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England and Wales High Court (Administrative Court) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (Administrative Court) Decisions >> Moody v General Osteopathic Council [2004] EWHC 967 (Admin) (05 April 2004) URL: http://www.bailii.org/ew/cases/EWHC/Admin/2004/967.html Cite as: [2004] EWHC 967 (Admin) |
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QUEEN'S BENCH DIVISION
THE ADMINISTRATIVE COURT
Strand London WC2 |
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B e f o r e :
____________________
DONALD MOODY | (CLAIMANT) | |
-v- | ||
GENERAL OSTEOPATHIC COUNCIL | (DEFENDANT) |
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Smith Bernal Wordwave Limited
190 Fleet Street London EC4A 2AG
Tel No: 020 7404 1400 Fax No: 020 7831 8838
(Official Shorthand Writers to the Court)
MR J GOODWIN (instructed by Solicitor Advocate, Chester, CH1 6LT) appeared on behalf of the DEFENDANT
____________________
Crown Copyright ©
"(a) [to] admonish the osteopath;
(b) [to] make an order imposing conditions with which he must comply while practising as an osteopath (a `conditions of practice order');
(c) [to] order the Registrar to suspend the osteopath's registration for such period as may be specified in the order (a `suspension order'); or
(d) [to] order the Registrar to remove the osteopath's name from the register."
"On an appeal under this section, the court may -
(a) dismiss the appeal,(b) allow the appeal and quash the decision appealed against,(c) substitute for the decision appealed against any other decision which could have been made by the Professional Conduct Committee or ...(d) remit the case to the Committee ... concerned to dispose of the case in accordance with the directions of the court,
and may make such order as to costs ... as it thinks fit."
"This condition is intended to restore the respect and confidence that the public place in Mr Moody and to uphold the standing of the profession."
"Mr Moody has accepted the allegations laid in paragraphs 1, 2 and 4 of the heads of charges [those are the charges which I have earlier referred to] and that these matters amount to unacceptable professional conduct.
We have listened with great care to all of that that has been said by both parties and we have had the advantage of reading the material that has been. placed before us.
Mr Moody has accepted the inappropriateness of his conduct in admitting these matters and indeed did so at an earlier stage and this is reflected in his statement. It is as a result of this that Mrs R has been spared the necessity of having to give evidence.
We have also taken into account Mr Moody's long, unblemished record as an osteopath.
Nevertheless, it has been acknowledged that Mr Moody was in breach of clause 53 of the Code of Practice. By conducting an emotional and sexual relationship with Mrs R, Mr Moody has compromised the ability of patients and the public to place their trust in him as a practitioner."
"Trust is at the heart of the relationship between a patient and an osteopath. The need for that trust is sometimes reinforced by a legal obligation. More often, it rests on your professionalism and your observance of ethical standards. Patients must be put first -- those seeking help are often anxious and vulnerable, will lack your professional knowledge and experience and can easily be led to have unrealistic expectations."
"51: You will sometimes have patients who become your friends, or find yourself called upon to treat professionally someone who is already a friend. There is no harm in this provided you keep a clear line, understood on both sides, between the social and the professional relationship. At no time must a past, present or anticipated personal relationship interfere with the impartial professional position you must maintain as an osteopath.
52: Serious difficulties will occur if you abuse your professional position to pursue an emotional or sexual relationship with a patient or their close relative: this is bound to disturb the crucial relationship between practitioner and patient. It is your professional duty not only to avoid putting yourself in such a position, but to avoid any form of behaviour which might be misconstrued in this way.
53: If you find yourself becoming emotionally or sexually involved with a patient you should end the professional relationship, finding the patient an alternative source of osteopathic care. Similarly, if a patient shows signs of becoming involved with you, you should discourage them and, if necessary, end the professional relationship."
"Before examining the substance of these submissions, it is necessary to identify, briefly, the approach which this court should, as it seems to me, adopt to an appeal of this kind. The classic authority as to the approach of this court is Bolton v The Law Society [1994] 1 WLR 512 As to the approach, in general, which this court should adopt, it is not contested to the contrary by Mr Williams, on behalf of the Law Society, that Mr Foster's submission, based in particular on Ghosh v General Medical Council [2001] 1 WLR 1915 and MacMahon v Council of the Law Society of Scotland SLR 36, is appropriate. That is to say, in dealing with an appeal of this kind, a greater flexibility is now appropriate than was suggested in Bolton which was decided before the coming into force of the Human Rights Act. In Ghosh, at page 1923, Lord Millett, giving the judgment of the Privy Council, in an appeal under the Medical Act 1983 (but, for my part, it seems that the principle should be of equal application in relation to appeals by solicitors) said this:
`The Board's jurisdiction is appellate, not supervisory. The appeal is by way of a rehearing in which the Board is fully entitled to substitute its own decision for that of the committee. The fact that the appeal is on paper and that witnesses are not called makes it incumbent upon the appellant to demonstrate that some error has occurred in the proceedings before the committee or in its decision, but this is true of most appellate processes.
It is true that the Board's powers of intervention may be circumscribed by the circumstances in which they are invoked, particularly in the case of appeals against sentence. But their Lordships wish to emphasise that their powers are not as limited as may be suggested by some of the observations which have been made in the past.'
"For these reasons the Board will accord an appropriate measure of respect to the judgment of the committee whether the practitioner's failings amount to serious professional misconduct and on the measures necessary to maintain professional standards and provide adequate protection to the public. But the Board will not defer to the committee's judgment more than is warranted by the circumstances. The council conceded, and their Lordships accept that it is open to them to consider all the matters raised by Dr Ghosh in her appeal; to decide whether the sanction of erasure was appropriate and necessary in the public interest or was excessive and disproportionate; and in the latter event either to substitute some other penalty or to remit the case to the committee for reconsideration."
"Dear Sir,
I wish to bring to your attention that Mr Donald Moody `Practising Osteopath' has yet again been having an affair with a patient. [Then it gives the name and address of Mrs R]
His wife ... has also violated `Patient Confidentiality' on many occasions. This behaviour is not ethical nor acceptable, how can decent members of the public be expected to trust and confide in such practitioners such as Mr Moody. I do believe a child is implicated in this affair.
I shall leave this matter for yourselves to deal with appropriately, for the time being.
Yours sincerely
A concerned member of the public."
"Mrs R phoned further to a letter she sent in anonymously."
"Mr Moody uses and abuses women stating `I will not leave my wife'. Who will be the next victim? if there isn't one already."
"I suggested it was unusual for someone to keep consulting an osteopath once they had made a formal complaint. She thought she might stop seeing him. She asked if he had to give her her notes and I said if she requested them we would expect him to provide at least a copy of them. I said it was likely he would keep a copy for himself."
"Sir, in putting the case to the Committee I say straightaway and accept entirely that the relationship between Mr Moody and Mrs R was consensual. It was not the result of Mr Moody using his position and a professional consultation to molest or take advantage of a patient. Having read the papers you will have formed a view that this was a relationship that lasted five or six years between perhaps 1995 and 2000 or 2001 between two people that produced a daughter who I am convinced both Mr Moody and Mrs R love.
But, having said that, and as I have touched on already, Mr Moody was a professional man and the obligation was on him to avoid putting himself in a situation whereby serious difficulties did follow from the relationship. He should have been able to form the view that if the relationship was to continue, the professional relationship should have ended and indeed you may think that he should not have put himself in that position at all."
"For example, within the bundle there are names and addresses of patients ... which were disclosed in circumstances where Mr Moody had handed scraps of paper to Mrs R for the use of his daughter in terms of jottings and drawings and the like. I, of course, say it does not make it right, it is still a breach, but it is in that context; in the context of the relationship that was existing at the time that I accept the position that I do.
In terms of the second limb of the charge, Mr Moody disclosed and discussed confidential information concerning a patient, I shall refer to that patient as `SD' ... Again, it was clearly wrong of Mr Moody to have discussed other patients with Mrs R as it would for him to have discussed other patients, and indeed her, with other patients. But I have to accept that, of course, that breach occurred within the context of the relationship."
"One other thing I feel I should say, because Mrs R is not going to be giving evidence, is that you may think at first blush the complaint that has led to Mr Moody being here today is motivated by a degree of vindictiveness or a feeling of wanting to get back at Mr Moody following the breakdown of the relationship. Mrs R deals with that in her correspondence. In essence, to use her words, she says that she has no grudge against Mr Moody and she would have said as much had she given evidence."