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The question of performers lists does appear to need some clarification. 1. to be on a Performer's List as a GP, do you have to be a GP? (Cornwall apparently thinks not in the case of EU doctors). 2. is it permissible for a PCT, OOH service or locum agency to assume that being on a PCT Performers List shows that the doctor in question is in fact a GP and presumably has the training and experience to act as a GP? 3. My understanding was that you could not be on two Performers Lists at the same time - and *had* to be on a list within the country in which you were working ( and this was causing huge problems for locums who wanted to work both sides of the Scotland or Wales/England borders or in NI) and that the PCT on whose list you were should be the one where you did most of your locuming - and should chuck you off if you didn't locum there for x months. So one of the things coming out of this affair would seem to be that either the requirements for being on a PCT Performers List are insufficiently precise to prevent individuals not qualified to act as GPs, especially as locums or OOHs, and/or Cornwall PCT should be asked why they, as it were, underwrote a doctor who had no GP qualifications or experience, thus enabling him to take on a job which he could not be expected to be able to perform. A final question might be: how common is this situation? Had he not ignored all the instructions and clues about diamorphine (if you have to use a dose higher than the dose in a standard ampoule, it does suggest that this requires a good reason - and I understand the OOH kit also included dosage instructions) the situation would not have been made obvious. Surely any lessons learned **must** include examination of Cornwall's actions? Mary In message <[log in to unmask]>, Declan Fox <[log in to unmask]> writes >Well yes, I was wondering about that myself. Having seen at first hand >the bureaucratic rigmarole required to get a place on a performers list >and having been unceremoniously dumped off the Glasgow NHS list for not >providing services there within the last year---BMA are working on that >one, I suspect restriction of trade would cover it legally. >Somehow or other, even in the midst of an intelligent piece on C4 news >about this, there was v little focus on the responsibilities of the >PCT. That politician whose name I forget, from the DoH, did finally >allude to need to strengthen up that end of things but I would have >thought that really was where the fault lay. >Declan > > ><<Slightly different question: >The doctor at the centre of this is practising as a plastic surgeon, not >a GP. >Why did *any* PCT allow him to be listed on a GP Performers list,>> > -- Mary Hawking