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You are here: BAILII >> Databases >> England and Wales High Court (Administrative Court) Decisions >> White v General Medical Council [2021] EWHC 3286 (Admin) (03 December 2021) URL: http://www.bailii.org/ew/cases/EWHC/Admin/2021/3286.html Cite as: [2021] EWHC 3286 (Admin) |
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QUEEN'S BENCH DIVISION
ADMINISTRATIVE COURT
Strand, London, WC2A 2LL |
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B e f o r e :
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Dr Samuel White |
Claimant |
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- and - |
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General Medical Council |
Respondent |
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Alexis Hearnden (instructed by Solicitor to the General Medical Council) for the Respondent
Hearing dates: 4th November 2021
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Crown Copyright ©
Mr Justice Dove :
Introduction
"4. He must not use social media to put forward or share any views about the Covid-19 pandemic and its associated aspects.
5. He must seek to remove any social media posts he has been responsible for or has shared relating to his views of the Covid-19 pandemic and its associated aspects."
The facts.
"- Through a social media video, Dr White spread misinformation and inaccurate details about the Coronavirus and how it is diagnosed and treated, including saying the vaccine is a form of genetic manipulation which can cause serious illness and death and that he advised against wearing masks.
-Dr White has potentially put patients at risk and diminished the public's trust in the medical profession by disseminating misinformation and inaccurate details about the measures taken to tackle the Coronavirus pandemic.
-Dr White signposted viewers of his online video to comments and articles of others on the internet who share the same views as him and this raises concerns as those individuals also promote information which is inaccurate or untrue."
"In his seven-minute Instagram video Dr White looked to explain why he had resigned from his job as a GP. He laid out his experience as a doctor and advised he was leaving conventional medicine to pursue a career in functional medicine. He said he could no longer work in his previous roles 'because of the lies' surrounding the NHS and government approach to the pandemic which have been 'so vast' he could no longer 'stomach or tolerate' them. He claimed doctors and nurses were 'having their hands tied behind their backs' preventing them from using treatments that had been established as being effective both as prophylaxis from Covid-19 infections and as treatments for it. He named hydroxychloroquine, budesonide inhalers and ivermectin as the drugs he was particularly concerned about. He called them 'safe and proven treatments' and he raised concerns that he had been prevented from offering these drugs as a form of 'early intervention in the community'.
Dr White went on to raise concerns about the safety of the Covid-19 vaccine and the need to have it. With no mention of the variety of vaccines available for Covid-19 he claimed the vaccine inserted a code for the spike protein of the vaccine.
He said that 99% of people who contract Covid-19 survive and that most of those who had died had also suffered from multiple medical problems.
He asked his viewers to do their own research online and signposted them to UK and USA websites which record the side effects of the vaccine. He asked the viewers to consider the number of deaths and serious side effects the vaccine was causing.
Dr White then went on to raise concerns about the method of tracing for Covid-19, PCR. He claimed that once a PCR test multiplied traces of viral code more than 24 times, the false positive rate was greater than 90% and as such he believed the use of the test was a fraud which 'vitiates everything'.
He then discussed common law and the inability of the authorities to justify the 'civil rules and regulations' that had been brought into force during the pandemic.
One of his final claims was 'masks do absolutely nothing'."
"As I said at the outset, we will have regard to the guidance in the Interim Orders Tribunal Guidance and I think you will have seen that. It explains the test we apply under section 41A and it does go on to say that, in reaching the decision, we should consider and it lists these things. The seriousness of risk to members of the public if the doctor continues to hold unrestricted registration, and, in assessing this risk, the tribunal should consider the seriousness of the allegations, the weight of the information, including information about the likelihood of a further incident or incidents occurring. Secondly, we should consider whether public confidence in the medical profession is likely to be seriously damaged if the doctor continues to hold unrestricted registration during the relevant period. The third one, Mr Barton didn't rely upon, considering the doctor's own interests, so I won't mention that.
Also, of course, we're very aware that we must consider the proportionality of any response that we provide in dealing with the risk to the public, and the public interest and any decisions we make about risk, and any decisions about restrictions, have to be proportionate.
Also we'll proceed in this way. Firstly, we will consider whether there is a risk to the public or the public interest and, if we decide there are those risks, we will firstly consider whether those risks can be addressed by workable and proportionate conditions. Only if we decide that conditions couldn't be framed to meet the risks, would we go on to consider suspension.
There is more in the guidance, of course. As I say, the tribunal is experienced, we are very familiar with that guidance and we will take it into account. Just to say, Mr Hoar, I certainly had read your legal submissions and the case law, etc, before this morning. You have taken us through that, drawing our attention to the particular cases and principles, and the tribunal will, I am sure, as I have, have taken note of that and we will consider those points you have made in our deliberations."
"19. In reaching its decision, the Tribunal has borne in mind the serious concerns raised about Dr White's conduct. These involve all allegations that Dr White posted misinformation on social media platforms about the Covid-19 virus, vaccinations and PCR testing and that he is alleged to have encouraged people not to wear masks or take the vaccine. The Tribunal has noted Mr Hyland's response to the allegations, on behalf of Dr White, and the documentation provided in support of his rebuttal of the allegations. The Tribunal has also taken account of Mr Hoar's submissions in relation to Dr White's right to freedom of expression. However, it considers that Dr White's manner of expressing his own views to the general public may have a real impact on patient safety. The Tribunal also considers that any doctor has a responsibility to provide sufficient and balanced information about Covid-19 to allow any potential patients and other members of the public to access the potential risks and benefits of any treatment or preventative measures under consideration and then make an informed choice. It considers that Dr White's alleged means of imparting information in his capacity as a registered doctor, by way of social media platforms, to a wide and possibly uninformed audience does not allow for individual circumstances and does not give the opportunity for a holistic consideration of Covid-19, its implications and possible treatments and potential for reducing risk to health in individual circumstances. Further, the Tribunal considers that the alleged conduct is not likely to be an isolated incident, given the submissions made by Mr Hoar today and the apparent strength of Dr White's expressed views. The Tribunal considers that there is a high likelihood of repetition in the case.
20. In all the circumstances the Tribunal considers that there is information to suggest that Dr White may pose a real risk to public safety if he were permitted to remain in unrestricted clinical practice, given the nature of the concerns raised from a number of separate complainants, and bearing in mind the impact that the alleged behaviour may have on patient safety. Furthermore, the Tribunal considers that public confidence in the profession may be seriously undermined, if no order were made today, in the light of the public nature of the alleged misinformation posted by Dr White, which has the potential to reach a large audience. The Tribunal has noted that the allegations are made against a background of the Covid-19 pandemic and it is concerned that the impact of such alleged conduct may be significant. The Tribunal has noted that comments have been made in relation to Dr White's health and behaviour by work colleagues. However, it is mindful that no health assessments have yet been undertaken and no diagnosis has been made. It has therefore been determined than an order is not in Dr White's own interests.
21. In accordance with Section 41A of the Medical Act 1983, as amended, the Tribunal has determined, based on the information before it today, that it is necessary to impose an interim order on Dr White's registration. It has determined to impose an interim order of conditions for a period of 18 months.
22. The Tribunal has determined that, based on the information before it today, there are concerns regarding Dr White's fitness to practise which pose a real risk to members of the public and which may adversely affect the public interest. After balancing Dr White's interests and the interests of the public, the Tribunal has decided that an interim order is necessary to guard against such a risk.
23. Whilst the Tribunal notes that the order has restricted Dr White's ability to practise medicine it is satisfied that the order imposed is the proportionate response. The Tribunal considers that conditions can be formulated to address the risks identified in this case. It has therefore determined to impose monitoring conditions together with conditions restricting him to not posting or sharing his views on the Covid-19 pandemic and its associated aspects on any social media platforms and requiring previous posts to be removed. The Tribunal considers that these conditions are sufficient as workable, enforceable and measurable means of addressing the risks identified in the case."
The principles in an application under section 41A(1) of the Medical Act 1983.
"41A Interim Orders
(1) Where an Interim Orders Tribunal or a Medical Practitioners Tribunal in arrangements made under subsection (A1), or a Medical Practitioners Tribunal on their consideration of a matter, are satisfied that it is necessary for the protection of members of the public or is otherwise in the public interest, or is in the interests of a fully registered person, for the registration of that person to be suspended or to be made subject to conditions, the Tribunal may make an order
(a) that his registration in the register shall be suspended (that is to say, shall not have effect) during such period not exceeding eighteen months as may be specified in the order (an "interim suspension order"); or
(b) that his registration shall be conditional on his compliance, during such period not exceeding eighteen months as may be specified in the order, with such requirements so specified as the Tribunal think fit to impose (an "order for interim conditional registration").
(2) Subject to subsection (9) below, where an Interim Orders Tribunal or a Medical Practitioners Tribunal have made an order under subsection (1) above, an Interim Orders Tribunal or a Medical Practitioners Tribunal
(a) shall review it within the period of six months beginning on the date on which the order was made, and shall thereafter, for so long as the order continues in force, further review it
(i) before the end of the period of six months beginning on the date of the decision of the immediately preceding review; or
(ii) if after he end of the period of three months beginning on the date of the decision of the immediately preceding review the person concerned requests an earlier review, as soon as practicable after that request; and
(b) may review it where new evidence relevant to the order has become available after the making of the order.
(10) Where an order has effect under any provision of this section, the relevant court may
(a) in the case of an interim suspension order, terminate the suspension;
(b) in the case of an order for interim conditional registration, revoke or vary any condition imposed by the order;
(c) in either case, substitute for the period specified in the order (or in the order extending it) some other period which could have been specified in the order when it was made (or in the order extending it),
and the decision of the relevant court under any application under this subsection shall be final."
Article 10 of the ECHR.
"Article 10 Freedom of expression
1. Everyone has the right to freedom of expression. This right shall include freedom to hold opinions and to receive and impart information and ideas without interference by public authority and regardless of frontiers. This Article shall not prevent States from requiring the licensing of broadcasting, television or cinema enterprises.
2.The exercise of these freedoms, since it carries with it duties and responsibilities, may be subject to such formalities, conditions, restrictions or penalties as are prescribed by law and are necessary in a democratic society, in the interests of national security, territorial integrity or public safety, for the prevention of disorder or crime, for the protection of health or morals, for the protection of the reputation or rights of others, for preventing the disclosure of information received in confidence, or for maintaining the authority and impartiality of the judiciary."
"12. Freedom of expression.
(1)This section applies if a court is considering whether to grant any relief which, if granted, might affect the exercise of the Convention right to freedom of expression.
(2)If the person against whom the application for relief is made ("the respondent") is neither present not represented, no such relief is to be granted unless the court is satisfied
(a) that the applicant has taken all practicable steps to notify the respondent; or
(b) that there are compelling reasons why the respondent should not be notified.
(3) No such relief is to be granted so as to restrain publication before trial unless the court is satisfied that the applicant is likely to establish that publication should not be allowed.
(4) The court must have particular regard to the importance of the Convention right to freedom of expression and, where the proceedings relate to material which the respondent claims, or which appears to the court, to be journalistic, literary or artistic material (or to conduct connect with such material), to
(a) the extent to which
(i) the material has, or is about to, become available to the public; or
(ii) it is, or would be, in the public interest for the material to be published;
(b) any relevant privacy code.
(5) In this section "court" includes a tribunal; and "relief" includes any remedy or order (other than in criminal proceedings)."
"19. There is, as all members of the Supreme Court conclude, a clear error of law in the Court of Appeal's reasoning in relation to s12. For reasons given in para 20, below, it consists in the self-direction that s12 'enhances the weight which art 10 rights carry in the balancing exercise' (para 40). The Court of Appeal's further self-direction, that s12 'raises the hurdle which the claimant must overcome in order to obtain an interim injunction' is unexceptionable, in so far as s12 replaces the general American Cyanamid test, focused on the balance of convenience, with a test of whether the appellant is 'likely to establish that publication should not be allowed' at trial. The position was stated more particularly by Lord Nicholls said in Cream Holdings Ltd v Banerjee [2004] UKHL 44, [2004] 4 All ER 617, [2005] 1 AC 253 (at 22), in a speech with which the other members of the House agreed;
'Section 12(3) makes the likelihood of success at the trial an essential element in the court's consideration of whether to make an interim order There can be no single, rigid standard governing all applications for interim restraint orders. Rather, on its proper construction the effect of s12(3) is that the court is not to make an interim restraint order unless satisfied the applicant's prospects of success at the trial are sufficiently favourable to justify such an order being made in the particular circumstances of the case. As to what degree of likelihood makes the prospects of success "sufficiently favourable", the general approach should be that courts will be exceedingly slow to make interim restraint orders where the applicant has not satisfied the court he will probably ("more likely than not") succeed at the trial. In general, that should be the threshold an applicant must not cross before the court embarks on exercising its discretion, duly taking into account the relevant jurisprudence on art 10 and any countervailing convention rights. But there will be cases where it is necessary for a court to depart from this general approach and a lesser degree of likelihood will suffice as a prerequisite. Circumstances where this may be so include those mentioned above: where the potential adverse consequences of disclosure are particularly grave, or where a short-lived injunction is needed to enable the court to hear and give proper consideration to an application for interim relief pending the trial or any relevant appeal."
The issues.