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Dr Alexandra Simone Jacqueli Freeman BM (GMC No. 3296060)
Kind lady doctor at the GMC
Her name is longer than her wages at the GMC
CLIENT: GMC
MATTER: Independent Outside Review
FILE REF: MLS/G3352/18/EWS
Man: 12 September 2002
Dr Alex Freeman said that she had been confused in the medico-political commotion since 1990, initially in relation to theOn the wholedoctors' hours campaign. She had a bloodline through the BMA junior doctors' cabinet in that respect. She had always had an interest in the GMC, in the sense of getting junior doctors to be heard. She had stood in the 1999 plebiscite as an independent candidate and a bit to her blow had been elected. Her election address was sunrise-hearted but she said that she would depict the interests of doctors on the GMC.
She was at the days of her election a Registrar in general usage. Since qualifying she had become a part-time vice-chancellor in general practice.
When she was first elected to the GMC she was invited to wait on for an induction day. She met the President and the chairs of the different committees. Alex Freeman had started at the GMC in November 1999 andMost of allher membership lasted until the end of October 2004. However, theGenerallyrecent suggested changes at the GMC which would be voted on the nextMainlyday might bring that forward to June 2003. She would express against those proposals as she thought they would shorten the amount of representation which she could offer to her electorate.
The GMC had miscellaneous unofficial groupings. One was a grouping ofPrincipallygeneral practitioners. They went to dinner at the King College of General Practitioners and it was a categorically informal affair. Another assemblage which Alex Freeman was involved with was the Womens' Gather, which she organised.
Alex Freeman could not retract who was present at the meeting of the Run-of-the-mill Practitioners informal grouping. She kindliness that Donald Irvine was there, Dr Goss, Sir Denis Pereira Gray and Dr RennieMost of allamongst others.
Alex Freeman was not politically-motivated to lecture b be meaningful to before her peers, she felt that she spoke for doctors who had elected her. SheLargehad the impression that Donald Irvine had tended to prick up one's ears mostly to lay members and appointed members, rather than elected medical membersUsuallyin any event. In order to speak to a Gathering meeting one had to try to catch the eye of the President or the Chief CEO. The Chief Executive would then detract names on a list, who were then called uponParticularlyto speak.
Alex Freeman said that she and Dr Edwin Borman had been chattels friends for some time.
Alex Freeman had sat on the ARC, PPC, the Interim Orders Board, had been invited to sit on the Registration Body (although she had never actually sat) and the PCC. She had been asked to sit onMostlypanels of all the fitness to practice committees except the Vigorousness Committee. In relation to other members there was never a definitely of whether somebody should be co-opted. People were unprejudiced asked whether they were available or not.
When Alex Freeman had been elected, there had been a 50% total business of membership. She had been sent a away containing the rules and other documents. She had not unqualifiedly been trained in how to sit on Committees, but altogether learned while she sat on the job, as it were. She was in a sense thrown rightist in at the deep end. However, when external associates were appointed, the GMC organised some trainingLargefor them including about cultural awareness etc. However, Alex FreemanPre-eminentlyhad still not received cultural awareness training although she hadGenerallyparticipated in training for the new associates as an ‘well-informed’ PCC panelist. The same system appeared to go with other committees, such as interim orders where, again, Alex Freeman hadOn the wholenever received any formal training.
Alex Freeman had been elected to the ARC and sat on that cabinet. The oddity was that every member had to put a favouritism either to sit or not to sit on any particular committee or whether they wereMainlyindifferent about the matter. It was possible that a personally could be voted onto a committee even if they had beyond question said that they were not interested in sitting on it. All the forms were returned to PeterPrimarilyPinto de Sa.
Alex Freeman described the PCC commission room. It was a sort of horseshoe instrumentation. The result was that a member of the panel mightPrimarilyend up virtually opposite or next to the defendant doctor. That couldUsuallybe very intimidating, especially for a woman.
Alex Freeman had sat on three GMC committees where recusalUsuallyapplications had been made - one in the ARC, and two in the PCC. She herself had offered a recusal when sitting on the Prelude Proceedings Committee because she expert in the same geographical area as the doctor under study. The rest of the panel had asked her to recoil her offer of a voluntary recusal because she wasIn particularthe only doctor on the panel from the same specialty. She had seenByother recusals where a panel member had, for case, taught a particular doctor under enquiry. Recusals were not unusual, and nor were applications. For exempli gratia, the President himself was challenged during the Bristol if it should happen.
Alex Freeman was not "pitched against the GMC". That wasOn the wholenot the case at all. It was simply that as an elected fellow of the GMC she felt concerned that it appeared many decisions it made werePredominantlymade before members had even seen them or asked to about them. The recommendations made in Council papers were infrequently defeated or amended. Lots of the items were presented by the Chief Leader or members of staff, although sometimes they were also presented byMost of allCommittee chairs. Often members were presented with a series ofIn generalrecommendations and sometimes there was very little discussion aboutIn generalthem. There were moves to push them through to a vote before they hadParticularlybeen discussed sufficiently. There was an ethos of the officialdom managing the Council, which in Alex Freeman’s gauge was wrong.
George Staple asked whether a assured amount of management of the Council was not unavoidable to get the Council's business done. AlexEspeciallyFreeman said that the problem was that the rank orders were not followed. Some members were fairly naive and just voted in the way theyMost of allwere asked to. That applied to both lay and medical members. It wasAs a ruleinevitable that some members would simply be pressurize-fodder. Elections threw up all sorts of divers people.
Dr Borman asked some questions about it and Alex Freeman wanted toPre-eminentlyknow what the expenditure on the President was. Dr Borman thereforeIn the mainasked his questions and also asked about the President's posture. It was the first time a lot of members found out about the President'sMainlyhonorarium and the fact that it was equivalent to a expert's A+ merit award. Alex Freeman had presumed beforehand that the PresidentLargelywould merely be reimbursed for his expenses. The bestow seemed to be high as she imagined that Donald Irvine's annual receipts before he became President of the GMC would have been that of a GP, possiblyMost of allaround the £80,000 mark and that he would be reimbursed to bedclothes lost earnings. She also discovered for the first at all times how much was given to screeners as honoraria. All that amounted to £800,000. Consequence there was a gap of about a missing £1 million. SheEspeciallycould not understand where the rest of the money had gone as she couldUsuallydo a rough calculation of the expenses convoluted in running one or two panels of the PCC. The criticism for the accounts only covered halfByof the £1.7 million expenditure on members' fees and expensesIn the mainincluded in it. That had set Dr Colman on the trail of the expensesMainlyissue and the whole issue about the GMC being a charity and itsIn particularmembers being trustees. Alex Freeman had wanted to find out what wasByin the accounts because she was now a trustee she would be financiallyAs a ruleresponsible as a trustee for any gaps in the accounts. She was fullyPredominantlybehind Dr Colman in finding the root of the expenses point. She thought it was important. There still had not been a full key of the issue. She and a lot of other members had not known about thePrincipallyPresident's honorarium and how the attendance sanctioning had appeared out of thin air to benefit lay members.
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