Post by The Todal
For those who think you should never bother A&E if your GP is
the best person to see.
Shanice arrived at the surgery with Ellie-May just after 5pm.
According to the NHS report, Shanice said she arrived at about
However, she insisted to this paper it was 5.04pm. Mother and
daughter then waited several minutes while the receptionist
dealt with a phone call and another patient.
The receptionist finally addressed Shanice at 5.18pm, the report
notes, calling through to Dr Rowe to ask if she would see them.
According to the receptionists account, the GP then shouted
something like No Im not seeing her, shes late.
When the health board investigated, it found Dr Rowe gave
incorrect information, including her claim to be with another
patient at the time. They also found that staff were fearful of
questioning Dr Rowe due her angry outbursts.
It concluded the root cause of the childs death was that Dr
Rowe refused to see EM [Ellie-May] because she was brought in
late. It also noted that months earlier a hospital
paediatrician had written to Dr Rowe warning that Ellie-May was
at risk of another episode of severe / life-threatening
Despite this, the report said, Dr Rowe did not make any
clinical assessment of EM before refusing to see her and failed
to give her mother any safety netting advice.
The serious concern was passed to the GMC but Dr Rowe was
allowed to continue practising with only minor restrictions.
I didn't know of this incident until you posted it. Thanks.
The GMC gave the doctor a mild slap on the wrist. Excess leniency
by the GMC led to the setting up of the Medical Practitioners
Tribunal Service after Shipman. However I'm not sure this sad
case got as far as being referred to the MPTS because there's
nothing about it on the MPTS site.
Too often a medical tribunal looking into significant misconduct
by a doctor ends with the usual waffle from the panel saying the
doctor seems of good character and probably won't do it again.
Therefore nothing needs be done to protect the public and the
doctor gets let off perhaps with a minor warning.
Medical tribunals usually dice the case into the smallest parts
and then test each one, often leniently, without ever looking at
the wider and usually far more incriminating picture. Here's is
how the GMC viewed this case.
What a pity Legal Aid is no longer available for such cases.
-------------------------- START -------------------------
Joanne Louise Rowe. GMC number 3116133
On 26 January 2015, you declined to see a child patient who
attended after the time of their booked emergency appointment,
advising that the child should come back the next day. You did not
consider the medical history of the child, or provide advice on
how the childs parents could access alternative medical care. The
child had a history of severe asthma, and had experienced
breathing problems that day. The child died later that evening of
Your failure to see and assess this child does not meet with the
standards required of a doctor. It risks bringing the profession
into disrepute and it must not be repeated. The required standards
are set out in Good medical practice and associated guidance. In
this case, paragraph 15 of Good Medical Practice is particularly
15. You must provide a good standard of practice and care. If
you assess, diagnose or treat patients, you must:
(a) adequately assess the patients conditions, taking account
of their history (including the symptoms and psychological,
spiritual, social and cultural factors), their views and
values; where necessary, examine the patient
(b) promptly provide or arrange suitable advice, investigations
or treatment where necessary
(c) refer a patient to another practitioner when this serves
the patients needs.
Whilst this failing in itself is not so serious as to require any
restriction on your registration, it is necessary in response to
issue this formal Warning.
This Warning will be published on the List of Registered Medical
Practitioners (LRMP) for a period of five years and will be
disclosed to any person enquiring about your fitness to practise
history. After five years, the Warning will cease to be published
on the LRMP. However, it will be kept on record and disclosed to
employers on request.
-------------------------- END -------------------------