Neurologist at centre of patient recall ‘could not engage with hearing’

Q Radio News/PA

A neurologist at the centre of Northern Ireland’s largest ever patient recall was “unable to engage” with a public hearing into his fitness to practice, a newly published tribunal ruling stated.

The ruling by the Medical Practitioners Tribunal Service (MPTS) said that there was no way that such a hearing could take place “in a way that would be fair” to Dr Michael Watt.

Last month the MPTS announced it had convened in private and granted an application by Dr Watt, who formerly worked at Belfast's Royal Victoria Hospital, to be removed from the medical register.

This means that he can no longer practise medicine in the UK.

A hearing into Dr Watt had been expected to take place this month but could not proceed after he was removed from the register.

A number of separate inquiries are taking place into the work of Dr Watt after thousands of his patients were recalled in 2018 amid concerns about misdiagnosis of brain conditions.

Dr Michael Watt

The MPTS has now published a redacted version of their decision in the Dr Watt case.

The ruling stated: “The tribunal was of view that the public interest in this case is finely balanced.

“It considered that the strong public interest in this case is one which would require resolution by a tribunal except in exceptional circumstances.”

It continued: “The tribunal noted that the inability of Dr Watt to engage with a fitness to practice hearing meant that it was not possible for such a hearing to take place in a way that would be fair to the doctor.

“That circumstance significantly lessened the public interest in such a hearing taking place.

“The tribunal also considered that the reputation of the profession and of its regulator would not be maintained by insisting on a hearing taking place.”

The tribunal concluded that Dr Watt’s “inability to engage in the substantive hearing process”, meant that it should allow the application for voluntary erasure from the medical register.

Earlier this month, the chief executive of the General Medical Council (GMC), told a Stormont committee that the decision of the MPTS to allow Dr Watt to voluntarily leave the medical register, has had a “drastic effect” on trust and confidence in regulation, MLAs have been told.

Charlie Massey said: “We in the GMC were also extremely disappointed by that decision. 

“It was not the decision we wanted and we completely empathise with the patients who felt let down.”

He added: “I completely recognise, and it is one of the things that makes me very anxious, is that this case and the decision that the MPTS took has had drastic effect on trust and confidence in regulation in Northern Ireland.

“I genuinely feel very distressed on behalf of those patients who feel they have been left unable to get answers to what happened in terms of the deficiencies in clinical performance and why their lives have been changed so terribly.”