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Doctors without legal representation face tougher sanctions from MPTS hearings

Post date: 13/11/2018 | Time to read article: 3 mins

The information within this article was correct at the time of publishing. Last updated 16/01/2019

The results of a Freedom of Information (FOI) request to the General Medical Council (GMC) by Medical Protection demonstrate how important it is for doctors to have legal support when faced with a GMC investigation and a subsequent hearing. Over three-quarters (78%) of doctors erased from the register following a Medical Practitioners Tribunal Service (MPTS) hearing between March 2015 and March 2018 did not have any legal representation. On the other hand, 8 in 10 doctors (80%) who did not receive a sanction and were able to continue to practise had legal representation.

The situation is even more stark for doctors facing an Interim Order Tribunal (IOT); nearly 9 in 10 (88%) doctors who had legal representation had no order imposed, while over three-quarters (76%) of doctors suspended did not have legal representation.

GPs without legal representation fair particularly badly.  The vast majority of GPs (84%) who were erased from the register as a result of a Medical Tribunal hearing had no legal representation, whereas nearly all GPs (91%) who did not receive a sanction had legal representation. Nine in ten (93%) registered GPs who had legal representation had no order made against them after an IOT.

This data supports the need for GPs to continue being a member of a medical defence organisation after the new state-backed indemnity scheme is introduced, so as to safeguard their interests before the regulator.

Most of the doctors who appear before an MPTS hearing with legal representation are provided this support as part of their membership of a medical defence organisation. For other doctors, who would have to personally pay for this legal support, the cost can be prohibitively expensive. It is not unusual for the cost of defending a doctor to exceed £80,000 when a GMC investigation leads to an MPTS hearing.

Rob Hendry, Medical Director at Medical Protection, said:

“Medical Protection understands how traumatic being under investigation by the GMC can be for a doctor. Fitness to practise proceedings can have career ending implications for the doctor, but many have told us, even when acquitted, that the investigation and adjudication process itself was the real punishment. Medical Protection provides high quality support to its members from the moment a complaint is received by the GMC, to its conclusion at the MPTS.

“These figures from the GMC are a powerful reminder of how important it will be for GPs to continue membership of a medical defence organisation. The new state-backed indemnity scheme will not provide assistance with GMC inquiries or complaints, inquests and disciplinary proceedings.

“Members can have peace of mind that should they ever need us - Medical Protection will be there with its expertise to offer support to GP members, just as we have for hospital doctors since NHS indemnity was introduced for them in 1990.”


For further information contact:

For further information contact [email protected] (+44) 207 640 5183.

Notes to editors

Information provided to Medical Protection by GMC under a Freedom of Information request based on hearings that concluded between 1 March 2015 and 1 March 2018.

Legal costs based on a sample of GMC cases that ended during the last three years that went to a full MPTS hearing.

About MPS

The Medical Protection Society Limited (“MPS”) is the world’s leading protection organisation for doctors, dentists and healthcare professionals. We protect and support the professional interests of more than 300,000 members around the world. Membership provides access to expert advice and support together with the right to request indemnity for complaints or claims arising from professional practice.   

Our in-house experts assist with the wide range of legal and ethical problems that arise from professional practice. This can include clinical negligence claims, complaints, medical and dental council inquiries, legal and ethical dilemmas, disciplinary procedures, inquests and fatal accident inquiries.

Our philosophy is to support safe practice in medicine and dentistry by helping to avert problems in the first place. We do this by promoting risk management through our workshops, E-learning, clinical risk assessments, publications, conferences, lectures and presentations.

MPS is not an insurance company. All the benefits of membership of MPS are discretionary as set out in the Memorandum and Articles of Association.

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