A family doctor charged the Night Home Service (NHS) more than £ 500,000 in

游客2024-01-01  24

问题     A family doctor charged the Night Home Service (NHS) more than £ 500,000 in seven years for night visits that his patients did not need, a General Medical Council disciplinary hearing was told yesterday.
    Jagdeep Gossain charged for up to 540 emergency call-outs a month, increasing his annual salary to close to £200,000 a year and using almost a third of the local health authority’s out-of-hours GP budget.
    Dr Gossain, 46, had a target list of about 100 patients in his practice at Fulham, southwest London, whom he used repeatedly on claim forms to Ealing, Hammersmith and Hounslow Health Authority.
    Nearly all emergency visits conducted by the doctor, who often made up to 40 calls a night, were "clinically inappropriate". He had also duped the GMC into postponing his hearing, before the professional conduct committee, four times by claiming that his bad back made him unfit to attend, Sarah Plaschkes, for the GMC, said.
    But that injury had not prevented him enjoying his favourite sport — weightlifting — at an exclusive gym in Heston.
    Ms Plaschkes added: "The council submits that Dr Gossain deliberately, dishonestly deceived this professional body by pretending he was too ill to attend the heating when, in fact, he was at a leisure centre."
    Between May 1990 and April 1998 he claimed an "inordinate and extraordinary number" of night visits, she said. The average GP makes 50 emergency night calls a year. In September 1997 alone Dr Gossain put in 542 claims.
    Ms Plaschkes alleged that it was unjustifiable reward in the sum of about £500,000 from the public purse. Dr Gossain’s claims escalated over the years. In 1991 he claimed£1,000; by 1995 the sum had risen to more than £75,000, peaking in 1996 at almost£160,000. Over the seven-year period he allegedly fleeced the NHS of £514,593.
    In 1998 he claimed ~ 124,591, when the average GP in his health authority claimed£670. Dr Gossain is accused of doing so many night visits that he "could not have provided adequate care and attention" for the patients he visited. It is also said that his ability to provide competent daytime services "was compromised".
    Dr Gossain denies serious professional misconduct but, if found guilty, could be struck off the medical register.
    A BBC Panorama investigation found that his three children went to private school and he drove a Mercedes with private number plates. His wife, Shashi, a pharmacist, has said that his only crime was to have been a workaholic. The hearing continues. [br] The part of the sentence: his ability to provide competent daytime services "was compromised" may mean ______.

选项 A、his being unable to provide competent daytime services
B、his ability to provide competent daytime services was discredited
C、his qualification as a doctor was suspected
D、his NHS practice is no more than a cheat to the patients

答案 B

解析 词义题型见第十段最后一句:it is also said that his ability to provide competent daytime services“was compromised”人们还被告知他能否胜任白天职务的能力也受到损害(怀疑)。即人们怀疑他白天工作的能力,选项B为答案。
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