Mary is widely recognised as one of the leading silks in professional discipline. She undertook her first case at the GMC in 1986 and has consistently been representing doctors before the GMC since then in every type of hearing and before every type of panel or committee.
Her excellence is reflected in her rankings as a leading silk in current editions of both Chambers & Partners and the The Legal 500 directories.
Her strength is in representing healthcare professionals before regulatory bodies such as the GMC, GDC, UKCC and now NMC, HPC, Royal Pharmaceutical Society Statutory Committee, NHS Tribunal and FHSA Medical and Dental Service Committee Appeals.
This includes:
- representing physiotherapists, osteopaths, dieticians before their respective professional disciplinary bodies;
- providing advice and representation at health authority or trust disciplinary proceedings, in Whitley Council procedures and at proceedings conducted under Department of Health Circulars (particularly HC(90)9) and MHPS);
- drafting regulations for the former UKCC and advising them on disciplinary matters;
- advice and representation in judicial reviews and appellate proceedings arising out of disciplinary procedures (particularly GMC);
- lawyer chairman under HC(90)9 Annex B procedures and on hospital disciplinary appeals. Representation of barristers, solicitors and other professions before regulators and disciplinary bodies.
Between 2009 and 2011, she was involved in the longest-running case (86 days) in the history of the NMC (Maggs and Johnson).
She has also been involved in some of the most high-profile recent cases including:
- the Baby P paediatrician (Dr Al-Zayyat) – fitness to practise proceedings, voluntary erasure applications and successful judicial review proceedings;
- the Harlequins RFC ‘Bloodgate’ doctor (Dr Wendy Chapman) – GMC misconduct hearing;
- Paediatrician Dr David Southall – in the Court of Appeal and as remitted to the GMC.
Mary is also active in cases involving the medical treatment of sporting injuries in an employment or disciplinary context, especially those involving complex statutory or regulatory issues or human rights issues.
Public Law
Mary has vast experience of public law (particularly judicial review) work relating to the NHS and healthcare profession regulators, dating as far back as 1987 (successfully reviewing the Health Secretary’s decision (ex parte Lai)).
More recently, Mary has been involved in judicial reviews of a number of decisions by coroners, particularly in Northern Ireland, and of the GMC in the Baby P paediatrician case (Al-Zayyat).
Mary’s notable professional discipline cases include:
- Al-Zayyat v. GMC [2010] EWHC (Admin) (Baby P paediatrician) – judicial review of GMC’s FTP Panel on grounds of perversity in rejecting Voluntary Erasure application of medical practitioner where agreed psychiatric evidence was that she was unable to participate in proceedings for misconduct;
- GMC v. Wendy Chapman [2010] (Bloodgate) – GMC Fitness to Practise proceedings consequent upon match-day doctor cutting player’s lip intentionally after blood substitution in Harlequins v Leinster Heineken Cup match and then lying about it. Succeeded in obtaining a finding her fitness to practise was not impaired;
- Southall v. GMC [2009] EWHC 1156 (Admin) and [2010] EWCA 407 – appeals (successful in CA) against finding of serious professional misconduct and consequent erasure in respect of internationally renowned consultant paediatrician. Important principle as to the need to give reasons for factual findings;
- R v. HM Senior Coroner for Northern Ireland ex parte Donaldson [2010] NIQB 47 and 144 – judicial review of coroner on the grounds of apparent bias where coroner determined to use as a medical expert a consultant who had been involved in previous defamation proceedings in respect of the same death and was unable to disclose material he had seen in those proceedings because of an asserted claim of legal professional privilege;
- ERC v. Chapman (2009) – ERC Disciplinary Committee and ERC Appellate Committee – represented (successfully) Harlequins atch-day doctor in Disciplinary proceedings relating to the “Bloodgate” scandal in the Heineken Cup quarter final match. Also successful representation on appeal before the Appellate Committee;
- Udom v. GMC [2009] EWHC 3242 (Admin) – successful appeal from GMC Fitness to Practise Panel determination to impose conditions on medical practitioner’s registration which in effect removed all meaning from his registration and denied him the right to practise his profession;
- Inquest into O’Neill Deaths (2009-2010) (Northern Ireland) – complex and difficult inquest into death of mother and child where mother suffocated her 9 year old daughter and then hanged herself – having told medical practitioners she would commit suicide and take her daughter with her;
- AVMA v. GMC [2009] EWHC (Admin) – attempted judicial review by AVMA of decision by GMC not to pursue misconduct proceedings against a group of GPs involved in the care of a 10-year-old who died of a rare endocrine condition;
- AVMA (a charity) unsuccessfully sought an order restricting any costs it (a charity) might be exposed to if it pursued the judicial review and lost;
- NMC v. Maggs and Johnson (2009-2011) – longest ever professional conduct case in the history of the NMC (or UKCC). Complaint made in 2002 concerning events in 1998-2002 at a south west London nursing home and hearing commenced in February 2009 and concluded in December 2011 after 86 hearing days;
- GMC v. Southall [2008] – successfully represented Dr Southall at the GMC in relation to clinical trials (CNEP) in the 1990s and in other proceedings relating to the Sally Clark case review;
- GMC v. Holton [2006] EWHC 2960 (Admin) – high-profile GMC case in relation to the alleged misdiagnosis of epilepsy. Despite GMC performance assessment finding that the doctor’s performance was not seriously deficient the case, uniquely, went to a full GMC hearing (and statutory appeal in the Admin Court) because of a campaign by the parents;
- GMC v. O’Brien [2007] – professional conduct case arising out of Sunday Times “sting” in relation to the provision of “sick notes” by GPs to attractive young female reporters posing as patients;
- Chai Patel v. GMC [2005] EWHC (Admin) – successful judicial review of the GMC decision to allow unparticularised charges against chief executive of a large nursing home group in respect of alleged deficiencies at one home in the group;
- Henshall v. GMC [2005] EWCA Civ 1520 – represented two paediatric consultants in the CA in this judicial review brought by parents of two children relating to the GMC’s decision not to bring professional conduct allegations against the doctors concerned (2008 FTP hearing failed at half-time);
- GMC v. Biswas [2006] EWHC 464 (Admin) and [2007] EWHC 1644 (Admin) representing Dr Biswas in various proceedings in the GMC, CHRP and Admin Court;
- Phillips v. GMC [2004] EWHC 1858 (Admin) – judicial review on “double jeopardy” issue of same charges being brought before GMC Fitness to Practise Panel after successful defence before jury in criminal proceedings;
- Mahfouz v. GMC [2004] EWCA Civ 233 – case which establishes right to a short adjournment in regulatory proceedings to seek judicial review of an interlocutory decision in the proceedings;
- R v. GMC ex parte Toth (No 2) [2003] EWHC 1675 (Admin) – judicial review of PCC of GMC referring case to Health Committee;
- Saeed v. Royal Wolverhampton NHS Trust [2001] Lloyd’s Rep Med 111 (CA) – interpretation of consultant contract on issue of professional or personal misconduct;
- R v. Sussex Police Authority ex parte Stewart [2000] EWCA Civ 101 – issue as to entitlement to police pension and ill health retirement of female officer fit after an accident to undertake many but not all of the duties of a police officer.
Publications
- Chapter 2 (Regulation of Healthcare Professionals) in Principles of Medical Law by Grubb – 2nd (2004) and 3rd (2010) editions.
- Contributor to Lloyds Medical Law Reports (case notes and commentaries) 1999-2010.
- Author/ editor of Atkin’s Sports Law Volume (Lexis Nexis/Butterworths – 2012).
Mary regularly speaks on professional regulation and sports medicine issues. She also contributed to the Law Commission’s “brainstorming” session on the future regulation of healthcare professions.
