THE FAMILY HEALTH
SERVICES APPEAL AUTHORITY
Case No’s 11607, 11646, 11647
SITTING AT THE
CARE STANDARDS TRIBUNAL LONDON 12th APRIL 2005
Mr Christopher Limb Chairman
Mr Richard Stokes Professional Member
Mrs Libhin Bromley. Member
BETWEEN:
MR
KENNETH HOSGOOD
(GOC
No: 01-12465)
Appellant
and
SOUTHWARK,
LEWISHAM, AND LAMBETH PRIMARY CARE TRUSTS
Respondent
DECISION
Introduction
- Mr Hosgood is an Optometrist who qualified in
Australia in 1962 and has been registered with the General Optical Council
since 1976. He initially applied
to join the Respondent’s ophthalmic list by application dated 1st
August 2002. He subsequently
completed a complementary or supplementary application for inclusion in
the ophthalmic list for domiciliary visits dated 24th December
2003. Following a rather drawn out
history the PCTs decided to refuse Mr Hosgood’s application, which was
notified to him by letter of 24th November 2004.
- Mr Hosgood did by letter of 2nd December
2004 indicate that he wished to appeal the decision but sent such letter
to the Respondents and not to the FHSAA.
After further communication the application was forwarded to the
FHSAA in January. By letter to the
FHSAA of 18th January 2005 Mr Hosgood confirmed his wish to
pursue the appeal and (at least implicitly) his application to extend time
beyond the normal 28 day limit.
- We have received submissions and argument on behalf
of the Respondents from Mr Forde of Counsel. Save for some minor matters of clarification orally provided
by the Respondents witness Sally-Anne Kayes we have considered the
evidence in written form.
Following earlier directions and in particular following indication
of possible inability to attend on the part of two of their witnesses, the
PCTs provided written statements from Dr Jane Fryer, Sally-Anne Kayes, and
Mr Geoff Roberson. We otherwise
had available the documentation provided which has been either paginated
by the FHSAA or provided in a separate bundle by the PCTs. Such documents are contemporaneous
documents arising in the course of the history of the case save for the
statement of grounds for opposing the appeal dated 21st March
2005 prepared by the representatives of the PCTs and which provides a very
useful summary of the overall history as well as summarising the PCTs
arguments.
- Mr Hosgood did not attend the hearing. He had asked in his letter of 9th
March 2005 whether it was necessary for him to attend and by letter of 14th
March 2005 he was advised by the FHSAA Appeals Administrator (having
spoken to myself) that the hearing would be a “live” hearing which both
parties were entitled to attend and that he must make his own judgment or
take his own advice as to whether he should attend. It was pointed out that he may wish to
respond to argument from the Respondents as well as putting his own case
with oral argument. We were
satisfied that he was fully aware of all the evidence before the Tribunal
and fully aware of his entitlement to attend and address the Tribunal.
The law
- The Family Health Service Appeal Authority
(Procedure) Rules 2001 provide for an appeal such as the present within
Part II. Rule 5 provides that
appeals should be brought within 28 days beginning on the date on which
the Health Authority (the PCTs in the present case) gave notice of the
disputed decision. The substantive
as opposed to procedural regulations which are relevant are the National
Health Service (General Ophthalmic Services) Regulations 1986 as amended. In particular Regulation 7A is of
relevance together with Schedule 1A, paragraph 9. So far as relevant to issues raised in
this appeal the grounds on which the Health Authority may refuse to
include an ophthalmic medical practitioner or optician to the list are
(pursuant to paragraph 1(c) and (e) of Regulation 7) that having contacted the referees nominated by the
ophthalmic medical practitioner or optician in accordance with paragraph 9
of Schedule 1A they are not satisfied with the references given, or that
there are any grounds for the Health Authority to consider that admitting
the ophthalmic medical practitioner or optician to the list would be
prejudicial to the efficiency of the service which he would
undertake. Schedule 1A refers to
the information to be given when making an application to be included in a
list and in particular paragraph 9 refers to the provision of two referees
“who are willing to provide references in respect of two recent posts
(which may include any current post) as an ophthalmic medical practitioner
or optician, which lasted for at least three months without a significant
break and, where it is not possible, a full explanation and alternative
referees”.
- We remind ourselves that insofar as the PCTs rely
upon any facts against Mr Hosgood the burden of their establishing such
facts is upon the PCTs. The Panel
bears in mind that before concluding that an allegation is established we
must be satisfied the necessary facts are established on the balance of
probabilities. We also remind
ourselves that this is a re-hearing in which this Panel can make any
decision open to the PCTs making the original decision which is appealed.
Time for appeal/permission to appeal out of
time
- It is clear that both the Procedure Rules and the
Decision letter of the Respondents of 24th November 2004
indicate that an appeal must be made within 28 days and must be made by
giving notice in writing to the FHSAA.
It is clear that Mr Hosgood did not comply with such requirements
but equally clear that he indicated his intention to appeal to the
Respondents by his letter of 2nd December 2004 (well within the
28 day period).
- The Rules have no provision one way or the other as
to jurisdiction to extend the time for appeal. It is noted that the Respondents do not object to the time
for appeal being extended. We are
of the view that both by reference to the overall nature and purposes of
this Tribunal which exists to serve and assist the parties and by
reference to the general import of Article 6 of the Human Rights
Convention as incorporated into British law by the Human Rights Act it is
appropriate to consider that the Tribunal has jurisdiction to consider an
appeal out of time in order to allow access to the FHSAA. Accepting that there is jurisdiction in
principle we consider that whilst Mr Hosgood does not explain why he failed
to note that the appeal should be sent to the FHSAA (which is clearly
stated in the Decision letter sent to him), it is nevertheless the case
that the Decision letter of 24th November 2004 did not give the
address or other means of contact for the FHSAA. We indicated in the course of the hearing that it would be
appropriate that Primary Care Trusts include such information as a
standard item in notifying their decision.
- We note and commend the reasonable approach of the
Respondents to this issue and consider that it is appropriate in the
circumstances of this case to extend time and to proceed to consider the
appeal upon its substantive merits.
The issues/evidence
- By their Decision letter, their statements from
Fryer, Kayes and Roberson, and their statement of grounds for opposing the
appeal dated 21st March 2005 together with Mr Forde’s oral
submissions, the Respondents have put their case on a dual basis:
(a) They were
not and were reasonably not satisfied
that the references provided were satisfactory (Regulation 7A(1)(c) and
Schedule 1A, paragraph 9);
(b) By reference
to the General Optical Council hearing and findings in 1999 they were satisfied
that there were reasonable grounds to consider that the admission of Mr Hosgood
to their list would be prejudicial to the efficiency of the service (Regulation
7A(1)(e)).
The Respondents further make the overall contention that it was
appropriate, reasonable and proportionate to exercise their discretion so as to
refuse Mr Hosgood’s application.
- We do not recite the detailed history of the
various references which were supplied by Mr Hosgood over a period of time save to note that his
reference from Mr Paxton was in due course accepted as appropriate and
satisfactory but that the reference from Mrs Khan was not so accepted.
- Paragraph 9 of Schedule 1A of the Regulations has already been quoted in this
Decision. Whilst it refers to the
references being in respect of recent posts as an ophthalmic medical
practitioner or optician it makes no express provision in relation to the
qualifications or status of the people providing the references. The various letters from the
Respondents to the Applicant relating to provision of referees makes plain
that in their opinion the reference “should be an optometrist, an OMP, an
ophthalmologist or in exceptional
circumstances a dispensing optician (registered with the GOC) to be
able to provide a clinical reference, who has worked with (Mr
Hosgood)”. By letter of 28th April
2003 Mr Hosgood was informed for the first time that if he was unable to
provide a referee within such parameters he should contact Sally-Anne
Kayes “and we will arrange for an advisor to visit you and look at an
alternative”. In the course of the
hearing we were informed by Sally-Anne Kayes that when there was
difficulty in providing referees fulfilling the criteria required by them
then the PCTs would consider other alternatives, such as a sole
practitioner with little contact with other optometrists who might rely
upon other related professionals such as a GP to whom he had made
references or a recently qualified applicant relying upon references from
persons such as his tutor. We are
of the view that it is at the least unfortunate that such alternatives are
not clearly spelt out in the initial application form or in the initial
correspondence. The Regulations
are not prescriptive to the same extent as the Respondents letters. Such observations are not central to
the decision in this particular case.
- There is no evidence that Mr Hosgood did not have
professional contacts who would in principle fulfil the requirements spelt
out by the Respondents own correspondence relating to referees. In the absence of any explanation by
him it is difficult to understand why he did not provide such referees
initially. In any event by the
time that the Respondents made their decision there were references
available from Mr Paxton (which was considered satisfactory) and two
references from Mrs Khan. We note
that the origin and reasons for there being a second reference from Mrs
Khan are unexplained.
14. In their Decision
letter of 24th November 2004 the Respondents make plain that the
reference from Mrs Khan is not considered unsatisfactory in its terms but
unsatisfactory because she was subject to the same General Optical Council
proceedings as Mr Hosgood. We have
available to us a transcript of that hearing and note that no finding of
serious professional misconduct was found to be proved against Mrs Khan. The observation that “her method of record
keeping falls short of the standard required” is therefore not part of a formal
decision and we note that in the course of evidence she had indicated that she
was unhappy with the documentation but had been assured by those for whom she
was working that the documentation was in a form used by domiciliary
providers. We are satisfied that it is
not appropriate to treat Mrs Khan as though “tainted” by the GOC finding to the extent that she can
be automatically treated as an unsatisfactory referee. In the absence of a finding against her by
the GOC and in the absence of any other evidence as to her general professional
standing not being satisfactory, her reference is to be considered on its
merits in our view. On its face it was a satisfactory reference. The Respondents did not treat the reference
on its merits. No submissions of
substance were made as to the reference being unsatisfactory, albeit there were
some observations made as to the slight differences between the two different
references provided by Mrs Khan. We are
satisfied that the reference was upon the face of its contents a satisfactory
reference.
15. We note in passing
that had it not been for the fact that Mrs Khan was part of the same hearing
before the GOC as Mr Hosgood both the Respondents and this Tribunal would have
been entirely unaware of an appearance which had not led to any formal finding
against her. Indeed it appears that the
general checks of referees which are made with the GOC confirm solely that the
person is registered with them and would not generally reveal a finding against
the practitioner so long as they remained properly registered with the GOC.
16. We now consider
the second aspect of the case, relating to the admission of Mr Hosgood being
“prejudicial to the efficiency of the service which he would undertake” in the
light of the GOC finding. It is
appropriate to briefly quote from the decision of the GOC:
“As a primary health care profession optometrists have a professional
responsibility to maintain proper patient records to a high standard. We are satisfied so as to be sure that
failure to do so can amount to serious professional misconduct..As regards the
charge against Mr Hosgood we conclude that his records are of a significantly
lower standard than those of Mrs Khan.
It is further alleged that he failed to perform adequate sight tests and
we are satisfied so as to be sure from his records that the evidence given
today that Mr Hosgood did fail to perform an adequate sight test on a number of
occasions. We are satisfied so as to
feel sure that this amounts to serious professional misconduct”.
17. We are satisfied
that it is appropriate to accept the GOC finding as an authoritative
finding. The failures of professional
care both in relation to proper patient records and in relation to adequate
sight tests are in our judgment both matters of substance relating to the
standard of care provided to patients and properly considered relevant to the
efficiency of the service to be provided to patients. The failure in relation to sight tests is self evidently
important to patient care. The failure
in relation to records is not purely an administrative failing but is in our
view properly considered a matter of sub-standard professional care relevant to
provision of efficient and satisfactory care and advice to patients, in
particular on future occasions when such records would be relied upon.
18. In his application
to the Respondents Mr Hosgood referred to the GOC finding but only to its
finding as to the patient records being inadequate. He made no reference to the finding as to inadequate sight
tests. In the absence of Mr Hosgood
giving any explanation it is impossible to make a finding whether such failing
on his part was simple oversight or arose from a failure to realise the
importance of the finding or was deliberate in its intention to omit reference
to such part of the GOC finding. We
feel compelled to note that at the time of the decision Mr Hosgood expressly
stated that “I do not believe I am guilty of inadequate sight testing”.
19. Whatever is the
explanation for his partial reference to the extent of the GOC finding, we are
satisfied that we can accept the GOC finding as satisfactory evidence of Mr
Hosgood’s failings in care at the time of such finding. In the absence of any evidence as to subsequent
steps taken by Mr Hosgood to correct such aspects of his practice we are
satisfied that it is appropriate to conclude that there continue to be grounds
to consider that admitting Mr Hosgood
to the list would be prejudicial to the efficiency of the service which he
would undertake. Although there are
some rather general and vague references to him having undertaken training
there is no defined or clear evidence that he has both recognised the validity
ofosgood’s the GOC finding and taken steps to heed such
finding and improve his practice.
20. Whilst in our
opinion the PCTs could have been more proactive in making enquiries as to Mr
Hosgood’s current practice and any evidence he might reasonably be able to
provide in relation to training and in relation to assessment of the level of
his practice, Mr Hosgood as an intelligent professional man must objectively
realise the relevance and therefore the importance of a finding of professional
misconduct by the GOC and provide evidence to demonstrate that he has revised
his practice so as to properly heed such finding.
21. We are satisfied
that the GOC finding does in the absence of any evidence as to subsequent
revised practice entitle both the Respondent and ourselves to conclude that
there are grounds to consider that admitting Mr Hosgood to the list would be
prejudicial to the efficiency of the service which he would undertake. Upon this aspect of the matter we therefore
agree with the submissions of the Respondents and we dismiss the appeal.
22. We wish to add (as
briefly indicated orally at the end of the hearing) that we would not wish our
present finding to unduly influence or harm any subsequent application by Mr
Hosgood if such application were combined with adequate and proper evidence as
to the steps which he has taken since 1999 to amend his practice and to heed
the GOC finding.
Summary
23. Although agreeing
with only one of the two grounds relied upon by the Respondents we are of the
opinion that this appeal should be dismissed by reference to Regulation
7A(1)(e) of the 1986 Regulations as amended.
Appeal
24. The parties are
reminded that they have rights of appeal pursuant to Section 11 of the
Tribunals and Enquires Act 1992.
CHRISTOPHER LIMB – Chairman
April 2005