 1999 about further examples of delays in providing you with draft replies to correspondence. Naturally, the Directors and I regret that we are not delivering the service you expect.

2. I look forward to our discussion~which I hope will be wide ranging. I believe that the situation is more complex than it might first seem. We have a hard working, dedicated, loyal workforce. And yet we are behind on every front; and we risk creating the impression that the only reward for working long and hard is to be asked to work longer and harder. What are perceived to be conflicting, and changing, priorities do not help.

3. I too believe that we may face a chronic problem - but, in my view, it is not confined to how the office handles your correspondence.

i Code A GMC101049-0056

10 August 1999 Code A GENEI~AL 1 Wyvil Court !~EDICAL Wyvil Road COUNCIL London SW8 2TG Protectin~ patients, ~uidJng doctors

Oeari Code A

Thank you so much for sending _.. _c_..o.d_._e_.. _A._j a copy of POPAN’s Annual Report and your presentation material from the recently held meeting here at the GMC,

L._...C_o_.d__e_..A._._.i has taken it home as he is away from the office for a couple of weeks and he asked me to write on his behalf to express his thanks for taking the trouble to send us the papers,

Yours sincerely

Code A

’78 Great Portland Street London WIN 6JE ! ...... -(~-~~1-~-~...... ] GMC101049-0057

...... _0de_._A ......

In reply please quote SE/2552

GENEP AL M EDICAL COUNCIL 10 August 1999 Protecting] pdtient~, guiding doctors

Code Ai

NHS Direct

Thank you for your letter of 13 May 1999 following up our conversation during the BMA Council meeting about GPs and the NHS Direct service. I am sorry that you did not receive an earlier reply. The delay in answering your letter is unforgivable and I apologise.

It was useful to see the copies of your local medical committee’s article and the advice from the BMA’s General Practice Committee. I note their comments on the legal considerations for doctors who wish to promote NHS Direct to their patients or intend to use NHS Direct as an out-of hours support service. However, you were concerned to explore what ethical considerations might arise and these are discussed below.

As I understand it, there are three possible ways in which GPS may wish to make use of NHS Direct. They might simply inform patients about its availability; or recommend that patients use NHS Direct as an alternative advice service; or use NHS Direct themselves to provide part of their out-of-hours support to patients. Additionally some GPs may be directly involved in providing a local NHS Direct service.

In general, when considering whether to make use of a particular healthcare service or to recommend it to patients, its doctors’ responsibility to decide whether this would be in their patients’ best interests.

r78 Great Portland Street London WIN 6JE [ ...... Code A GMC101049-0058

An important consideration would be whether the doctors or other practitioners providing the service would be able to provide safe, effective care for patients. Doctors who were delegating care to another service, or making arrangements for them to provide out-of-hours cover, would have an additional responsibility to ensure that there were effective arrangements for communication about the patient and any treatment or other care provided. The doctor would retain overall responsibility for the patients care. In any case where a doctor had a financial interest in a particular service, he or she would have to ensure that patients were aware of this, and that it did not affect his or her judgement in making recommendations or referring patients for treatment or care. These are the principles which underly the advice we give in Good Medical Practice about arranging cover (see paragraphs 34-35); delegation and referral (see paragraphs 39-41); and about avoiding conflicts of interest (paragraphs 49-52).

Where doctors wish only to make patients aware of the availability of other services, it would be important that any information provided was factual and objective, and presented in a way that avoided putting patients under pressure to use the service. This is similar to the principles that underly the advice in Good Medical Practice on providing information about a doctor’s own services (see paragraphs 44-47).

You will see that the issues outlined above are not inconsistent with the advice in the GPC statement.

I hope that this is of help in considering how best to take forward your concerns about GPs use of NHS Direct. If you have any additional points which you would like to raise, by all means get in touch.

1)rotectin~ patients, guiding doctors GMC101049-0059 GMC101049-0060

Code A

9 August 1999 G E N E P AL M EDICAL Academy of Medical Royal Colleges COUNCIL 1 Wimpole Street ~rotectin~ p~ti¢nts, London ~ui~]in~ ~]octors Wl M 8EA

[Code Ai

Many thanks to you and your colleagues for coming to the first of our Standing Group meetings on 20 July 1999.

I and my colleagues found the meeting extremely helpful in mapping out how to take forward our various initiatives. We recognise of course that there are uncertainties about the precise roles of all our organisations in what is a highly complex project.

I enclose a draft note of the meeting (which I am copying with this letter to your Academy colleagues) and should be most grateful for any comments which you and your colleagues may have before we finalise it.

We are most grateful for the help which you and your office are already giving us in our work, and we are particularly anxious to ensure that we have good working relationships with the Academy, colleges and specialist associations between ¯ meeting_.s_,_._s._.o_._.t_._h._.a_.t_._we can all keep abreast of developments. I know that _.C_._£._d._.e_._.A_._ ...... ispoke to you briefly after the meeting about links with the Academy groups looking at revalidation. He and his team would welcome regular contact with representatives of those groups, if that would be acceptable to the Academy. Perhaps you would let me know what you would see as the best way of taking that forward.

’Code A GMC101049-0061

9 August 1999 GENEP AL M EDICAL Specialist Training Authority 1 Wimpole Street COUNCIL London Protecting patients, W1 M 8AE guiding doctors

Code A

Many thanks for coming to the first of our Standing Group meetings on 20 July 1999.

I enclose a draft note of the meeting and should be most grateful for any comments which you may have before we finalise it.

Code A

’78 Great Portland Street London W1N 6JE ...... ~-88~-~ ...... GMC101049-0062

9 August 1999 GENE P AL M EDICAL JCPTGP Royal College of General Practitioners COUNCIL 14 Princes Gate Protecting patients, London SW7 1PU guiding doctors

*~,~ CodeAi

Many thanks for coming to the first of our Standing Group meetings on 20 July 1999.

I enclose a draft note of the meetinq and should be most grateful for any comments which you may have before we finalise it. GMC101049-0063

9 August 1999 GENE P AL M EDICAL COUNCIL Protecting patients, Code A guiding doctors

Code A i i ...... As I said when we spoke, I liked your paper, but I have one small and one large suggestion.

I will deal with the small suggestion first.

On page 16 - in the last line - you refer to the Bristol Inquiry as lasting for over 65 days. To be exact the Committee sat for 74 days.

Secondly, there is one major omission that I hope you will find space to include. Following the Bristol Case we set about establishing revalidation which is, I think, the most significant change to medical regulation this half century. Already substantial progress has been made, taking revalidation forward and seeing how it can be aligned with cinical governance.

I enclose a copy of a Lancet paper I wrote this year and a GMC paper which refers to Council decisions made in February and May this year and included as Minutes of Council - both of which I think you may find useful.

Thank you again for sending me a copy of your paper.

Great Portland Street London W1N 6JEi’ ...... -~-6~-~-~...... ] GMC101049-0064

Code A

9 August 1999 GE NE P~AL M~EDICAL COUNCIL Protecting patients, guiding doctors

’ Dear "¯ ...... Code A i Thank you for your letter addressed to [---~-~~--J~---i. l am afraid that i--~~--~-] is away from the office at present. ~ ......

Because of the nature of your letter, I am forwarding it and its accompanying enclosures to our Registration Directorate, and I know that you will hear from them in due course.

Yours sincerely Code A GMC101049-0065

9 August1999

GENEP~AL 9 Queen Street MfDICAL Edinburgh EH2 1JQ COUNCIL Protectin~ patients, ~uidin~ doctors

Thank you for your letter to[--~-~i-~-~-]with information about accommodation for the 27th and 28th October at th{~L-G&-S?~-~}-l::i~}tel.

I confirm that [--~-~i~-~-]will be with you on these dates and that he definitely requires this rSb-~6-f6i"-{~(~se dates.

Thank you also for the information on payment.

Yours sincerely Code A GMC101049-0066

9 August 1999 G ENE P~AL Code A tv~EDICAL Royal College of Surgeons of England COUNCIL 35-43 Lincoln’s Inn Fields Prot~ctin~ p~tients, London WC2A 3PN guiding doctors

Revalidation ¯ The Colleges and the GMC

...... c__0.d_e__.A...... ihas asked me to arrange a meeting on the subject of Revalidation with Presidents of Colleges. I have been requested to see if it were possible to arrange a luncheon or a dinner before mid September and I have managed to identify two dates which are as follows ¯

12.30 - 15.00 Luncheon Wednesday 1 September or 19.00 - 22.00 Dinner Tuesday 14 September

I would be gratefu!._!.f.__y...o__u_r ~ice~..c--~.-.u-~.d-.-~.c..~-~-n..t..a--c..t.--m-..e.-~--w.-!.t.-h-~..y-~-.-.u-.r-~-p-..r..e.-~:-.e-~r--e.-~ces~

~urs sinc~r.ebz ,[ ...... CodeA iJ

Code A

Great Portland Street London WIN 6JE [ ...... ~8-d~’-’~!~- ...... GMC101049-0067

9 August 1999

14 Princes Gate GENE I AL London SW7 1PU J EDICAL COUNCIL D ea r V-~-~i~-~--i ProtectJn~ patients, ~uJdJn~ doctors Revalidation ¯ The Colleges and the GMC

[7;7;i~;~-~71~;7;7;1 has asked me to arrange a meeting on the subject of Revalidation with the Presidents of Colleges. I have been requested to see if it were possible to arrange a luncheon or a dinner before mid September and I have managed to identify two dates which are as follows ¯

12.30- 15.00 Luncheon Wednesday 1 September or 19.00 - 22.00 Dinner Tuesday 14 September

I would be grateful if you could either fax, phone or e-mail me with r ...... 7, preferences. ,~ ...... Code A ~ S Code A I look forward to hearing from you.

Code A GMC101049-0068

9 August 1999

GE NE PkAL Code A M~EDICAL COUNCIL Protecting p~ti~nts, Dear [.~~e_T~.] ~ui~in~ ~octors

Revalidation ¯ The Colleges and the GMC

L.__C._0._d__e_._A_._.j has asked me to arrange a meeting on the subject of Revalidation with the Presidents of Colleges. I have been requested to see if it were possible to arrange a luncheon or a dinner before mid September and I have managed to identify two dates which are as follows ¯

12.30 - 15.00 Luncheon Wednesday 1 September or 19.00 - 22.00 Dinner Tuesday 14 September I would be grateful if you could let me know your preferences.

I look forward to hearing from you.

Code A

Great Portland Street London WIN 6./E i ...... -(~-6~1-~-~ ...... ] GMC101049-0069

9 August 1999

GENEP~AL Royal College of Physicians of Edinburgh 9 Queen St N~EDICAL Edinburgh EH2 1JQ COUNCIL Protecting patients, guiding doctors

Revalidation ¯ The Colleges and the GMC

[_._...C_.£..d._e_._.A.._._.i has asked me to arrange a further meeting on the subject of Revalidation with the Presidents of Colleges. I have been requested to see if it were possible to arrange a luncheon or a dinner before mid September and I have managed to identify two dates which are as follows ¯

12.30 - 15.00 Luncheon Wednesday 1 September or 19.00 - 22.00 Dinner Tuesday 14 September

I would be grateful if you could contact me with your preferences. £.0..d_.e A I look forward to hearing from you.

Code A

Great Portland Street London WIN 6JE GMC101049-0070

9 August 1999 G E N E P~AL ~V~EDICAL Royal College of Surgeons of England COUNCIL 35-43 Lincoln’s Inn Fields Protectin~ patients, London WC2A 3PN tTuidin~ doctors

Revalidation ¯ The Colleges and the GMC

[_._._.C_._o_._d._.e_._._.A.._._ihas asked me to arrange a meeting on the subject of Revalidation with Presidents of Colleges. I have been requested to see if it were possible to arrange a luncheon or a dinner before mid September and I have managed to identify two dates which are as follows ¯

12.30 - 15.00 Luncheon Wednesday 1 September or 19.00 - 22.00 Dinner Tuesday 14 September

I would be grateful if your office could contact me your preferences.

Code A GMC101049-0071

9 August 1999 Code A 2 Carlton House Terrace GE NE PkAL London SW1Y 5AF !VkEDICAL

Dear Code A. COUNCIL i...... J l~rotectin~ patient~, Revalidation ¯ The Colleges and the GMC ~uic[in~] cloctorx

._._c_._.0.__d_..e.__.A..._. has asked me to arrange a further meeting on the subject of Revalidation - but this time with Presidents of Colleges. I have been requested to see if it were possible to arrange a luncheon or a dinner before mid September and I have managed to identify two dates which are as follows ¯

12.30 - 15.00 Luncheon Wednesday 1 September or 19.00 - 22.00 Dinner Tuesday 14 September

I would be grateful if you could either fax, phone or e-mail me with [~-(~-(~-~-~-i --"~-~-~l~-J~--~ preferences. , ...... :

I look forward to hearing from you.

Code A

Great Portland Street London WIN 6JE ...... ~-6~~-~ ...... GMC101049-0072

9 August 1999

Roya Co lege of Anaesthet~st-~ G E N E P~AL 48-49 Russell Square !VtEDICAL London WClB 4JY COUNCIL

guiding doctors Revalidation ¯ T~e Golle~es an~ t~e ~ ~--~-~~-~-~--~ ~ms ms~e~ me to mrrmm~e m meet~m~ om t~e subject of Re~l~t~o~ wit~ ’{fi-~-~-~-~nts of Colleges. I have been requested to see if it were possible to arrange a luncheon or a dinner before mid September and I have managed to identify ~o dates which are as follows ¯

12.30 - 15.00 Luncheon Wednesday 1 September or 19.00 - 22.00 Dinner Tuesday 14 September

I would be grateful if you could contact with your preferences.

I look forward to hearing from you.

Code A

U8 Great Portland Street London WIN 6JE i ...... ~’8~-~-~ ...... GMC101049-0073

9 August 1999 GENEP~AL M~EDICAL COUNCIL Protectin~ patients, guiding doctors

Deari ...... ~8~i~X ......

London for the rest of August so I have passed your letter on to our Fitness to Practice Directorate.

I am sure that you will hear from them in due course.

Yours sincerely

Code A GMC101049-0074

Code A

9 August 1999 GENEP AL M EDICAL .... ~uyaruune-g~-5l~-S’Oi’~ eo n s 5f-Englan~l COUNCIL 35-43 Lincoln’s Inn Fields Protecting patients, London WC2A 3PN guiding doctors

Thank you for your letter to i Code A iof 6 August on your Revalidation Pilot Schemes. ’ ...... ’

::::::::::::::::::::::::: away from the office on leave at p[_.e_..s_e_..n..L__s.o_J_am_takJ.u_o_tba.Jiha.d_~Lef sending your letter to i ...... Code A i D irecto rate wh o I a m ~s~re-wrlr-rep-lytis-po-iJi’-~-(j~-i~Tf-8-L~6-~6ij-~~-i ...... ’

Yours sincerely

Code A

Great Portland Street London W1N 6JE ...... ~Sd-~-’-~ ...... GMC101049-0075

6 August 1999 G E N E P~AL Code A N~EDICAL NHS Department of Health COUNCIL Quarry House Protecting patients, Quarry Hill guiding doctors Leeds LS2 7UE

Thank you for your letter. I too would value a meeting to discuss clinical governance and confidentiality.

I welcome this opportunity - perhaps your office would like to contact !~;~-~-~i Hennessy, my PA who will try to find a suitable date in October.

Code A

’78 Great Portland Street London W1N 6JE i- ...... ~ 8l~l~l ll~ ...... GMC101049-0076

6 August 1999 G E N E P~AL k~EDICAL Code A COUNCIL Effective Practice Programme Pro~ec~in£ Kings Fund ~uictin~ doctors 11-13 Cavendish Sq London W1M OAN

Thank you for sending me a copy of ’Clinical Governance under Construction - Problems of Design and Difficulties in Practice’

It is an excellent paper and, having read it, l am passing it on to ...... ~-~)-~i-~--~,~ ...... I am grateful to you for taking the trouble to send it to me.

t78 Great t)ortlal](] StrecE l~ondon WIN 6JI~ [ ...... -~~--~£ ...... ] GMC101049-0077

6 August 1999 G ENE P AL N EDICAL Clacton and District Hospital COUNCIL Clacton on Sea Protecting patients, Essex guiding doctors CO15 1LH

Dear iCode A]

[2222211@~~1~_i~#~22222] has asked me to try to arrange a meeting in September in order to discuss various items in connection with the Health Committee.

Having checked diaries for availability I have come up with September 20th from 12 noon until 2pm and I wonder whether you would be free to attend at that time.

I will arrange for a sandwich lunch to be served during the meeting.

I am writing in similar terms to i ...... ~8~]-~;-~,- ...... ; n the hope that he too can be there. Perhaps you could either .p_hon~_, Code A .... )r E-mail me -.;to let me know of your availability. [ Code A !~~6~d~~~i~i~[~’a so attend. " ......

Yours sincerely Code A

~78 Great Portland Street London WiN 6JE ~- ...... Code GMC101049-0078

6 August 1999 GENEP AL MEDICAL Code A ’ COUNCIL Royal Hallamshire Hospital Protecting patients, Glossop Road guiding doctors Sheffield Sl0 2JF

Dear[ ...... 1~-~i~-2~ ...... ] i£~i~i~i~i~i~i~C_-i~-~e_-i~i~i~i~i~i~i~iihas asked me to try to arrange a meeting in September in order to discuss various items in connection with the Health Committee.

Having checked diaries for availability I have come up with September 20th from 12 noon until 2pm and I wonder whether you would be free to attend at that time.

I will arrange for a sandwich lunch to be served during the meeting.

I am writing in similar terms to [ Code A i in the hop..e that she too can be there. PerhaLq..s you could either .p_honei Code A ior E-mail me i~~~~~2~CodeA i ...... to let me i4r~6~-df your availability, i ...... C_._o_..d..e_._.A.._ ...... ~Will also attend.

I78 Great Portland Street London WIN 6JE i ...... ~T~}-I~I’~-’~,- ...... ] GMC101049-0079

Code A

6 August 1999 G E N E P~AL M~EDICAL The Nuffield Trust COUNCIL 59 New Cavendish Street Protecting patients, London W1M 7RD guiding doctors 2.

Thank you for inviting me to the seminar on 29 September when Code A iand [i~i~i~i~.0_-i~.e_-i~i~i~i~i] will be speaking on aspects of Australian Healthcar~-P-6[i~: ......

As you know I would very much have liked to attend this event, but it falls on a date when I am away on a few days’ leave.

regret I will be unable to join you.

,78 Great Portland Street London WIN 6JE i ...... i~Si]i-~’-~ ...... GMC101049-0080

GENE P AL 5 August 1999 DICAL Code A COUNCIL Protecting patients, University of London guiding doctors Senate House Malet Street London WC1E 7HU

Code A

meeting with medical students "18 November 1999

The next meeting will take place on 18 November 1999, starting at 10.30. The morning session will be an open forum so students can talk to me about our profession, especially their education. A sandwich lunch will be provided. As the Professional Conduct Committee is due to sit on that day, students will have the opportunity to see a conduct hearing in progress, provided that the Committee is not "in camera".

I am writing to invite two students from your medical school to the meeting. Students from any year of the course are very welcome. Please could you suggest two suitable students and provide their names and addresses. We will then contact them directly. We will reimburse students for their travel expenses but would expect them to take advantage of any concessionary fares available.

,78 Great Portland Street London WIN 6JE [ ...... -~-~d-~--~ ...... GMC101049-0081

My research assistant.j Code .A_...... i is co-ordinating the day. Please telephone him on i Code A iif you would like to discuss the arrangements furt’fi~-i:i--i-]55k-:~3-r~~}d to hearing from you.

Protecting patients, guiding doctors GMC101049-0082

G ENE I AL 6 August 1999 M EDICAL COUNCIL Protecting patients, Royal College of General Practitioners guiding doctors 14 Princes Gate London SW7 1PU

Revalidation

Further to i ...... Code A bf 16 July and my subsequent phone calls, I can now confirm that the Revalidation meeting will take place on October 13th at 2.00pm (prior to the Meeting of the Top Ten) at the BMA.

I will, of course be in touch with ::::::::::::::::::::::::::::::::::::::::::::: the BMA to finalise arrangements and will let you know agenda details nearer the time.

Thank you for your patience in this matter!

Yours sincerely

Code A

,78 Great Portland Street London WIN 6JE ...... ~~-~i~-~- ...... ’ GMC101049-0083

G ENE P AL 6 August 1999 /v EDICAL COUNCIL Code A Protecting7 patients, British Medical Association ~Tuidin~7 doctors BMA House Tavistock Square London WC1H 9JP

Revalidation

Further to iiiii~-_d.-i~il-_A.-_il]s letter to [_~_~.i_-~i~_~_~_~_~.i~bf 16 July and my subsequent phone calls, I can now confirm that the Revalidation meeting will take place on October 13th at 2.00pm (prior to the Meeting of the Top Ten) at the BMA.

I will, of course be in touch with i ...... ~-~~-~,- ...... ]at the BMA to finalise arrangements and will let you know agenda details nearer the time.

Thank you for your patience in this matter!

Yours sincerely Code A

Distribution List

I78 Great Portland Street London WIN 6JE [ ...... Code A GMC101049-0084

GENE P AL 6 August 1999 M EDICAL COUNCIL Protecting patients, British Medical Association guiding doctors BMA House Tavistock Square London WC1H 9JP

D e a r [_.C_..£d__e__A_.i

Revalidation

Further to i_.. _C_..o..d_._.e_.. _A_._i’s letter to ii~i~i~_ii~i~i~iof 16 July and my subsequent phone calls, I can now confirm that the Revalidation meeting will take place on October 13th at 2.00pm (prior to the Meeting of the Top Ten) at the BMA.

I wilil of course be in touch with i ...... ~-~~-~ ...... iat the BMA to finalise arrangements and will let you k~~5~g-&-~6-i~~f~-~-6t&il~-Piearer the time.

Thank you for your patience in this matter!

Yours sincerely

Code A GMC101049-0085

GE NE P AL 6 August 1999 EDICAL COUNCIL Protecting patients, British Medical Association guidin9 doctors BMA House Tavistock Square London WC1H 9JP

Dear 4_ _C._£..d._e_....A_i

Revalidation

Further to i£11~6_~i~il-_A.-_il]’s letter to L._...C.._o_..d.__e_...A._._.i of 16 July and my subsequent phone calls, I can now confirm that the Revalidation meeting will take place on October 13th at 2.00pm (prior to the Meeting of the Top Ten) at the BMA.

I wili, Of course be in touch with ii~i~i~i~i~i~i~i~_-..8._-a_-i~i~i~i~i~i~i~i~i~i~i at the BMA to finalise arrangements and will let you know agenda details nearer the time.

Thank you for your patience in this matter!

Code A

~78 Great Portland Street London WIN 6JE [ ...... Code GMC101049-0086

GENERAL 6 August 1999 MEDICAL COUNCIL Protecting patients, Royal College of Pathologists guiding doctors 2 Carlton House Terrace London SW1Y 5AF

Revalidation

Further to [212~i~_i~ii~21]s letter to iT~~~~~~~~.~.~T~T~~~~~~i of 16 July and my subsequent phone calls, I can now confirm that the Revalidation meeting will take place on October 13th at 2.00pm (prior to the Meeting of the Top Ten) at the BMA.

I will, of course be in touch with i£££££££.T~£@i~£~£££££££iat the BMA to finalise arrangements and will let you know agenda details nearer the time.

Thank you for your patience in this matter!

._._.Y_._Q_.U_.~_.s_._BjJ&~ ej~/_~! ...... ~ i Code A

I~8 Great Portland Street London WIN 6JE L ...... £..o_~__e___A_ ...... GMC101049-0087

August 1999 GENE P~AL ~EDICAL The Department of Postgraduate Medical and Dental Education COUNCIL The Triangle Pro~eccing patients, Roosevelt Drive guiding doctors Headington Oxford OX3 7XP

’~,.,~ Code A

Thank you for your letter of 29 July and for bringing to my attention the case of this particular doctor.

I feel that is essential that the GMC looks at such cases when they come to light. In most cases I am sure that this will be only to eliminate the possibility of seriously deficient performance. However, I am also certain that there will be those which we will need to take forward.

With this in mind, could I ask you to send the documents concerning the doctor to Mr ...... GMC101049-0088

6 August 1999 GENE P~AL M~EDICAL ode A COUNCIL Royal College of Opthalmologists Protecting patients, guiding doctors 17 Cornwall Terrace London NW1 4QW

Dear i ...... Code

Thank you for your letter to ::::::::::::::::::::::::::::::::::::::: 30 July which arrived today. It is receiving attention and I hope that you will receive a full reply in due course.

Yours sincerely Code A

I78 Great Portland Street London WIN 6JE i ...... Code A ] GMC101049-0089

5 August 1999 G E N E PkAL M EDICAL COUNCIL

University of Birmingham Prot~ctin~ pdtf~nts, Medical School guiding doctors Edgbaston Birmingham B15 2TT

President’s meeting with medical students ¯ 18 November 1999

In recent years t have been holding informal meetings with medical students, in which selected students from different medical schools are invited to spend a day at the GMC. The students are given the opportunity to talk about the profession of medicine they are joining, to learn about the work of the GMC in regulating medical practice and to meet some of its members and see parts of the GMC in action. In the past, students have said that they enjoy the visit and have found it beneficial.

I am writing to invite two students from your medical schuol to the meeting. Students from any year of the course are very welcome. Please could you suggest two suitable students and provide their names and addresses. We will then contact them directly. We will reimburse students for their travel expenses but would expect them to take advantage of any concessionary fares available. GMC101049-0090

My research assistant, L ...... C._o_._d._.e_._._A._ ...... j is co-ordinating the day. Please telephone him on i~#i_o.-~_e.-~iif you would like to discuss the arrangements further. I look forward to hearing from you.

Code A

Protecting patients, guiding doctors GMC101049-0091

GENE P AL 5 August 1999 M EDICAL COUNCIL Protecting patients, University of Cambridge guiding doctors Clinical School Addenbrooke’s Hospital Cambridge CB2 2SP

President’s meeting with medical students ¯ 18 November 1999

’78 Great Portland Street London WIN 6JE [ ...... -~-6"~1-~-~ ...... ] GMC101049-0092

i ...... ~-S~i;~-~ ...... L My research a ss~stant,," ...... ~...~ co-ordinating the day. Please telephone him on i~i~i~i~i~i~i~[~;.~~i~i~i~i~i~i~iif you would like to discuss the arrangements further. I look forward to hearing from you.

Protecting] patients, ~]uidin~ doctors GMC101049-0093

Code A

GENE P AL 5 August 1999 M EDICAL Code A COUNCIL Pro~ectin£ patient~, School of Medicine MAILPOINT 802 ~uicling ctoc:ors Southampton General Hospital Level C, South (Academic) Block Southampton

Code A

meeting with medical students "18 November 1999

,78 Great Portland Street LondonWIN6JE[ ...... GMC101049-0094

My research assist...a._n_~:..~i~i~i~i~i~i~-.~i~i~ ...... Tiis co-ordinating the day. telephone him on i Code A if you would like to discuss the Please arrangements furtl-i~-i’-.--1-16-6l~-f6r~i-d to hearing from you.

’Code A’

Protecting patients, guiding doctors GMC101049-0095

Code A

G ENE P AL 5 August 1999 M EDICAL COUNCIL Protectin{c7 patients,

University of Wales College of Medicine {cTuiding doctors Heath Park Cardiff CF4 4XN

Code A

[._._C_._.o_._d_.e_..A_._._.is meeting with medical students ¯ 18 November 1999

I78 Great Portland Street London WIN 6JE [ ...... Code A GMC101049-0096

My research assis!..a__n._t.,i_ ...... C__o._d_._e_.~ ...... iiis co-ordinating the day. Please telephone him on [ ...... _C_._o...d_._e._...A__ ...... if you would like to discuss the arrangements further. I look forward to hearing from you.

Code A

Protecting patients, guiding doctors GMC101049-0097

Code A

GENEP AL 5 August 1999 M EDICAL COUNCIL ...... Cod- - ...... A Protecting patients, Medical School guiding doctors University of Sheffield Beech Hill Road Sheffield $10 2TN

i_._._.c_...o_._d_.e..__A_._._.is meeting with medical students ¯ 18 November 1999

’78 Great Portland Street London WIN 6JE GMC101049-0098

My research assistant, i ...... -~-~~l-~-J~ ...... iis co-ordinating the day. Please telephone him on i ...... C,._.o_..d._e_._..A._ ...... i if you would like to discuss the arrangements further. I look forward to hearing from you.

Code A’

Protecting patients, guiding doctors GMC101049-0099

G E N E P AL 5 August 1999 M EDICAL COUNCIL Pro~ec~ing patients, University of Dundee guiding doctors Medical School Ninewells Hospital Dundee DD1 9SY

Code A i ...... _.C_._o._d_.e_._A_ ...... ~S meeting with medical students ¯ 18 November 1999

Great Portland Street London WIN 6JE’ ...... -~-6~1-~-~ ...... ] GMC101049-0100

My research assistant, i.[.[.[.[.[.[.~.-.e_-~[~[.[.[.[.[.~i is co-ordinating the day. Please telephone him on i.[_~_~.~.~_~_~.S_~a_~e~.~_~.~.~_~_~.~.i if you would like to discuss the arrangements further. I look forward to hearing from you.

t)rotecting patients, guiding doctors GMC101049-0101

GE NEP AL M EDICAL 5 August 1999 COUNC IL ¯ Pro~ec~ing patients, guiding doctors Faculty of Medicine University of Liverpool Duncan Building Prescot Street L69 3BX

i--~~--~-is meeting with medical students ¯ 18 November 1999

’78 Great Portland Street London W1N 6JE ...... -~-6~l-~-~i~ ...... GMC101049-0102

My research assistanti~ ...... ~-~i~-~.- ...... i is co-ordinating the day. Please telephone him on ~--2~:C~-’=~]i~-~~-(J-would like to discuss the arrangements further. I look forward to hearing from you.

’Code A’

Protecting patients, guiding doctors GMC101049-0103

G ENE P AL 5 August 1999 EDICAL COUNCIL Protecting patJems, King’s College School of Medicine and Dentistry guiding doctors Bessemer Road London SE5 9PJ

i_._._..C__o...d._e_....A_._._.is meeting with medical students ¯ 18 November 1999

z78 Great Portland Street London W1N 6J~ i ...... -~8-~-~-~ ...... GMC101049-0104

My research assis._t..a.__n._t.,i~.i~~~.i~.-~_i~.i~~~.i]is co-ordinating the day. Please telephone him on i ...... _Code A ]if you would like to discuss the arrangements further. I look forward to hearing from you.

Code A GMC101049-0105

G E N E P AL 5 August 1999 EDICAL COUNCIL I°rotectin~ patients, lmperl~l College Sdtioo[ of-I~le~llc~ne doctors London SW7 2AZ

i_._._.C_..o._d_._.e_._A_._._.is meeting with medical students ¯ 18 November 1999

Great Portland Street London WIN 6JE i ...... ~8~-~-~ ...... GMC101049-0106

My research assistant, [iiiiiiiiiiil-_.-i~.-.e.-i~iiiiiiiiiiiii is co-ordinating the day. Please telephone him on [iiiiiiiiiil-_.-_.-.0.-i~i_e.-i~iiiiiiiiiiii if you would like to discuss the arrangements further. I look forward to hearing from you.

Code Ai

]~rotectin~ patients, ~Tuidin~ doctors GMC101049-0107

G E N E P AL 5 August 1999 M EDICAL COUNCIL ode A Pro~ec~ing patients, St Bartholomew’s & Royal London School of Medicine guiding doctors Turner Street London E1 2AD

President’s meeting with medical students ¯ 18 November 1999

The next meeting will take place on 18 November 1999, starting at 10.30. The morning session will be an open forum so students can talk to me about. our profession, especially their education. A sandwich lunch will be provided. As the Professional Conduct Committee is due to sit on that day, students will have the opportunity to see a conduct hearing in progress, provided that the Committee is not "in camera".

I am writing to invite two students from your medical school to the meeting: Students from any year of the course are very welcome. Please could you suggest two suitable students and provide their names and addresses. We " will then contact them directly. We will reimburse students for their travel expenses but would expect them to take advantage of any concessionary fares available.

Great Portland Street London WIN 6JE i ...... Code GMC101049-0108

My research assis, tant.,_i ...... C_._o_.d_e_._..A__ ...... i is co-ordinating the day. Please telephone him on i ...... _C__0_d_._e_._A_...... iif you would like to discuss the arrangements further. I look forward to hearing from you.

Code A

Protecting patients, guiding doctors GMC101049-0109

G ENE PvAL 5 August 1999 tv EDICAL COUNCIL , Code A . Protecting patients, Medical School guiding doctors University of Newcastle upon Tyne Framlington Place Newcastle upon Tyne NE2 4HH

Code A

President’s meeting with medical students ¯ 18 November 1999

IN. recent years I have been holding informal meetings with medical students, in which selected students from different medical schools are invited to spend a day at the GMC. The students are given the opportunity to talk about the profession of medicine they are joining, to learn about the work of the GMC in regulating medical practice and to meet some of its members and see parts of the GMC in action. In the past, students have said that they enjoy the visit and have found it beneficial.

Great Portland Street London WIN 6JE ...... ~’6-~’~-’~ ...... ] GMC101049-0110

My research assistant,[ ...... _.c_..o__d.e___A_ ...... i is co-ordinating the day. Please telephone him on !iiiiiiiiiil.-.c.-i~-_a.-.e.-i-~iiiiiiiiiii~ if you would like to discuss the arrangements further. I look forward to hearing from you.

Code A

Protecting patients, guiding doctors GMC 101049-0111

Code A

GE NE P AL 5 August 1999 EDICAL COUNCIL Protecting patients, United Medical & Dental Schools of Guy’s & St Thomas’s guiding doctors Guy’s Hospital London SE1 91RT

President’s meeting with medical students ¯ 18 November 1999

In recent years I have been holding informal meetings with medical students, in which selected students from different medical schools are invited to spend a~day at.the GMC. The students are given the opportunity to talk about the profession of medicine they are joining, to learn about the work of the GMC in regulating medical practice and to meet some of its members and see parts of the GMC in action. In the past, students have said that they enjoy the visit and have found it beneficial.

I78 Great Portland Street London W1N 6JE ...... ~8a-~--2~- ...... GMC101049-0112

i is co-ordinating the day. Please Myi ...... ~~-~i~-~ ...... ~ ...... t" ...... ~" ...... telephone him on i ...... C._£_d._.e_._._A._ ...... i if you would like to discuss the arrangements further. I look forward to hearing from you.

Code A

Protecting patients, guiding doctors GENE P AL 5 August 1999 J EDICAL COUNCIL Protec~in~ pa~ien~s, Medical School ~uidin~ doctors University of Nottingham Queen’s Medical Centre Nottingham NG7 2UH

President’s meeting with medical students ¯ 18 November 1999

,78 Great Portland Street London WIN 6JE Code A GMC101049-0114

G E N E P AL 5 August 1999 M EDICAL COUNCIL Code A Protecting patients, Medical School guiding doctors Oxford University John Radcliffe Hospital Oxford OX3 9DU

Code A

President’s meeting with medical students : 18 November 1999

In recent years I have been holding informal meetings with medical students, inwhich selected students from different medical schools are invited to spend a day at the GMC. The students are given the opportunity to talk about the profession of medicine they are joining, to learn about the work of the GMC in regulating medical practice and to meet some of its members and see parts of the GMC in action. In the past, students have said that they enjoy the visit and have found it beneficial.

My research assistant,i ...... (~-~i~-~ ...... i, is co-ordinating the day. Please telephone him on ii~i~i~i~i~i~.C_-.~.d_-i~.~i~i~i~i~i~i~i~f-~(~-~ would like to discuss the arrangements further. I look forward to hearing from you.

Code A

Protecting patients, guiding doctors GMC101049-0116

4 August 1999 G E N E R~AL M~EDICAL COUNCIL 14 Princes Gate l~rocecdng patients, Hyde Park guiding doctors London SW7 1PU

Code A

Thank you for your letter of 2 August in which you very kindly check to ensure that we have also received the letter from the legal Advisers of the Association of Community Health regarding their AGM emergency motion on patient confidentialty.

I am grateful to you for having drawn this to my attention - we did, in fact, recently receive such a letter which is being dealt with by Standards and Education Directorate.

Best wishes,

Yours sincerely

Code A

~78 Great Portland Street London WIN 6JE i ...... Code GMC101049-0117

G E N E P AL !V EDICAL COUNCIL Pro~ec~Jng patients, 4 August 1999 guiding doctors ...... Code General Practitioners Committee BMA House Tavistock Square London WC1H 9JP

Code A

Revalidation" Junior Doctors Consultative Group

I have received a letter from[ ...... ~~1-~-~ ...... i Chair of the GPC GP Registrars’ Sub-Committee, asking about the representation of GP registrars in the GMC’s consultative process.

The GPC is represented on the GP Consultative Group and we would be concerned about widening members of that group by the inclusion of representatives from sub-committees, given the potential numbers involved.

The GPC is not, however, represented on the Junior Doctors Consultative Group. It is clearly important to ensure that the gap is filled and we would be happy to appoint a representative from the GPC, or one of its sub-committees, on to the Junior Doctors Consultative Group in order to do this.

I am copying this to i ...... ~-~~-~ ...... il would be grateful to know how you woul~-[iE6-~l~i~-t~]~6-6-fSR~&-i-d; ......

’78 Great Portland Street London WIN 6JE i Code A GMC101049-0118

4 August 1999 G E N E P~AL ~EDICAL Department of Health COUNCIL Richmond House Protecting p~tients, 79 Whitehall guiding doctors London SW1A 2NS

]Code A i J I write simply to say thank you for lunch the other day. I thoroughly enjoyed meeting you - you gave me much food for thought.

We spoke about the major problems we both have, which are cause for concern, but when I left I realised that I had never mentioned my over-riding preoccupation and anxiety, which is to turn the GMC into a modern and effective regulatory body.

Just like that!

I look forward to continuing our conversation in the future.

i Code A

Great Portland Street London WIN 6JE i ...... -~-~-~-~’-21~ ...... ] GMC101049-0119

4 August 1999 GENE P~AL ~V~EDICAL COUNCIL Prot~ctin~ p~ti~nts, Code A ~uidin~ doctor~

"~,,,~ Code A

I am writing at the end of your term of office to thank you very warmly for your contribution to the Council in your time as a member. Your efforts as a screener have been much appreciated and I know that I speak for all members, and particularly those who worked with you on the Preliminary Proceedings Committee, in saying how much we shall all miss you.

With very best wishes for the future.

Code A

i78 Great Portland Street London WiN 6JE ...... Code A GMC101049-0120

4 August 1999 GENE P AL EDICAL Royal College of General Practitioners COUNCIL 14 Princes Gate Protecting patients, Hyde Park guiding doctors London SW7 1PU

Thank you for your letter of 2 August in which you very kindly check to ensure that we have also received the letter from the legal Advisers of the Asociation of Community Health regarding their AGM emergency motion on patient confidentialty.

I am grateful to you for having drawn this to my attention - we did, in fact, recently receive such a letter which is being dealt with by Standards and Education Directorate.

Best wishes,

You rs sincerely

,78 Great Portland Street London WIN 6JE [ ...... -(~’~-~’-2~- ...... ] GMC101049-0121

4 August 1999 GENEP AL EDICAL COUNCIL Protecting patients, guiding doctors

I am writing at the end of your term of office to thank you very warmly for your contribution to the Council in your time as a member. Your efforts have been much appreciated and I know that I speak for all members, and particularly those who worked with you on the Health Committee and the PAC, in saying how much we shall all miss you.

With very best wishes for the future.

~78 Great Portland Street London W1N 6JE i ...... Code GMC101049-0122

3 August 1999 G E N E P~AL

Royal College of Physicians and !~EDICAL Surgeons of Glasgow COUNCIL 232-242 St Vincent St Protecting patients, Glasgow G2 51RJ guiding doctors

Code A

Thank you so much for your very kind invitation to join the President, Fellows and Members of the Royal College of Physicians and Surgeons of Glasgow at your Triennial Dinner on 29 November.

I very much regret that I shall be out of the country on that occasion and so will have to offer my apologies.

Yours sincerely

’78 Great Portland Street London WIN 6JE GMC101049-0123

~8 ] G E N E I~AL

Fax numbei ~ N~.EDICAL ~ A

guiding doctors Direct Diai i

Direct fa~

No. of pages this one Time 0900 Date 4August (inclusive) only

Dear, Code A

I cannot apologise enough for leaving you waiting in Reception last night - especially as I had been telephoned when you arrived just before 5pm.

I can offer no excuse except that of uncharacteristic short term memory loss - and I hope that you will forgive me for having wasted so much of your time.

Such rudeness is unforgivable and I am extremely sorry for this oversight.

178 Great Portland Street London W1N 6JE GMC101049-0124

Code A

4 August 1999 G E N E P~AL ~EDICAL COUNCIL Chest Clinic Protecting] patients, ~]uidin~] doctors Blackburn Royal Infirmary Blackburn Lancs BB2 3LR

Thank you for your letter of 28 July about the GMC publication ’Serious Communicable Diseases’.

This is receiving attention and a full reply will be sent to you in due course.

Yours sincerely

"i Code A

Great Portland Street London WIN 6JE [ ...... Code A GMC101049-0125

Code A

4 August1999 G E N E PkAL M~EDICAL COUNCIL Code A , Protecting patients, guiding doctors "-r16~fi-D~i:5~i~f~-ii~-Fi-6~ltl~--A-~J~l:i6~/ Scarsdale Newbold Rd Chesterfield S41 7PF

Dear ]_ _C._..o_ _d.e.._ _A...

Thank you f,or your letter of 2 August enclosing the Sunday Telegraph article by, Code A ~8~1~ ~--~ ...... This is receiving attention and a full reply will be sent to you in due course

Yours sincerely

Code A

178 Great Portland Street London W1N 6JE [ Code A GMC101049-0126

The Presidenr Sir Donald Irvine CBE

3 August 1999 G E N E P~AL !v~EDICAL COUNCIL Royal College of General Practitioners Protecting patients, 14 Princes Gate guiding doctors Hyde Park London SW7 1PU

-’~..~ Code A ;...... _.’

Thank you for sending me a copy of your draft ’Revafidation for Clinical General Practice:

I am grateful to you also for going to the trouble of sending copies to [._C_£d_._e_A._.i [ ...... Code A -~and. I will write back to you when I have seen their ,~5~i~i=i,~g.¯ ...... :

Best wishes,

Code A

,78 Great Portland Street London WIN 6JEii" ...... "15~-~ ...... ~’ GMC101049-0127

3 August 1999 GE NE P~AL ~EDICAL COUNCIL Protecting patients, i Code A guiding doctors

~ Code A

NACP 2nd Annual Conference, RIBA, 16 November 1999

I am grateful to you for inviting me to speak at your November conference which sounds a very exciting event. You certainly have some interesting speakers pencilled into your draft programme.

Unfortunately I am visiting Nottingham for two days on 16th and 17th November and so will have to turn down your request. I am sorry not to be able to help you on this occasion.

I78 Great Portland Street London W1N 6JE i ...... (T~8-~’-~t~ ...... ] GMC101049-0128

G E N E P~A L Fax number ~E D][CAL ode A C 0 U N C |2 [, Direct Dia!

Direct fax

No. of pages This one Time 1600 Date 2 Aug dnctusive) only

Thank you tbr your very kind letter invith~g me to speak at your conference on Practice and Ethics on 27 and 29 November this year,

Much as I would like to visit Singapore as this is a subject close to my heart, I am aft’aid it will prove impossible as t already have a very" full diary in late Novembett

i am sorry not to be able ~o help youon this occasion.

Yours sh~cerely

Code A

178 Great Portland Street London WIN 6JE GMC101049-0129

3 August 1999 G E N E P~AL M~EDICAL COUNCIL Protecting patients, Code A guiding doctors

Your Recorded Delivery letter and attachments arrived in’i ...... _C._..o._d._.e_...A_ ...... -" iS office today and, as !__.__£_d_..e__A__.i is on annual leave for three weeks, I took the liberty of opening the package. Because of the nature of your letter I have sent it to iCodeAi __..o_._d_e___A_ ...... i Head of our Fitness to Practice Directorate here at the GMC. I am sure that you will hear from a member of her team in due course.

I was very sorry to read of your loss and of the pain you are obviously suffering as a result of your son’s death.

Yours sincerely Code A

I78 Great Portland Street London WIN 6JE i ...... ~8~]-~-~ ...... GMC101049-0130

Code A

2 August 1999 G ENE P AL J EDICAL

Commonwealth Medical Association Trust COUNCIL BMA House Protecting patients, Tavistock Square guiding doctors London WC1H 9JP

~.,=. Code A

L ...... J

Thank you for sending me a copy of your ComMat manual on ethical and human rights standards for healthcare professionals.

I have read it with interest and I welcome your endeavour to produce an educational tool aimed at health care workers in the poor countries of the developing world. The problems they face are many and varied and I am sure the ComMat manual will be very helpful in linking their education on medical ethics with action to protect human rights.

t.am pleased to see that, in the main, the document is in line with the general principles of our Good Medical Practice, to which you made such a helpful. contribution during its development. It is good to know that the good practice advocated in that document will be applied in the developing world. However, you will be aware, there are some recommendations, particularly in the section on Participation in judicial punishments which are not consistent the principles established in our guidance. Notwithstanding, we do understand the difficult circumstances in which the health professionals may find themselves and the difficult choices bodies such as the CMA must make in issuing guidance of this kind.

I wish you every success with this venture and trust that the manual will find its place in the professional education of health professionals in the developing world that it rightly deserves.

~78 Great Portland Street London WIN 6JE i Code A GMC101049-0131

G ENE P AL 2 August1999 EDICAL COUNCIL Protecting patients, guiding doctors

~ Code Ai

It was good of you to have gone to the trouble of sending me a copy of your 1994 Harben Lecture when you heard that I was going to give this year’s paper on 11 November.

I am grateful to you and will read it on my next train journey to Newcastle!

Best wishes

I78 Great Pofitland Street London W1N 6JE [ ...... Code GMC101049-0132

2 August 1999 G E N E P~AL M~EDICAL COUNCIL Prot¢ctin~ p~zticnts, Royal College of Anaesthetists ~uic]in~ c]octors 48-49 Russel Square London WC1B 4JY

Guidelines for the Provision of Anaesthetic Services

Thank you for taking the trouble to send me a copy of your recent publication ’Guidelines for the Provision of Anaesthetic Services’ which 1 shall read with interest on my next train journey home.

I shall then pass it on to our Standards and Education Directorate for their interest.

Code Ai GMC101049-0133

2 August 1999 GENE P~AL N~EDICAL COUNCIL Code A Protecting patients, guiding doctors

Code A There really was no need to have written to thank me for my last letter! However, I am very grateful to you for the pictures - lots of old memories.

I hope I will see you in November at the dinner.

Best wishes,

~8-~’~-’~ ...... l, I78 Great Portland Street London W1N 6JE’[ ...... GMC101049-0134

Fax

GENE P~AL M~EDICAL COUNCIL Faxnumbe/.,FrorrJ Code A Protecting patients, Direct Dia~ guiding doctors

Direct faX.,,.

No. of pages This one Time 1600 Date 2 Aug (inclusive) only

Thank you for your very kind letter inviting me to speak at your conference on Practice and Ethics on 27 and 29 November this year.

Much as I would like to visit Singapore as this is a subject close to my heart, I am afraid it will prove impossible as I already have a very full diary in late November.

I am sorry not to be able to help you on this occasion.

Yours sincerely

Code A

178 Great Portland Street London W1N 6JE GMC101049-0135

2 August 1999 GENE P AL !V(EDICAL COUNCIL 4th Floor, Archway Wing Prot¢ctin~ p~ti¢nts, Whittington Hospital Campus guiding doctors Highgate Hill London N19 5NF

B&-~,-~-~[~8-~-i-6-~i:ii~-~6-(J-{8-~xplain that he has been contacted by the Kings Fund who want him to recommend a speaker for a Conference in Switzerland on 17/18 September this year. (Letter enclosed).

I realise that it is very short notice, but ii_._._.c_..o._d._.e_..A_._._.iwondered whether you might consider this invitation?

will copy this letter toL ...... _.Code A ._iat the Kings Fund so that if you do decide you _._a._r._.e_._!_.n_~_.e_._r._e._.s_.t_._e._.d_.,_.,you can contact him direct. I also enclose a note that I have written to ...... _C_..o.__{:l_..e._._A_._ ...... jat the Kings Fund explaining the situation. Yours sincerely Code A

Great Portland Street London WIN 6JE [ ...... ~T~-6-~i-~-’2~- ...... GMC101049-0136

2 August1999 GENE P AL M EDICAL The Kings Fund COUNCIL 11-13 Cavendish Sq Protecting patients, London guiding doctors W1 MOAN

I have been in touch with your colleague i ...... ~;~i;-~ ...... iiwho has been very helpful letting me know when and where the Conference was to take place. i~£~_e.-£.#~£~i suggestedi ...... _.C_.£_d.~._A._ ...... i as a possible choice of speaker so I have taken the liberty of copying your letter and this one to her. I am sure that if she can she will try to help you, but I fear that 17th September is rather short notice.

Yours sincerely Code A

~78 Great Portland Street London W1N 6JEl~ ...... Code A GMC101049-0137

2 August 1999 GENEP AL M EDICAL COUNCIL Protecting patients, Code Ai guiding doctors

Code A

Thank you for your letter of 26 July 1999 about the impact of the judgment in R and the Department of Health ex parte Source Informatics on the use of anonymised data in epidemiology and other research.

As you requested, the PAC considered whether we should directly support Source Informatics in their appeal of this judgment. However, we concluded, that while we were sympathetic to the position Source Informatics is taking, and concerned about the effects of this judgment, it was unwise for the GMC to be seen to be closely associated with either of the parties to this case.

We agreed, however, that we should consider intervening by other means, which we understand may now be possible, following the recommendations of the Woolf Report. We are currently investigating the practicalities of going down such a route, and will report back to the PAC at its meeting 16 September 1999.

You may be interested to note that in the wider discussion of the effect of this judicial review judgment on our guidance, we agreed that we should not at present issue our new guidance, and that we should arrange an informal discussion with ACHCEW to discuss the problems and possible ways forward. Again I will keep PAC informed of our progress.

i Code A

,78 Great Portland Street London W1NSJE GMC101049-0138

2 August 1999 G ENE P~AL Code A M~EDICAL Specialist Training Authority 1 Wimpole Street COUNCIL London Protecting patients, W1 M 8AE guiding doctors

"3,,=.. Code A

Many thanks for coming to the first of our Standing Group meetings on 20 July 1999.

I enclose a draft note of the meeting and should be most grateful for any comments which you may have before we finalise it.

Great Portland Street London WIN 6JE] Code GMC101049-0139

2 August 1999 GENE I~AL Code A !~EDICAL JCPTGP COUNCIL Royal College of General Practitioners 14 Princes Gate Protectin~ patients, London SW7 1PU guiding7 doctors

i Code A i

Many thanks for coming to the first of our Standing Group meetings on 20 July 1999.

I and my colleagues found the meeting extremely helpfulin mapping out how to take forward our various initiatives. We recognise of course that there are uncertainties about the precise roles of all our organisations in what is a highly complex project.

I enclose a draft note of the meeting and should be most grateful for any comments which you may have before we finalise it.

Code A

\yael\temp\letter~ Code A i

I78 Great Portland Street London WIN 6JE 2 August 1999 GENEPkAL !v[EDICAL Academy of Medical Royal Colleges COUNCIL 1 Wimpole Street Protecting patients, London guiding doctors W1M 8EA

Code A

Many thanks to you and your colleagues for coming to the first of our Standing Group meetings on 20 July 1999.

I and my colleagues found the meeting extremely helpful in mapping out how to take fonNard our various initiatives. We recognise of course that there are uncertainties about the precise roles of all our organisations in what is a highly complex project.

We are most grateful for the help which you and your office are already giving us in our work, and we are particularly anxious to ensure that we have good working relationships with the Academy, colleges and specialist associations between ._.m_._.e_._e._t.i._n...q._s.,._._s._.o_._t_.h_.at_.we can all keep abreast of developments. I know that L ...... _.c_._0_._.d_._e_._._A_ ...... i spoke to you briefly after the meeting about links with the Academy groups looking at revalidation. He and his team would welcome regular contact with representatives of those groups, if that would be acceptable to the Academy. Perhaps you would let me know what you would see as the best way of taking that forward.

Code A yael\temp\letter - p! ...... i GMC101049-0141

29 July 1999

Personal and Confidential GE N E P~AL M~EDICAL COUNCIL University College Protecting patients, Gower Street guiding doctors London WC1E 6BT

i22222222~..8.-_~2~22222222i

Thank you for your recent letter. I am,._.q!_a...d_._you are taking the initiative you outline and I would be very happy to support[..C._?_.d_.e_._A_., " S name for an honour.

With this letter I enclose a draft for your consideration to see if it fits sufficiently with your own proposal.

Code A GMC101049-0142

G E N E P AL M EDICAL COUNCIL Protecting patients, guiding doctors

,.!.t_._£[[.v_._e_.s.. me great pleasure to support the name ofi ...... _.C_.9_.d_...e_._._A._ ...... ifor an Honour. i_.c_.£a_~_~_ihas made an unique, highly focused, but nevertheless extremely important contribution to society through his work and support of the victims of medical accidents.

He was a leading light in establishing the Action for Victims of Medical Accidents in 1984, and he has had a huge influence in taking it forward to the point where it has had a major impact on national policy.

Today, concern with medical accidents, medical negligence, the performance of doctors and the safety of clinical practice, are at the forefront of our minds, not least because of some of the recent tragedies in medicine. It may be fairly said that the medical profession has come lately to a proper appreciation of the damage and distress caused to patients. It can be certainly said thati Code A iwas aware of these problems at a time when they were u nfa§~i-6ff~[~-Ii~ among~-’doctors - indeed often vigorously resisted - yet with courage, objectivity and a powerful sense of commitment, he persisted in raising public and professional awareness when others may have faltered. It is that kind of public spirited action which I think really deserves recognition.

I78 Great Portland Street London WIN 6JE i ...... "~’8~-~-’~- ...... GMC101049-0143

Code A It gives me great pleasure to support the name of i~~_~.~_~e_~~ifor an Honour. ~#~_-~jhas made an unique, highly focused, but nevertheless extremely important contribution to society through his work and support of the victims of medical accidents.

Today, concern with medical accidents, medical negligence, the performance of doctors and the safety of clinical practice, are at the forefront of our minds, not least because of some of the recent tragedies in medicine. It may be fairly said that the medical profession has come lately to a proper apprecia.t.!._o._.n_._._o._f._t_.h_._e._._.d_._a._._m._._a._g._e._._,and distress caused to patients. It can be certainly said thati Code A Was aware of these problems at a time when they were unfa~nl~n~o]e-amongst-r3octors - indeed often vigorously resisted - yet with courage, objectivity and a powerful sense of commitment, he persisted in raising public and professional awareness when others may have faltered. It is that kind of public spirited action which I think really deserves recognition.

2 GMC101049-0144

2 August 1999 G E N E P~AL N[EDICAL COUNCIL University of Sheffield Protecting patients, Beech Hill Road guiding doctors Sheffield Sl0 2RX

Deari Code A

...... i~~~i~-~...... is Visit to University of Sheffield Faculty of Medicine 19-20 October 1999

._My_.Er_.e_decessor,[ ...... -~-~~1-~-~ ...... iarranged a visit fori ._C_£_d_.e__A_.. ito your Faculty on 19 and 20 October this year.

She suggested I should make contact with you in early August in order to clarify arrangements.

I wonder if you would be able to let me have an idea of the schedule by the end of August - this means I will be able to alert members of GMC Staff in good time should any particular items need their input. I am aware of the correspondence between you and [--~-~~l-~-~--i in which he had agreed to speak at lunchtime on the first day of his visi{-~-C:-ii6i5-&l Governance and Revalidation.

Thank you for your attention in this matter and I look forward to hearing from you or ...... your office C-0"-d--e in due course...... A ......

178 Great Portland Street London W1N 6JE [ Code A GMC101049-0145

2 August 1999 G E N E PkAL !vkEDICAL Code A COUNCIL Faculty of Medicine Protecting patients, Maurice Shock Medical Sciences Building guiding doctors PO Box 138 University Road Leicester LE1 9HN

...... ~-6~i-~-~ ...... -~Visit to University of Leicester Faculty of Medicine 7-8 October 1999 t i~ hisyear. My predecessor, i £ode _.A_~od ~ rrange ,tdo a ~;~rc’~ -~~-~d- -~-~’ Research Assistant, L ......

She suggested I should make contact with you in early August in order to clarify arrangements.

Thank you for your attention in this matter and I look forward to hearing from you or your office in due course. Code A

x78 Great Portland Street London WIN 6JE GMC101049-0146

Code A

2 August 1999 GE NE P AL M EDICAL

The Medical School COUNCIL University of Birmingham Protecting patients, Birmingham guiding doctors B15 2TT

Dear[ ...... ~-~-~i-~-~ ...... ] iT.T_T_T_T.T_T_T~.B_-~.~.T~_T_T.T_T_T_T.T2s Visit to University of Birmingham Faculty of Medicine 26-27 October 1999

My predecessor, [ ...... ~-6~i~~ ...... ]arranged a visit for[[[[[[[[[[[[[[~#[e_-[~[[[[[[[[[[[[[i i ...... [.-_-_-_-_-_-_[ [ [ [ [ [ [ [ [~_-O_-.d_-i~[~[ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ ...... j to your faculty on 26 and 27 October this year.

She suggested I should make contact with you in early August in order to clarify arrangements.

Thank you for your attention in this matter and I look forward to hearing from you or your office in due course.

¯ I78 Great Portland Street London WIN 6JE ’ Code A GMC101049-0147

G E NERAL Fax number !V~EDICAL COUNCIL Protecting patients, guiding doctors

DirOCtD~roctDi~l~x~rom ...... Code A No. of pages one Time 11 Date 30/7 (inclusive) Code A

In London all day today On leave from Wednesday next week until end August

Message left with his Secretary asking him to ring you at home.

I am afraid there is no record on the Register of a [_Co0_d_._e._._A_.] Code A i or even someone whose ...... ’..,,orry.

178 Great Portland Street London W1N 6JE GMC101049-0148

To GENEP AL Fax number JV E DICAL COUNCIL From Code A Protecting patients, Direct Dial guiding doctors

Direct fax i

No. of pages One only Time 12.30 Date 29 July (inclusive)

Revalidation meeting with the BMA/RCGP/

_C.._o_._d_e__._A.._ ...... iSecretary rang me this morning to say that he cannot send a deputy and that he considers his presence at this meeting crucial, i~-~~-~-~,~explained that he wanted us to know that he was ad&mant.’)

I am now in a difficult position as we have a positive reaction from all the others - the RCGP are happy to try to find a deputy fori--~,~-~~--~--} and everyone else can attend.

Can you advise please ?

On a different subject- the envelope with your correspondence should be with you tomorrow morning.

’Code A ,,dweekend.

178 Great Portland Street London W1N 6JE GMC101049-0149

30 July 1999 GENE PkAL !VkEDICAL COUNCIL Code A Protecting patients, guiding doctors

Dear ...... -~8~-~-~...... ] Code A wrote to you in response to your recent letter with an offer of lunch on 5 August. I subsequently left a message wondering whether you would be able to accept this engagement. As I have not heard from you I wonder if we could perhaps try to find another date a little later in the year.

Yours sincerely

Code A

I78 Great Portland Street London W1N 6JE ...... ~88~-~ ...... GMC101049-0150

GE NEP AL 30 July 1999 J EDICAL COUNCIL York Health Services NHS Trust Protecting patients, Bootham Park guiding doctors York YO3 7BY

Dear[ Code

Thank you for your letter to [-~8d~-~-~f 28 July about [-~~e--~i

I have sent this letter to [£££££££££££.~£~j~£~£££££££££££jof the GMC’s Fitness to Practice Directorate. I am sure you will understand that we have to operate a strict code of practice with all complaints, and the President must not have any involvement in a potential case.

I am sure that you will hear from the Fitness to Practice Directorate in due course.

Yours sincerely

Code A

I78 Great Portland Street London WIN 6JE [ ...... ~8~i-~-~ ...... GMC101049-0151

30 July 1999 GE NE PvAL M~EDICAL COUNCIL ~rot~ctin~ p~tf~nts, guiding doctors

D ea r i_..C_._.o_..d_ _e._..A__.i

Thank you for your letter to L._..c_._.o_.d__e_..A_._.iof 28 July about your complaint.

I have sent this letter to [~..~..~..~..~..~..~..~..~..~..~.~-~.e.-..~..~..~..~..~..~..~..~..~..~..~..j~f the GMC’s Fitness to Practice Directorate. I am sure you will understand that we have to operate a strict code of practice with all complaints, and i_.__.C_..._o_._d._._e_._...A__._.i must not have any involvement in a potential case.

I am sure that you will hear from the Fitness to Practice Directorate in due course.

Yours sincerely Code A

I78 Great Portland Street London WIN 6JE ] ...... ~8~-~-~ ...... ] GMC101049-0152

Fax

G E NERAL Fax numberi ~EDICAL COUNCIL ~ro~i Code A Protecting patients, Direct Dial i guiding doctors

Direct fax i

No. of pages one Time 11 Date 30/7 (inclusive)

i Code A In London all day today On leave from Wednesday next week until end August

Message left with his Secretary asking him to ring you at home.

I am afraid there is no record on the Register of a i~~~-~ i- or even someone whose i ~;oae A iorry.

178 Great Portland Street London W1N 6JE GMC101049-0153

Code A

2 August 1999 GENE P AL EDICAL 1 Wimpole Street COUNCIL London Protecting patients, WlM 8EA guiding doctors

Many thanksto you and your colleagues for coming to the first of our Standing Group meetings on 20 July 1999.

We are most grateful for the help which you and your office are already giving us in our work, and we are Particularly anxious to ensure that we have good working relationships with the Academy, colleges and specialist associations between meeti_n.~g._s.~_._s._Q._th.a_t_.we can all keep abreast of developments. I know that -~de A spoke to you briefly after the meeting about links with the "Ac-a~-emy groups looking at revalidation. He and his team would welcome regular contact with representatives of those groups, if that would be acceptable to the Academy. Perhaps you would let me know what you would see as the best way of taking that forward.

\yael\temp\letter £--~-8-~-~-£-] GMC101049-0154

2 August 1999 G E NE RAL Code A M~EDICAL L.~fCPTGP ...... COUNCIL Royal College of General Practitioners Protecting patients, 14 Princes Gate guiding doctors London SW7 1PU

Many thanks for coming to the first of our Standing Group meetings on 20 July 1999.

I enclose a draft note of the meeting and should be most grateful for any comments which you may have before we finalise it.

’78 Great Portland Street London WIN 6JE [...... ~~-~-~ ...... GMC101049-0155

2 August 1999 GENEP AL DICAL ...... S#-6~[Ea-li~tTl:~ii-i~Eiq~--A-O ~5Si:it y COUNCIL 1 Wimpole Street Protectin~q pdtients, London W1 M 8AE guiding £octors

Many thanks for coming to the first of our Standing Group meetings on 20 July 1999.

I enclose a draft note of the meeting and should be most grateful for any comments which you may have before we finalise it.

\yael\temp\letter-i Code A i

’78 Great Portland Street London W1N6JI~ GMC101049-0156

G E N E P~AL 29 July 1999 M~EDICAL COUNCIL BY AIR MAIL Prot~ctin~ p~ti~nts, doctors

Dear i Code A ]

Thank you for writing toi Code A ion the subject of the Australian approach to Revalidation.

I am taking the liberty of copying your letter and certificate to our Standards and Education Directorate and to those who are currently working on Revalidation. I know that they will find your suggestions interesting.

Thank you again for going to the trouble to write.

Yours sincerely Code A GMC101049-0157

29 July 1999

Personal and Confidential GENEP~AL tV~EDICAL COUNCIL University College Protecting patients, Gower Street guiding doctors London WC1E 6BT

Code A ~ Thank you for your recent letter. I am glad you are taking the initiative you outline and I would be very happy to support[222q2,~).-~.2~:.~ name for an honour.

With this letter I enclose a draft for your consideration to see if it fits sufficiently with your own proposal.

’78 Great Portland Street London W1N 6JE ] ...... ~-~’~-’2~...... GMC101049-0158

Code A

It gives me great pleasure to support the name of i ...... ~o’~~-~,- ...... ;for an Honour. i~.0.~~.A.-.i has made an unique, highly focused, but n~g~f~~]~~-~t~-~ly important contribution to society through his work and support of the victims of medical accidents.

Today, concern with medical accidents, medical negligence, the performance of doctors and the safety of clinical practice, are at the forefront of our minds, not least because of some of the recent tragedies in medicine. It may be fairly said that the medical profession has come lately to a proper appreciation of the damage and distress caused to patients. It can be certainly said thati.~.~.~.~.~.~.~.~.C_-.~d_-~.~.~.~.~.~.~.~.i~vas aware of these problems at a time where they were unfashionable amongst Doctors - indeed often vigorously resisted - yet with courage, objectivity and a powerful sense of commitment, he persisted in raising public and professional awareness when others may have faltered. It is that kind of public spirited action which I think really deserves recognition.

2 GMC101049-0159

29 July 1999 GENE P~AL ...... N~EDICAL Mackintosh House 120 Blythwood Street COUNCIL Glasgow G2 4EA Protecting patients, guiding doctors

Thank you for your letter about the proposal to celebrate the centenary of the Union with a new book. In principle I would be honoured and pleased to contribute, not least since you anticipate that I would not need to do all the work!

Please let me know how you see things being taken forward.

,78 Great Portland Street London WIN 6JE i ...... ~8-a-~-2~ ...... ] GMC101049-0160

29 July 1999 G E N E P AL M E-DICAL COUNCIL Clinical Sciences Building Protecting] patients, Level 5 ~]uidin~] doctors St James’ University Hospital Leeds LS9 7TF

I am now back in action again after my holiday and I write to say firstly how disappointed I was to hear that you were not re-elected to the Council. You will be a huge loss. I appreciate how you must feel.

,..T_._h._..a._n_._k..you for your suggestions about taking things forward. I have no doubt that i._.C_..o._d._.e_..A_.iwill be excellent and I will be taking the matter up with her in due course.

Lastly, I hope that you are once more on the road to good health. GMC101049-0161

The President Sir Donald Irvine CBE

29 July 1999 GENE P AL N EDICAL Sign Secretariat Royal College of Physicians COUNCIL 9 Queen Street Protecting patients, Edinburgh EH2 1JQ guiding doctors

Just a note to thank you for the SIGN Guide. As ever I thought it was excellent. These really are a very good series which leaves Scotland well ahead of the game!

With best wishes,

I78 Great Portland Street London W1N 6JE ! ...... G_._o..d_e_. GMC101049-0162

29 July 1999 GENE P AL M EDICAL Oxfordshire Health Authority COUNCIL Directorate of Public Health and Health Policy ,Protecting patients, Richards Building, Old Road guiding doctors Headington Oxford OX3 7LG

Mental Health in Oxford

The beautiful, glossy brochure called Mental Health in Oxfordshire dropped through my letterbox this morning. I have had a quick look through and it was sufficient to whet my appetite for a closer read.

I am writing simply to say thank you; you should feel proud of such a very good presentation and for all the good work that lies beneath it.

Best wishes

~78 Great Portland Street London W1N 6JE Code A GMC101049-0163

29 July 1999 GE NE P AL MEDICAL University of Southampton COUNCIL Biomedical Sciences Building Protecting patients, Bassett Crescent East guiding doctors Southampton SO16 7PX

I am writing on behalf of your colleagues on the Council to thank you very much indeed for all you have contributed to the work of the Council, in particular to the Education Committee in your period as Chairman.

We wish you every success as another interesting and exciting step in your career unfolds.

With best wishes

,78 Great Portland Street London WIN 6JE ,’."- ...... ~-8~-~ ...... GMC101049-0164

29 July 1999 GENE PkAL ’-D-glS-fi~i~gSt-Sf-E-~6-56-i~ic~ and Related Studies Heslington iVtEDICAL York YO1 5DD COUNCIL Protecting patients, guiding doctors

York’s Bid

It was kind of-you to send me a copy of your bid for the Interdisciplinary Health and Social Resource Centre. This is a key development, and it is evident from your proposal that York is very well placed to succeed.

I wish you all good luck and indeed, success.

I78 Great Portland Street London W,N 6JE ...... "~’8~-~-’~- ...... GMC101049-0165

29 July 1999 G E N E P~AL !v(EDICAL COUNCIL Protecting patients, guiding doctors

I guess I am not the only recently absentee member whose conscience you are jogging!

I hope the Society will continue and I hope to be a better attenting member. Please keep my name on the list.

Great Portland Street London W1N 6JE i ...... -~-~-~-~-2~- ...... GMC101049-0166

29 July 1999 GENE P AL M EDICAL COUNCIL Protecting patients, ~]uidin~t doctors

Thank you very much for the most enjoyable dinner the other evening. It was a case of good food, good company and good speeches - all that an invited guest could wish for!

I look forward to seeing you at the Introductory Day for new GMC members in early August.

With best wishes

~78 Great Portland Street London WIN 6JE ~ Code GMC101049-0167

29 July 1999

Code A G ENE P AL .... E~l-S~RTi~-O~]~udsman 22 Oxford Court EDICAL Oxford Street COUNCIL Manchester Prot~tin~ patients, M2 3WQ 5uidin~ doctors

Conference - Friday December 3 1999 - Self Regulation in the Legal Profession

It was very kind of you to send me your Annual Report and the invitation to speak at your conference on Friday 3 December. Unfortunately I will have to decline because I am already committed to another engagement that day which I cannot move.

In our conversation, much of it was about the developmen_t_#.f_Dr_ofessioaa_l:_standards ,._~ulmi~3_atia.CL.J.~_._G_oQd Medical Practice. May I suggest thati Code A ¯ ...... C_._..o..d_._.e.._._A_._ ...... iof our Standards Committee may be a~i-~-{-~-l~-~[~-~6----~-i~-"a very good speaker and knows the subject backwards.

With best wishes

~78 Great Portland Street London WIN 6JE [ ...... -~8-~~-2~ ...... GMC101049-0168

Code A

27 July 1999 GENE P AL M EDICAL COUNCIL University of Nottingham Queen’s Medical Centre Protecting patients, Nottingham guiding doctors NG7 2UH

Code A

I was delighted to learn that you will be joining us on the Council and hope that you will find your membership fruitful and enjoyable. I know that we shall be calling upon your help and advice in the years to come.

I look forward to seeing you at the Open Day for new members which takes place on Monday 9 August 1999.

With all good wishes.

I78 Great Portland Street London WIN 6JE GMC101049-0169

27 July 1999 GENEP AL M EDICAL COUNCIL Protecting patients, guiding doctors

I was delighted to learn that you will be returning to join us on the Council and I hope that you will find your new period of membership as fruitful and enjoyable as your last. I know that we shall be calling upon your help and advice in the years to come.

I very much look forward to seeing you at the Open Day for new members taking place on Monday 9 August 1999.

With all good wishes.

Code A

~78 G~t Po~tlanc1 St~t Lonclon W1N 6JE [ ...... -~8~1-~--~ ...... ] GMC101049-0170

27 July 1999 G E N E P~AL ~v~EDICAL COUNCIL Protecting patients, guiding doctors

-~,,,,, i Code A I was delighted to learn that you will be joining us on the Council and hope that you will find your membership fruitful and enjoyable. I know that we shall be calling upon your help and advice in the years to come.

I very much hope that you will be able to join us at the Open Day for new members which takes place on Monday 9 August 1999.

With all good wishes.

Code A

I78 Great Portland Street London W1N 6JE ...... ~8-8-~-~- ...... GMC101049-0171

Code A

27 July 1999 G ENE P~AL I~EDICAL COUNCIL University of Bristol Protecting patients, University Walk guiding doctors Bristol BS8 1TD

I very much hope that you will be able to join us at the Open Day for new members which takes place on Monday 9 August 1999.

With all good wishes.

Code A

I78 GreatPortlandStreet LondonWlN6JE [ ...... ~Sde A GMC101049-0172

27 July 1999 GE NE P AL M EDICAL COUNCIL Protecting patients, guiding doctors

"~ =,,, Code A

I very much hope that you will be able to join us at the Open Day for new members which takes place on Monday 9 August 1999.

With all good wishes.

~78 Great Portland Street London W1N 6JE ] Code GMC101049-0173

27 July 1999 GENE P~AL N~EDICAL COUNCIL Protecting patients, guiding doctors

...... Cod ...... A

I very much hope that you will be able to join us at the Open Day for new members which takes place on Monday 9 August 1999.

With all good wishes.

Code A GMC101049-0174

Code A

27 July 1999 G E N E P~AL M~EDICAL COUNCIL The Royal College of Pathologists Protecting patients, 2 Carlton House Terrace guiding doctors London SW1Y 5AF

"~,.~, Code A

I very much hope that you will be able to join us at the Open Day for new members which takes place on Monday 9 August 1999.

With all good wishes.

I78 Great Portland Street London WIN 6JE Code A GMC101049-0175

27 July 1999 G ENE P~AL M~EDICAL COUNCIL Protecting patients, ’guiding doctors

~ Code A

I very much look forward to meeting you at the Open Day for new members on Monday 9 August 1999.

With all good wishes.

i Code A

~78 Great Portland Street London WIN 6JE Code A GMC101049-0176

26 July 1999 GENE P AL V EDICAL COUNCIL Protecting p~ti~n~s, TPMDE guiding doctors 33 Millman Street London WC 1 N 3EJ

Code A

Consultative Group meetings

Thank you for your e-mail message to [ ...... I~8~~-,,~ ...... iof the Consultants and Specialists Consultati~-e-GrSOi~:......

It is clearly unfortunate that this Consultative Group is scheduled to be held on the Day of Atonement. As you will appreciate, it is not possible to fix dates which allow everybody to attend meetings of the Consultative Group.

The 20 September 1999 is one of the few days that the chair of the Consultative Group, Douglas Gentleman, the chairs of two of the BMA committees represented on the Consultative Group and myself are all available. In these circumstances we feel we should go ahead with the meeting on 20 September 1999.

I am sorry that you will not be able to attend and I appreciate the sensitivities involved. But it is important that we maintain progress on revalidation and that the deaneries are fully involved in the process. I do hope that you will be able to arrange for COPMED to be represented at the meeting by sending a deputy

I will miss your contribution on 20 September 1999 and I look forward to seeing you at future meetings.

Code A=

,78 Great Portland Street London WlN6JE Code A ] GMC101049-0177

26 July 1999 G E N E P AL M EDICAL COUNCIL Protecting patients, Royal College of Ophthalmologists guiding doctors 17 Cornwall Terrace London NW1 4QW

Code A Revalidatior~ ...... i

Thank you for your letter of 24 June 1999.

We were interested to read your helpful Quafity Development Programme and welcome your support for a system of revalidation based on local profiling.

As you know, we are in close contact with the Academy who are fully involved in our consultative process to develop revalidation. We have also found it helpful to be invited as observers to the revalidation committees of the Royal College of General Practitioners and the Royal College of Physicians. In addition meetings have been arranged between the GMC and .representatives of the Royal College of Surgeons and of the Royal College of Anaesthetists (with the Association of Anaesthetists of Great Britain and Northern Ireland).

I see from your letter to i_T_2T.~_I~.~_T.~£_T.T£!, also dated 24 June 1999, that you have passed our two draft reports to your clinical governance working group. We would be very happy to meet with this group if they would find this useful.

Code A

I78 Great Portland Street London WIN 6JE ...... ~-8~~-~ ...... GMC101049-0178

27 July 1999

G E N E P AL J EDICAL COUNCIL Protecting patients, Our ref: DHI/PB guiding doctors

Code

Working Group on the Professional Conduct Committee

I am writing to every member of the PCC Working Group to let you know about decisions taken by the Fitness to Practise Policy Committee (FPPC) on 21 July 1999.

The FPPC considered how the Group’s report should be taken forward in the light of the discussion in Council in May 1999. I enclose a copy. of the paper the FPPC discussed.

You will see that the paper, which i ...... c._£_d_..e__A_ ...... bad seen and approved in advance, noted that the Group’s task had largely been completed and that most of the remaining questions to be determined concerned fundamental issues about the fitness to practise procedures as a whole, rather than the PCC alone. In that light, the paper recommended that from here on the FPPC should co-ordinate the further work which is required, although it would be open to the FPPC to reconstitute the Group in the future. The FPPC accepted all the recommendations in the paper, and the Group’s work is therefore at an end. The task of implementing its recommendations (some of which Council will need to consider further) now begins.

The Group produced a very thorough report. It identified solutions to numerous anomalies and loopholes in our procedures and pointed the way forward in a number of crucial policy areas. I am very grateful to you for the contribution which you made to it.

I78 Great Portland Street London WIN 6JE i ...... Code A -~ GMC101049-0179

Code A

27 July 1999

G E N E P AL !V EDICAL Code A COUNCIL Protecting patients, guiding doctors Our ref: DHI/PB

Code A

Working Group on the Professional Conduct Committee

I am writing to every member of the PCC Working Group to let you know about decisions taken by the Fitness to Practise Policy Committee (FPPC) on 21 July 1999.

The FPPC considered how the Group’s report should be taken forward in the light of the discussion in Council in May 1999. I enclose a copy of the paper the FPPC discussed.

You will see that the paper, which [22222d_i~:~i~2222] had seen and approved in advance, noted that the Group’s task had largely been completed and that most of the remaining questions to be determined concerned fundamental issues about the fitness to practise procedures as a whole, rather than the PCC alone. In that light, the paper recommended that from here on the FPPC should co-ordinate the further work which is required, although it would be open to the FPPC to reconstitute the Group in the future. The FPPC accepted all the recommendations in the paper, and the Group’s work is therefore at an end. The task of implementing its recommendations (some of which Council will need to consider further) now begins.

Code A GMC101049-0180

Code A

27 July 1999

Royal Free Hospital GE NEP AL Pond Street !v EDICAL London NW3 2QG COUNCIL Our ref: DHI/PB Protecting patients, guiding doctors

CodeA

Working Group on the Professional Conduct Committee

I am writing to every member of the PCC Working Group to let you know about decisions taken by the Fitness to Practise Policy Committee (FPPC) on 21 July 1999.

The FPPC considered how the Group’s report should be taken forward in the light of the discussion in Council in May 1999. I enclose a copy of the paper the FPPC discussed.

You will see that the paper, which [---i~88~-~, ..... ihad seen and approved in advance, noted that the Group’s task had la~-~1-#-15~-5 co(npleted and that most of the remaining questions to be determined concerned fundamental issues about the fitness to practise procedures as a whole, rather than the PCC alone. In that light, the paper recommended that from here on the FPPC should co-ordinate the further work which is required, although it would be open to the FPPC to reconstitute the Group in the future. The FPPC accepted all the recommendations in the paper, and the Group’s work is therefore at an end. The task of implementing its recommendations (some of which Council will need to consider further) now begins.

’78 Great Portland Street London WIN 6JE GMC101049-0181

27 July 1999

GENE P AL J EDICAL COUNCIL Protecting patients, Our ref: DHI/PB guiding doctors

Code A

Working Group on the Professional Conduct Committee

I am writing to every member of the PCC Working Group to let you know about decisions taken by the Fitness to Practise Policy Committee (FPPC) on 21 July 1999.

The FPPC considered how the Group’s report should be taken forward in the light of the discussion in Council in May 1999. I enclose a copy of the paper the FPPC discussed.

You will see that the paper, which iiiiiiii~_~i~.ii~iiiiiiii had seen and approved in advance, noted that the Group’s task had largely been completed and that most of the remaining questions to be determined concerned fundamental issues about the fitness to practise procedures as a whole, rather than the PCC alone. In that light, the paper recommended that from here on the FPPC should co-ordinate the further work which is required, although it would be open to the FPPC to reconstitute the Group in the future. The FPPC accepted all the recommendations in the paper, and the Group’s work is therefore at an end. The task of implementing its recommendations (some of which Council will need to consider further) now begins.

27 July 1999

G E N E P AL M EDICAL

Our ref: DHI/PB COUNCIL Protecting patients, guiding doctors

Code A

Working Group on the Professional Conduct Committee

I am writing to every member of the PCC Working Group to let you know about decisions taken by the Fitness to Practise Policy Committee (FPPC) on 21 July 1999.

The FPPC considered how the Group’s report should be taken forward in the light of the discussion in Council in May 1999. I enclose a copy of the paper the FPPC discussed.

You will see that the paper, which [[[[i~[0_-.~i~[[[]had seen and approved in advance, noted that the Group’s task had largely been completed and that most of the remaining questions to be determined concerned fundamental issues about the fitness to practise procedures as a whole, rather than the PCC alone. In that light, the paper recommended that from here on the FPPC should co-ordinate the further work which is required, although it would be open to the FPPC to reconstitute the Group in the future. The FPPC accepted all the recommendations in the paper, and the Group’s work is therefore at an end. The task of implementing its recommendations (some of which Council will need to consider further) now begins.

27 July 1999

G E N E P AL !v EDICAL COUNCIL Our ref: DHI/PB Protectin~ p~tients,

Code A

Working Group on the Professional Conduct Committee

I am writing to every member of the PCC Working Group to let you know about decisions taken by the Fitness to Practise Policy Committee (FPPC) on 21 July 1999.

The FPPC considered how the Group’s report should be taken forward in the light of the discussion in Council in May 1999. I enclose a copy of the paper the FPPC discussed.

You will see that the paper, which [_ .-_ .-_ .-_ .-_.-q T~_2~2~-_ .-_ .-_ .-_ Ti h a d seen and approved in advance, noted that the Group’s task had largely been completed and that most of the remaining questions to be determined concerned fundamental issues about the fitness to practise procedures as a whole, rather than the PCC alone. In that light, the paper recommended that from here on the FPPC should co-ordinate the further work which is required, although it would be open to the FPPC to reconstitute the Group in the future. The FPPC accepted all the recommendations in the paper, and the Group’s work is therefore at an end. The task of implementing its recommendations (some of which Council will need to consider further) now begins.

Code A

’78 Great Portland Street London WIN 6JE [ ...... ~-6~]-~-~- ...... ] GMC101049-0184

Code A

27 July 1999 GENE I~AL ~EDICAL COUNCIL Protecting patients, guiding doctors

Our ref: DHI/PB

Code A

Working Group on the Professional Conduct Committee

I enclose a copy of a letter I have sent to members of the Working Group informing them about the decision taken by the Fitness to Practise Policy Committee on 21 July 1999 to bring the Group to an end.

I have, of course, thanked the Group’s members for their contributions, but above everyone else I thank you for leading it so effectively and for producing such a thorough and thoughtful report. We are all greatly in your debt.

Code A

=78 Great Portland Street London WIN 6JE Code A GMC101049-0185 GMC101049-0186

GE NE P~AL 28 July 1999 !V~EDICAL COUNCIL Protecting patients, guiding doctors

Deari Code Ai

Thank you for your letter and enclosures dated 24 July addressed to iiTii_C-_~-_d-i~ii~iTii i Code A i

I have sent your correspondence to-the Head of the GMC’s Fitness to Practice Directorate as they are responsible for all comp a nts of this nature.

I am sure you will hear from them in due course.

Yours sincerely Code A

’78 Great Portland Street London W1N 6JE [ ...... -(~’~-~’-2~- ...... ] GMC101049-0187 GMC101049-0188 GMC101049-0189 GMC101049-0190

22 July 1999 GENE P AL M EDICAL East Kent Health Authority COUNCIL Protea House Protecting patients, New Bridge guiding doctors Marine Parade Dover Kent CT17 9HQ

Clinical Governance

Thank you so much for writing to me on 21 July and for sending me a copy of your paper. I am glad that you found the Birmingham Conference useful and I am grateful to you for your kind comments.

I will pass a copy of your paper on to our Standards and Education Directorate as I am sure they will find it of interest.

Best wishes,

’78 Great Portland Street London WIN 6JE i ...... "{5~-~i~’-~- ...... ] GMC101049-0191

22 July 1999 od ~- ...... A GENEP~AL British Medical Association iV~EDICAL Tavistock Square COUNCIL London WC1H 9JP Protecting patients, guiding doctors

Code A

Thank you inviting me to give the Keynote Speech at your Whistleblowing Conference on 10 December.

The date is firmly etched in the diary and I look forward to receiving further information nearer the time. I would be grateful if you could send this to my ii~~-~i i-i~~-~-~at this address. ’ ......

Kind regards,

Code A

’78 Great Portland Street London WIN 6JE GMC101049-0192

22 July 1999 G ENE P~AL Code A i M~EDICAL British Association of Pharmaceutical Physicians COUNCIL 26-28 Bedford Row Protecting p~ti¢nts, London WC1R 4HE guiding doctors

Annual Dinner

Thank you so much for your very kind invitation to attend your Annual Dinner at BAFTA on 21 September. I am sorry, however, that I will not be able to join you this year as I am already committed to another appointment on that occasion.

I do hope that you have a very enjoyable and successful evening.

Best wishes,

Code A

,78 Great Portland Street London WIN 6JE [ ...... ~-~~-~-~- ...... ] GMC101049-0193

22 July 1999 G ENE P~AL I~EDICAL North East Devon Health Authority Dean Clarke House COUNCIL Southernhay East Protecting] patients, Exeter EX1 1PQ ~]uidin~] doctors

Code A

Clinical Governance Conference 8 November 1999

Thank you very much for inviting me to speak at your conference which sounds very exciting. I regret, however, that I am unable to accept as I am already committed elsewhere on that occasion. I would be most interested to receive any papers or reports that may result from this event.

Kind regards,

Code A GMC101049-0194

22 July 1999 GE NE P~AL

Portex Department of Paediatric Anaethesia M~EDICAL 30 Guilford St COUNCIL London Protecting patients, WC1N 1EH guiding doctors

Code A i

Many thanks indeed for sending me a copy of the letter you have recently sent out to Lead Clinicians - I am most grateful to have been included.

I would be very interested to hear what replies you receive!

Code A

’78 Great Portland Street London WIN 6JEi ...... -~-6~~-~- ...... ] GMC101049-0195

22 July 1999

Personal G E N E P~AL !v~EDICAL COUNCIL Protecting patients, Code A guiding doctors

Code A

Your letter of 6th July was awaiting me when I returned from holiday, and I think mine may be awaiting you when you are back at the beginning of August!

I am writing simply to thank you, in particular for your very explicit and fulsome support on the changed agenda we have in hand.

I was very sorry that we have lost i£_c.’£~?£~-£_A.-£i However, taking the new Council in the round, it does look as though it will be as robust as the last one - if not more so. It could have been a very different story.

I will be in touch with you when you are back,.so that we can talk.

Code A

£_o...d._e_....A- ,78 Great Portland Street London WIN 6JE "_ ...... GMC101049-0196

22 July 1999 15-6~i~-~- ...... GE NEP AL The House of Commons M EDICAL Westminster London SWlA OAA COUNCIL Protecting pdtients, ~]uidin~] doctors

"~,~,~ Code A

Just a note to thank you for yours about the GMC on the move. I would be the first to agree that Darlington has its attractions, but, as you can imagine, London has won out again!

However, we are looking forward to having a really modern building which will enable us to do our job much better - as befits the modern regulating body we have every intention of becoming!

It was good to hear from you again, and from what I hear you seem to be enjoying your new responsibilities which must be quite challenging.

With best wishes

i Code A

~78 Great Portland Street London W1N 6JE Code A GMC101049-0197

22 July 1999 GE N E P~AL !V~EDICAL Gt Ormond Street Hospital for Children NHS Trust Great Ormond Street COUNCIL London WC1N 3JH Protecting patients, guiding doctors

~,=,,, i Code A

Thank you very much indeed for your very interesting papers. As you say, they are highly relevant to our developing policy on SHO Training. I am ensuring that ,i ...... Code A 7of, our Education Committee, will see ’Iri~iii: ......

Thank you once again for your interest and your kindness in bringing your work to my attention.

Code A

~78 Great Portland Street London W1N 6JE ~ ...... c_._o._d_.e_._A_...... i’ GMC101049-0198

22 July 1999 G E N E P~AL M~EDICAL COUNCIL Code A Protecting patients, i guiding doctors

I was very sorry - but not entirely unsurprised - to receive your letter of resignation from the GMC. I am very sorry indeed, but I quite understand.

You will be sorely missed by your many friends on the Council.

May I say, on behalf of the Council, how much we have appreciated your contribution to our work at a very critical time in the evolution of the relationships between medicine and the public. In that context your experience, wisdom, common sense and judgement have been invaluable assets particularly in helping to get the balance right between the public and professional interests. We are most grateful to you and we wish you every success and good health as you look to your new and wider responsibilities in future.

Code A

U8 Great Portland Street London WIN 6JE Code A GMC101049-0199

22 July 1999 GENE P AL EDICAL COUNCIL Royal College of Anaesthetists Protecting patients, 48-49 Russell Square guiding doctors London WC1B 4JY

Code A

I am,...w_.rj.t_ln_._q..,on behalf of my colleagues on the Revalidation Steering Group to thank you,i._.c_..o._d_.e_._._A_iand your colleagues for the excellent discussion on revalidation the other evening, and for the equally enjoyable conversation over dinner.

We were impressed by the thought, care and attention which you are giving to this very important part of our profession’s agenda. Equally, it was good to see Charlotte there making such a good contribution from the patients’ point of view and the very positive way in which the Association and the College appreciate that.

We await developments with interest!

Code

I78 Great Portland Street London W1N6JE ...... ~8~~--~ ...... GMC101049-0200

22 July 1999 G E NE P~AL M~EDICAL Code Ai COUNCIL Protecting patients, guiding doctors

Code A

PRHO Assesment

Just a note to thank you very much indeed for your letter which I am passing on to Code A ifor his attention in our Education Committee. You make a very valid point.

Code A

~78 Great Portland Street London W1N 6JE i Code A GMC101049-0201

GENEP AL V EDICAL

20 July 1999 COUNCIL Pro~ec~in~ patients, ~uidin~ doctors

...... G-@’s, King’s and St Thomas’ School of Medicine 5th Floor Capital House 42 West Street London SE1 3QD

Thank you for your letter of 23 June 1999, enclosing a revised draft of your report on the study relating to the GMC’s health procedures.

I have read the draft with great interest, and am grateful to you for the various improvements which you have incorporated in response to our previous comments. This has been a very useful exercise, and the report will provide an important foundation for the further development of the health procedures.

I understand that ~ ...... ~-~~l-~-i~,---]has already sent you some further comments on this latest draft, and tt~-y;~5-(J-~ili-~ meeting with the Steering Group later this week to discuss some points of detail.

Thank you for the hard work which has gone into this excellent report.

i Code A

z78 Great Portland Street London WIN 6JEi ...... i~86-2i~- ...... ] GMC101049-0202 GMC101049-0203 GMC101049-0204 GMC101049-0205

The President Sir Donald Irvine CBE

20 July 1999 G E NE P~AL J~EDICAL COUNCIL Protecting patients, A ...... guiding doctors

Code A

Thank you for your letter of 7th July. I am sorry we missed the opportunity of a meeting on 13th, but due to the vagaries of the Royal Mail your letter did not arrive until that very day!

You suggest 5th August - I too have a slot on that day but not at 3pm. I wonder if you are free at 1.00 for a bite of lunch?

If this does not fit in with your diary I will aski Code A ito contact your office. Hopefully they will be able to find us some tiCne-: ...... ’

Best wishes

Code A

’78 Great Portland Street London WIN 6JE GMC101049-0206

19 July 1999 G E N E PkAL tVkEDICAL Westaway Gillis Ltd Barnyard COUNCIL Chartridge Lane Protecting patients, Chesham guiding doctors Bucks HP5 2TF

Code A

Thank you for your letter of 12 July inviting me to join the Prix Galien Awards Advisory Board for the year 2000.

I accept your invitation and look forward to hearing from you with dates for our meetings.

Code A

Great Portland Street London WiN 6JE i ...... ~’8"a-~-’~i~ ...... GMC101049-0207

Code A

19 July 1999 G ENE I~AL !v~EDICAL COUNCIL London School of Hygiene & Tropical Medicine Protecting patients, Keppel Street guiding doctors London WCIE 7HT

~. Code A

I am writing to say how sorry I was to learn that we will be losing your services as a member of the Council. Your contribution has been valuable and I know that I speak for all members, and particularly those who worked with you on the Finance Committee and the Review Board for Overseas Qualified Practitioners, in saying how much we shall all miss you.

With very best wishes for the future..

l ~78 Great Portland Street London W1N 6JE ~- ...... ~-I~-~ ...... GMC101049-0208

GENEI AL 16 July 1999 COUNCIL General Practitioners Committee Proceccin~q paciencs. BMA House Tavistock Square duidin~ doctors London WC1H 9JP

Code A RevalidatiO~l ...... ~

When we met at the Royal College of Pathologists on Tuesday, we had an informal discussion about the development of proposals for revalidation.

As 1 said then, I think the best way forward would be for us to hold an ad hoc meeting to discuss how to provide the opportunities which the profession would like to talk through the development of revalidation with the GMC, without other parties present. This would be without prejudice to the multi-lateral consultative groups we have already established, and could follow the pattern used in the development of the Performance Procedures.

My office will contact yours, and those of the othe,.r_,.s_._h._.o_._.w_._.n_._.o_._n._._t._.h_..e, distribution list below, to arrange a time for the meeting, t have includedL,i ...... _.C_._.o_._d._.e_._._A._ ...... fIn the list because, as you said, the arrangements we make for general practice will need to be slightly different from those for the hospital specialties.

Code A

Distribution List: GMC101049-0209

GENE P AL 16 July 1999 M EDICAL ...... COUNCIL Royal College of Pathologists Protecting patients. 2 Carlton House Terrace guiding doctors London SW1Y 5AF

Code A

Revalidation

When we met at the Royal College of Pathologists on Tuesday, we had an informal discussion about the development of proposals for revalidation.

As I said then, I think the best way forward would be for us to hold an ad hoc meeting to discuss how to provide the opportunities which the profession would like to talk through the development of revalidation with the GMC, without other parties present. This would be without prejudice to the multi-lateral consultative groups we have already established, and could follow the pattern used in the development of the Performance Procedures.

My office will contact yours, and those of the other shown on the distribution list below, to arrange a time for the meeting. I have included [~£~£~_0.~i~~2T~] on the list because, as [-i-i-i-i~i~i~-i-i-i-l-jsaid the arrangements we make for general practice will need to be slightly different from those for the hospital specialties.

Code A i

Distribution List: GMC101049-0210

G ENEP AL 16 July 1999 M EDICAL COUNCIL BMA House Pro~cdn£ p~i~n~, Tavistock Square ~quidin~q doctors London WC1H 9JP

i Code Ai

Revalidation

When we met at the Royal College of Pathologists on Tuesday, we had an informal discussion about the development of proposals for revalidation.

My office will contact yours, and those of the other shown on the distribution list below, to arrange a time for the meeting. I have included [221~i~i~i..-_A.-1221]on the list because, as [122221~i~£e_i~.ii~22222]said, the arrangements we make for general practice will need to be slightly different from those for the hospital specialties.

Code A

Distribution List:

,78 Great Po,’tlan{l Street London win 6JE’ ...... -(~~l-~-~ ...... ] GMC101049-0211

G E N E P AL 16 July 1999 M EDICAL COUNCIL 3o~nf Consultants Committee BMA House Protecting patients, Tavistock Square guiding doctors London WC1H 9JP

Code A

Revalidation

When we met at the Royal College of Pathologists on Tuesday, we had an informal discussion about the development of proposals for revalidation.

My office will contact yours, and those of the other shown on the distribution list below, t_..o._._a_r.r.a_._n._ge a time for the meeting. I have included i---(~-~~}-~--] on the list because, as _.C_...o__d._..e.__.A_...... ]said, the arrangements we make f6-r-~-fi~-~--fi[-i:J~actice will need to be slightly different from those for the hospital specialties.

Code A

Distribution List: Code A

Great Portland Street London WIN 6JE " ...... ~-88~J-~- ...... GMC101049-0212

G E N E RAL 16 July 1999 EDICAL Code A COUNCIL .... B?iti~h--Iqf~ai~il-A-d~66[~i~[ei~- ...... Protecting patients, BMA House guiding doctors Tavistock Square London WC1H 9JP

Code A

Revalidation

When we met at the Royal College of Pathologists on Tuesday, we had an informal discussion about the development of proposals for revalidation.

As I said then, I think the best way forward would be for us to hold an ad hoc meeting to discuss how to provide the opportunities which the profession would like to talk through the development of revalidation with the GMC, without other parties present. This would ¯ be without prejudice to the multi-lateral consultative groups we have already established, and could follow the pattern used in the development of the Performance Procedures.

My office will contact yours, and those of the other shown on the distribution list below, to arrange a time for the meeting. 1 have included [[[[.-.C[~-_d-£~-[_A-£[[[] on the list because, as Code A i said, the arrangements we make for general practice will need to be ~h’~ih-fl~-8-iffe-~r:i’t from those for the hospital specialties.

Code A

L ...... _,’ Distribution List: Code A

Great Portland Street London WIN6JE GMC101049-0213

Code A

GE NE P AL 16 July 1999 V EDICAL COUNCIL Royal College of General Practitioners 14 Princes Gate Hyde Park London SW7 1PU

Revalidation

When we met at the Royal College of Pathologists on Tuesday, we had an informal discussion about the development of proposals for revalidation.

My office wil! contact yours, and those of the other shown on the distribution list below, to arrange a time for the meeting.

Distribution List:

~78 Great Portland Street London ~VIN 6JE [ ...... Code A 7 GMC101049-0214

15 July 1999 G E N E P~AL ~EDICAL COUNCIL Prot~ctin£ p~ti~nt~, ~ui~in~ doctor~

~ iCode Ai i ...... I thoroughly enjoyed our meeting yesterday morning and you have certainly left me with plenty of food for thought (and action!).

I have copied your letter to i_.c_°_2._e.~.i and hope to get some feedback from him when he returns from a week’s leave.

Best wishes,

Code A

~78 Great Portland Street London WIN 6JEi ...... Code A GMC101049-0215

Code A

15 July 1999 GENERAL M EDICAL COUNCIL Protecting patients, guiding doctors

It was good of you to take the time to come and see me today.

I hope that [_7_~_~_~_~_~.~_7_~4.7_~£_7.]was able to reassure you that we are actively considering your registration and hope to have an answer for you once you are happy that we have all the documents you wish us to see, and the relevant Committee has met.

As I explained, I am happy to say I have been re-elected for another term and I am grateful for your good wishes.

,78 Great Portland Street London WIN 6JE GMC101049-0216

14 Juillet 1999 G E N E P~AL !V(EDICAL COUNCIL Protecting patients, guiding doctors

...... Cod~- ...... A J’ecris a vous remercier concernant le camera que j’ai laiss6 a votre restaurant la semaine derni6re. II est arriv~ Lundi matin sain et sauf & Londres.

On s’est bien regarde Iors de notre dejeuner chez vous et nous esperons d’avoir le plaisir de retourner chez vous bientot.

Dans cette attente, je vous prie d’agr~er, Monsieur, I’expression de mes sentiments les meilleurs.

Code A

,78 Great Portland Street London WiN 6JE ...... ~8~-~- ...... GMC101049-0217

Code A

15 July 1999 G E N E I~AL !~EDICAL Sun Alliance House 35 Moseley Street COUNCIL Newcastle Upon Tyne Protecting patients, NE1 1XX guiding doctors

Code A

Thank you for your letter of 15 June enclosing the Codocils to our respective Wills. These I return duly signed and witnessed as per your instructions.

~ r78 Great Portland Street London W1N 6JE ;~ ...... _c._.o_._d~_..A_ ...... ~ .~ GMC101049-0218

GE NEPkAL 15 July 1999 EDICAL COUNCIL Protecting patients, pital N H S T ru st guiding doctors London WClN 3JH

Thank you for ..q..o_.j._n.cl to the trouble of sending me parts one and two of the articles you wrote with[ ...... _.C_...o_._.d_...e_._._.A.._ ..... i

I shall read them on my next train journey home.

In the meantime I have asked that they are drawn to the attention of our Standards and Education Directorate and look forward to their comments. GMC101049-0219

15 July 1999 G E N E P~AL Royal College of Opthalmologists MEDICAL 17 Cornwall Terrace London NW1 4QW COUNCIL

[juidinj doctors

Code A

Thank you so much for inviting [~];-~]and myself to your Annual Dinner on Thursday 9th September.

I very much regret, however, that l shall be in Holland on the 9th and 10th of September attending a conference in Nijmegen so on this occasion we will not be able to join you.

I do hope that you have a successful evening.

Code A GMC101049-0220

15 July 1999 G E N E P~AL , Code A . tv~EDICAL Faculty of Medicine University of Liverpool COUNCIL Duncan Building Protecting patiencs, Daulby Street guiding doctors Liverpool L69 3GA

...... Code A ~- Visit to Liverpool Faculty of Medicine

Your secretary kindly phoned this office and left me a message saying that any combination of the three days in April mentioned in my letter of 24 June would suit your faculty.

[ ...... (~i-~-/~ ...... ’and his Research Assistant i ...... ~-~~-~- ...... ] will, therefore, be with you on Wednesday and Thursday 26 and 27 April 2000.

I will be in touch with your office regarding arrangements nearer the time.

Yours sincerely

Code A

Great Portland Street London WIN 6]El ...... ~-~~-~.- ...... l GMC101049-0221

G ENE P~AL 15 July 1999 JV~EDICAL COUNCIL , ...... Protecting patients, Grove House ¢._O_d_e_._._.A ...... guiding doctors Millers Close Dorchester Dorset DT1 1SS

Deari ...... ~8~~-~ ...... i

Further to my letter of 24 June ] 999 I now enclose your draft seminar report with i._._..c_.£~.~_._~_._.j s written amen6ments. Code A

’78 Great PortLand Street London WIN 6JE l ...... ~8~i-6-~ ...... i GMC101049-0222

GENEP AL 15 July 1999 M EDICAL COUNCIL Protecting patients, guiding doctors

Dear] ...... 1~8-~~-~...... ]

Thank you for your letter to i ...... ~-~~-J~ ...... ]dated 14 July. As your letter takes the form of a complaint there is ’~i-~ii;[;St course 6[ action that has to be taken.

Complaints are dealt with by the ’Fitness to Practice’ Directorate of the GMC rather than by the President himself, so your letter has been passed to the Head of this division and you will doubtless hear from them in due course.

I am sorry that you have not received a response from i.___C._0.._d_._e._._A_._jhimself, but strict procedure prevents him from being personally involved in any potential cases.

Code A

Great Portland Street London W1N 6JE L ...... C__o._~._..A_ ...... GMC101049-0223

14 July 1999 G ENE P~AL !V~EDICAL Princess Margaret Hospital Okus Road COUNCIL Swindon Protecting patients, Wilts SN1 4JU guiding doctors

"5,~, i Code A Thank you for writing to me on 9 June - I am afraid that you letter only arrived in this office today, hence my late reply.

Much as I would like to accept your invitation I am afraid that it will be difficult to arrange a suitable evening for me to get to Swindon. However, please do let me know if you would like an alternative speaker from within the GMC to come to talk about Revalidation and I will do my best to make the necessary arrangements.

I hope that this is helpful. 7 ..... C’o’d-e’--A’--i

,:78 Great Portland Street London W1N 6JE._ ...... _C._..o._d_._e._._A_._ ...... GMC101049-0224

14 July 1999

Code A G E N E P~AL Commission for Racial Equ~-IIt-y ~EDICAL Elliot House 10/12 Allington Street COUNCIL London SWlE 5EH Protcctin~ pdti~nts, guiding doctors

Thank you so much for inviting me to yesterday’s presentation and reception. It was excellent and gave much food for thought about how we could do more. I will come back to you on this!

iCode Ai

~78 Great Portland Street London WIN 6JE Code A GMC101049-0225

14 July 1999

G E NE P AL Code A M EDICAL COUNCIL Protecting patients, ~quiding doctors

Deari Code A

Thank you for your letter of 6 June 1999 to[ ...... -~~i-~,,&,- ...... i about the GMC elections and the future composition of the ’CS-L~~i-di]~-I-h-rS-i-~iSlying on behalf of the President; I am very sorry to have taken so long to reply.

We will be reviewing all aspects of the electoral process. The unprecedented number of candidates in England raised a number of practical difficulties about the presentation of information to electors, and may well have contributed to the disappointing turnout in the constituency. We will be looking closely at the options.

Smaller constituencies would not be without their own problems; they would need to be of roughly equal size; and we lack natural regional boundaries. The 1999 elections revealed a number of address changes in England of which we were not aware (in addition tothe 500 address changes that we are informed of each week). Address changes that resulted in a change of constituency could present an issue, which we hardly had to face at all this year. There is also an argument that smaller constituencies work against minority candidates.

We need also to look at how we present candidates’ information to electors; one possibility could be lists of candidates within particular categories (say, by age; gender; specialty), without establishing constituencies for those categories.

From November 1999, almost exactly half the members of Council will be new. This includes newly appointed lay and medical members, as well as those recently elected. We will be looking at how we maintain continuity without making Council membership any less accessible.

The composition of the Council’s membership has changed three times since 1987. The trend has been to increase the number of elected and lay members and to decrease the number of appointed medical members, while preserving the majority of elected members as recommended by the Merrison Committee.

~78 Great Portland Street London WIN 6JE Telephone o~7~ ~c8o 764-2 Fax o~71 91q ]64~ GMC101049-0226

You propose that elected GMC members should be practising. I comment only that we face the very real problem of an ever-increasing workload for Council members, particularly for fitness to practise hearings. Retired members can bring a great deal of experience and expertise to our work, and they have the time to devote to lengthy or multiple cases. The Council will be considering how we cope. with these increasing demands in the future.

No decisions have been made on any of these issues. We shall be consulting on the outcome of our review in due course.

Yours sincerely

Protecting patients, guiding doctors 2 GMC101049-0227

14 July 1999 G E N E P~AL ~EDICAL British Council Bridgwater House COUNCIL 58 Whitworth Street Protecting patients, Manchester M1 6BB guiding doctors

Code A

Thank you for your letter of 9 July inviting me to take .p_art in a Health Governance Seminar in China next year with ii~..~..~..~..~..~..~..~..~..~..~..~..~..~..~..~..~..~..~.~.~-~e~.~..~..~..~..~..~..~..~..~..~..~..~..~..~..~..~..~..~..~.,i

,.J..n_.t?_..d_n_._.[~?_a_.l i am very happy to accept this, but do ask that you contact my Code Code A ]regarding any arrangements. ’ ......

I look forward to hearing from you with further details in due course.

12/8 Great Portland Street London WIN Code A GMC101049-0228

Code A

13 July 1999 G E N E P~AL Secretary Nuffield Trust 59 New Cavendish Street M~EDICAL London COUNCIL Wl M 7RD Protecting patients, guiding doctors

Code A=

Policy Futures in UK Health -Workshop 16 September 1999

Thank you for inviting me to take part in this workshop - I would have liked to have been there.

I am afraid, however, that I am committed to two meetings here in London that I really must attend.

Great Portland Street London WlN 6JE ...... -~8-~-~ ...... GMC101049-0229

ode A

14 July 1999 G ENE PkAL

Royal London School of Medicine and Dentistry M~EDICAL Queen Mary and Westfield College COUNCIL University of London Protecting patients, Mile End Road guiding doctors London E1 4NS

Code A

Thank you so much for sending me a copy of your Annual Report. I enjoyed reading the Review of the year 19,~8 and would like to congratulate you on the dynamism your Department shows in so many aspects of its work.

It is a tribute to your continuing success and hard work. Many congratulations.

’78 Great Portland Street London WIN 6JE GMC101049-0230

13 July 1999

GENE I AL University of Auckland ! EDICAL Private Bag 92019 Auckland COUNCIL New Zealand Protecting patients, guiding doctors

,’,~,~ Code A

Thank you for your kind letter of 29 June. I am delighted that you were able to join us for the CIO dinner at the RCGP for what was indeed an enjoyable evening. Thank you too for sending me copies of ’Identification of an Appropriate Quality Measurement Tool for use in New Zealand General Practice’, and ’Maintenance of Professional Standards’ both of which 1 have read with interest.

They are both thoroughly useful and well written documents and I am now sending them on to our Standards and Education Directorate for their information.

Best wishes,

Code A

,78 Great Portland Street London WIN 6jE [ ...... 15~-~-~ ...... GMC101049-0231

14 July 1999 G E N E P AL IV EDICAL Department of Anaesthesia Newcastle General Hospital COUNCIL Westgate Road Protectin£ patients, Newcastle upon Tyne guiding doctors NE4 6BE

Dear Code L Thank you for your letter of 23 June. I am sorry that it has taken me nearly three weeks to respond, but i~21~i~[~i.~2~21] has been on leave and I had to await his return before contacting you as a problem has arisen with the date we chose -ie 26 November.

Code A ihave been asked to attend a major dinner in London where ~. CodeA ihas been asked give the main after dinner speech. I hesitate to ask you if you would be prepared to take another date for your event as I realise you have probably started to make arrangements but on this occasion that he really ought to attend this function.

I have done some jU,~hgling with the diary and have come up with the evening of Monday December 6 which is, at least, quite near our original date, and hope that this will be_of use to you. I do apologise for putting you to so much trouble, but hope ,_t._h._.a_._t._y_o._._u. will understand the problems we have trying to fit everything into [;~-;~-e-~] [_C_..£d_._e._..A_.is schedule!

I look forward to hearing from you. Code A

Great Portland Street London WIN 6JE ~- ...... ~8~-~- ...... ’ GMC101049-0232

13 July 1999

GENE P~AL ..... -R6~-gI-C6fI~6f-G~ n a eco"log ist s M~EDICAL 27 Sussex Place Regent’s Park COUNCIL London NW1 4RG Protecting patients, guiding doctors

Dear [T2~-~..-d.-2-e.-_T2~2T2i

Thank you for your letter toi ...... _C._..o._d_._e._._A_...... iadvising them of the date of this year’s Annual Dinner on Friday 26 November,

Code A iwill be delighted to accept and look forward to [12121~..~2~2~212121] i Code AIS official invitation.

Yours sincerely

Code A

’78 Great Portland Street London WiN 6JEi. Code GMC101049-0233

DeaiJ CodeA

Cod~e of Conduct and Register of-Members~ interests

I am pleased to enclose the code of conduct for metal: ors, approved by (,ouncll in May 1999.

The code is vok]ntary, but the Council expects rr~embers to adhere to it, All current and newly elected and appointed members are being invited to indicate their commitment to the code. A statement to this effect is enclosed, which you are invited I:o sign acid return

The declaration ot: conflicts of interest forms an important part of the code, The Council agreed that it is for individual members to determine whether their membership of, association wi~l~, or financial interest in any organisation gives rise to a conflict o1: interest or the appearance of sucl~ a conflict, The statement of commitment to the code of conduct includes a section for the declaration of interests,

The register of interests is being maintained for the purpose of internal governance. Any member who wishes to look at the register of interests should contact ...... ~_0.d.._e_...A_ ...... i or me, If you ha,re an~ questions about the code of cond{Jct or the register of members’ ij Code A me. GMC101049-0234

Code A

9 July 1999 G E N E I~AL ~EDICAL COUNCIL Protecting patients, guiding doctors

You may have been slightly confused when you saw the note sent by i_._.__C_..o..d_._.e_.. _A_._._.i

[._.C..£._d...e_._.A_..iyesterday which , through an error, was printed on ourl, Code A , letterhead. ’ ...... -"

apologies for this small but significant mistake.

Yours sincerely Code A

,78 Great Portland Street London WIN 6JE i Code A GMC101049-0235

Code A

8 July 1999

GENEP AL !V EDICAL Faculty of Medicine University of Sheffield COUNCIL Beech Hill Road Protecting patients, Sheffield $10 2RX guiding doctors

Code A L

Thank you for your letter of 30 June - my apologies for a late reply but I have just returned from a ten day break in France!

I accept your invitation to speak at lunchtime on the first day of my visit on 19/20 October, and suggest the following title ¯

’Professional Accountability, Clinical Governance and Revalidation - What do they mean for Tomorrow’s Doctors?’

I am sorry that you will be leaving Sheffield before my visit, but trust that you will be able to enjoy a long and very enjoyable retirement.

i Code A

’78 Great Portland Street London WIN 6JE ...... ~l~ ~l~ l l ~l ...... ] GMC101049-0236

8 July 1999 GENE P~AL J~EDICAL Royal College of Physicians 11 St Andrews Place COUNCIL Regent’s Park Protecting patients, London NWl 4LE guiding doctors

Private Finance Initiatives- Monday 18 October

Thank you for writing to invite i~22#~_~~221]to attend this meeting. I am sorry to say that he will not be able to join you. I feel sure, however, that he would be most interested to hear of any conclusions that you may come to.

Yours sincerely Code A

Great Portland Street London WIN 6JEi ...... ~-~-~- ...... GMC101049-0237

8 July 1999 Code A GE NEP~AL ~EDICAL 35-43 Lincoln’s Inn Fields London WC2A 3PN COUNCIL Protecting patients, g~iding doctors

Code A

Thank you for your letter letting me know about your sponsored walk from Robin Hood’s Bay to St Bees - by the time you read this letter you will have completed it!

I have sent a cheque to the Development Office as requested on your sponsorship form but just wanted to wish you every success in your venture.

I~8 Great Portland Street London WIN 6,E ...... -~-8~-~-~ ...... ] GMC101049-0238

8 July 1999

GENE P AL .... RiS~i~l-C-6ll-~~-~-iS-f P~i-tSi516-!Dl~f~ ...... !V EDICAL 2 Carlton House Terrace London SW1Y 5AF COUNCIL Protectin£ patients, guidin~ doctors

Thank you for your letter of 5 July inviting us to the Royal College of Pathologist’s Annual Dinner. Regrettably I have a speaking in Cardiff on 24 November and so, will have to decline.

’78 Great Portland Street London W lN6JE ...... -~Sd-~-~ ...... : GMC101049-0239

8 July 1999 GE NE P~AL J~EDICAL Royal College of Physicians 11 St Andrews Place COUNCIL Regent’s Park Protecting patients, London NW1 4LE guiding doctors

Code A

Private Finance Initiatives - Monday 18 October

Thank you for writing to invite me to attend this meeting. I am sorry to say that I will not be able to join you. I would, however, be most interested to hear of any conclusions that yo may come to.

,?8 Great Portland Street London WIN6JE ...... ~-6-~-~- ...... GMC101049-0240

8 July 1999

G ENE P~AL !v~EDICAL COUNCIL Code A Protecting patients, ~uidin~7 doctors

I am writing to congratulate you on your success in the GMC election. I hope you will continue to find your membership of Council fruitful and enjoyable. I know that I shall continue to call on your help and advice in the years to come and I am delighted to have the opportunity of working with you in the future.

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

z78 Great Portland Street London WIN 6JEi’i ...... Code A GMC101049-0241

8 July 1999

G E N E P~AL M~EDICAL Code A COUNCIL Protecting patients, guiding doctors

"~,~ i ...... Code ~-

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Code A

~78 Great Portland Street London W1N 6JE [ Code A i GMC101049-0242

...... 8-’-g"~il"~-’Tggg......

G E N E P~AL Code A M~EDICAL i COUNCIL Protecting patients, guiding doctors

"~ Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Code A

t78 Great Portland Street London WIN 6Jq..l Code A GMC101049-0243

G E N E P~AL ~EDICAL Code A COUNCIL Protecting patients, guiding doctors

-~,,,.. Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Code A

i78 Great Portland Street London W1N 6JE " ...... -~8~-~ ...... GMC101049-0244

Code A 8 July 1999

GENE P~AL N~EDICAL Code A COUNCIL Pro~eccing patients, guiding doctors

Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Code Ai

’78 Great P oft ]a n d Street L o n do n W1 N6 J E ~’£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£~_T.~. ~T2~.’T "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "£ "i GMC101049-0245

G E N E P~AL !V~EDICAL Code A COUNCIL Protectin~ p~tients, guiding doctors

Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

I78 Great Portland Street London WIN 6JE i= Code A GMC101049-0246

G E N E P~AL M~EDICAL Code A COUNCIL Protectin~ patients, guiding doctors

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

~78 Great Portland Street London W1N 6JE ~ ...... Code GMC101049-0247

G E N E P~AL M~EDICAL COUNCIL ’Code A ’i Pro~ec~Jng patients, guiding doctors

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Code A GMC101049-0248

8 July 1999

Pike View Medical Centre G E N E P~AL Albert Street Horwich M~EDICAL Bolton COUNCIL Lancs Protecting patients, BL6 7AW guiding doctors

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Code A

I78 Great Portland Street London WIN 6JE Code A GMC101049-0249

Code A

GENE P AL M EDICAL COUNCIL Protecting patients, guiding doctors

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999. GMC101049-0250

G ENE P~AL M~EDICAL COUNCIL Protecting patients, guiding doctors

,O -’~,.~ Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Code A

Great Portland Street London WIN 6JE GMC101049-0251

Code A ...... 8-3i~l~F1-9£f9 ......

G E N E P~AL ~EDICAL COUNCIL Pro~ecting patients, guiding, doctors

Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999. GMC101049-0252

8 July 1999

G E N E Px.AL N~EDICAL Code A COUNCIL Protecting7 patients, guidin~ doctors

),,~ Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Code A

~78 Great Portland Street London WIN 6JE [ ...... Code A GMC101049-0253

8 July 1999

G E N E PxAL !v~EDICAL Code A COUNCIL Pro~ecting patients, guiding doctors

.~ ~, Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Code A

I78 Great Portland Street London WIN 6JEl~ ...... Code A GMC101049-0254

GENE P~AL Code A M~EDICAL COUNCIL "Protecting patients, guiding doctors

Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999. GMC101049-0255

G ENE P~AL Code A IV~EDICAL COUNCIL Pro~ec~ing patiei~s, guiding doctors

Code A ...... ~

I am writing to congratulate you on your success in the GMC election. I hope you will find your membership of Council fruitful and enjoyable. There is a great deal of work ahead of us and I know that I shall be calling on your help and advice in the years to come. I look forward to working with you in the future.

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

t~’4~ ~ e

Code A

~78 Great Portland Street London W1N 6JE ...... -1~~-~-~- ...... ’ GMC101049-0256

8 July 1999

Huddersfield Royal Infirmary GENE P AL Acre Street EDICAL Huddersfield HD3 3EA COUNCIL Pro~ec~ing patients, g~ziding doctors

I hope to see you on Monday 9 August 1999 atthe Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

Code A

,78 Great Portland Street London W1N6JE GMC101049-0257

Code A 8 July 1999

G E N E P~AL The Medical School J~EDICAL University of Newcastle Upon Tyne NE2 4HH COUNCIL Protectin~ patients, ~Tuiding doctors

"~,~, Code A

I am writing to congratulate you on your success in the GMC election. I hope you will enjoy your return to Council life. There is a great deal of work ahead of us and 1 know that I shall be calling on your help and advice in the years to come. I look forward to working with you in the future.

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

Code A

I78 Great Portland Street London WIN 6JE[, ...... Code GMC101049-0258

8 July 1999

G E NE P AL J EDICAL COUNCIL Pro~ec~ing patients, guiding doctors

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

I78 Great Portland Street London WIN 6JE GMC101049-0259

GENEP AL M EDICAL COUNCIL Pro~ec~ing patients, guiding doctors

"~,~... iCode A’

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Code A

,78 Great Portland Street London WIN 6JE GMC101049-0260

8 July 1999

G ENE PxAL M~EDICAL Code A COUNCIL Protecting patients, guiding doctors

Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

178 Great Portland Street London W1N 6JE i ...... ~’~-~’-,~- ...... ] GMC101049-0261

Code A _j J

G E N E P AL Manchester Royal Infirmary Oxford Road EDICAL Manchester COUNCIL M13 9WL Protecting patients, guiding doctors

Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

~78 Great Portland Street London WIN 6JE Code A GMC101049-0262

GENEP AL M EDICAL COUNCIL Protecting patients, guiding doctors

Code A

1 look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Great Portland Street London WlN 6JE [ Code A i GMC101049-0263

8 July 1999

G E NE P~AL ’Code A’ N~EDICAL COUNCIL Protectin~ patients, suidinS doctors

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

178 Great Portland Street London WIN 6JE GMC101049-0264

...... Code

GENE P~AL M~EDICAL Code A COUNCIL Pro~ec~ing patients, guiding doctors

...... Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

,78 Great Portland Street London W1N 6JE [ ...... ~-~~-6-~- ...... ] GMC101049-0265

GENE P~AL M~EDICAL Code A COUNCIL Pro~ec~ing patients, guiding doctors

Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Code A

Great Portland Street London WIN 6JE [ ...... ~8~-~,- ...... q GMC101049-0266

GENE P~AL =Code A= !V~EDICAL COUNCIL Protecting patients, guiding doctors

L Code A i I am writing to congratulate you on your success in the GMC election. I hope you will continue to find your membership of Council fruitful and enjoyable. I know that I shall continue to call on your help and advice in the years to come and I am delighted to have the opportunity of working with you in the future.

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

~78 Great Portland Street London WIN 6JE ~ ...... __.o_._a.~_..A_ ...... GMC101049-0267

Code A ~’~’-JUly’-3"99~ ......

G E N E P~AL ~EDICAL COUNCIL

guiding doctors

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Code

I78 Great Portland Street London WIN 6JE ...... -~8d~-2~!~ ...... GMC101049-0268

Code A July 1999

GENE P~AL Code A M~EDICAL COUNCIL Protecting patients, guiding doctors

"~ =,. Code A

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

I78 Great Portland Street London WIN6]E GMC101049-0269

8 July 1999

G E NE P~AL ~EDICAL COUNCIL Protectin~ patients, t~uidint~ doctors

...... Cod~...... A ,

I am writing to introduce myself, and to welcome you to the Council.

You will be receiving more information about our work shortly, including a Members Handbook. Details of an Open Day for new members on 9 August 1999 are being sent to you, and I look forward to meeting you then. If you are unable to attend, we will gladly arrange a visit to our offices at another time.

If there is ever anything that my colleagues or I can help you with, please do not hesitate to contact me.

I look forward to working with you.

Code A

,78 Great Portland Street LondonW1N6JE ......

-~ode A GMC101049-0270

Code A

8 July 1999

G E NE RAL i~EDICAL Code A COUNCIL Protecting patients, guiding doctors

On my return from holiday, I was delighted to learn that you will be staying with us for a further five years. Many congratulations on your renomination. 1 hope that you will continue to find membership of the Council stimulating and rewarding.

As you are well aware, there is a great deal of work ahead of us. 1 know that over the next few years, I will be depending upon your help and guidance more than ever.

I78 Great Portland Street London WIN 6]Ei ...... i~~-~- ...... ] GMC101049-0271

9 July 1999 G E NE P~AL ~EDICAL COUNCIL Protecting patients, guiding doctors

Code A

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

Code A

,78 Great Portland Street London W1N 6]E Code A GMC101049-0272

8 July 1999

GENEP AL Code A J EDICAL i COUNCIL Protecting] DatJents, ~quidJng doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

178 Great Portland Street London WIN 6JE GMC101049-0273

8 July 1999

GE NE P AL tv EDICAL Code A COUNCIL Protecting patients, guiding doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

i78 Great Portland Street LondonWlN 6JE[ ...... ~8d~--~- ...... GMC101049-0274

8 July 1999

GE NE P AL M EDICAL Code A COUNCIL Protecting pacients, guiding doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

I78 Great Portland Street London WIN 6JE[, ...... Code A GMC101049-0275

G E N E P~AL ~EDICAL COUNCIL Protectin~ patients, ~uidin~ doctors

"~ ~ Code A

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

’78 Great Portland Street London WIN 6JE [ ...... ~msms~mm~ ...... ] GMC101049-0276

8 July 1999

GENE P~AL Code A t~EDICAL COUNCIL Pro~ec~ing patients, guiding doctors

Code A

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999, GMC101049-0277

GENE P~AL Code A i~EDICAL COUNCIL i Prot~ctin~ [~ati~nt~, ~uidin~ doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

i Code A

’78 Great Portland Street London W1N6JE ...... ~-8~’~’-~- ...... GMC101049-0278

Code A July 1999

GENE P AL Belfast City Hospital Complex EDICAL Lisburn Road Belfast COUNCIL Northern Ireland Protectin8 patients, BT9 7TS guiding doctors

I hope to see you on Monday 9 August 1999 at the Open Day and 1 look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

’78 Great Portland Street London WIN 6JE [ ...... ~-6~1~’-~ ...... GMC101049-0279

G E N E P AL !V EDICAL COUNCIL Protectin~ patients, guiding doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

’78 Great Portland Street London WIN 6JE i ...... _.._O_._d_~_._A...... J GMC101049-0280

Code A 8 July 1999

G E N E PkAL Code A JVkEDICAL COUNCIL Pro~ecting Dat~ents, gu~dh~g doctors

~,~ CodeA

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

i Code A

~78 Great Portland Street London WIN 6JE [ ...... Code A ] GMC101049-0281

8 July 1999

G E N E P~AL M~EDICAL Code A COUNCIL Protectin[7 patients, ~]uiding doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

I78 Great Portla~_d Street London,_ WIN 6JE GMC101049-0282

i Code A i 8 Julg ~ 999

GENE PkAL M~EDICAL Code A COUNCIL Prot~ctin~ patients, ~uiclin~ doctors

I am writing to congratulate you on your success in the GMC election. I hope you will find your membership of Council fruitful and enjoyable. There is a great deal of work ahead of us and I know that I shall be calling on your help and advice in the years tocome. I look forward to working with you in the future.

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

C od eA

U8 Great Portland Street London W1N 6JE]...... ~8~i-~-2~...... GMC101049-0283

8 July 1999

GENE P~AL k~EDICAL Code A COUNCIL Protecting patients, guiding doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

Code A GMC101049-0284

8 July 1999

G E N E P~AL M~EDICAL Code A COUNCIL Pro~ec~n,9 pa~e~s, ~uidin~ docmrs

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

~78 Great Portland Street London WIN 6JE i Code GMC101049-0285

Code A 8 July 1999

GENE P~AL ~EDICAL Code A COUNCIL i Protecting patients, guiding doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

Code A GMC101049-0286

8 July 1999

G E N E P~AL tv~EDICAL COUNCIL Pro~ec~ing patients, guiding doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

Code A

,78 Great Portland Street London W,N 6JE[ ...... ~8~~-2~ ...... GMC101049-0287

8 July 1999

GENE PkAL M~EDICAL Code A COUNCIL i Protecting patients, guiding doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

Code A

I78 Great Portland Street London W1N 6JEi Code A GMC101049-0288

G E N E P~AL !V~EDICAL COUNCIL Protecting] patients, doctors

Code A

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

Code A

~78 Great Portland Street London WIN 6JE ~- ...... : ...... GMC101049-0289

GENE P AL Code A !V EDICAL COUNCIL Protecting patients, guiding doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

178 Great Portland Street LondonWlN6JE ...... -~ode A GMC101049-0290

Code A i 8 July 1999

G E NE P~AL M~EDICAL COUNCIL Protecting] patients, ~]uidin~7 doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

Code A

178 Great Portland Street London W IN6JE’ ...... ~-Sd~-~- ...... GMC101049-0291

8 July 1999

GE NE P~AL ~EDICAL Code A COUNCIL Protecting] [Patients, juidinj doctors

, , ..~ ~ Code A

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

Great Portland Street London WIN 6JE [ ...... ~Sd~-~ ...... GMC101049-0292

Code A 8 July 1999

G E NE P~AL ~V~EDICAL COUNCIL

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

"Code A GMC101049-0293

G E N E P~AL Code A N~EDICAL COUNCIL Protecting patients, guiding doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999.

i78 Great Portland Street London W1N 6JE [ Code GMC101049-0294

8 July 1999

GENEP AL M EDICAL COUNCIL Protecting patients, guiding doctors

I hope to see you on Monday 9 August 1999 at the Open Day and I look forward to welcoming you to the Council meeting on Tuesday 2 November 1999. GMC101049-0295

8 July 1999

GENEPvAL N(EDICAL COUNCIL Protecting patients, guiding doctors

3,,~ Code Ai

I look forward to seeing you again at the Council meeting on Tuesday 2 November 1999.

Code A

’78 Great Portland Street London WIN 6JE GMC101049-0296

Code A

5 July 1999 G E N E P~AL N[EDICAL Apothecaries Hail Blackfriars Lane COUNCIL London EC4V 6EJ Pro~ecting patients, guiding doctors

thanks The Master and Wardens of the Society of Apothecaries for their kind invitation to dinner on 17 August at 7.30pm but regrets he will be unable to accept.

I78 Great Portland Street London W1N 6JE i Code A GMC101049-0297

8 July 1999 G E N E P~AL Code A ~V~EDICAL COUNCIL Protecting patients, guiding doctors

Dear i Code A]

Thank you for your letter to i--~88-~-~--jof 28 June. [[[[2~-_~.2~[[[[~1 is away at present so I have taken the liberty oT86lS-~?ing your letter to our Standards and Education Directorate from whom I expect you will receive a response in due course.

Yours sincerely

Code A

,78 Great Portland Street London W1N 63E’ ...... -(~-~’~-~-~ ...... ] GMC101049-0298

6 July 1999

G E N E P~AL Y~EDICAL COUNCIL

~uidin~ doctors

Thank you so much for sending me the dates you are available to meet in Edinburgh - as you can see from the enclosed I am trying again, but regrettably not until December.

I will keep you posted as to the outcome.

...... KJn.ct.re~a[ds ......

Code A

178 Great lortland, Street: l_on(lon ~VIN 6]L: i ...... Code A ~ GMC101049-0299

6 July 1999 GENERAL EDICAL Department of Health COUNCIL The Scottish Office Protecting patients, St Andrew’s House guiding doctors Edinburgh EH1 3DG

DeariCode A[

I have managed to find one further possible date for a meeting with ~.T.T££.T.~_6.~.~~.T£££.T£i CodeA l

you could liaise with your opposite number in the Minister’s office and see if there is any time that day for a meeting?

I look forward to hearing from you.

Code A

I78 ...... I~ISls~llI~ Great Portland Street London WIN 6JE ...... GMC101049-0300

Copy Code A

Letter to

From , Code A

Organisation Royal Army Medical Corps

Subject Standards

Date of letter 28 June 1999

Date received in OPCE 30 June 1999

Please provide Response

Reply to be signed by Directorate to decide

Please. return by

Comments by President President on leave until 8 July

Acknowledgement letter sent (copy attached)

Processed byLCode’’~IAi

Comments by Chief Executive

Director’s comments

I do*/do not* wish to see the draft

Reply signed by Signature

Date

e:\t\townsend\i Code Ai June 1999 GMC101049-0301

30 June 1999 G E N E I~AL !V~EDICAL Confidential COUNCIL Protecting patients, guiding doctors Royal Hospital Haslar Gosport Hants PO 12 2AA

Dear i CodeA

Thank you for your letter to[iii.~-i~i~i.~iiil] which arrived in this office today. I have...... sent a confidential copy to the Head of our Standards and Education Directorate, i..... i i and I am sure you will be hearing from him in due course.

Yours sincerely Code A

’78 Great Portland Street London WIN 6JE ...... ~-~i-6-’~,~ ...... GMC101049-0302

...... Ri)-y.gff 1t O-S-i~ |t.gff tt.[iKi ~-e ...... Gosport ¯ Hants ¯ PO12 2AA

-i ...... Date:...... 2 August 1999 General Medical Council 178 Great Portland St Your ref: London W1N 6JE Our ref: 06 AUG 1999

Dear Sir

With regards to a response to earlier correspondence from your [iiiiiiiiiiiiiiiiiiiiiiiiii~_~i_e.-_i~iiiiiiiiiiiiiiiiiiiiiiiiil, [~;~;~ia~-~;~;~]dated the 30th June 1999, I have yet to hear a response from the General Medical Council with a response to my earlier queries.

I would be grateful if a response could be forthcoming as soon as is practicably possible.

Yours sincerely ’Code GMC101049-0303

30 June 1999 GE NE P~AL !V~EDICAL COUNCIL Protecting patients, guiding doctors

D e a r [._._.._o__d_._e_._.A._._.i

Thank you for writing to i_._...C_.£.d.._e_._A._._._.ion 29th June with your comments on the meeting held here on 17th June.

[171711~.-.o.-_8_..e-]_A.-171711j is enjoying a few days’ leave at present but I will ensure he sees your letter on his return next week. In the meantime I have copied your correspondence to those who attended the meeting and hopefully you will receive their comments in due course.

_Y.~um_siac_ere_l_v_ ...... Code A

178 Great Portland Street London WIN 6JE’ ...... ~’~-’2~- ...... ] GMC101049-0304

Code A

28 June 1999 G E N E P~AL !v~EDICAL COUNCIL Proteceing patients, guiding doctors

Thank you for sending i~.~.~.~.~.i#~0_-._d~.~_A..T.~.~.~.~.ia copy of your publication ’Guidance for Clinical Governance in Opthalmology 1999’.

[._._.C...o_._.d_..e_._..A._._.i is on leave at present so I am taking the liberty of showing it to the head of our Standards and Education Directorate whom I am sure will find its content of g reat interest.

Once again may I thank you for sending the GMC a copy.

...... _Y_.c~rm.~incmr_el~ ...... Code A

~78 Great Portland Street London W1N 6JE,=- ...... ~-~~-~~ ...... ~, GMC101049-0305

Code A

¯ 28 June 1999 G E N E P~AL Code A M~EDICAL Falklands Government COUNCIL King Edward VII Memorial Hospital Protecting patients, Stanley guiding doctors Falkland Islands

Thank you for your letter to i_T_T.T.T_T_~.~.I~_-~T.T_T£.T.~]of 17 June. [ ...... ~8~~-~ ...... ]is away from the office until the middle of next week when I hope that h’i~-W-ill-lSi~-&-15li~-t6 study your letter and send you a response.

Yours sincerely

Code A

Great Portland Street London WIN 6JE [ ...... "~’8~-~-~" ...... GMC101049-0306

Code A

28 June 1999 G ENE P~AL i Code A !~EDICAL Freeman Hospital High Heaton COUNCIL Newcastle upon Tyne Protecting patients, NE7 7DN guiding doctors

D ear i£££££££££_-~i@i~£

Thank you for your "tterto~ CodeA ~of21 June. i ...... _C._.o_#.e_._.A_ ...... i~S away at present so I have taken the liberty of copying your letter to L ...... C._o_.d...e.__A._ ...... i who heads up our

I know that you will be hearing from her in due course.

Yours sincerely GMC101049-0307

28 June 1999 G E N E PkAL !V[EDICAL Queen Mary and Westfield College COUNCIL Department of General Practice and Primary Care Protecting patients, University of London guiding doctors London E1 4NS

_C_._.o_. _d._.e_... _A_ ...... Deari...... i Thank you so much for sending [22222~2~_21A.-222222ia copy of your Annual Report. He is away at present but I will ensure he sees it upon his return to London next week.

Yours sincerely

~78 Great Portland Street London WIN 6JE i Code A GMC101049-0308

28 June 1999

G ENE P~AL

Royal College of Medicine ~EDICAL 1 Wimpole Street COUNCIL London W1 Protecting patients, guiding doctors

D ea ri---~88-~-~---i

Thank you for phoningi--~6-~i~-i~,--itoday. As I explained,i_T_2T.i~_i~.~_T.~£_T.T_~iis on leave until 8 July and so was unable to talk to you about the invitation to close the conference on 23 October here in London.

You were most understanding when I exlp._a._!_.n_._e._.d_._t_.h_._a._t,‘ iwould hopefully be in Newcastle that weekend, and I know that L._..c__o...d._e_....A_._i will appreciate your candid advice. I do hope that we can help you on another occasion. Code A

,78 Great Portland Street London WIN 6JE i ...... Code GMC101049-0309

25 June 1999 GENEP~AL ~EDICAL COUNCIL Code A Protecting patients, guiding doctors

I write following a letter to] Code A ]from[ ...... ~i-~-/~- ...... i dated 21 June regarding a proposed me~{[6~--6~t~-66-6-{fi~m, th~i~-~-~-~-~-~-~-~-~-~-~-~-~-~~£~ia~d yourself. i--~-~~i~-~-i suggested finding a date after the August recess so I have looked through L._.. _C._.o...d__e._..A_._._.~ diary and have identified four possible dates. I am writing in similar terms td ...... ~fS~i~-~ ...... -~ and, once I have heard from you and Lc_.o_~._e._~], I will contact the Minister’s Office.

Yours sincerely.. Code A GMC101049-0310

25 June 1999 G E N E P~AL Code A MEDICAL Department of Health COUNCIL The Scottish Office Protecting patients, St Andrew’s House guiding do,ctors Edinburgh EH1 3DG

Dear.; Code A i

I write following a letter toi2222222~2,~.~~2~2222222i from [T_T_T_T.T_T_~..S_-~_~..~_T_T.T_T_T_Tidated 21 June re~arain~ a ~ro~osea rneetin~ ~e~een them, the !ZZZI~.-.0_-#?II6ZZZiana

i_._._.c_..o._d._.e_...A_._._.iSuggested finding a date after the August recessso I have looked through [~~~~~~~~~~~~~~d~~~e~~~~~A‘~~~~~~~~s~~~~d~!~~a~~~ry~~~~~a~~n~~~d~~~~h~~a~~~v~e~~~~i~dentified four possible dates. I am writing in similar terms toe ...... _.C_...o_._d._.e_.__A._ ...... iand, oncel have heard from you and him, I will contact the Minister’s Office.

Code A

,78 Great Portland Street London WIN 6JE GMC101049-0311

SUGGESTED DATES FOR A MEETING BETWEEN

AT A VENUE TO BE DECIDED EDINBURGH

¯ Preferred date ¯ 28 October (not during the afternoon) ¯ Or 29 October (any time up to16.00)

(As iii~i~i~_i~iiis speaking at a two day conference in Edinburgh on these dates)

¯ Alternatively 18 October ¯ Or 22 October

(but these are not quite as suitable) GMC101049-0312

24 June 1999 Me!st!bei!s Circuiar 28/99

To All Council Members

999 GMC Elections: results

I have now received, from Electorai Reform Bal!ot Services (ERBS), the results of the election for membership of the Council. A iist o[ 8"~ose elected it~, each of ~he four constiluenoes ~s e~iclosed. I ha,/e written ~o car~didates today and a press briefing will be heid tomorrow. ]he list of successful candidates will be p~.@lished on our website.

As I reported to Council or] 25~26 May t999. we became aware that a small r’,,umber of election papers had been desoatc~ed with some pages dupiicated and other pages m~ss~r~g. By 4 8ur~e 1999 the c~osing date for the election, we had received reports of 12 defective sets o~~ papers, We have con~J~sued to take advice from ERBS. and. as required under the Electoral Scheme nave conside~ed whether error co.uld have affected the return of a:X7 candidate f am satisfied that it has not

t, ~.. t.l....c~,o~; off ce ......

Code A’ GMC101049-0313

24 June 1999 GENEP~AL tv~EDICAL

Richmond House COUNCIL 79 Whitehall Protecting patients, London SW1A 2NS guiding doctors

Dear Code A

I write to confirm the conversation we had on the telephone this afternoon in which .~^~._di~_~ezJ_~b ~...xJcts.~[liJ J:Lv_.]3.f.~3_EII~ e~tJB_Cl._b~[YV_~_Eli ...... Code A ...... _c_._o_~_.e_._._a_...... ::::::::::::::::::::::::::::::::::::: ......

September 20th at 2.00 was a suitable date and time for all three participants.

May I also mention that i~-.:.:~.-.O_-~:~2T_-i would like to spend part of the meeting on a one- to-one basis with the Minister, and then fori::~i~i~:_-_A.-::i:~o join them later.

Could you possibly let me know if :::::::::::::::::::::: agrees to this arrangement, and if so, what the timings should be?

Many thanks for your help.

Yours sincerely Code A

t78 Great Portland Street London WIN 6]E GMC101049-0314

24 June 1999 G E N E P~AL ~EDICAL Faculty of Medicine COUNCIL The University of Liverpool Protecting patients, Duncan Building guiding doctors Daulby Street Liverpool L69 3GA

Dear[ Code A i£££11_C.-_~£1~£££1iwrote to you on 4 June, sadly havin~ to cancel the arrangements that had been made for LT.~.~.~.~.~.~.~.~.~.~.~.~.~.~.~#~-~T.~.~.~.~.~.~.~.~.~.~.~.~.~.~.~iand himself to visit Liverpool Medical School next March.

I have been able to identify three days when, hopefully, the visit can be rescheduled, but obviously I realise that this depends on your diary and that of the faculty.

The dates are either" 25 and 26 April 2000 or 26 and 27 April 2000

I hope to bear from your office in due course. i Code A

~78 Great Portland Street London W1N 6JE [ ...... Code A -~ GMC101049-0315

24 June 1999 G E NE P~AL M~EDICAL ...... G-i’-5~-~-FlS-Li~ ...... Millers Close COUNCIL Dorchester Protecting patients, Dorset DT1 lSS guiding doctors

Thank you for sending L_._O._o__d_._e_._..A__.ia copy of your draft seminar report.

:~ is away at present taking some leave, however, I will ensure that it is "-6~5-5~l-lqi-~6-fii~"attention on his return in early July.

Yours sincerely

~78 Great Portland Street London WIN 6JE GMC101049-0316

23 June 1999 G E N E I~AL Code A M~EDICAL COUNCIL Protecting patients, guiding doctors University of Leeds Belmont Grove Leeds LS2 9NS

Dear L ...... C_.9_.d...e_._.A...... ]

I am setting__up_, a meeting at the request of i ...... _.C_..o._d_._e._._A_ ...... i following a letter she sent to i._.__C._..o._d_._e._.__A._._.ion the subject of screening.

(~-~ii~~6~~~~~~~~~~~~~~~~~~~~~~~~]are all free to meet on 8 July at 2.30pm in the L._._C._._o._.d_..e._._.A_._.!is office and I am hoping that this date may also be free in your diary.

Could you possibly give me a ring to let me know? My direct line is printed at the bottom of this page. I have written in similar terms to i--~6-6~-K-i

Yours sincerely Code A

Great Portland Street London W1N 6JE GMC101049-0317

23 June 1999 G E N E P~AL k~EDICAL COUNCIL Protecting] patients, Code A ~uidin~] doctors

l am setting._._U_.p_._._a__..m_e__e_!)ng at the request of[]]]]]]]]~i~.i~i~]~]]]]]]]]]following a letter she sent to [._._._.C.._o._.d_..e._A_...... ion the subject of screening.

...... Code A ~are all free to meet on 8 July at 2.30pm in the i._._C_...o__d._.e_.. _A_._is office and I am hoping that this date may also be free in your diary.

Could you possibly give me a ring to let me know? My direct line is printed at the bottom of this page. I have written in similar terms to [ ...... ~-~~-~--j~......

Yours sincerely Code A

I78 Great Portland Street GMC101049-0318

23 June 1999 G E N E P~AL !v~EDICAL COUNCIL Protecting patients, Code A guiding doctors

Dear

I am setting up a meeting at the request of[ ...... ~~1~}-2~ ...... ]following a letter she sent to [£111-_.-i~.-_e.-i~iiil]on the subject of screening.

...... _.C...o_._d._..e_._.A...... i are all free to meet on 8 July at 2.30pm in the [_._._.C_._o.#_e._._A._._.]S office and I am hoping that this date may also be free in your diary.

Could you possibly give me a ring to let me know? My direct line is printed at the bottom of this page.

Yours sincerely

Code A

178 Great Portland Street London WIN 61E [ ...... ~8-~~-~ ...... GMC101049-0319

Code A

23 June 1999

Commonwealth Medical Association Trust G E N E P~AL BMA House MEDICAL Tavistock Square London WC1H 9JP COUNCIL Protecting patients, guiding doctors

Thank you for sendingi--~i~-~--ia copy of your ComMAT manual on ethical and human rights standards for healthcare professionals. i-£[£[£_C-.~_e-£~£[£[£[jis on leave at present but l will ensure that he sees both your letter and the manual on his return.

I shall also ensure that it is seen by both our Registration Directorate and Standards and Education.

Yours sincerely Code A GMC101049-0320 GMC101049-0321

Code A i

22 June1999

G E N E P~AL J~EDICAL COUNCIL Protecting patients, guiding doctors

Thank you for your letter of 19 June which [._._.c_...o__d_..e_._A_._.]was able to see just before he left London for a week’s leave.

I have asked our Registration Department to send you a copy of the Register and hope that you will be in receipt of this in due course.

Yours sincerely Code A

178 Great Portland Street London W1N 6JE [ ...... ~8~~-~ ...... GMC101049-0322

19 June 1999

The General Medical Council 178 Great Portland Street LONDON WIN 6JE

2 2 J U N 1999 .C ode A

The kindness of your letter encourages me to beg a favour.

When I was on the GMC I suspect I was one of the few members who, because of my work, occasionally made use of my entitlement to fi:ee copy of the published Register. I didn’t ask for one every year, only when my previous copy grew irritatingly outdated.

The last copy I got was in 1996 and I fully intended to ask for another just before my retirement which was due last October. Thanks, however, to a surfeit of attention fi:om our professional colleagues, my mind was firmly focused elsewhere and I never got round to it.

Now that I’ve been able to resume, with fingers crossed, a near to normal - albeit curtailed - working life, is there any chance that I might be granted a retros)ective copy?

Code GMC101049-0323

22 June 1999 G E N E R.AL Royal College of Paediatrics and Child Health 50 Hallam Street MEDICAL London W1N 6DE COUNCIL Protecting patients, guiding doctors

Thank you for sending i Code A i an advance copy of your soon to be published "Medicines for Childret{T ......

Unfortunatelyi Code A iwill be unable to attend your press launch on 1 July as he is enjoying a fe~i-~]~i~?~-f6~ge.

Once again, many thanks for sending us this information.

Yours sincerely Code A

I78 Great Portland Street London WIN 6JEi ...... -~- 6-~-~ -’-~," ...... GMC101049-0324

22 June 1999 G E N E P~AL ~EDICAL Kindling Conferences COUNCIL Dartington Lodge Protecting patients, Totnes guiding doctors Devon TQ9 6EN

Thank you for writing to [_...C_._.o_.d._e_._..A_._.i on 17 June about the Kindling Conference on 11 and 12 October.

I enclose a completed form fori ...... ~S-Ci~-~...... but I have not included any payment- perhaps we cafi-a-i~&-r~fi[tlVt-fifi-t-&-t-~i-i~it-i~?-a-fiii~? [..C._o_.d_.e_._A_.i are on holiday at present.

Yours sincerely

Code A

~78 Great Portland Street London WIN 6JE i ...... Code GMC101049-0325

22 June 1999

Chairman British Medical Association G E N E P AL BMA House Tavistock Square EDICAL London WC1H 9JP COUNCIL Protecting patients, guiding doctors

Dear ] Code A

Revalidation

Thank you for your letter of 11 June.

[-~-~-~i-~-~-. is away at present on a fortnight’s leave in France and has asked me to write to you in his stead.

Please find enclosed a copy of our letter of 10 June 1999 to [iiiiiiiiiiiii~£~.i~ii~iiiiiiiiiiiiii inviting the participation of the BMA Junior Doctors’ Committee at the first meeting of the Junior Doctors Consultative Group to be held on 23 June 1999. Papers for this meeting have now been sent to [£iii#-9.-i~-~i~iiiii]

I hope that this clarifies matters.

Yours sincerely

Great Portland Street London W1N 6JE GMC101049-0326

Code A

22 June 1999 GE NE P AL Institute for the Sociology of Health and Medicine Universitatstrasse 712 iV EDICAL 1010 Vienna COUNCIL Austria Prot~tin~ pdti~nt£, guidin5 doctors

Dear [ 7£ 7£ 7£I.-_.-£~2~ -_e.-£ ~-£ 7£ 7£ 7£i

Health Promotion in Primary Care - General Practice and Community Pharmacy

Thank you for your letter of 25 May 1999 inviting me to become a partner in your project. Unfortunately this is not a key subject area for the GMC and therefore, I feel I must decline your invitation.

Thank you once again for your letter and best wishes for the success of your project.

I am asking my secretary to sign this letter on my behalf as I shall be away from the office from 22 June until 8 July.

Yours sincerely Code A

178 Great Portland Street London WIN 6JE ...... ~~-~~-~ ...... ] GMC101049-0327

22 June 1999

G ENE P~AL Imperial College of Science Technology and Medicine The Reynolds Building !v~EDICAL St Dunstans Road COUNCIL London W6 8RP Protecting patients, guiding doctors

Code A

You very kindly sent me the video of your new interactive teaching system. I found this fascinating and very helpful and promising.

Code A

Great Portland Street London Wl N 6 J E i~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~7.~.~-~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~ GMC101049-0328

22 June 1999 G E NE P~AL Personal N~EDICAL COUNCIL Protecting] patients, Code A ~]uidin~] doctors

Code A

I am very sorry that you are so unwell, and we all wish you a very speedy and complete recovery.

Code A

~78 Great Portland Street London WIN 6JE [ ...... Code A GMC101049-0329

Code A

22 June 1999 GENEl~AL M~EDICAL Code A COUNCIL Protecting patients, guiding doctors

Code Ai

NAGPT 7th Annual Conference

You asked me for a message for the conference brochure. I have pleasure in enclosing a few words.

Code A

178 Great Portland Street London WIN 6JE GMC101049-0330

22 June 1999 G ENE PxAL School of Nursing and Midwifery University of East Anglia t EDICAL Wavers Centre COUNCIL Hellesdon Hospital Protecting patients, Drayton High Road guiding doctors Norwich NR6 5BE

We spoke the other day, but I write simply to reiterate that I thought your paper excellent.

The analysis is very perceptive in what is a very fast moving scene. I very much agree with the sentiment you express in several places, that the involvement of the public will have to have a higher profile than perhaps either the medical profession or Government is contemplating at present. I am certainly saying this loud and clear.

Furthermore in the consultations which are about to begin on revalidation, the GMC is making sure that Doctors and representatives of the public sit down together from the start so that each hears their respective points of view.

Please let me know where it will be published.

. ~78 Great Portland Street London WIN 6JE i ...... Code GMC101049-0331

22 June 1999

Oxfordshire Health Authority G E N E P~AL Old Road Headington ~EDICAL Oxford OX3 7LG COUNCIL Protecting] pdtients, guiding doctors

...... Code A ]

Thank you for your letter. It is excellent to see that you take such a robust view of life even when there might be minor adversities!

We are literally just off on holiday. We will talk when I get back.

Code A

’78 Great Portland Street London WIN 6JE [ ...... i~’8-!~’~-’~i ...... ] GMC101049-0332

22 June 1999

Personal G E N E P~AL iV~EDICAL COUNCIL Code A Protecting patients, guiding doctors

Thank you for your very kind letter. I quite understand that you could not be there at the the Harveian Society. ,~.C...o._d._e._..A_.,Was very much there in spirit- I heard many people saying very nice things about him - which you would have been pleased about.

Thank you again for writing.

,78 Great PortJand Street hondonWlN6JE GMC101049-0333

22 June 1999 G E N E P~AL Royal College of Physicians of London 11 St Andrew’s Place M~EDICAL London NW1 4LE COUNCIL Prot~ctin~ patients, lTuidin17 doctors

The New College Strategy

Just a note to thank you very much indeed for the very attractively presented College Strategic Plan. It all looks very good.

And now to put it into action!

Code A

I78 Great Port,and Street London WIN 6JEi- ...... ~-~~,~-~--~- ...... L GMC101049-0334

Code A

22 June 1999 i ...... -ode A Leicester Royal Infirmary Leicester tV~EDICAL LE1 5WW COUNCIL

Pro~ectin~ ~%2tients, t~uidin~ ~octors

I should have replied to your letter earlier, for which I apologise. I have made several attempts to talk to you on the telephone, but this proves quite difficul!!

1 am very happy with the outline programme. I do hope that it will be possible to include some of the non-executive directors, for I would very much like to hear the "lay" input on the issues of quality and clinical governance.

With kindest regards,

Code A GMC101049-0335

Our ref: DHI/EH

22 June 1999 G ENE PkAL M EDICAL COUNCIL Pro[ec[Jnoo pd[Jen[s, ~uidin~q £oc~oB"

Code A

Thank you for your letter of 22 May 1999.

As I expect you know, at its meeting, the Council accepted the recommendations in the report of the Steering Group on the review of the PLAB test, with the exception of those relating to governance which will be the subject of further discussions with the bodies which current appoint members to the PLA Board. Stephen Brearley, Chairman of the Registration Committee, will be taking forward these discussions.

I can understand your feeling that there has been a failure of process and/or communication in this exercise. We had assumed that the fact that the appointing bodies were represented on the Steering Group would assure adequate feedback. This proved not to be the case.

The Memorandum of Understanding which you and i22222~3[~_~~221-~i]drafted was the starting point for the review and was accepted by the Registration Committee as representing the current position. [._..C..o_d_..e.__A_.j is strongly supportive of the review and spoke to this effect in Council.

I am sorry that misunderstandings appeared to have arisen and hope that the foregoing goes some way towards reassuring you. A copy of the Steering Group’s report is enclosed.

Code A

Enc

~78 Great Portlanc] Street Lonclon WIN 6JE ~ ...... Code A [ GMC101049-0336

Code A

Our ref: DHI/EH

22 June 1999 G E N E P~AL ~EDICAL COUNCIL Protecting patients, guiding doctors

Thank you for your letter of 22 May 1999 about the review of the PLAB test.

I enclose, for your information, a copy of the report of the Steering Group. The recommendations in the report were accepted by the Council, with the exception of those relating to governance which are to be discussed further with the bodies which currently appoint members to the PLA Board.

A number of examiners have been involved in the review and will be taking forward the recommendations in the report.

1 Code A

Enc

’78 Great Portland Street London W1N 6JE [ ...... i~’8-~’~-’~i ...... GMC101049-0337

Our ref: CAS/EH

22 June 1999 G E NE P AL EDICAL Plymouth Hospitals NHS Trust COUNCIL Directorate of Obstetrics & Gynaecology & GU Medicine Protecting patients, Medical Administration guiding doctors Derriford Hospital Derriford Road Plymouth PL6 8DH

Thank you for your letter of 24 May 1999 about the review of the PLAB test.

I enclose, for your information, a copy of the report of the Steering Group. The recommendations in the report were accepted by the Council at its meeting, with the exception of those relating to governance which will be the subject of further discussion with the bodies which currently appoint members to the PLA Board.

The Steering Group recommended that the current structure of the test - a written examination, followed by an OSCE for those who have passed the written part of the test - should remain. In order to remove subjectivity, however, it is proposed that the written paper should be computer markable. A number of examiners have been involved in the review and will be taking forward the recommendations in the report.

I note your comments about the UEB. I should point out, however, that the PLAB test is not a qualifying examination for the purposes of the Medical Act: indeed, it has no legal status. We are, however, prepared to accept a pass in the test as providing objective evidence of a doctor’s capability to work in supervised posts under limited registration. In this respect, it is similar to the licensing examinations conducted by registration authorities in other parts of the world.

Code A

Enc

~78 Great Portland Street London WIN 6JE [ Code A [ GMC101049-0338

Our ref: DHI/EH

22 June 1999 GENE P AL EDICAL Code A COUNCIL

Royal College of Physicians Prot¢ctin~ p~ti¢nts, 11 St Andrew’s Place ~uidin~ doctors Regent’s Park London NW1 4LE

Code A i

Professional and Linguistic Assessments Board (PLAB)

Thank you for your letter of 21 May 1999.

As you know, at its meeting, the Council accepted the Steering Group’s recommendations, with the exception of those relating to governance. Stephen Brearley, Chairman of the Registration Committee, is arranging to discuss these aspects of the report with you and with the Presidents of the other bodies which are currently represented on the PLA Board.

I apologise for the apparent failure of process. Although we did not go out to formal consultation on the document, the bodies which previously nominated members to the Board were represented on the Steering Group and we had hoped that they would be feeding back regularly to their nominating bodies. Unfortunately, this appears not to have been the case.

Code A

178 Great Portland Street London W IN6JE ...... ~-6-~-~-’-~ ...... ] GMC101049-0339

Our ref: DHI/EH GENEP AL 22 June 1999 ! EDICAL COUNCIL Protecting patients, guiding doctors Claremont Hospital 401 Sandygate Road Sheffield $10 5UB

Thank you for your letter of 24 May 1999 about the review of the PLAB test.

I hope that.you will be reassured by the contents of the Steering Group’s report, a copy of which is enclosed. The Council accepted the Steering Group’s recommendations, with the exception of those relating to governance which are to be the subject of-further discussion with the bodies which currently appoint members to the PLA Board.

A number of examiners have been involved in the review and will be taking forward the recommendations in the report.

i Code A

Enc

~78 Great Portland Street London W1N 6JE~ ...... Code A -~ GMC101049-0340

Our ref: DHI/EH

22 June 1999 G E N E P AL N EDICAL COUNCIL Protecting patients, guiding doctors

Thank you for your letter of 22 May 1999.

As you may know, at its meeting, the Council accepted the recommendations of the Steering Group, with the exception of those relating to governance which are to be the subject of further discussions with the bodies which currently appoint members to the PLA Board.

There is no suggestion that the current test is unsatisfactory: it is being redesigned in line with modern thinking on assessment and with our own guidance.

I enclose a copy of the Steering Group’s report in case you have not seen it.

Enc GMC101049-0341

Our ref: DHI/EH

22 June 1999 GENE P AL EDICAL COUNCIL Protecting patients, guiding doctors Department of Surgery Royal Free & University College Medical School University College London Charles Bell House 67-73 Riding House Street London Wl P 7LD

Thank you for your letter of 22 May 1999 about the review of the PLAB test.

A number of examiners have been involved in the review and will be taking forward the recommendations in the report.

Code A

Enc

Great Portland Street London WIN 6JE GMC101049-0342

Our ref: CAS/EH GENE P~AL 22 June 1999 ~V~EDICAL COUNCIL patients, Joctors

Review of the PLAB Test

Thank you for your letter of 22 May 1999. You also wrote to [ ...... ~~-l~i-~-~, ...... ]

I hope that you will be reassured by the Steering Group’s report, a copy of which was enclosed withi ...... _C._.o_...d__e._..A._ ...... j’s letter of 14 June 1999. You may also be reassured by the fact that a number of examiners have been, and continue to be, involved in taking forward the review.

Cod eA GMC101049-0343

Code A

Your ref: RAFB/JHS Our ref: DHI/EH

GENE P AL 22 June 1999 EDICAL COUNCIL Protecting p~ti~nts, ’ Code A guiding doctors Paediatric Department The Horton Hospital Oxford Road Banbury Oxon OX16 9AL

PLAB

Thank you for your letter of 24 May 1999.

As you may know, at its meeting, the Council accepted the recommendations of the Steering Group on the Review of the PLAB Test, with the exception of those relating to governance which will be the subject of further discussion with the bodies which currently appoint members to the Board.

A number of examiners have been involved in the review and will be taking forward the recommendations of the Steering Group.

,78 Great Portland Street London W1N 6JE [ ...... ~8~-~ ...... GMC101049-0344

Our ref: DHI/EH G E N E PvAL 22 June 1999 !%EDICAL COUNCIL Protecting p~ti¢nts, guiding doctors

Code A PLAB Exam

Thank you for your letter of 22 May 1999.

A number of examiners have been involved in the review and will be taking forward the recommendations of the Steering Group.

’Code

’78 Great Portland Street London W IN6JE ...... ~’8~’~’-’~- ...... GMC101049-0345

Our ref: DHI/EH

22 June 1999 G E N E PkAL !V[EDICAL COUNCIL Protecting patients, Code A guiding doctors

New PLAB Format

Thank you for your letter of 24 May 1999.

As you may know, at its meeting, the Council accepted the recommendation of the Steering Group, with the exception of those relating to governance which are to be the subject of further discussions with the bodies which currently appoint members to the PLA Board. These are now being taken forward by the Chairman of the Registration Committee.

A number of examiners have been, and continue to be, involved in the review.

I enclose a copy of the Steering Group’s report in case you have not seen it.

Code A

Enc

I78 Great Portland Street London WIN 6JE GMC101049-0346

22 June 1999

LT56-lfide-lSe~ d e nt 18th Floor G E N E P AL Canada Square Canary Wharf N EDICAL London E14 5DL COUNCIL Protecting patients, For Publication guiding doctors

Your article Lessons in Rude Health 17 June 1999, is inaccurate in saying that revalidation will only tackle the issue of professional competence. Our guidance, Good Medical Practice, issued to every member of the profession, states clearly that all doctors should ’listen to patients and respect their views, treat patients politely and considerately...and give patients information in a way they can understand.’ Revalidation will be based upon the attributes set out in Good Medical Practice, including how doctors relate to and communicate with their patients.

We have issued guidance to medical schools to ensure that communication skills form part_of the curriculum for all medical students. We carry out regular visits to medical schools to ensure that our guidance is implemented.

Code A

I78 Great Portland Street London WIN 6JE [ ...... Code GMC101049-0347

22 June 1999

The Independent 18th Floor GENEP AL Canada Square Canary Wharf EDICAL London E14 5DL COUNCIL Protecting patients, For Publication guiding doctors

~78 Great Portland Street London WIN 6JEi ...... Code GMC101049-0348

21 June 1999 G ENE P~AL ~EDICAL COUNCIL Protecting patients, guiding doctors

Code A

I am writing on behalf of the Council to say how delighted we all were to learn that your outstanding services to the Liberal Democrats have been recognised by raising you to the peerage in the Queen’s Birthday Honours List. We all know how richly this award is deserved.

We join your many colleagues and friends in wishing you well in the future.

Code A

,78 Great Portland Street London WIN 6JE [ Code A ] GMC101049-0349

21 June 1999 GE NE P~AL House of Commons Westminster M~EDICAL London SW1A OAA COUNCIL Protecting patients, guiding doctors

~,~. Code A

Congratulations on your new post as Shadow spokesman for Health. I was delighted to read about this in last week’s press and wonder if you would consider an informal invitation to dinner one evening when we could discuss matters of mutual interest and concern?

If you are in agreement with this tentative arrangement I will ask my office to contact yours in order to find a suitable date.

In the meantime, best wishes for the future.

i Code A GMC101049-0350

21 June 1999 GENE P AL EDICAL COUNCIL Protectin£ patients, ~uidin~ doctors

Code A

Allegations b y i._._._c_._.O._d._e_._ _A_._._.j

Thank you for your letter of 31 May 1999 about the allegations byi ...... _C_.£_d_e_.__A__._.]

In the course of much correspondence, [._C..o._d_.e_...A_.i and I have responded to your various concerns, including your interpretation of the duties and responsibilities of Council members. On that specific point, my position is clear. But nothing I have said should have led any member to believe they are entitled to attempt to substitute their judgement for the judgement of other members appointed by Council to undertake specific functions.

I very much regret that you have been unable to accept the information given to you. I have reluctantly concluded that it would be futile to attempt to find fresh ways of rehearsing points already made. In the circumstances, I do not believe I can usefully add to what has already been explained to you.

Code A

Great Portland Street London W1N 6JEi’ ...... Code GMC101049-0351

21 June 1999 G E N E P AL University of Oxford Nuffield Dept of Clinical Medicine EDICAL CTSU Harkness Building COUNCIL Radcliffe Infirmary Protecting patients, Oxford OX2 6HE guiding doctors

Dea r i._._._C_._°._.d_._e._..A._._._.i

Thank you so much for your letter.._[-~~~~--~"i_., is away on leave at present so l am responding to you in his stead,

May I apologise for this mistake - it is a case of several departments being involved in checking the Honours List and writing the subsequent letters and we have made an unfortunate error somewhere along the line.

Thank you for your understanding note - please accept our apologies.

Yours sincerely

,78 Great Portland Street London WIN 63E GMC101049-0352

21 June 1999 GENE P AL M EDICAL Code A COUNCIL British Medical Association Protecting patients, BMA House guiding doctors Tavistock Square London WClH 9JP

"~.~i Code A Elections to the GMC

Thank you for your letter of 11 June 1999 about the elections to the GMC. This followed a report to your Executive Committee.

Asi ...... C_o_...d_._e_...A...... j for the elections, I do understand the concerns expressed, particularly as reports in the medical press consistently exaggerated the scale of the problem despite extensive briefing by us.

The fault was confined to the constituency of England, where we received a total of 12 reports of defective sets of election papers. This compares with the 132,000 sets which were dispatched to doctors on the register.

I doubt whether, realistically, any affordable process can be guaranteed to be error free. However, we are certainly not complacent; and I do not underestimate how confidence can be damaged when an error of this kind occurs. For that and other reasons we will be reviewing all aspects of the elections to ensure that we learn any lessons. Meanwhile, we have kept the position under close and continuing scrutiny.

i Code A

I78 Great Portland Street London W1N 6JE [ ...... ~-~~-~~ ...... ] Switchboardo17~ £8o7642 Central faxo~Ti 9I£364I GMC101049-0353

British Medical Association

-~I3~’vL~. House Tavistock Square London WC1H 9JP Switchboard: 0171 387 4’199

i General Medical Council 178 Great Portland Street London WIN 6JE

Our Ref: CS/IGB/JMF 11 June 1999

Dear [~;~l-~~]

Elections to the GMC

At its recent meeting the Executive Committee of the Association’s Council received a report that problems had arisen in the printing of the booklet of candidates’ submissions that was distributed with the ballot papers for the elections to the GMC. The committee was aware that Electoral Reform Ballot Services, which is organising the election and the printing of the papers, had advised that the inte~ity of the election would not be compromised by the error. Nevertheless, members have asked me to pass on to you their concern that the error had occurred and their suggestion that the GMC’s electoral methods be reviewed.

Code Ai

JMF U:LETrERS\IRV1NE6

Registered as a Company limited by Guarantee Registered No. 8848 England Registered ofI]ce: BMA House Tavistock Square [.ondon WCI [I ~!JP Listed :ks a Trade Union under the Trade Union and Labour Relations Act 1974 Secretaq: Dr E bl Armstrong BSc FRCPEd FRCP (Gt~) FRCGP GMC101049-0354

21 June 1999

Yealm Medical Centre GENEP AL Yealmpton !V EDICAL Plymouth PL8 2EA COUNCIL Protecting patient.s, guiding doctors

GMC Elections 1999

Thank you for your letter of 4 June 1999 toL._._.C.._0..d_e_.._A__,i about canvassing, l am replying as the

The Electoral Scheme does not prohibit canvassing. Consequently, candidates are free to canvass. That said, judging from the comments we receive, many doctors appear to find canvassing distasteful; and many doctors simply rule out candidates who canvass for votes. As a result, our advice to candidates is that canvassing may be counter-productive.

We will be reviewing all aspects of the Electoral Scheme in the light of experience this year. This will include looking very closely at the guidance for potential candidates.

~78 Great Portland Street London WIN 6JE Telephone o~7~ !;8o 7642 Fax o~7~ 9~9 364~ GMC101049-0355

21 June 1999

Code A Walsgrave Hospital Clifford Bridge Road GENE PkAL Walsgrave IvkEDICAL Coventry CV2 2DX COUNCIL Protecting patients, guiding doctors

On 18 May 1999 you kindly wrote to me about the arrangements for training junior doctors. I understand that since then, you have received comments from the L._...C_.£..d._e_._.A.._._.i of the Royal College of Physicians of London to whom, amongst others, you had copied your letter.

Matters concerning the education of doctors undertaking postgraduate training, insofar as they fall within the remit of the GMC, are dealt with by our Education Committee. You will, I am sure, have seen a copy of our latest recommendations on the training of senior house officers, The Early Years, Which we published in December 1998.

This deals with the generic aspects of training at SIlO grade, and emphasises the importance of the educational elements. Our guidance also suggests ways of maximising the educational experience of doctors in SIlO posts, whatever their service load or their working patterns.

The Special-[st Training Authority, rather than the GMC, is the competent authority for overseeing postgraduate training and issuing certificates of specialist training to hospital doctors who have trained in the UK, in terms of the European Medical Directive. A similar function in relation to doctors in primary care is performed ._b..y_._~_.h_..e._._._, Joint Committee for Postgraduate Training in General Practice. I am sure thati Code Code A iwho is a GMC member as well as Chairman of the STA, would b-e ...... ii~(~i:~gt6-~l-iiS-i~&ad your comments about the experience needed for consultant appointments in the UK.

Code A

,78 Great Portland Street London WIN 6JE ...... ~’~-~’~-’~ ...... ] GMC101049-0356

21 June 1999 GENE P~AL M~EDICAL COUNCIL Protecting patients, guiding doctors

2u,~ i Code A i

Thank you for your letters of 2 May 1999 and 29 May 1999 about the Professional Conduct Committee.

You refer to widespread disquiet but I have no evidence to support this. You are the only person who has raised the issue with me.

I will continue to discuss with all fitness to practise chairmen and deputy chairmen how best to secure the effective operation of committees. However, there has always been a wide range of acceptable approaches to chairmanship and I have no doubt this will _continue.

Code A GMC101049-0357

21 June 1999 GENE P AL ! EDICAL Community Hospitals Group Priory Terrace COUNCIL 24 Bromham Road Protecting patients, Bedford guiding doctors MK40 2QD

Following our meeting in April 1999 between the Private Health Care Sector and the General Medical Council on quality systems, I would like to invite you to a further meeting on 2 September 1999 at 14:00. The meeting will be held in the Committee Room of the General Medical Council, at 44 Hallam Street.

The aim of this meeting is to continue our discussion about revalidation. In particular, I would like to ensure that the GMC has a full picture of the various categories of doctors that will need to be revalidated as well as existing and planned arrangements for local profiling and external peer review processes.

Before the middle of July, three reports will be sent to you, describing the above areas. We- know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contacti ...... ~8~-~-~,- ...... ito take this forward. L ...... :

Code A

Great Portland Street London WIN 6JE i ...... ~8~’~-’-~ ...... ] GMC101049-0358

21 June 1999 GENE P AL M EDICAL Community Hospitals Group Priory Terrace COUNCIL 24 Bromham Road Protecting patients, Bedford guiding doctors MK40 2QD

Code A

Before the middle of July, three reports will be sent to you, describing the above areas. We_know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contac~ ...... ~-~-8-~-2~ ...... to take this forward. ¯ ...... ]

Code A

’78 Great Portland Street London WIN 6JE [ ...... -i~-6"~l-~’-~ ...... ] GMC101049-0359

21 June 1999 GENEP AL !V EDICAL , i ...... BUPA House ..0_._d.e_._A ...... COUNCIL 15-19 Bloomsbury Square Protecting patients, London guiding doctors WC1A 2BA

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999. this forward.

Code A

Great Portland Street London WIN 6JE i Code GMC101049-0360

21 June 1999 G E N E PxAL N EDICAL "--i-fia-~[5-~ifl-a ~~i~-F]6-~It-I~~-&i:i~" Association 22 Little Russell Street COUNCIL London Protectint~ patients, WC1A 2HT guiding doctors

Code Ai

Before the middle of July, three reports will be sent to you, describing the above areas. We know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact[ ...... ~~-~,- ...... ito take this forward.

Code A

I78 Great Portland Street London WIN 6JE ...... ~8~-~-~- ...... GMC101049-0361

Code A

21 June 1999 G E N E P AL JV EDICAL British United Provident Association BUPA House COUNCIL 15-19 Bloomsbury Square Protectin£ patients, London ~uidin~ doctors WC1A 2BA

Code A

Before the middle of July, three reports will be sent to you, describing the above areas. We-know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

~ I would be grateful if you would contact i...... ~8~i-~-/~- ...... ito take this forward.

178 Great Portland Street London WIN 6JE ...... i~6-t~l~-~ ...... GMC101049-0362

21 June 1999 G E N E P AL Cod A I EDICAL Hampshire Corporate Park COUNCIL Eastleight Protecting patients, Southampton guiding doctors SO52 3RY

Before the middle of July, three reports will be sent to you, describing the above areas. We-know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contacti ...... ~-(~8~j-~ii,[ ...... ]to take this forward.

178 Great Po rtland S treet London W1 N 6 J E [~£~£~£~£~£~£~--.~£~£~£~£~£~£~£~£~£~£~£~£~.T~£[~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~£~ GMC101049-0363

21 June 1999 G E NE PxAL !V EDICAL British United Provident Association BUPA House COUNCIL 15-19 Bloomsbury Square Protecting patients, London guiding doctors WC1A 2BA

i Code A i

Before the middle of July, three reports will be sent to you, describing the above areas. We-know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would c~ntacti~~~e~~~i to take this forward.

Code A

178 Great Portland Street London WIN 6JE GMC101049-0364

21 June 1999 G E N E P AL M EDICAL Nuffield House COUNCIL 1-4 The Crescent Protecting patients, Surbiton guiding doctors Surrey, KT6 4BN

Code A

Before the middle of July, three reports will be sent to you, describing the above areas. We-know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact[ ...... ~8~i~-~- ...... ito take this forward.

i Code A

’78 Great Portland Street London WIN 6JE [ ...... "~8~’-~i~- ...... ] GMC101049-0365

21 June 1999 GENE P AL J EDICAL BMI Healthcare 210 Euston Road COUNCIL London Protecting patients, NW1 2DA guiding doctors

Code A i

The aim of this meeting is to continue our discussion about revalidation. In particular, I would like to ensure that the GMC has afull picture of the various categories of doctors that will need to be revalidated as well as existing and planned arrangements for local profiling and external peer review processes.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact[ ...... i~8~~-~ ...... ]to take L ...... = this forward.

Code A

Great Portland Street London WIN 6]E [ ...... ~8~-~ ...... GMC101049-0366

The President Sir Donald Irvine CBE

21 June 1999 GENE P AL t EDICAL PPP. Columbia Healthcare 4 Connaught Place COUNCIL London Protecting patients, W2 2ET guiding doctors

Code A

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact i~ ...... Code A i to take this forward. " ......

Code A,

’78 Great Portland Street London WIN 6JE GMC101049-0367

Code A "

21 June 1999 GENEPxAL ! EDICAL BMI Healthcare 210 Euston Road COUNCIL London Protecting patients, NW1 2DA ~uidin~7 doctors

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact i ...... ~~~1-~-~- ...... ito take this forward. ’ ...... ’

I78 Gr~at PortlaD(] Str~{2t Loll{]oil WIN 6JE [ ...... ~-~’~-’~ ...... GMC101049-0368

21 June 1999 GE NE P AL EDICAL ..... Western Provident Association Rivergate House COUNCIL Blackbrook Park Protec~in~ p~ien~s, Taunton ~]uidint~ doctors Somerset TA1 2PE

Before the. middle of July, three reports will be sent to you, describing the above areas. We know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact ! ...... c_._o_.d._._e_..._A...... ) to take this forward. GMC101049-0369

Code A

21 June 1999 G E N E P AL !V EDICAL Western Provident Association Rivergate House COUNCIL Blackbrook Park Protecting patients, Taunton guiding doctors Somerset TA1 2PE

Before the- middle of July, three reports will be sent to you, describing the above areas. We know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact i ...... ~)-~i~-~- ...... i to take this forward. ’ ...... ’

Code A

’78 Great Portland Street London WIN 6JE GMC101049-0370

21 June 1999 G E NE RAL

St Martin’s Hospitals Ltd M EDICAL 97-99 Park St COUNCIL London Protecting patients, W1Y 3HA guiding doctors

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact[ ...... ~8~-~- ...... ]to take this forward. ’ ...... J

Code A GMC101049-0371

21 June 1999 G E N E P AL

St Martin’s Hospitals Ltd tvtED C, 97-99 Park St COUNCIL London Protecting patients, W1Y 3HA guiding doctors

Code A

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact ...... ~-~-~-~- ...... ito take this forward. " ...... ’

Code A

’78 Great Portland Street London WIN 6JE [ ...... ~-~)-~-~-’~ ...... GMC101049-0372

21 June 1999 GENE P AL Code A Prime Health M EDICAL Wey House COUNCIL Farnham Road Protecting patients, Guildford guiding doctors Surrey GU1 4XS

Code A

Before the_middle of July, three reports will be sent to you, describing the above areas. We know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact ~ ...... ~ t ...... _.C_...o_._.d_..e._._.A_._ ...... to take this forward.

,7S Great Portland Street London WIN 6JE i ...... -~8~’~ ...... GMC101049-0373

CodeA

21 June 1999 GENE P AL ! EDICAL PPP Healthcare PPP House COUNCIL Vale Road Pro~ecting patients, Tunbridge Wells guiding doctors Kent TN1 1BJ

Before the.. middle of July, three reports will be sent to you, describing the above areas. We know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contacti ...... -(~-~-~1~-~ ...... ito take this forward. ’ ...... ’

Code A

~78 Great Portland Street London WIN 6JEi Code A GMC101049-0374

21 June 1999 G E N E P AL v EDICAL ..... -PPP-FI6-~Itf~~i:6-" PPP House COUNCIL Vale Road Protecting patients, Tunbridge Wells guiding doctors Kent TN1 1BJ

i Code A

Before the.middle of July, three reports will be sent to you, describing the above areas. We know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact Code A ito take this forward. ~ ...... -’

,78 Great Portland Street London WIN 6JE GMC101049-0375

Code A

21 June 1999 GENE P AL N EDICAL PPP Healthcare PPP House COUNCIL Vale Road Protecting patients, Tunbridge Wells guiding doctors Kent TN1 1BJ

Before the_ middle of July, three reports will be sent to you, describing the above areas. We know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact i~ ...... -(~-~~-/~- ...... io take this forward.

Code A

’78 Great Portland Street London W1N 6JE GMC101049-0376

21 June 1999 G ENE P AL M EDICAL PPP Columbia Healthdare Nuffield House COUNCIL 1-4 The Crescent Protecting patients, Surbiton guiding doctors Surrey, KT6 4BN

Code A

Before the middle of July, three reports will be sent to you, describing the above areas. We_know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staffwould be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact [ ...... Code A ito’ take this forward.

Code A

I78 Great Portland Street London WIN 6JE ~L ...... C_._°._d.~._.A_...... ] ; GMC101049-0377

21 June 1999 G E N E P~AL !V~EDICAL South Tees Acute Hospitals NHS Trust South Cleveland Hospital COUNCIL Marton Road Protecting patients, guiding doctors Middlesbrough Cleveland TS4 3BW

DearL ...... c._ _o._d_..e._ _A._ ......

Thank you for writing to [ ...... _C._..o._d_._e_._A_...... i on 3 June inviting him to take part in your York Conference on 23/24 September this year.

Unfortunately[ Code A i’S very busy diary means that he is already committed on both of those days, but I have contacted[ ...... ~-8~i~-2~ ...... i, a leading solicitor at the firm of Field Fisher Waterhouse (the GMC’s ~6-1ii~it-6?§)-~l~-iShas agreed to speak in his stead.

iand his full address is ¯ .- ...... I hope that-this is of help to you.

Yours sincerely Code A

Great Portland Street London WIN 6JE GMC101049-0378

21 June 1999 GENE P AL

~T5-~-P~B-~ii-CBi[~j6-B-fG-~B-~F&I-PF~B-titiiS5-~F~ M EDICAL 14 Princes Gate COUNCIL Hyde Park Protecting patients, London SW7 1PU guiding doctors

Dear i Code A J

Thank you so much for inviting me to Thursday’s reception. Although I was not able to stay as long as I would have liked, I was able to meet several of my opposite numbers and I know that this will be immensely useful in future.

It was so kind of you to have invited me - it was a lovely evening, the gardens looked splendid and everyone seemed to be having an enjoyable time. Please would you also pass on my thanks to ! ...... ~)-i~i-~--~ ......

Great Portland Street London WIN 6JE j ...... ~8-~’-~t ...... 1 GMC101049-0379

17 June 1999 G ENE P AL M EDICAL Department of Health Richmond House COUNCIL Protecting patients, 79 Whitehall guiding doctors London SW1A 2NS

Code A

When we met recently at the GMC Reception I suggested it would be helpful to get together soon. It seemed to me that this would be a good moment to take stock of where we are with the professional regulation agenda, and how this can best be aligned and ’docked’ with your agenda for quality and, in particular, clinical governance.

I will bring you up to date with where we are on the huge task of bringing about the much needed change in the culture of medicine, the successful accomplishment of which is fundamental to what both the Government and the GMC are seeking to achieve. Revalidation and its relationship with clinical governance lie at the heart of this.

Other matters include the flow of information from the NHS to the GMC on dysfunctional practice about which we are currently unaware; and how we jointly prepare to use the Order making powers, in particular ensuring that we do not allow resource constraints, both administrative and legal, to get in the way of rapid progress.

My office will be talking to yours about possible dates.

Best wishes,

Code A

’78 Great Portland Street London WlN 6JE ...... ~8~-’2~ ...... GMC101049-0380

17 June 1999 G ENE PkAL N(EDICAL COUNCIL Protecting patients, guiding doctors

Deari Code

Please find enclosed a copy letter from i ...... ~}-~]~-~- ..... at the Medical Research ’J ...... Council requesting a meeting with [_._~..0.~__~_._.] yourself and

I have identified two dates and wonder if you could let me know if either/both is suitable for you.

The dates are ¯

16 September 4pm and 17 September 4.30pm

I have let [c_.°_~.e_A_.i know - her diary is clear on both occasions and I now await a phone call from the MRC.

I look forward to hearing from you.

...... ____._._._.______._Yn/i r~ .~in m.~_r~_lv ...... , Code A

[78 Great Portland Street London WIN 6JE [ ...... Code GMC101049-0381

17 June 1999 G E NE P AL M EDICAL Medical Research Council COUNCIL 20 Park Crescent Protecting patients, London WlN 4AL guiding doctors

Dear i Code A i

Thank you for your letter toi ...... C..£d_..e.__A_ ...... iof 9 June in which you mention that you would like members of the MRC to meet with

I have identified two dates and wonder if you could let me know if either/both is suitable for you and your team.

The dates in question are ’

16 September 4pm and 17 September 4.30pm

I have written in similar terms to i ...... -(~-~~-~- ...... iof the Standards Committee at the GMC, and i£~£_c.-~;-_d~.;_~.~-£~£Tfi;6~i-8~i?-si~i~a~i:a~ and Education Directorate in the hope that they will also be able to attend.

I look forward to hearing from you.

...... _~Yours sin .c_.~erely_-~’-~ ...... -~- ...... ~

’:78 Great Portland Street London WlN 6JE [ ...... "~’8~-~-~" ...... GMC101049-0382

17 June 1999 G ENE P~AL M~EDICAL COUNCIL Protecting patients, guiding doctors

Code A~

It was very kind and very thoughtful of you to write so fulsomely. I always look forward to our conversations, and I hope very much that we will continue to have these.

These are still difficult times for medicine, but I do believe that things are beginning to bottom out. At least I hope so!

Code A

~78 Great Portland Street London WIN 6JE ~ ...... Code A GMC101049-0383

17 June 1999 GENE P~AL M EDICAL James Clerk Maxwell Building COUNCIL 57 Waterloo Road Protecting patients, London SE1 8WA guiding doctors

Code A

Future Activities of the Standards Committee

Thank you for your letters about the Standards Committee and Council. I understand that you had a very good discussion which I am sorry I missed as I think I mentioned to you when we spoke recently, I find myself very much in sympathy with the sentiments you express in your letter.

When the results of the election are known and you are successfully re-elected, we must talk about these matters further over the summer, before the new session really gets going.

Code A GMC101049-0384

17 June 1999

GENE P~AL Kingston University Kingston Hill tV(EDICAL Kingston upon Thames COUNCIL Surrey KT2 7LB Protecting patients, guiding doctors

~. 1Code A

Thank you very much indeed for your letter. You are quite right, I was perplexed and I am all the more ashamed for that now that the penny has dropped! I do most sincerely apologise.

Somehow or other I simply didn’t make the connection, perhaps because we have not seen each other for such a long time and perhaps because of the setting.

It was very kind of you to write and I appreciate that.

,78 Great Portland Street LondonW1N6JE Code A ’ GMC101049-0385

17 June 1999

Personal G ENE I~AL Jk,~E DICAL COUNCIL Royal College of Paediatrics and Child Care Protecting patients, 50 Hallam Street guiding doctors London W1N 6DE

Just a note to say thank you very much indeed for your very kind thoughts upon me re-election. I did appreciate that.

I look forward to being able to return the compliment by the end of the month when the results of the elections to the GMC are known!

Code A GMC101049-0386

Code A

17 June 1999 GE NE P~AL Personal J~EDICAL Cod A COUNCIL Protecting patients, 37 Wimpole Street guiding doctors London W1M 8DQ

I just wanted to write to say thank you very much indeed for your kind remarks upon my re-election. I must say that my remaining three years will not be quite the same without you there at the Dental Council. I shall miss you.

178 Great Portland Street London WIN 6JEl’[ ...... Code A GMC101049-0387

17 June 1999 G E N E P~AL

’--R-~W~~5 fql-6 ~i-~1-S-~~-6/51 M~EDICAL Department of Healthcare Policy COUNCIL 180 Longwood Avenue Protectin~ ~atients, Boston MA 02115-5899 ~uidin~ doctor8 USA

i Code A ...... j

It was lovely to meet you again at Ditchley Park and I did appreciate the Millbank Quarterly which I had not seen. Some light reading over the summer!"

Code A

’78 Great Portland Street London WIN 6JE [ Code A GMC101049-0388

Code A

17 June 1999 GENEP~AL ~EDICAL Royal College of Surgeons of England 35-43 Lincoln’s Inn Fields COUNCIL London WC2A 3PN Pro~ecm;£ pdtient~’, ~ui~Jincq Joctol.~

i Code A

Just a note to say thank you very much indeed for your kind remarks about my re- election. I appreciated that, and especially how supportive you have been.

will let you know how I get in with i ...... t~-~-~ ...... ]and look forward to meeting ...... ~i-e--~---i wit h you.

Code A

W8 Great Portland Street Lon{]on WIN 6JEi] Code A GMC101049-0389

Code A

17 June 1999 G E N E P~AL !v~EDICAL COUNCIL Protecting patients, guiding doctors

I am most grateful to you for your letter and for the sight of your reference to the GMC’s objectives in medical education. You are absolutely right!

Thank you.

Code A

1,8 Grea.t Portland Street London W1N 6JE L ...... C__°._..d_e_._..A_ ...... GMC101049-0390

17 June 1999 G ENE I AL Personal !V EDICAL COUNCIL Protecting patients, ~uiding doctors

Thank you very much indeed for doing the honours at the Council dinner the other evening. You will have known that people were very appreciative, and I think we all thought you hit just the right note.

It was also good to see you looking in such good health. Many people remarked upon that which is good news.

i Code A i

Great Portland Street London WIN 6JE GMC101049-0391

GENEP~AL 17 June 1999 ~EDICAL COUNCIL Protecting patients, Code A guiding doctors

Deari ...... C__o. . d_ . _e_ A__ ......

Thank you for your letter of 14 June which arrived in this office today. Complaints are dealt with by our Fitness to Practice Directorate from whom I am sure you will hear in due course.

Yours sincerely ° Code A

,78 Great Portland Street London WIN 6JEi Code GMC101049-0392

17 June 1999 G E N E P~AL M~EDICAL Child and Family Health Services COUNCIL Wilderslowe Pro~ec~ing patients, 121 Osmaston Road guiding doctors Derby DE1 2GA

Dear .... ~8d~-~-i

Thank you for your recent communications and copy letters which I will ensure L._C_.o_..d._e_._.A_.isees upon his return to London in a week’s time.

We are grateful to you for your interest in this subject.

Yours sincerely Code A

~78 Great Portland Street London W1N 6JE [ ...... Code GMC101049-0393

16 June 1999

Personal G E NE I~AL ~EDICAL COUNCIL "Pro~ec~ing patients, guiding doctors

Code A

A wink and a little wave are perhaps not quite sufficient to establish effective relationships again. I think that would be an important thing to do. If you feel the same, why not let’s have lunch together?

i Code A

~78 Great Portland Street London WIN 6JE . GMC101049-0394

16 June 1999

Personal GENE P~AL J~EDICAL COUNCIL Protectin£ patients, guiding doctors

Code A

I just wanted to thank you very much indeed for your sympathy and understanding about our recent bereavement, and for your good wishes on my re-election as L..C_._..o..d_._.e.._._A_._., I very much appreciate your feeling and your sharing of your feelings with me.

Thank you also for your very active support in the run up to the election. It all helps!

Code A

Great Portland Street London WIN 6JE [ ...... ~’8"~’~’-~...... GMC101049-0395

16 June 1999

Strictly Private and Confidential GENE P~AL !~EDICAL COUNCIL Protecting patients, guiding doctors

Code A

Screeners and Distinction Awards

I am writing to acknowledge your sensitive and important letter about this matter, and your perception of the dilemmas that it poses for you. As I intimated to you when I saw you last week at Hallam Street, I think it would be very helpful if you and !Zo£.;!and any other screeners who are similarly concerned meet with iCode Aiand I at the GMC so that we can talk the thing through. I think that there are a’-n-(Jm]3br of things that can be done to help.

If you would like to do this, please contact’ ...... ~-Ci~-~ ...... i-~,-6~;-~.-ito see what we can fix up. I am copying this letter and yours to the,i ...... Code _., L._.__C_.o._a_._e_._~._.}

With best wishes

Code A GMC101049-0396

16 June 1999 GENEP~AL !~EDICAL COUNCIL ...... -O-d’-e ...... A,...... Protecting patients, guiding doctors

Code A

Just a note to thank you very much indeed for the photograph taken at the Henry Cohen Lecture, and for your very kind thoughts on my re-election.

Much appreciated!

Code A

Great Portland Street London WIN 6JE GMC101049-0397

16 June 1999

Personal GENEP~AL Code A M~EDICAL Bennetts End Surgery Team COUNCIL Gatecroft Pro~ec~ing patients, Hemel Hempstead guiding doctors Herts HP3 9LY

Code A

Just a note to thank you all very much indeed for your very kind letter of goodwill on my re-election as i£-_c.-_~i~i_e-ii~Tiof the GMC. I really did appreciate it.

The roses are doing well!

I78 Great Portland Street London WIN 6JE ’ ...... ~8-1~~-~ ...... GMC101049-0398

16 June 1999 GENEP~AL ~EDICAL Code A COUNCIL Protecting patients, guiding doctors

~ ,,,4~ i Code A

Just a note to say how kind it was of you to write on behalf of the National Association of GP Tutors on my re-election as i Code A i

I very much appreciated your expression of support.

With best wishes

Code A

r78 Great Portland Street London WIN 6JE Code A GMC101049-0399

16 June 1999 G ENE P~AL M~EDICAL Open University Walton Hall COUNCIL Milton Keynes Protecting patients, MK7 6AA guiding doctors

Code A

Doctors for Tomorrow’s World

Thank you very much indeed for your very kind and helpful letter. I was indeed sorry that I could not be there on the occasion, but I have heard very good reports of the outcome. The Open University certainly has a lot to offer.

Kindest regards

~78 Great Portland Street London WIN 6JE Code A GMC101049-0400

Code A

June 1999 G ENE PxAL ...... - -ode A M~EDICAL RAND Health 1700 Main Street COUNCIL PO Box 2138 Protecting patients, Santa Monica guiding doctors CA 90407 USA

Code A

How very kind of you to write. I enjoyed meeting you at Ditchley Park and I enjoyed in particular your refreshingly direct and to the point remarks on quality.

When I am in the United States next I will certainly make a point of coming to see you at RAND as I am interested in what you have been doing on quality measurement and the performance of doctors.

With best wishes

Code A

Great Portland Street London WIN 6JE GMC101049-0401

The President Sir Donald Irvine CBE

16 June 1999 G E N E P~AL ...... ~v~EDICAL Imperial College School of Medicine Norfolk Place COUNCIL London W2 1PG Pro~ec~ing pa~iems, guiding doctors

Code A

Explaining differences in English hospital death rates using routinely collected data

Just a note to say how much I enjoyed your recent paper in the BMJ. And how timely it is that you raise such questions as many who work in the Service have a gut feeling that it is overstretched, to a point perhaps of impairing patient care.

I hope that you are not finding your current responsibilities too taxing. It is important work.

Code A

~, I78 Great Portland Street London WIN 6JE,r ...... -~8-~-~...... GMC101049-0402

Code A "

16 June 1999 G ENE P~AL J~EDICAL COUNCIL Protecting patients, guiding doctors

-~,,,,, Code A

It was very kind and thoughtful of you to write about my re-election. I really did appreciate that. How very kind and thoughtful you always are.

Code A

~78 Great Portland Street London WIN 6JE [ ...... Code A GMC101049-0403

16 June 1999 G E N E P~AL M~EDICAL COUNCIL Protecting patients, guiding doctors

Cod A

Just a personal note to say how much I appreciated your letter. I shall remember the Saint Barton’s Ode!

I appreciate just how busy you are. However, I hope that we will have a chance during the course of the summer to meet to talk again on how you can best help Council. The result of the national elections to the GMC will be known at the end of this month, so in July we know exactly what the new Council will look like.

I have asked [ ...... ~~i-~-~ ...... ito give you a ring to see what we can do by way of a mutually convenient date.

With best wishes

Code

,78 Great Portland Street Iron{Ion WIN 6JE i ...... -~8-~1~-~...... 7 GMC101049-0404

16 June 1999 GENEP AL N(EDICAL King’s College James Clerk Maxwell Building COUNCIL 57 Waterloo Road Protecting patients, London SE1 8WA guiding doctors

Code A

Relationship between the GMC and the Medical Schools

Thank you for your note. As you know from our previous discussions, I think that this does need strengthening and I infer from your letter that you do also. This is one of the reasons why I had hoped we would be able to have a separate regular meeting with the Deans as a whole, on matters of moment in medicine where we have mutual responsibilities.

I would like to suggest that we talk about this further during the summer, when the elections are out of the way and we are beginning to map the way forward.

With best wishes,

Code A

178 Great Port’and Street LOndon WIN 6JE[ ...... -1~8~~--~ ...... ] GMC101049-0405

The President Sir Donald Irvine CBE

16 June 1999 Code A York Health Policy Group GE NE P~AL IRIS$ D Block M~EDICAL University of York Heslington COUNCIL York Y010 5DD Protecting patients, guiding doctors

i ...... ),.~, Code A

Labour Policy on Primary Care

Just a note to say thank you very much indeed for the pamphlet which I thoroughly enjoyed reading, and so did i’~;-~.i

It was good to see you in York and thank you for the ’alert’.

Code A

~78 Great Portland Street London W1N 6JEi Code A GMC101049-0406

16 June 1999

Confidential G E N E P~AL ~EDICAL ...... Clinical Pharmacology Group...... Biomedical Sciences Building COUNCIL University of Southampton Protecting patients, Basset Crescent East guiding doctors Southampton SO16 7PX

Code A

Just a note to thank you for your thoughtful and helpful comments. I very much accept the principle, especially of strengthening inter-departmental connections. Finlay and I are proposing a regular monthly meeting of the Chairmen of the policy committees and the Directors, together with he and I. Then, after that, I hope that the Chairmen would be able to dine together so that there is a regular opportunity for taking stock.

None of this would, of course, undercut your point about the President’s Advisory Committee which certainly needs strengthening.

Code A

’78 Great Portland Street London WIN 6JE[ ...... ~Sd~-~ ...... GMC101049-0407

Code A 16 June 1999

School of Health Services University of Newcastle 21 Claremont Place Newcastle upon Tyne NE2 4AA

Code A

Foreword on Clinical Practice Guidelines

Thank you for your letter. In principle I would ve very happy to write a foreword for your book on Clinical Practice Guidelines, but I would need to have the text. I would be grateful if you could let me have this. ii~-_~i.a.-~_~iiand I are going on holiday to France next Tuesday. I would be helpful if l could have the papers before then so that I could map something out whilst we are away, and then give it to you by the middle of July.

Best wishes

Code A GMC101049-0408

16 June 1999 i Code A ...... C’-o’-d--e ...... A ......

Accounts 1998 - 1999

We are at that time of the year again! I enclose my accounts which I think are complete with the exception of the Form P11 D, which I have yet to get from the GMC. The GMC will, incidentally, be sending you a copy in draft this year, so that you and I, and they, can be agreed upon the contents before it goes to the Revenue. i~-0-~-~.and I will be on holiday for the next two weeks in France, and so not-get- ’-~t:t~6i~, but perhaps we can touch base when I return on July 8t~ as to whether you need any further information or not.

Bestwishes,

Code A GMC101049-0409

Code

16 June 1999 GENE PxAL Code A N~EDICAL 59 New Cavendish Street London WlM 7RD COUNCIL Protectin£ patients, guiding doctors

Code A

Second Council of the Isles Health Conference, Dublin, 21-23 November 1999

Thank you very much indeed for the invitation to the cnference in Dublinl I am sorry to have to decline. Right in the middle of your conference I am committed to taking part in a BMJ Conference on Ageing.

Thank you for thinking of me.

Code A

~78 Great Portland Street London WIN 6JE Code A GMC101049-0410

15 June 1999 G ENE l AL i EDICAL COUNCIL l~ro~ec~in~q [ga~ien~s, ~]uiding doctors

Revalidation

We are agreed of the need for a partnership between the Governments and the GMC over the implementation of revalidation. I think that we now need to put this agreement into practice.

As a first step, I think it would be helpful if you, the three other CMOs and I were to meet. We could then begin to ensure that our plans were mutually reinforcing. I hope that such a meeting would become a regular occurrence.

This meeting would, of course, be in addition to the Health Departments’ participation in the network of Consultative Groups that the Council has established.

I suggest that the first meeting takes place on either the 8 or 16 July 1999. I will invite members of the Revalidation Steering Group to attend, and you may wish to bring with you members of your staff.

I should be grateful if your Office were to contact[ ...... ~~-~-~-~!~ ...... to take this forward. , ......

Code A,

178 Great Portland Street London WIN 6JE ...... ~~-~-~- ...... GMC101049-0411

15 June 1999 G E N E P AL M EDICAL

..... ,~86t~i~5 C~ffi8~ Department COUNCIL St Andrew’s House Protecting patients, Edinburgh guiding doctors EH1 3DG

Revalidation

We are agreed of the need for a partnership between the Governments and the GMC over the implementation of revalidation. I think that we now need to put this agreement into practice.

This meeting would, of course, be in addition to the Health Departments’ participation in the network of Consultative Groups that the Council has established.

I suggest that the first meeting takes place on either the 8 or 16 July 1999. I will invite members of the Revalidation Steering Group to attend, and you may wish to bring with .you members of your staff.

I should be grateful if your Office were to contact[ ...... ~8-~i~-~ ...... to take this forward.

Code A

Great Portland Street London WIN 6JE i Code A GMC101049-0412

Code A

15 June 1999 G EN E RAL !V EDICAL ...... D~}-j5 ~ R-~n-6-~i~-6f"R~ &-I~I~- COUNCIL 79 Whitehall Protectin~t patients,

London ~Tuidin~t doctors SW1A 2NS

Revalidation

We are agreed of the need for a partnership between the Governments and the GMC over the implementation of revalidation. I think that we now need to put this agreement into practice.

This meeting would, of course, be in addition to the Health Departments’ participation in the network of Consultative Groups that the Council has established.

I should be grateful if your Office were to contact ...... ~8~-~-~,- ...... to take this forward. L ......

1~8 Great Portland Street London W1N6JE GMC101049-0413

15 June 1999 G E N E P AL M EDICAL Welsh Office COUNCIL

Cathays Park Protectin~ p~tients, Cardiff guidin5 doctors CF1 3NQ

[Code A

Revalidation

We are agreed of the need for a partnership between the Governments and the GMC over the implementation of revalidation. I think that we now need to put this agreement into practice.

This meeting would, of course, be in addition to the Health Departments’ participation in the network of Consultative Groups that the Council has established.

I should be grateful if your Office were to contacti ...... C__o...d.._e_....A_ ...... j to take this forward.

Code A

,78 Great Portland Street London WIN 6JE i (lode A l GMC101049-0414

15 June 1999 GENEP AL

The Harveian Society of London M EDICAL 11 Chandos Street COUNCIL London W1M OEB Protecting patients, guiding doctors

I thoroughly enjoyed the Annual Dinner of the society last week and write to thank you all for an excellent evening - even ill did have to sing for my supper!

I hope to see you all again at the Oratory and will, of course, be in touch to let you know.

Please pass on my thanks to all those involved in arranging the evening and especially to your [ ...... ~~-~-~,~ ......

i Code

I78 Great Portland Street London WIN 6JE i ...... Code A i. GMC101049-0415

16 June 1999 G ENE P~AL !~EDICAL COUNCIL Protecting patients, guiding doctors

I am writing on behalf of the Council to say how delighted we all were to learn that your outstanding services to medicine have been recognised by the award of the CBE in the recent Honours List. We all know how richly this award is deserved.

We join your many friends and colleagues in wishing you well in the future.

Code A

,78 Great Portland Street London WIN 6JE [ ...... ~_o._.d_.e_._~ ...... GMC101049-0416

16 June 1999 G E N E P~AL M~EDICAL COUNCIL Protecting patients, guiding doctors

Code A

I am writing on behalf of the Council to say how delighted we all were to learn that your outstanding services to medicine have been recognised by the award of the MBE in the recent Honours List. We all know how richly this award is deserved.

We join your many friends and colleagues in wishing you well in the future.

Great Portland Street London WIN 6JE’[ ...... ~8~-~ ...... ~’ GMC101049-0417

Code A

16 June 1999 G ENE I~AL !V[EDICAL COUNCIL Manchester Royal Infimary Protectin~ patients, Oxford Road guiding doctors Manchester M13 9WL

I am writing on behalf of the Council to say how delighted we all were to learn that your outstanding services to medicine have been recognised by the award of the OBE in the recent Honours List. We all know how richly this award is deserved.

We join your many friends and colleagues in wishing you well in the future.

Code A

I78 Great Portland Street London WIN6JE GMC101049-0418

16 June 1999 GENEP~AL !vIE DICAL COUNCIL L.l~t-5.[j-~.6-.5 f .-C-5.~fi-~-Si~-~¯ ...... , Protecting patients, Westminster guiding doctors London SW1A OAA

Thank you so much for inviting me to yesterday’s reception. A combination of excellent weather, a wonderful venue and interesting guests made it an event that I thoroughly enjoyed.

I apologise for having to leave a little earlier that I would have liked to, but another appointment beckoned.

Code A

Great Portland Street London W|N 6JE ...... -~6~6-~ ...... GMC101049-0419

16 June 1999 G E NE PxAL Code A J~EDICAL Royal College of Radiologists 38 Portland Place COUNCIL London Wl N 4JQ Protecting patients, guiding doctors

D e a r[---(~-~~-~--i

Thank you for inviting i ...... _C._0._d_.e__._A_ ...... ito your Annual Dinner on 16 September this year.

L._..C_._.o...d__e._..A__._.i has asked me to write to accept on their behalves.

Yours sincerely

Code A

,78 Great Portland Street London WlN 6JE [ ...... ~-6-~-~-2~- ...... GMC101049-0420

15 June 1999 G E N E P~AL J~EDICAL Messrs Field Fisher Waterhouse Solicitors COUNCIL Protecting patients, guiding doctors

Dear [-(~-~-~]

[.T.T.T.T.T.T.-_~I6_.~.]~,T,T,T,T,T,T,-ihas asked me to see if you would consider speaking at a ¯ conference on 24 September (with a dinner the evening before) in York, on the subject "when does negligence become criminal".

I attach a copy of the original invitation sent recently to [.~.~..8.~9-.~.-e_~_.A_-.~.~.] in which you will note they ask for either him personally or a colleague. He asked me to sound you out because of the essentially legal nature of the suggested topic.

Could you let me know if you feel you can take this on - then I can reply to the conference organisers accordingly. Code A

TWO PAGES TO FOLLOW (total 3)

Great Portland Street London WIN 6JE GMC101049-0421

15 June 1999 G E N E PkAL !v[EDICAL ...... COUNCIL [ C’-o’-d’-e ...... A ...... Prot~ctin£ patients,

~uictin~ doctors

Code A

We join your many friends and colleagues in wishing you well in the future.

178 Great Portland Street London WIN 6JE [ ...... ~-8~-~-~ ...... GMC101049-0422

15 June 1999 G E N E P~AL M~EDICAL COUNC{L Pro~ec~in~ ~quiclin~ doc~or.~

We join your many friends and colleagues in wishing you well in the future.

~78 Great Portland Street Lon(ton WIN 6JEii ...... Code GMC101049-0423

15 June 1999 GENE P~AL M~EDICAL Code A COUNCIL Protec~in~ p~tients, suiclinS docmrs

We join your many friends and colleagues in wishing you well in the future.

Code A

178 Great Portland Street London WIN 6JE GMC101049-0424

16 June 1999 GENEP AL M EDICAL Independent Healthcare Association COUNCIL 22 Little Russell Street Prot~ctin~ pdtients, London ~]uidin~] doctors WC1A 2HT

Code A

The three reports attached begin to describe these areas. We know that more needs to be done on them and we would be grateful for your help in this respect. If it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact[ ...... Code A ~ito take this forward. ’ ......

Code A

I78 Great Portland Street London WIN 6JE [ ...... ~-6-8-~-~ ...... GMC101049-0425

16 June 1999 GENEP AL M EDICAL Community Hospitals Group COUNCIL Priory Terrace Protecting patients, 24 Bromham Road guiding doctors Bedford MK40 2QD

i Code A i

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact[ ...... ~-~)~-~-~- ...... ito take this forward.

Code A GMC101049-0426

Code A

16 June 1999 GENEP AL v EDICAL British United Provident Association COUNCIL BUPA House Protectin£ patients, 15-19 Bloomsbury Square ~uiding doctors London WC1A 2BA

Code A

The aim of this meeting is to continue our discussion about revalidation. In particular, I would like to ensure that the GMC has a full picture of the various categories of doctors that wilt need to be revalidated as well as existing and planned arrangements for local profiling and external peer review processes.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact [ ...... -l~-~i~-~- ...... -’,{o take this forward. ’ ......

,78 Great Portland Street London WIN 6JE GMC101049-0427

16 June 1999 GENEP AL Code A EDICAL British United Provident Association COUNCIL BUPA House Protecting patients, 15-19 Bloomsbury Square guiding doctors London WC1A 2BA

Code A

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact i Code A ito take this forward, i ...... i

Code A

,78 Great Portland Street London W1N 6JE GMC101049-0428

16 June 1999 G ENE P AL MEDICAL BMI Healthcare COUNCIL 210 Euston Road Protecting patients, London guiding doctors NW1 2DA

Code A

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999. this forward.

Great Portland Street London WIN 6JE GMC101049-0429

15 June 1999 GENEP~AL iV~EDICAL COUNCIL Protecting patients, ’Code A’ guiding doctors

i Code A

I am writing at the end of your term of office to thank you very warmly for your contribution to the Council in your time as a member. Your efforts have been much appreciated and I know that I speak for all members, and particularly those who worked with you on the President’s Advisory Committee and the Professional Conduct Committee, in saying how much we shall all miss you.

With very best wishes for the future.

i Code A

I78 Great Portland Street London WIN 6JE [ ...... ~8-1~-~-’-~ ...... GMC101049-0430

MfLLEN NIU M FESTIVAL o~ MEDICINE

16 June 1999

St Martin’s Hospitals Ltd 97-99 Park Street London W1Y 3HA Tel: 0171 383 6872 Fax: 0171 383 6494

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact[ ...... ~i-~-~ ...... ito take this forward. [ ......

Co d eA

,78 Great Portland Street London W1N 6JE Code A GMC101049-0431

MILLENNIUM FESTIVAL

16 June 1999 Code A

Nuffield House 1-4 The Crescent Surbiton Surrey, KT6 4BN 383 6872 Fax: 0171 383 6494

Code A

The three reports attached begin to describe these areas. We know that more needs to be done on them and we would be grateful for your help in this respect. If ,f it would help, one of the GMC staff would be able to visit you or one of your colleagues to discuss the reports.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

Iwould be grateful if you would contacti ...... ~-~~-~ ...... i totake this forward. ~ ......

Code A

Great Portland Street London WIN 6JE[ ...... -~-6~-~-~ ...... ] GMC101049-0432

16 June 1999 GENE P AL M EDICAL COUNCIL 210 Euston Road Prot~ctm~q patiems, London guiding doctors NWl 2DA

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact [ ...... _C_._0._d_._e___A- ...... i to take this forward.

~78 Great Portland Street London WlN 6JE i ...... Code GMC101049-0433

16 June 1999 G ENE P AL

Code A i Y EDICAL PPP Healthcare COUNCIL PPP House Protecting7 patients, Vale Road ~duidin~] doctors Tunbridge Wells Kent TN1 1BJ

CodeA

Following our meeting in April 1999 between the Private Health Care Sector and the General Medical Council on quality systems, 1 would like to invite you to a further meeting on 2 September 1999 at 14:00. The meeting will be held in the Committee Room of the General Medical Council, at 44 Hallam Street.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact[ ...... ~i~-~- ...... ]to take this forward, i ...... ;

178 Great PortlandStreet London W1N6JE GMC101049-0434

Code A

16 June 1999 G E N E PkAL tVkEDICAL St Martin’s Hospitals Ltd COUNCIL 97-99 Park Street Pro~ec~ing patients, London guiding doctors WlY 3HA

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contacti Code A ito take this forward. ~ ...... ’

~78 Great Portland Street London WIN 6JE [ ...... Code GMC101049-0435

16 June 1999 G E N E P~AL NtEDICAL PPP Heatthcare COUNCIL PPP House Vale Road guiding doctors Tunbridge Wells Kent, TN1 1BJ

~.~, Code A

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact [i£i£i£i£i£i£i£i£i£i£i£i£i£i£i£i~.-_0-£~-.~i£~£i£i£i£i£i£i£i£i£i£i£i£i£i£i£i£io take this forward.

...... Code

Great Portland Street London WIN 6JE i ...... -~-6"~l-~-~...... ] GMC101049-0436

Code A

16 June 1999 GENEP AL M EDICAL Independent Healthcare Association COUNCIL 22 Little Russell Street Prot~ctin£ patients, London WC1A 2HT ~uidin~ doctors

’Code A

The aim of this meeting is to continue our discussion about revalidation. In particular, I would like to ensure that the GMC has a full picture of the various categories of doctors that wilt need to be revalidated as well as existing and planned arrangements for local profiling and external peer review processes.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact[ ...... _.C_...o__d._..e._._.A_...... ito take this forward.

Code A

I78 Great Portland Street London W1N 6JE GMC101049-0437

Code A

16 June 1999 G E N E P AL

Code A V EDICAL Childworth House COUNCIL Hampshire Corporate Park Protecting patients, Eastleigh guiding doctors Southampton SO52 3RY

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact ; Code A i to take this forward. ~ ......

Code A GMC101049-0438

16 June 1999 GENE P AL EDICAL LCSi~~i-~J~i-i[~-R5~, p it a I s Group COUNCIL Priory Terrace Protecting pacients, 24 Bromham Road guiding doctors Bedford MK40 2QD

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact[ ...... ~-(~-~i-~-~- ...... ito take this forward.

Code A

I78 Great Portland Street London W1N 6JE ...... ~8~i-~-~- ...... GMC101049-0439

16 June 1999 GENEP AL M EDICAL British United Provident Association COUNCIL BUPA House Protecting patients, 15-19 Bloomsbury Square guiding doctors London WC1A 2BA

Code A

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contacti~ ...... Code A itol take th is forward. ’ ......

Code A

Great Portland Street London WIN 6JE GMC101049-0440

Code A

16 June 1999 GENE P AL !V(EDICAL Western Provident Association COUNCIL Rivergate House Protecting] p~tient~, Blackbrook Park 5uidin~ doctors Tautin Somerset TA1 2PE

The aim of this meeting is to continue our discussion about revalidation. In . particular, I would like to ensure that the GMC has a full picture of the various categories of doctors that will need to be revalidated as well as existing and planned arrangements for local profiling and external peer review processes.

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contacti~ ...... Code A -’!° take this forward.

Code A

,78 Great Portland Street London WlN 6JE i Code GMC101049-0441

16 June 1999 G E N E P AL N EDICAL PPP Columbia Healthdare COUNCIL Nuffield House Protecting patients, 1-4 The Crescent guiding doctors Surbiton S u rrey, KT6 4 B N

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact[ ...... ~-~- ...... ]to take this forward. ’ ......

I78 Great Portland Street London WIN 6JE i ...... Code GMC101049-0442

16 June 1999 GE NE P AL

Code A M EDICAL Western Provident Association COUNCIL Rivergate House Protecting pdti~nts, Blackbrook Park guiding doctors Tautin Somerset TA1 2PE

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact [[.[.[.[.[.[.[.[.[.[.[.[.[.[.[.[~--..[~--.~[e--..[~..[.[.[.[.[.[.[.[.[.[.[.[.[.[.[.‘t~ take this forward.

Great Portland Street London WIN 6JE i Code A GMC101049-0443

16 June 1999 G E NE PxAL !VtEDICAL Prime Health COUNCIL Wey House Protecting patients, Farnham Road guiding doctors Guildford Surrey GU1 4XS

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact i ...... ~-~-~i-~-~ ...... ito take this forward. ’ ......

,78 GreatPortland Street London WIN;; 6JE [ ...... Code GMC101049-0444

16 June 1999 G ENEP AL M EDICAL PPP Healthcare COUNCIL PPP House Protecting patients, Vale Road guiding doctors Tunbridge Wells Kent TN1 1BJ

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact[ ...... i~~-~ ...... i to take this forward. ~ ...... ’

~.-{, ...... Code A, ._._._._._._._._._._._._ ...... _.’

178 Great Portland Street London WlN 6JE GMC101049-0445

16 June 1999 GENE P AL

Code A N EDICAL PPP Columbia Healthcare COUNCIL 4 Connaught Place Protecting patients, London guiding doctors W2 2 ET

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

Code A

~78 Great Portland Street London WIN 6JEi ...... Code A -~ GMC101049-0446

16 June 1999 GENE P AL M EDICAL Nuffield Hospitals COUNCIL Nuffield House Protecting patients, 1-4 The Crescent guiding doctors Surbiton Surrey, KT6 4BN

We hope to receive your detailed comments at the next scheduled meeting on 2 September 1999.

I would be grateful if you would contact i ...... _C_ . _0__d_ _e_. A__ ...... to take this forward.

Code A

178 Great Portland Street London WIN 6JE [ ...... "~8~’-~- ...... ] GMC101049-0447

..__o._d_._e._._.A_ ......

15 June 1999

GENEP AL Independent Healthcare Association !V EDICAL 22 Little Russell Street London WC1A 2HT COUNCIL Protecting patients, guiding doctors

Dear Code

Thank you for your fax which arrived here on Monday morning. I ensured that ii.~0_-i~e_-i_-.A_-ii saw it at the first opportunity but his very full diary prevents him from being able to spend time producing the 500 words you require by your Friday deadline.

The main problem we have is that !iiii~i.0_-..-.d_-~i~iiiiis away next week and so it means that this week he is under extra pressure.

I know that my colleague [i~i~i~i~i~i~i_-.C_-i.~i~#i~i~i~i~i~i~iispoke t,.o__.y.o_._U_..a__n_.d_._!et you know our difficulties and I hope that you will understand whyL_..C_9_.d..e__..A__.i has had to say "no".

If you would like Code A it° prepare something for a future edition please let me know. ~ ......

~78 Great Portland Street London W1N 6JE " Code GMC101049-0448

Code A

14 June 1999 G E N E P AL M EDICAL

Bro Morgannwg NHS Trust COUNCIL Trust Headquarters Protecting patients, 71 Quarella Road Bridgend ~tuiding doctors CF31 lYE

Thank you for your letter of 22 April 1999; I am very sorry for the delay in replying.

As you know, we regard doctors in management positions as responsible for ensuring that appropriate action is taken when significant concerns about a doctor’s fitness to practise are brought to their attention. We may hold the Medical Director (and Chairman of the Trust if he or she is a registered medical practitioner) responsible for ensuring that patients; safety is not compromised and the doctor is not allowed to return to unsupervised practice until either the concerns are proved unfounded or the doctor’s deficiencies have been rectified.

In the circumstances you describe, you have a responsibility to act fairly towards the doctor who has been retrained, and an overriding obligation to ensure, as far as possible, that patients’ safety is not compromised.

The best way forward would be to obtain from the training centre an assessment of whether the doctor’s deficiencies have been remedied by the training they have provided. I would suggest you try again to persuade them to provide this. In my view, all registered medical practitioners have a professional responsibility to participate, when reasonably asked to do so, in the assessment and retraining of doctors, where that is necessary for the protection and safety of patients.

Alternatively you could seek a further assessment of the doctor from another training centre or from a professional association. This would not necessarily need to be in the form of a formal opinion on the surgeon’s fitness to return to work. It could, however, provide the basis for your decision on whether the surgeon should resume responsibilities and whether it was appropriate to provide supervision for a period, and if so, the nature and extent of that supervision.

~78 Great Portland Street London W1N6JE . GMC101049-0449

If, despite best efforts, none of the options which I have suggested is capable of resolving the problem, you would have to consider a referral to our fitness to practise procedures. If (as seems likely) the concerns about the doctor are centred upon performance issues rather than conduct, we would require evidence of events, dating from 1 July 1997 (the date upon which our performance procedures became operational), suggesting seriously deficient performance. We would, of course, consider any such evidence and, if we concluded that it called into question the doctor’s continuing unrestricted registration, we would initiate our own proceedings.

I hope that this is of help in dealing with what is clearly a difficult problem.

Code A

Proceccing pacients, guiding doctors 2 GMC101049-0450

15 June 1999 GENE P AL v EDICAL Medical Women’s Federation COUNCIL Tavistock House North Protectin~q Datients, Tavistock Square ~uidin~ doctors London WCl H 9HX

Revalidation

Thank you for your letter of 26 May 1999. I was pleased to learn that the Medical Women’s Federation (MWF) supports revalidation.

You raise concerns about doctors engaged in a variety of fields of practise. The Revalidation Steering Group has already highlighted a number of areas in which arrangements for revalidation may be particularly complex - namely for Iocum doctors, doctors undertaking research, doctors working abroad and doctors who, for whatever reason, are not engaged in active medical practise.

Moreover, at Council’s revalidation debate on 25 May 1999, the issue of doctors returning to practise after a career break was considered. It was agreed that it would be counter-productive for the profession as a whole to make it too difficult for doctors to return to medicine after a career break. The challenge for us all over the next two years will be to develop arrangements for revalidation which balance the needs of the profession against the public expectation that all doctors on the register are fit to practise.

You are also concerned about the provision of resources for revalidation. Council has already agreed that the introduction of any system of revalidation will require adequate resources - human and financial. Without such resources, the data, time and analysis required could not be delivered, and the purpose of the scheme - the promotion and assurance of good standards of care for all patients- would be lost. Discussions with Government and others will be required to ensure that the introduction of revalidation is linked with the provision of necessary resources.

,78 Great Portland Street London WlN 6]E ...... [ 81~1 ~I l 1~ ...... GMC101049-0451

In developing proposals for revalidation, Council is committed to a process which is as open and transparent as possible. With this in mind, we will, very soon, be engaging the MWF in a formal consultation exercise designed to ensure that the views of every sector of the profession are considered. We hope that you will be able to work with the GMC to take this important work forward. Meanwhile, however, I would be happy to meet with you informally to discuss any other issues of concern. If you would like to arrange a meeting, perhaps you would contact

I hope that this is helpful.

Code A

Protecting patients, guiding doctors 2 GMC101049-0452

Code A

15 June 1999 GENE PkAL MEDICAL COUNCIL Protectin~q [patients,

~ui~]in~ c]octors

We join your many friends and colleagues in wishing you well in the future.

Code A GMC101049-0453

15 June 1999 G E NE P~AL M~EDICAL COUNCIL Protec~in~q p~ien~s, ~quiJinU doctors

We join your many friends and colleagues in wishing you well in the future.

Code A

Great Portland Street London_ WIN 6JE[ ...... ~-6-~-~-’~ ...... GMC101049-0454

Code A

15 June 1999 GENE P~AL ~V~EDICAL ...... COUNCIL Protec~n~ p~tient~, C’-0"-d’-e ...... A ...... ~uidin~ doctors

¯ "b,-, Code A

I am writing on behalf of the Council to say how delighted we all were to learn that your outstanding services to medicine have been recognised by the award of the DBE in the recent Honours List. We all know how richly this award is deserved.

We join your many friends and colleagues in wishing you well in the future.

Code A

Great Portland Street London WIN.6JE [ ...... Code A ] GMC101049-0455

15 June 1999 GENEPvAL MEDICAL COUNCIL

~uidin~q doctors

We join your many friends and colleagues in wishing you well in the future.

~ 178 Great Portland Street London WIN 6JEi[ ...... 1[2-8~’~-’X ...... GMC101049-0456

15 June 1999 GENE P~AL M~EDICAL COUNCIL Protecting patients, Code A ¯ guiding doctors

I am writing on behalf of the Council to say how delighted we all were to learn that your outstanding services to medicine have been recognised by the award of the knighthood in the recent Honours List. We all know how richly this award is deserved.

We join your many friends and colleagues in wishing you well in the future.

,78 Great Portland Street London WIN 6JE [ Code A GMC101049-0457

15 June 1999 GE NE P AL N EDICAL

Department of Health COUNCIL Richmond House Pro~ec~ing patients, 79 Whitehall guiding doctors London SW1A 2NS

Code A

I am writing on behalf of the Council to say how delighted we all were to learn that youroutstanding services to medicine have been recognised by the award of the DBE in the recent Honours List. We all know how richly this award is deserved.

We join your many friends and colleagues in wishing you well in the future.

I78 Great P°rtland Street L°nd°n WIN 6iEi ~ 8-8-~ ~ GMC101049-0458

15 June 1999 GENEP AL M EDICAL COUNCIL Protecting patients, guiding doctors

We join your many friends and colleagues in wishing you well in the future.

’78 Great Portland Street London WIN 6JE[ ...... ~-6-~-~-’~,- ...... GMC101049-0459

15 June 1999 G ENE l~AL M~EDICAL COUNCIL i Code A Protectin~ patients, SuJdins doctors

Code A

We join your many friends and colleagues in wishing you well in the future.

~ ~78 Great Portland Street London WIN 6JE ~" ...... "~-~ ...... GMC101049-0460

15 June 1999 G E N E P~AL M~EDICAL COUNCIL Pro~ec~in~q patients, i Code A guidin~ doctors

"3~-~ Code A I am writing on behalf of the Council to say how delighted we all were to learn that your outstanding services to medicine have been recognised by the award of the OBE in the recent Honours List. We all know how richly this award is deserved.

We join your many friends and colleagues in wishing you well in the future.

’78 Great Portland Street London W1N 63E ...... ~8-d~-~ ...... GMC101049-0461

,, Code A . i_._.,L ...... uJ’_._.J

15 June 1999 G E N E P~AL ~EDICAL COUNCIL Prote~tin~ pdtients, ~uidin~ doctors

We join your many friends and colleagues in wishing you well in the future.

Code A

178 Great Portland Street London WIN 6JE~ ...... Code A GMC101049-0462

15 June 1999

Code A

We join your many friends and colleagues in wishing you well in the future. GMC101049-0463

15 June 1999 ~V(E D ~ C A L -,~OUNC2[L The Medical School Framlington Place Newcastle upon Tyne NE2 4HH

Code A

We join your many friends and colleagues in wishing you well in the future. GMC101049-0464

15 June 1999

Code A University of Wales College of Medicine Heath Park Cardiff CF4 4XN

"~,.,~ Code A

We join your many friends and colleagues in wishing you well in the future.

Code A

Great I ortland Street [.ondon WIN 61E [ ...... -(~8-~-2~- ...... ] GMC101049-0465

15 June 1999 G E N E P~AL ~EDICAL COUNCIL Protectin~ patients, guiding doctors

We join your many friends and colleagues in wishing you well in the future.

i78 Great Portland Street London WIN 6JE i Code A GMC101049-0466

15June1999 GENE PkAL /VkEDICAL COUNCIL Protecting patients, guiding doctors

We join your many friends and colleagues in wishing you well in the future.

i Code A

I~8 Great Portland Street London WIN 6JE [ ...... ~8-~’~-’~ ...... ] GMC101049-0467

15 June 1999 GENEP~AL M~EDICAL Code A COUNCIL University of Wales Healthcare Trust Protecting patients, Heath Park guiding doctors Cardiff CF4 4XW

We join your many friends and colleagues in wishing you well in the future.

~78 Great Portland Street London WIN 6JE. GMC101049-0468

15 June 1999 G E N E I~AL M~EDICAL

St Martin’s Practice COUNCIL 319 Chapeltown Road Protecting patients, Leeds guiding doctors LS7 3TJ

We join your many friends and colleagues in wishing you well in the future.

Code A

Great Portland Street London WIN 6JE GMC101049-0469

15 June 1999 ~J- E ~ E I~AL ...... iV~E DICAL

Protecting patients, guiding doctors C O-d-e A iCOUNCIL

We join your many friends and colleagues in wishing you well in the future.

,78 Great Portland Street London W1N 63E ...... ~6-i]~-~ ...... ] GMC101049-0470

11 June 1999 G E N E P~AL ~EDICAL

Royal College of General Practitioners COUNCIL 14 Princes Gate Protecting patients, Hyde Park guiding doctors London SW7 1PU

Code A

Thank you for your letter of 27 May inviting the General Medical Council to nominate an Observer to attend future meetings of the Royal Colleges’ International Forum.

I have discussed this with [--(~8~i-~-~-!and he has suggested we should hold over our decision until the composition of our new Council is known next month.

I will be in touch with you then.

Code A GMC101049-0471

11 June 1999 GENERAL M~E DICAL COUNCIL Protectin~ patients, 176 Tower Bridge Road £uidint7 doctors London SE1 3LU

Code A

Thank you for sending me a copy of your Register of osteopaths.

I fully support the Osteopathic Council’s efforts to raise standards within the profession.

I am sure that this book will be a very useful source of information but I rather hope that I will not be needing the services of one of your members for a while!

i Code A

I78 Great Portland Street London WIN 6JE ...... -~8~~-~ ...... GMC101049-0472

11 June 1999 GE NE P~AL M~EDICAL

...... KI-O ffi~-Ia-Ff6~-15[t-~i[@ COUNCIL Nuffield House Protecting] pdticnt~, 1-4 The Crescent ~]uic[in~] c]octors Surbiton Surrey KT6 4BN

Deari Code A i Thank you for writing to Code A inviting him to speak at your conference on 15th October. i-_._._C-_~_d_~.-_~~.-_] is 6-i3t-ot-t-oteri-iat present and so has asked me to write to you in his absence.

The date is firmly in the[£[£[.~_0.-_~.-_e.-£._A-£[£[js diary and I confirm that he will be speaking on the subject of revalidation.

I look forward to receiving more information in due course.

Yours sincerely Code A

’78 Great Portland Street London WIN 6JE [ ...... "~’8~1-~-’~- ...... GMC101049-0473

10 June 1999 G E N E P~AL ~EDICAL

Scottish Home & Health Department COUNCIL St Andrew’s House Prot~tin~ p~ti~nt~, Edinburgh EH1 3DE ~uidin~ doctors

Further to my letter to [i~i~i~i~i~i~i~.C_-i~.e_-i~.A_-.~i~i~i~i~i~i~ii of 25 May 1999, I can now attach letters which I have written to[~.T~~#~i~~e_T~.~~~.T~on the development of our work on revalidation.

We hope that £.@i~i~i~2~2ior other representatives of the Scottish Office Department of Health will be able to attend meetings of our External Group and four Consultative Groups.

Code A GMC101049-0474

8 June 1999 G E NEP~AL J~EDICAL Institute of Actuaries COUNCIL Staple Inn Hall Protecting patients, High Holborn guiding doctors London WC1V 7QJ

President’s Dinner" 13 July 1999

I wrote to you on 25 May accepting your very kind invitation to the President’s Dinner at Staple Hall. I now find myself unable to attend as I will have to be out of London that evening.

Please pass on my sincere apologies to[ ...... ~-88~-~- ......

Code A

Great Portland Street London WlN 6JE[ ...... -~’STI~-~-" GMC101049-0475

11 June 1999 G E N E P AL Strictly Personal and Confidential M EDICAL COUNCIL Protecting patients, Halton General Hospital NHS Trust guiding doctors Hospital Way Runcorn Cheshire WA7 2DA

I am writing to add my personal thanks to those you have already received from the members of the assessment team for the contribution which you have made to the development of the GMC’s new procedure for assessing the professional performance of medical practitioners. While I have not seen the results of the studies which the assessment team conducted of your practice because they will be kept confidential, I understand that the team was most impressed by the way in which you allowed them to scrutinise your professional knowledge and skills.

We are very grateful to you for this and hope that you have also found this of some assistance to your continuing professional development.

Code A

~ ~78 Great Portland Street London WIN 6JE [...... _C_._o...a_~_._.A...... ~ GMC101049-0476

8 June 1999 GENE P AL !v(EDICAL COUNCIL Pro~ec~in~ patients, guiding doctors

Convictions among medical students

Thank you for your letter of 25 May 1999.

The GMC has no direct responsibility for the admission of individual medical students to the undergraduate course. This is a matter for the universities with medical schools.

We understand that all prospective university students are required to declare any convictions they may have acquired, when submitting their applications for entry. In terms of our guidance in Good Medical Practice, we would expect those involved with medical student admissions to take a robust view of convictions which would bring a qualified doctor within the purview of our fitness to practise procedures.

The Council of Heads of Medical Schools has been active in this area and has recently published on its website a statement of guiding principles for the admission of medical students. The Deans have made it clear that criminal convictions may call into question candidates’ fitness to embark on training for our profession, even though they have achieved the requisite level of academic attainment. ~

The circular you mention is specifically concerned with doctors and other NHS staff working with children, and the advice it contains is consonant with paragraph 21 of our own guidance about general clinical training in general practice,

’78 Great Portland Street London W1N 6JE[ ...... -~-6"~-~’-2~ ...... ] GMC101049-0477

published in July 1998. Our recommendations do, however, cover vulnerable patients generally and not just children.

There is presently no requirement to carry out police checks on medical students, perhaps because they are deemed not to have unsupervised access to young children when on paediatric attachments in the hospital or community. I understand, however, that a group convened by the NHSE is presently reviewing the existing guidance on medical students in hospitals, published by the former Management Executive in April 1991. One of the issues the group has been considering is the advice that should be given about access to paediatric patients. If you are agreeable, I would like to forward a copy of your letter to Dr Gabriel Scally, who is chairing the group, since I am sure its members would find your comments helpful.

Code A e:\educat\ume\conhealt\rahmalet

~Protecting patients, guiding doctors 2 GMC101049-0478

9 June 1999 G E N E P~AL N~EDICAL COUNCIL Protecting patients, Code A guiding doctors

Cod eA

I am writing at the end of your term of office to thank you very warmly for your contribution to the Council in your time as a member. Your efforts have been much appreciated and I know that I speak for all members, and particularly those who worked with you on the Registration Committee and the Professional Conduct Committee, in saying how much we shall all miss you.

With very best wishes for the future.

,178 Great Portland Street London WIN 6JE i ...... ~l~la~ll~ ...... ] GMC101049-0479

9 June 1999 G ENE PxAL !V~EDICAL COUNCIL Protectin~ patients, Code A 5uidin~7 doctors

Code A i

I am writing at the end of your term of office to thank you warmly for your contribution to the Council in your time as a member. Your efforts have been much appreciated and I know that I speak for all members, and particularly those who worked with you on the Preliminary Proceedings Committee, in saying how much we shall all miss you.

With very best wishes for the future.

Code A GMC101049-0480 GMC101049-0481

Code A

2 June 1999 GENEP AL V[EDICAL COUNCIL Protecting patients, guiding doctors

Thank you for your letter of 21 May.

I am sorry you experienced difficulty discovering the name of the head of the Regulation Policy Section. There is certainly no secret. The culprit is i~-~-i ...... Cod- - ...... A As you are aware, on 10 February 1999 the General Medical Council endorsed key recommendations for the implementation of revalidation for all registered doctors.

Council is now embarking upon a programme of consultation and development to enable us to take these principles forward. Council aims, within two years, to consider a fully worked up model for revalidation.

In taking this work forward, Council will be looking at all doctors in whichever environment they may work - both within and outside the NHS. It will also be considering how to make arrangements for registered doctors who are retired or who are not practising medicine on a regular basis. We are at the earliest stage of development at the moment, and I regret that I cannot yet be more specific about how arrangements for retired doctors will work.

The paper to Council in February argued that an effective revalidation process must start with good methods and good data designed to give a continuing and objective profile of a doctor’s performance. By way of illustration, these profiles could be based on data showing the doctor’s record of continuing educational activity along with records of other activities. Of course many doctors already keep diaries or log books of CME activity. The implementation of revalidation procedures will have to be timetabled to ensure that unnecessary problems are not caused for all those doctors who are perfectly fit to practice.

,78 Great Portland Street London W1N 6jl; GMC101049-0482

All doctors will be up kept up to date on the progress of the revalidation project in future issues of GMC News. Moreover, important papers considered by the Revalidation Steering Group will be placed on our website - www.gmc-uk.org - which is regularly updated.

I hope this is helpful.

Code A

Protecting patients, guiding doctors GMC101049-0483

8 June 1999 GENEP~AL .- ...... ~8-a-~;-~- ...... M~EDICAL BUPA House 15-19 Bloomsbury Way COUNCIL London WClA 2BA Pro~ec~ing patients, guiding doctors

for the invitation to the BUPA Foundation Awards Dinner on 17th November in the Great Hall Lincoln’s Inn and accepts with pleasure

~78 Great Portland Street London WIN 6JE [ ...... ~6-1~6-~- ...... i. GMC101049-0484

8 June 1999 GENEP AL EDICAL Department of Anaesthesia Newcastle General Hospital COUNCIL Westgate Road Protecting patients, Newcastle Upon Tyne guiding doctors NE4 6BE

DearL

Thank you for your letter to i_2~i#_~_T~£_~iregarding a possible visit to speak to the North of England Society of Anaesthetists in November this year.

May I offer you the evening of Friday 26th November as a possible date for this event. L._._..C.£.d_..e._._A._._._i has said that either Newcastle or Ashington would be suitable venues.

Perhaps you could contact me to let me know the chosen venue, approximate times, and any other details as soon as you know them. Code A

,78 Great Portland Street London WIN 6JE GMC101049-0485

7 June 1999 GENEP~AL ~V~EDICAL Commission for Racial Equality Elliot House COUNCIL 10/12 Allington Street London ~quidin(7 doctors SW1E 5EH

Code for his kind invitation to a reception on 13 July and accepts with pleasure.

Great Portland Street London WIN 6JE GMC101049-0486 GMC101049-0487 GMC101049-0488

YORK

CHIEF EXECUTIVE’S OFFICE Bootham Park, York YO3 7BY :~ ~ Telephone: (01904) 610700 Ref: PFK/jmb Fax: (01904) 454439

_._Tel.e.p..hgne en_ ~uiri_es ltle_.a_.se conta_¢t: 28 May 1999

IN CONFIDENCE FOR THE ATTENTION OF:

0 t JU N 1999

General Medical Council 178 -200 Great Portland Street LONDON W1N 6JE

De~[ CodeA i

Re:[iiiiiiiiii~.~i.e.-_i~iiiiiiiil) GMC Investigation into patients’ allegations of sexual misconduct/assault.

As promised in our brief discussion in Harrogate here is a brief summary of events leading up to investigations being initiated by the General Medical Council.

,~.-_.-_~..~ih_.~i.-_~i.i]~vas employed as a Consultant Psychiatrist at Clifton Hospital, York in the 1970s and 80s. There were rumours about sexual misconduct with female patients in the early 80s when I arrived in York as a Consultant Psychiatrist. Between 1984 and 1988, some women in particular made allegations of misconduct, but in each case refused to co-operate with any further investigation of the complaint. In 1988 I became District General Manager and after yet another allegation that the patient was unv~illing t,.0_.p_.u_._rs__u..e__!_,referred the matter to the Regional Medical Officer who persuaded i._._C._._o._._d._q._._A._._ito retire.

My informal contacts in the City of York prevented him seeing patients at private hospitals and rooms but he did obtain employment at a private hospital in Harrogate and subsequently was appointed Medical Director of the North Durham Trust.

In 1997 the police started an investigation into allegations of sexual assault against another Consultant Psychiatrist who also had worked at Clifton Hospital in the 70s and 80s. They wrote to a large number offemale patients who had been under the care of[~i~-~-iand this attracted press publicity which did not name l Code A iAs a consequence, four women came forward each willing to pursue their complaints, threeof whom had raised allegations in the 80s.

1 YORK HEALTH SERVICES NHS TRUST GMC101049-0489

The police decided i.h, at there were no grounds for criminal charges after investigating the complaints of these women. The General Medical Council was first notified of complaints in November 1997,but decided to await the outcome of an NHS independent review set up by the Northern and Yorkshire NHS Executive. The outcome of this review was never published, mainly I think on legal advice because ...... _.c_._o._a._~.~ ...... ]declined to respond to any questions of the panel, i ...... -i~i~-i~ ...... ] the then Regional Director referred the matter to the General Medical Council. Code A i was suspended from his Medical Director post in Durham and was subsequently dismissed.

There was some perturbation in York when we heard the news that L._._._c...o_a_.~_f!_._._iwould not have to answer the serious complaints against him simply because he had sought and had been granted removal from the register. I do know that Board members and the York Psychiatrists and others who are familiar with the above mentioned events believe there is a serious case to answer. One of the complainants has already let me know how distressed and hurt she is at this outcome.

I had understood from’ ...... i~-~O~-~...... Psychiatrists that the General Medical Council had changed its rules and no longer allowed Doctors to withdraw from the Register during an investigation into misconduct. Indeed he said that the Registrar of the College had held a conversation with a senior officer of the GMC on the 9 February last year who had confirmed to her that this was now the GMC position. We were therefore quite surprised to hear that [iii~.d..~.~i~il-jhad been allowed to withdraw his name from the register.

It is difficult to predict whether there will be more publicity. After both[._C_._0.d_~_..A_is and [__...o__d~__A__.~i’s names had appeared in the Press with some information about the kind of allegations against them, a local MP was calling for a public enquiry. With

...... code A ~indicted for rapes and sexual assaults and tl ...... Code A i~anderil investigation by the GMC there has been little further publicity presumably because all matters are sub-judice. But we do think that there is continued newspaper and television interest.

It would be most helpful to have some comment and advice from you on the reasons for the GMC decision.

With regards. GMC101049-0490 GMC101049-0491

7 June 19991 ¯ Code A . G E N E I~AL ’~&-a~9-~sffqlr~’dical Royal Colleges !V[EDICAL 1 Wimpole Street London COUNCIL W1M 8AE Protecting patients, guiding doctors

Dear Code Ai

Principles for a Private Medical Clinical Quality Framework

Thank you for sending i_.__C._..o._d_._.e_.__A._._i a copy of your recent framework publication which I will draw to his attention as soon as he returns to London.

I will also ensure that it is seen by the relevant Directorates within the GMC who I am sure will find it useful and informative.

Yours sincerely ’Code A’

,78 Great Portland Street London WIN 6JE i ...... __.o_.~_e_~_ ...... ] GMC101049-0492

7 June 1999 G E N E P~AL !v~EDICAL

Airedale General Hospital COUNCIL Steeton Protecting patients, Keighley guiding doctors West Yorkshire

GP Study Week - March 2000

Thank you for your letter to Sir Donald of 2 June. [[[[[~[~i~[~[[[[] has suggested two Members of the GMC Council who might be able to help you at your study week next year.

Their names are ¯

And Code A

I hope that this is of help to you. Code A

z78 Great Portland Street London WIN6JE GMC101049-0493

Code A

7 June 1999 GE NE P~AL M EDICAL COUNCIL Protecting patients, guiding doctors

Dear Code A i

Thank you for your kind invitation to i Code A i=n which you ask him to attend the inaugural ceremony of your Nati6~i]~/t]~5~:l~[~~-~~nmittee Conference on 25 September this year.

[iiil.-.C.-.~i~i~ii~iiiis away from London this week but he has seen your invitation and has asked me to reply on his behalf.

It is with great regret that L.__C_.0__d_e.__A__.ihas to turn down this invitation as he will be in Newcastle that weekend.

He has asked me to send his best wishes and hopes that you have a most enjoyable and successful conference.

Yours sincerely

Code A

Great Portland Street London WIN 6JEi...... Code A ~ GMC101049-0494

7 June 1999 G ENE I~AL M~EDICAL University of Liverpool COUNCIL Health and Community Care Research Unit Protecting patients, Thompson Yates Building guiding doctors Quadrangle Brownlow Hill Liverpool L69 3GB

Health and Community Care Research Unit Seminar 25 November, Liverpool

Thank you for your letter to iiiiiiiiiiiii~i_0.-.~-_e.-_ii~iiiiiiiiiiiiof 3 June. I can confirm that [._._c_.£._d_e_..A_._._.i would like to have a slide projector- but obviously I can be in touch with you at a later date with final requirements and details of’i._._._o_..d__e_.A_._.js ...... -’ travelling arrangements.

Yours sincerely o Code A

~78 Great Portland Street London WIN 6JE [ ...... -~-~-~...... ] GMC101049-0495

Code A

4 June 1999 GENEP AL !V EDICAL "Broomfields" Medical Centre Hatfield Heath COUNCIL Bishops Stortford Protecting patients, Hertfordshire guiding doctors CM22 7EH

The Albert Wander Lecture: 15 March 2000

My [ ...... C.£d...e.._A...... i phoned your practice last week and spoke to one of your assistants. I hope that the message has been passed on to you.

May I say how very sorry I am to have to let you and the Royal Society of Medicine down in this way.

Having accepted your invitation in my letter to you of 19 May I now find that I will be out of the country for two weeks in March 2000 - and sadly the 15th is one of the days I am absent.

I deeply regret having to write with this news and hope that I have not caused you too much inconvenience.

To ensure that you receive this letter as soon as possible I am sending it by letter to your Practice and by fax to the Royal Society of Medicine.

,78 Great Portland Street London WlN 6JE ...... ~8~-’2~ ...... ] GMC101049-0496

Code A

4 June 1999 G E N E P~AL M~EDICAL Ashford Hospital London Road COUNCIL Ashford Protecting patients, Middx TVV15 3AA guiding doctors

Dear ...... ~lS~I~II~IIIIII]

Thank you for your letter toi ...... _C._.o...d_e_._..A_ ...... ion the subject of local volunteers engaging in clinical research.

]is away from the office until the middle of next week so I am passing your letter to i:.T:::.T~i~.#i~.i~:.T:::.T~who heads our Standards and Education Directorate. . Code A

,78 Great Portland Street London WIN 6]E GMC101049-0497

4 June 1999 G ENE P~AL J~EDICAL The Royal College of General Practitioners 14 Prices Gate COUNCIL Hyde Park Protecting] patients, London SW7 1PU guidin~ doctors

Dear Sirs

Meeting of Council - 18 June 1999

Thank you for sending the agenda for the forthcoming meeting of the RCGP Council...... -(~i-~-~- ...... iregrets he will be unable to attend. Please could you note this for L-.~i-~-~i~r~.-i-t;~i:fi-.2£ .....

Yours faithfully Code A

,78 Great Portland Street London WIN6JE [222222222222222222222~2~_.~2.~_22222222222222222222] GMC101049-0498

4 June 1999 GENEP AL M EDICAL University of Durham COUNCIL Old Shire Hall Protectin~ p~tients, Durham guiding doctors DH1 3HP

Dear[Code

Would you thank i--~8~-2~--]for his kind invitation to[ ...... C__0_.d_e_._..A- ...... i regarding the meeting and d~nner on 6~" 3uly. i._._._.C_..o._d._.e_..A_._._.jis away at present, but, having looked at his diary, I note that he will be on annual leave during the first ten days of July so he will be unable to attend. Could I ask you to pass on his apologies.

Code A

I78 Great Portland Street London WIN 6JE [ ...... Code GMC101049-0499

4 June 1999 GENE P~AL ~V~EDICAL Millennium Festival of Medicine BMA House COUNCIL Tavistock Square Protectin£ patients, London WC1H 9HP ~uidin~ doctors

DearI ...... ~8-i~~--J~ ...... , Festival of Medicine Keynote Conference Steering Committee meeting 14 June

Thank you for sending k._..C.__o._d._e_._..A__]details of the above meeting. I am afraid that he will not be in London on that occasion and so I am sending his apologies.

Yours sincerely Code A GMC101049-0500

4 June 1999 GENEP AL i EDICAL Faculty of Medicine The University of Liverpool COUNCIL Duncan Building Protectin~ pdtients, Daulby Street 5uidin~j doctors Liverpool L69 3GA

Visit to Liverpool Medical School - 16 and 17 March 2000

I wrote to you as recently as 19 May confirming the new dates for our visit, and I am ashamed to say that I am now unable to keep that appointment. I have been invited to take part in an international conferenceo...... in South Africa which, unfortunately,

clashes with the proposed dates for Ll.l._C.l._O_._dl._el.l..A._.l..and I to visit Liverpool.

Would it be possible for [’.T.T.T.T.-_~_’.~..T.~_’.2.~.T.T.T.T.T.-j, my newly appointed PA, to contact your office and arrange two new dates in the spring for us to come to see you. I do apologise for this confusion.

...... {Sa~I Great Portland Street London WIN 6JE i 1~ ...... ] GMC101049-0501 GMC101049-0502

From: To: Subject: Medical Uncertainty, Medical Collegiality, Imporance of Quality of Care Date: 03 June 1999 11:12

Hello [_._C_..0.d.e_..A.._._i

Thank you for the chapter on Medical Uncertainty, Medical Collegiality and the Importance of the Quality of Care. It was very good.

A suggestion - for the section quoting from the Blue Book Page 8. This has now been superseeded by "Good Medical Practice". i ...... ~-~~~, ...... ihas provided the following additional words if you would like ~[6-5~if~-~-tf~-~~?~:-t-~i~-[5-i:]~t~:-(S-~-~t~-~ ~fft~ ......

One other point. On page 28 you refer to[ ...... I~-~-~-.~ ......

It shows I’ve read it carefully!

Page 1 GMC101049-0503

ROSENTH

Proposed addition on Page 8 following quotation from the Blue Book 1992

In 1995 the GMC issued new guidance in a series of leaflets collectively titled Duties

of a Doctor. The core leaflet, Good Medical Practice, changed the focus of the

advice from warning doctors against making malicious comments, to placing a clear

duty on them to take action to protect patients:

’You must protect patients when you believe that a doctor’s or other colleague’s

health, conduct or performance is a threat to them.

’Before taking action, you should do your best to find out the facts. Then, if

necessary, you must follow your employer’s procedures or tell an appropriate

person from the employing authority, such as the director of public health,

medical director, nursing director or chief executive, or an officer of your local

medical committee or a regulatory body. Your comments about colleagues

must be honest ..... The safety of patients must come first at all times.’

The guidance on ’disparagement’ is given separately and its scope is narrow -

’You must not make any patient doubt a colleague’s knowledge or skills by

making unnecessary or unsustainable comments about them.’

The emphasis on protecting patients, rather than on preserving the reputation of colleagues, is reflected in decisions taken by our fitness to practise committees and GMC101049-0504

in new guidance to be published later this year Management in Health Care - The

Role of Doctors.

2 GMC101049-0505

Code A i

3 June 1999 GENE P AL J EDICAL COUNCIL "3 Ei-fi f6i~-r36-6f6i~,@-cis-~-i:fi[tt ee Protecting patients, BMA guiding doctors BMA House Tavistock Square London WClH 9JP

Revalidation of Junior Doctors

Thank you for your letter of 13 May 1999 in which you ask for.comments on the Junior Doctor’s Committee guidance for the postgraduate education, appraisal and assessment of trainees.

The GMC is quite clear that mechanisms for revalidation should be based, as far as possible, on existing arrangements. This was reiterated at our Council meeting on 25 May 1999.

As we discussed, we all now need to be sure that the current systems of medical regulation at local levels are working adequately. With this in mind, I am most encouraged by the guidance produced by your working group. It is easy to see . how the evidence produced during a junior doctor’s period in training - as recorded in a learning portfolio - could beused as evidence of continuing fitness to practise and, therefore, of revalidation. A robust System of this kind will simultaneously meet the educational and career needs of the individual doctor, the quality assurance requirements of the employer, and the fitness to practise requirements of the GMC.

You might wish to consider making some reference in your guidance to Good Medical Practice which sets out the standards the GMC expects of all doctors. While your guidance reflects the precepts in Good Medical Practice, it might be helpful to make this point more explicit. This is of particular relevance given that on 25 May 1999, Council decided that the demonstration of a doctor’s fitness to practise in revalidation should be set against the principles of Good Medical Practice.

178 Great Portland Street Londorl WIN 6JE GMC101049-0506

As I also explained toi--~-S~i~~,--i we will, in due course, be looking to engage junior doctors in a formal consultation exercise designed to ensure that the views of every sector of the profession are considered. We hope that your committee will work with the GMC to take this important work forward.

I would be most interested to learn how your guidance is received at the educational conference you mention.

Protecting patients, guiding doctors GMC101049-0507

3 June 1999 G E N E P AL EDICAL COUNCIL Junior Doctor’s Committee Protecting patients, BMA guiding doctors BMA House Tavistock Square London WC1H 9JP

Revalidation of Junior Doctors

Thank you for your letter of 6 May 1999 about the two resolutions carried by the Junior Doctor’s Committee on 19 March 1999. You explain that your Committee felt that revalidation arrangements for doctors in training should not involve the imposition of processes in addition to those mechanisms of assessment which already exist.

In endorsing the recommendation that:

The regular demonstration by all registered doctors that they remain fit to practise in their chosen field is best assured by a link with continued registration,

Council also agreed that revalidation arrangements should be based, as far as possible, on existing local arrangements. Moreover,.while revalidation will apply to all registered doctors, the mechanisms for implementing the process will necessarily vary according to individual doctors’ specialties, grades and working environments.

As you have pointed out, doctors in training should already undergo regular monitoring, assessment and appraisal. With this in mind, I was particularly encouraged to read the Junior Doctor’s Committee guidance for the education, appraisal and assessment of trainees which Dr Trevor Pickersgill has kindly provided to me and upon which I have commented. I agree that we should be looking to build on these existing systems. If those systems were rigorously

178 Great Portland Street London W1N 6JE i ...... Code GMC101049-0508

implemented, they would simultaneously meet the educational and career needs of junior doctors, the quality requirements of employers and the fitness to practise requirements of the GMC. In that way, we can avoid parallel appraisal procedures which you - and we - consider to be unnecessarily burdensome.

In the next two years Council will be looking at how we can all be sure that these local systems are working properly, and producing the standard and quality of evidence necessary for revalidation.

You are also concerned about the provision of resources for revalidation. Council has already agreed that the introduction of any system of revalidation will require adequate resources - human and financial. Without such resources, the data, time and analysis required could not be delivered, and the purpose of the scheme - the promotion.and assurance of good standards of care for all patients- would ¯ be lost. Discussions with Government and others will be required to ensure that the introduction of revalidation is linked with the provision of necessary resources.

In developing proposals for revalidation, Council is committed to a process which is as open and transparent as possible. With this in mind, we will, very soon, be engaging junior doctors in a formal consultation exercise designed to ensure that the views of every sector of the profession are considered. We hope that your committee will work with the GMC to take this important work forward.

I hope that this is helpful.

Protecting patients, guiding doctors GMC101049-0509

Code A

3 June 1999 GENE P AL N EDICAL

Royal College of Physicians COUNCIL 11 St Andrews Place Protecting patients, Regent’s Park guiding doctors London NW1 4LE

Thank you for your faxed letter of 16 April 1999. I apologise for the delayin replying.

You are concerned that, in developing proposals for revalidation, Council takes into account the pressures of medical colleagues in all areas of practice. You made a similar point during Council’s debate on revalidation on 25 May 1999. I agree with that absolutely, doctors need proper time to practise well.

Clearly, for revalidation to be a success, we need to make sure that we have the support of the profession as a whole. Council has now agreed a structure to enable us to consult formally with representatives of the profession at every level and in every main field of practise. This is in addition to the comments and suggestions we have been receiving from members of the profession who have taken up the invitation issued in the Spring edition of GMC News to contact the regulation policy section with queries and suggestions. These views are being regularly reported back to the Revalidation Steering Group who will, in turn, incorporate into their deliberations, the concerns and expectations of doctors working in the field.

Please be assured that we are all very much aware of the important issues you raise. In accordance with the recommendations made by Council in February, membership of the Revalidation Steering Group has now been increased to 16. Of the 12 medical members in the group, most are in active medical practice. Our discussions at meetings and the proposals we shall be putting to Council in the future reflect this first hand experience

I hope this is helpful and thank you for your continued help and support. GMC101049-0510

2 June 1999 GENE P~AL N~EDICAL COUNCIL Code A Protecting patients, i guiding doctors

I acknowledge receipt of your Recorded Delivery letter making a formal complaint against [ii~i~i.d_-._-e_-ii~il] which arrived in this office today.

Your letter and attachments will now be processed by our ’Fitness to Practise’ Directorate and you will be contacted by them in due course.

Yours sincerely Code A

I78 Great Portland Street London WIN 6JE [ ...... ~-~’~-’~ ...... ] GMC101049-0511

Code A

1 June 1999

G ENE P AL The Royal College of Veterinary Surgeons Belgravia House iV EDICAL 62-64 Horseferry Road COUNCIL London SWlP 2AF Pro~ec~ing patients, guiding doctors

Medical and Veterinary Healthcare ¯ a seamless collaboration Meeting on Wednesday 16 June 1999 . 5 pm ¯ Royal Society of Medicine

Following our conversation this morning I list below details of the attendees of the above meeting from the General Medical Council. I have sent them a copy of your letter dated 21 April. I have asked them to provide a short CV and also to prepare a paper to circulate at the meeting outlining what they are going to say in their five minutes. Sir Donald asked them in his letter dated 26 May to make contact with their opposite numbers.

Education

Code A Standards

~78 Great Portland Street London W1N 6Jg i ...... Code A GMC101049-0512

Research

Practice

Code A Pathology

Public Standards

Protecting patients, guiding doctors 2 GMC101049-0513

Public Health

Code A

Student Training in Practice

I hope this gives you the information you need. Please let me know if there is anything further we can do.

Yours s i .n_._c._.e_._r.~_!_v_ ...... ~ ...... C’ode A

Protecting patients, guiding doctors 3 GMC101049-0514

1 June 1999

G E N E I AL M EDICAL Code A COUNCIL Protectin~ patients, ~uidin~ doctors

Medical and Veterinary Healthcare ¯ a seamless collaboration Meeting on Wednesday 16 June 1999 ’ 5 pm ¯ Royal Society of Medicine

Further to L._.__C._.o_.d_._e._..A._._._i’S letter of 26 May 1999, I enclose herewith a letter from [_._.__.o_._d_.e_._A_._._.idated 21 April to the veterinarians which will give you more background information about the meeting. I also enclose a copy ofii~~l-~-~i’s letter to

You will see from [._._C_.9_d_..e_._A__.is letter that the veterinarians have been asked to provide a short CV and also to p_r._.e_pare a paper to circulate at the meeting after they have spoken. [_..__o_.d__e_...A__iand [_..C__o._d_.e_._A.._.i would be grateful if you could do the same.

You will remember that i_._..C.__o._.d_._e_._.A.._._i asked if you would each contact your opposite number prior to the meeting.

We did not have the name from the veterinarians to talk on public standards when i---(~-~~-~--iwrote on 26 May. Here it is"

Public Standards

Code A

~78 Great Portland Street London W1N 6JE i ...... Code A ] GMC101049-0515

1 June 1999 G E NE PxAL !v~EDICAL COUNCIL University of London Protecting patients, 33 Millman Street guiding doctors London WC1N 3EJ

Thank you for sending a copy of your most recent Point of View Survey to-~-~~-~i~] Code A i ......

Code A iis out of town at the moment, but I will ensure that the document is "-~fi~~iifl--t6-fii~-~i~ention upon his return.

In the meantime, thank you again for taking the trouble to send this information.

Yours sincerely

I2/8 Great Portland Street London WIN 6JE[ ...... C..o._d_.e_..A_ ...... GMC101049-0516

1 June 1999 G [ N [ I~AL Mf DICAL ...... ~-88~--~- ...... iCOUNCIL ’-1~-156-i’i&-I-CiSll6-{}6--S~5-fi58i-8~-~~-8iSiiq~ ...... Protecting patients, The Reynolds Building guiding doctors St Dunstans Road London W6 8RP

Dear[ ......

Thank you so much for sending [....C__o._..d._e_._..A__.jthe video of your new interactive TV teaching system.

[£££~16.~£~.£~£££~is away this week but I will ensure that he sees your letter and the video- when he returns to London next week.

Yours sincerely

I78 Great Portland Street London W1N 6JE ’ ...... ~-88~-~- ...... i GMC101049-0517

1 June 1999 GENEP AL v(EDICAL

Winston’s Wish COUNCIL Gloucestershire Royal Hospital Prot~¢tin£ pat~nt~, Gt Western Road guiding doctors Gloucester GL1 3NN

Dear [-~8~~-~-i

Thank you so much for sendingi ...... C_._.o_..d.__e._...A_...... ithe video and the copy of ’Goodbye, Godbless’ which I know he will study with interest as soon as he returns to London next week.

I shall ensure that after [[[.io_-.~i~[] has seen this information it is passed on to other relevant Directorates within the GMC.

Yours s i n..c_._e_r_.e_.l_~z. Code A

Great PortLand Street London WIN 6JE ...... ~8"8"~’-’2~ ...... GMC101049-0518

1 June 1999 G E N E PkAL Marketing and Development Office ~V[EDICAL 115 New Cavendish St London COUNCIL Wl M 8JS Protecting p~tient~, ~uidin~ doctors

...... Code A ~nd the Centre for Community Care and Primary Health for the invitation to Dr [121212@~~i~_12~21212]’s lecture on 30 June at 309 Regent Street, but regrets he is unable to attend.

,78 Great Portland Street London WIN 6JE ......

~-od-t~ ...... A ] GMC101049-0519

1 June 1999 GENERAL Furnival Building MEDICAL The Archway Campus London COUNCIL N19 3UA Protecting pa~iems, guiding doctors

[£[£[£[£[£[£[£~-p.-£.8_2~£~[£[£[£[£[£[£]thanks the Provost and President of University College London for the invitation but regrets that he will be unable to attend the opening of Archway Campus on 30th June.

’78 Great Portland Street London WIN 6JE i...... __..O.~._e._._~_ ...... J GMC101049-0520

1 June 1999 GE NE~\AL Code A iV~EDICAL Open University COUNCIL Walton Halt Milton Keynes MK7 6AA

Dear i Code A i

Thank you for sending ~ Code A i ) copy of the information brochure you gave guests at the Reception held on 18 May. !._._.C_..o._d_._.e_._A_._._iis away this week, hence I am writing to acknowledge your letter in his stead.

I know that [._._.C_..o_d_...e_._A_._._] was disappointed he could not be with you on that occasion and equally, I am sure he will find the information you have so kindly sent him extremely useful.

Yours sincerely Code A GMC101049-0521

1 June 1999 GENEP~AL Code A N~EDICAL ~--~3-~[9~-i-~i-t~-6f-E-Li~-~i:i~l-i[a-__ ...... ~-:- ...... : ...... ’ COUNCIL Weavers Centre Pro~ec~ing patients, Hellesdon Hodpital~ guiding doctors Drayton High Road Norwich NR6 5BE

Thank you for sending i ...... _.0__d_.e._~_ ...... ]a draft copy of your paper ’Who Rules. The new politics of medical regulation’.

[._._._.C_.£_d_._e._._A_._._iiis away at present but I will ensure it is brought to his attention and that of our Standards and Education Directorate who will let you have their comments as they see fit.

Yours sincerely

Code A

,78 Great Portland Street London WIN 6JE GMC101049-0522

1 June 1999 G E N E P~AL Royal Colleges International Forum M~EDICAL 14 Princes Gate Hude Park COUNCIL London Protecting patients, SW7 1 PU guiding doctors

Deari CodeA i

Thank you for your letter to [..._C__0.d__e_._._A__i inviting the GMC to recommend a representative to attend meetings of your International Forum as an Observer.

[--~~-~i~-~-T] is away at present so I am copyin..q your etter to [ ...... ~i~-~ ...... i.[.[~[.0.-.~[e_-.[~[.[.i-and i will obviously ensure that[ ~-~-~-~]sees it’-~-1~6-~-l~i~-~:~i-~["~-~-~i- .... week. ’ ...... :

Yours sincerely Code A