Can A Gp Be Struck Off......

[dunnitall]

....if under NHS guideline ranges for treating a condition, they prescribe the treatment which NHS say not to unless presented with low range blood test results and severe symptoms .

GP told OH if he were to give the treatment (injections for severe Vit B12 deficiency) he would be struck off! I read somewhere that doctors can make a clinical decision based on test results and how severe symptoms are. So is the GP wrong? He won't prescribe the treatment but has referred OH to consultant. OH has been suffering symptoms for years and not diagnosed until now! Result for OH was 170 something. Thanks for your answers.

[bednobs]

it seems unlikely given the details you told us. However perhaps the proper pathway is to refer to the consultant

[bednobs]

ps it sounds like an off the cuff comment to me. If OH does not have the symptoms along witht he low b12 levels, there's not much point in prescribing anything

[dunnitall]

Hi bednobs... OH certainly does have the symptoms and has deteriorated with them plus the very low blood readings. We feel he is being economical with the truth! That has happened before when he has lied to us... Unfortunately. I thought OH was going to die last week... But still no decision or diagnosis. What I am concerned with is if GP could do something and and would not be 'struck off'. Just need to know if GP is right or wrong. Thanks for helping x

[Sqad]

That does not make sense.
If a blood test came back with a low B12 deficiency with OR without severe symptoms, he , the GP, in my opinion would be negligent in not prescribing B12 in any form.

I would care not a jot for NHS guidelines.

[Sqad]

Sorry...I didn't answer your question....the GP was wrong in that he would not be struck off if he went against NHS guidelines.

[Peter Pedant]

Sqad like every good doctor has taken the history on trust as true in every detail

Referral to a consultant is appropriate - 170 is borderline in some unit and merits further investigation

this means that striking off the GP is a non starter
Doesnt mean you cant complain tho
( and will screw the GP up for at least two years)

[dunnitall]

Thanks sqad. Exactly what I think.... GP has blatantly lied to us before... Dates prove...I keep details. I emailed consultant am awaiting his reply.... I know GP'S can make decisions....but he isnsaving his own skin in my opinion...he knows he's failed over the years and now this is quite damning! Thanks for help.

[Peter Pedant]

GMC cases are here

https://www.mpts-uk.org/decisions/

hours of endless fun reading what those naughty naughty doctors have done to their patients

mismanagement has to be pretty catastrophic to be honest

[Sqad]

No wonder the NHS is under strain and waiting lists for Consultant appointments are long..............why referral.

Simple answer.....give Injections of Vit B12 for 3 months and then repeat the blood test. if b12 STILL low (unlikely) then refer to a Consultant.
What is happening to medicine in the NHS?

[dunnitall]

@PP...thanks I'm not intending to 'screw' anyone up. Just need definitive answer as to if GP Is right or is Using male bovine excrement just for us!

[Islay]

If the GP has lied to you and you have evidence why have you not complained and why are you still with him?

[Peter Pedant]

well by comparison to the cases
this is small stuff
Dr McAlister Nov 17 - selling heroin
Dr Little - made only one mistake - writing a false presciption but 439 times !

Not following guidelines may get you into trouble
but I think he will be able to show he HAS followed guidelines. - but you know you dont like your GP - so complain !

[Peter Pedant]

yeah agreed being wrong or mistaken is not lying

but you know - complain! - thousands do and everyone must be investigated for which people like sqad pay ! ( doesnt cost you a penny)

[dunnitall]

@ Islay because being elderly and with chronic health problem, it is easier to stay with what you know and have been with for 30 years. Wait till u get to our age...u will see what I mean xx

[woofgang]

even if you don't trust "what you know"?