Derek Hornby
2006-01-05 16:55:33 UTC
From The Guardian 5 January 2006
Doctors accuse regulatory body of increasing risk of child abuse:
Experts afraid to speak out after two were struck off
GMC 'pays more attention to parents than children'
Sarah Boseley Health editor
children are being left at risk of abuse because doctors are afraid to speak
out following the pillorying of paediatricians in the media and by the General
Medical Council, senior doctors warn today.
In a strongly worded article for a leading medical journal, a former president
of the Royal College of Paediatrics and Child Health criticises the GMC, the
doctors' regulatory body, for the disciplinary action it took against the
child protection experts Roy Meadow and David Southall.
Many in the profession no longer have confidence in the GMC, says Sir David
Hall, implicitly accusing it of paying more attention to parents who complain
than to the welfare of the child.
"Changes in the way complaints are managed are urgently needed,"
he writes in the Journal of the Royal Society of Medicine.
Professor Meadow was struck off the medical register by the GMC for wrongly
asserting that the chances of a second cot death happening in a family were
one in 73 million. His expert evidence was given during the trial of Sally
Clark, who was convicted of killing her second child but later freed on appeal.
Professor Southall was suspended from child protection work for contacting
police to accuse Mrs Clark's husband of killing two of their babies after
watching him on a television programme. Both paediatricians have been the
target of vociferous campaigns by groups defending parents accused of abusing
their children. But Sir David writes that a paediatrician fundamentally owes
a duty of care to the child, not the parent. Guidance from the judiciary
and the Children's Act make it clear that the child's interests must be
paramount.
"With regret, it must be recorded on behalf of many UK doctors that they
currently have no confidence in the competence of the regulatory authorities
to apply this guidance when making judgements about the expertise or
professional behaviour of those working in child protection," he says.
"Nor do they believe that the authorities are able to withstand public,
political and media pressures in high-profile cases."
The evidence base in child protection cases is still weak, he says.
Insufficient research has been done on forensic questions, such as the
ageing or pattern of bruises or the significance of human bite marks.
"It is a bitter irony that among the doctors who have been called before the
General Medical Council are several who have contributed so much to our
knowledge of child abuse."
---------------------------------------------------------------------------
Does the GMC simply follow public and political opinion, and give way to such
pressure?
Or: Are some doctor just too arrogant to admit that some of them can be
wrong, that some of them have flawed views that must be challenged.
But what of Sir David Hall's opinion he feels that the GMC
pays more attention to parents who complain than to the welfare of the child.
Derek
Doctors accuse regulatory body of increasing risk of child abuse:
Experts afraid to speak out after two were struck off
GMC 'pays more attention to parents than children'
Sarah Boseley Health editor
children are being left at risk of abuse because doctors are afraid to speak
out following the pillorying of paediatricians in the media and by the General
Medical Council, senior doctors warn today.
In a strongly worded article for a leading medical journal, a former president
of the Royal College of Paediatrics and Child Health criticises the GMC, the
doctors' regulatory body, for the disciplinary action it took against the
child protection experts Roy Meadow and David Southall.
Many in the profession no longer have confidence in the GMC, says Sir David
Hall, implicitly accusing it of paying more attention to parents who complain
than to the welfare of the child.
"Changes in the way complaints are managed are urgently needed,"
he writes in the Journal of the Royal Society of Medicine.
Professor Meadow was struck off the medical register by the GMC for wrongly
asserting that the chances of a second cot death happening in a family were
one in 73 million. His expert evidence was given during the trial of Sally
Clark, who was convicted of killing her second child but later freed on appeal.
Professor Southall was suspended from child protection work for contacting
police to accuse Mrs Clark's husband of killing two of their babies after
watching him on a television programme. Both paediatricians have been the
target of vociferous campaigns by groups defending parents accused of abusing
their children. But Sir David writes that a paediatrician fundamentally owes
a duty of care to the child, not the parent. Guidance from the judiciary
and the Children's Act make it clear that the child's interests must be
paramount.
"With regret, it must be recorded on behalf of many UK doctors that they
currently have no confidence in the competence of the regulatory authorities
to apply this guidance when making judgements about the expertise or
professional behaviour of those working in child protection," he says.
"Nor do they believe that the authorities are able to withstand public,
political and media pressures in high-profile cases."
The evidence base in child protection cases is still weak, he says.
Insufficient research has been done on forensic questions, such as the
ageing or pattern of bruises or the significance of human bite marks.
"It is a bitter irony that among the doctors who have been called before the
General Medical Council are several who have contributed so much to our
knowledge of child abuse."
---------------------------------------------------------------------------
Does the GMC simply follow public and political opinion, and give way to such
pressure?
Or: Are some doctor just too arrogant to admit that some of them can be
wrong, that some of them have flawed views that must be challenged.
But what of Sir David Hall's opinion he feels that the GMC
pays more attention to parents who complain than to the welfare of the child.
Derek