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PUBLIC RECORD - MPTS · PDF file Primary medical qualification: MB BCh 2002 Ain Shams University Type of case Outcome on impairment New - Misconduct Impaired Summary of outcome Suspension,

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  • Record of Determinations –

    Medical Practitioners Tribunal

    MPT: Dr SEDA 1

    PUBLIC RECORD Dates: 22 – 26 July 2019

    21 August 2019 11 – 12 December 2019

    Medical Practitioner’s name: Dr Tarek SEDA

    GMC reference number: 6124507

    Primary medical qualification: MB BCh 2002 Ain Shams University

    Type of case Outcome on impairment New - Misconduct Impaired

    Summary of outcome

    Suspension, 12 months. Review hearing directed Immediate order imposed

    Tribunal:

    Legally Qualified Chair Ms Alice Moller

    Lay Tribunal Member: Mr John Ennis

    Medical Tribunal Member: Mr John Hayward

    Tribunal Clerks: Mr Michael Murphy (Days 1 – 5, 7 - 8) Mr Sewa Singh (Day 6)

    Attendance and Representation:

    Medical Practitioner: Present and represented

    Medical Practitioner representative: Mr Alan Jenkins, Counsel

    GMC Representative: Ms Elizabeth Dudley-Jones, Counsel, instructed by GMC Legal

    Attendance of Press / Public In accordance with Rule 41 of the General Medical Council (Fitness to Practise) Rules 2004 the hearing was held partly in public and partly in private.

  • Record of Determinations –

    Medical Practitioners Tribunal

    MPT: Dr SEDA 2

    Overarching Objective Throughout the decision making process the tribunal has borne in mind the statutory overarching objective as set out in s1 Medical Act 1983 (the 1983 Act) to protect, promote and maintain the health, safety and well-being of the public, to promote and maintain public confidence in the medical profession, and to promote and maintain proper professional standards and conduct for members of that profession. Determination on Facts/Impairment - 21/08/2019 Background

    1. Dr Seda qualified in Egypt in 2002 and prior to the events which are the subject of the hearing he was practising as a private GP for Doctorcall in Harley Street London. At the time of the events Dr Seda was still practising for Doctorcall but was also practising as a Specialty Doctor in Emergency Medicine - Certificate of Eligibility of Specialist Registration (CESR) Rotations at King’s Mill Hospital, Sherwood Forest Hospitals NHS Foundation Trust (‘SFHFT’).

    2. The Allegation against Dr Seda included claims that he failed to adhere to his allocated break times at King’s Mill Hospital, that he fell asleep whilst on duty and did not tell anyone he was going on a break. There were also concerns related to Dr Seda’s treatment of Patients A, C and D; it is alleged that he failed to carry out a number of actions required for the assessment and treatment of patients. It is further alleged that Dr Seda did not inform Silverstone Medical locum agency of his IOT conditions, as he was required to do, and offered to take up one day’s employment in breach of conditions, which was dishonest. The GMC also allege that Dr Seda created a false certificate of employment purporting to be from Doctorcall Medical Services and submitted this to the Dataflow Group, which was also dishonest.

    3. Initial concerns were raised with the GMC on 20 July 2017 by the Trust after an internal investigation, arising from concerns about record keeping, clinical management and conduct.

    The Outcome of Applications Made during the Facts Stage

    4. The Tribunal considered the GMC’s application, made pursuant to Rules 17(2) C and 17(6) of the General Medical Council (Fitness to Practise Rules) 2004 as amended (‘the Rules’), to amend the Allegation. Ms Dudley-Jones, on behalf of the GMC applied to withdraw paragraph 2(d) of the Allegation; that Dr Seda spoke inappropriately to Patient A and/or Ms B. There was no reliable evidence that Dr Seda was the doctor involved. Mr Jenkins, Counsel for Dr Seda, raised no objection to the application. The Tribunal granted the application to withdraw paragraph 2(d) of the Allegation.

  • Record of Determinations –

    Medical Practitioners Tribunal

    MPT: Dr SEDA 3

    The Admitted Facts including withdrawals

    5. The Allegation made against Dr Seda is as follows:

    That being registered under the Medical Act 1983 (as amended):

    Nightshift on 27-28 June 2017

    1. You were working a nightshift in the emergency department of the King’s Mill Hospital on 27-28 June 2017 and you:

    a. failed to inform anyone that you were going on a break; Admitted and found proved

    b. fell asleep whilst on duty; Admitted and found proved

    c. failed to adhere to your allocated break time. Admitted and found proved

    Patient A

    2. On 27 June 2017 you failed to provide good clinical care to Patient A in that you:

    a. did not:

    i. appropriately consider the importance of Patient A’s low blood pressure upon your examination of her; Admitted and found proved

    ii. correct any obvious infection or heart failure before considering intervening with medication; Admitted and found proved

    iii. consider Patient A for a DC cardio version before using IV medication; Admitted and found proved

    iv. seek senior help or advice from a cardiologist; Admitted and found proved

    v. take an adequate history, in that you did not properly enquire with Patient A and/or Patient A’s daughter, Ms B:

    i. whether Patient A had an exacerbation of any of her pre-existing problems; Admitted and found proved

  • Record of Determinations –

    Medical Practitioners Tribunal

    MPT: Dr SEDA 4

    ii. if there were any signs of infection/chest pain and/or heart failure; Admitted and found proved

    iii. about Patient A’s medication list; Admitted and found proved

    iv. whether Patient A’s chest infection had become worse; Admitted and found proved

    v. whether Patient A was already on any treatment for atrial fibrillation; Admitted and found proved

    vi. obtain informed consent from Patient A in relation to the use of IV metoprolol; Admitted and found proved

    b. inappropriately;

    i. prescribed IV metoprolol to Patient A; Admitted and found proved

    ii. administered IV metoprolol to Patient A; Admitted and found proved

    c. failed to:

    i. explain to Ms B what the implications of prescribing IV metoprolol to Patient A were; Admitted and found proved

    ii. demonstrate appreciation of Patient A’s clinical observations; Admitted and found proved

    iii. correct/attempt to correct the underlying cause of Patient A’s clinical observations; Admitted and found proved

    iv. correct/attempt to correct the underlying causes of Patient A’s atrial fibrillation; Admitted and found proved

    d. spoke inappropriately to Patient A and/or Ms B. Withdrawn by GMC

  • Record of Determinations –

    Medical Practitioners Tribunal

    MPT: Dr SEDA 5

    3. You failed to maintain an adequate clinical record, in that you did not record:

    a. whether Patient A had had an exacerbation of any of her pre- existing problems, particularly if there had been any signs of infection, chest pain or heart failure; Admitted and found proved

    b. sufficient detail for other clinicians taking over the care of Patient A. Admitted and found proved

    Patient C

    4. On 28 June 2017 you failed to provide good clinical care to Patient C in that you:

    a. did not:

    i. take an adequate history, in that you did not ask Patient B about possible symptoms of infection; Admitted and found proved

    ii. adequately examine Patient C to establish a possible source of infection; Admitted and found proved

    iii. provide any safety netting advice; Admitted and found proved

    b. inappropriately advised Patient C to take paracetamol; Admitted and found proved

    c. did not admit Patient C for further tests and observation. Admitted and found proved

    5. You failed to maintain an adequate clinical record, in that you did not record:

    i. any examination you performed; Admitted and found proved

    ii. Patient C’s presenting complaint; Admitted and found proved

    iii. your clinical assessment; Admitted and found proved

  • Record of Determinations –

    Medical Practitioners Tribunal

    MPT: Dr SEDA 6

    iv. your management plan; Admitted and found proved

    v. any conversation(s) you had with Patient C’s oncologist; Admitted and found proved

    vi. any safety netting advice. Admitted and found proved

    Nightshift on 28-29 June 2017

    6. You were working a nightshift in the emergency department of the King’s Mill Hospital on 28-29 June 2017 and you:

    a. fell asleep whilst on duty; Admitted and found proved

    b. failed to inform anyone you were going on a break; Admitted and found proved

    c. failed to adhere to your allocated break time. Admitted and found proved

    Patient D

    7. On 29 June 2017 you failed to provide good clinical care to Patient D in that you:

    a. inappropriately attempted to intubate Patient D when:

    i. you did not have the experience or expertise to do so; Admitted and found proved

    ii. Patient D had not been anaesthetised; Admitted and found proved

    b. did not record in the medical records that you had attempted to intubate Patient D. Admitted and found proved

    Interim Order

    8. You failed to inform Silverstone Medical locum agenc