There are several outcomes depending on the severity of malpractice.
- Fraud – GP or GP Partners may be struck off Practice via GMC’s ‘Fitness to Practice’ procedures.
- Death – it would be difficult to prove unless GP had prescribed a very high dosage of medication or failed to check an error by receptionist who usually prepares repeat prescriptions. The other parties involved may be the Pharmacist, who had supplied the medicine; and these days they want to play a bigger role in prescribing and along with that results culpability for not checking before handing the medicine to the patient. They should have alerted the practice on such ‘blunders’. Still GP is the easiest target for PCT to deal with. Rarely a GP may be removed from practice if the error is a rare one for that GP; he may be referred to the Deanery for a period of re-training and some supervision.
- For others, PCT may decide to ask the Partner or GP to retire gracefully or face legal procedures and, if they are of over retirement age and still practicing, they may leave the practice without any referral to the issues in their career. For younger GPs, below the retirement age, PCT may refer them to the Deanery for a period of re-training and some supervision.
- Even if PCT ends up not having a robust case, they would salvage their prestige by appointing an outside GP to supervise the Practice for a short period of 6-8 months and PCT may have to pay for that exercise from their limited budget.
- Generally PCT can inflict executive sanctions and procedural hardships but have very limited scope for financial sanctions as this can be legally contested and won with PCT paying penalties.