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

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

游客2025-01-30  8
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 hearing 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 19% 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 phrase "that injury" underlined in Paragraph 5 refers to______.
选项 A、his bad back
B、the doctor’s weightlifting
C、his clinically inappropriate practice
D、his dishonest cheating
答案 A
解析 词义题型在第四段第二句：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，(他还欺骗了GMC这个专业行为委员会，使之将对他的hearing延期了四次，因他谎称他受损的后背使他无法出席)；第五段中的“that injury”即指上面所提之事，因此选项A为答案。
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