The Nelson Mail
December 17, 2001

A welcome step
Editorial

The Government's intention to bring together around 10 medical tribunals into one body which will hold open hearings is a welcome step.

The present arrangements are a mishmash. The Medical Practitioners Disciplinary Tribunal is open, allowing the public to know about doctors who have been found guilty of misconduct.

Others, such as the Psychologists Board, are able to hold hearings in private and keep the identities of practitioners in trouble to themselves.

This is exactly what happened in the case of a Wellington psychologist fined for botching a child abuse investigation: the board had no intention of naming her and it took a High Court judge to allow publication of Prue Vincent's name.

The Health Practitioners Competency Bill, to be introduced next year, will create a single disciplinary tribunal for most health workers.

Nurses and psychologists will come under it, as will doctors, and its hearings will be held in the open. This is no more than the public should expect as of right.

However, there has long been a feeling that some medical groups seek to operate as secret societies, keeping their mistakes and wrongdoings among themselves and maintaining a wall of silence when awkward questions are asked. Such an attitude makes it impossible for members of the public to make an informed choice about their health care.

This does not mean that names should always be published when charges of misconduct are laid.

Except when allegations are extremely serious, there will often be good grounds for interim suppression to be given - and to be made permanent if the charges do not lead to a finding of misconduct.

Errors of judgment are bound to be made and shouldn't necessarily blight a health professional's career. But when misconduct is found, the public has a right to know.

As a group, doctors recognise this and it is time for the others to fall into line. The era of closed professional ranks has had its day. As Health Minister Annette King points out, it is time for greater transparency.