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England and Wales Care Standards Tribunal |
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You are here: BAILII >> Databases >> England and Wales Care Standards Tribunal >> McNicholas v General Social Care Council [2007] EWCST 1179(SW) (18 April 2008) URL: http://www.bailii.org/ew/cases/EWCST/2008/1179(SW).html Cite as: [2007] EWCST 1179(SW) |
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McNicholas v General Social Care Council [2007] EWCST 1179(SW) (18 April 2008)
Appellant
Respondent
Heard at the Care Standards Tribunal at 18 Pocock Street London SE1 0BW on Monday 17th March 2008.
Representation
For the Appellant: -Mr Martin Weinbren (British Association of Social Workers)
For the Respondent: -Mr Neil Grant (solicitor)
Appeal
Preliminary Issues
Facts
"On Wednesday the 19th of October I finished work at 4.50 pm (approx) and arrived home about 30 minutes later, as soon as I walked through the door my mum gave me the home telephone and to my surprise Jim was on the other end. I spoke to him for about 3 hours. During this conversation Jim kept repeating himself and telling me how attractive he thought I was and that I had a lot going for me."
Later in the same complaint Y stated that: -
"Jim then invited me to his place and to sleep with him. I told him I would not be comfortable with this and as far as it goes that he was there to help me and nothing more. I ended the conversation shortly after this as I felt uncomfortable."
Y concluded his complaint by stating that: -
"I now feel worse then when I went to see Jim and I don't feel as though I can trust anyone with my emotions and problems again."
"In the afternoon I made two phone calls from home, one to the uncle of a homeless client, and the other to the mother of the above mentioned client (Y) in order to ascertain whether there was any substance to the idea that the attacks were racially motivated. With hindsight it was a mistake to have done this but I had a busy day the next day and was not sure whether the mother was contactable during the day.His mother cried when I spoke to her, and asked us to get her son help. During the conversation the client returned home and I spoke to him about the plan to refer to H and F. I asked him to come to SF Centre the following day to collect information about the two projects I was referring him to; having satisfied myself that there was no racist component to the attacks. I also advised him to make use in the interim of the support networks i.e. friends which he had, until he accessed the help that he needed.
I can only speculate as to why these hurtful allegations have been made, but deny any inappropriate behaviour categorically."
Accompanying his second statement was an itemised phone bill. In the second statement the Appellant included the following: -
"I should add that that morning I had three teeth extracted and received an injection of cocaine derivative as a tranquilliser. This may have contributed to my ability to listen, and a sense of loss of time. I did struggle to end the conversation. I should also add that following this telephone conversation as a result of the sedative I slept very deeply.I categorically deny again that I have done anything untoward as alleged, and would welcome a speedy resolution to this stressful situation."
"The other general question before we get into any detail is did you say anything to Y that was a sexual question or could be construed in any way as such."
to which the Appellant replied "No".
The Appellant said during the course of the interview that he was about to go on 3 months extended leave and was "working flat out to close cases…" He was asked by Mr Flood why he had chosen to telephone Y at home on the evening of the 20th of October 2004 and he replied: -
"On the Wednesday, the day after, it was the Roding Team Away Day and I also had a dental appointment in the morning where I had three extractions and so I did not go to the Roding Team Away Day. I have said that I was working flat out closing cases and I made phone calls from home that afternoon which with hindsight is probably a mistake."
Mr Flood asked the Appellant why he had not kept any records of the telephone calls that he had made on the 20th of October 2004 to which the Appellant replied: -
"…………..I did not write up the notes, I accept that there is no written account of our conversation. What there is, is the assessment that I completed on the Tuesday, but there is no record of that and shortly after that I went away for three months which doesn't look good because it wasn't until I came back that I was asked to write anything in response."
It was also put by Mr Flood to the Appellant that Y had said in his original complaint that he thought the Appellant had been drinking when he had made the telephone call on the 19th of October. Mr Flood asked the Appellant whether in fact he had been drinking at that time to which the Appellant replied: -
"No I'd been to the dentist. I had 3 extractions and a sedative, that would explain my voice, but I haven't been drinking."
"…….did you say to Y something along the lines of staying with me or sleeping with me in my bed?"
to which the Appellant replied "Absolutely not"
At the end of the interview on the 11th of May 2005 the Appellant was asked whether he had anything to add to his account of what had occurred on the 20th October to which the Appellant responded: -
"What did occur at that last meeting, was during the very lengthy conversation, and I admit it was a mistake to make the call from home and a mistake not to record it, but during that conversation and I don't know why and I don't know how this person knows me but there were threats made. One was to find out where I live, to lose my job and I don't know why – that was the reason that I spoke to him again to explain to him. I have known about this complaint since then I knew that this was going to happen."
Later in the same interview the Appellant was asked whether he had spoken to his manager about the threats, when he had gone in to work, the Appellant stated that he had not mentioned them. The Appellant also stated in his interview with Mr Flood that he believed that he had recognised Y possibly from seeing him locally, possibly some previous mental health contacts or possibly from an incident when he had been mugged and that the Appellant did not know whether Y knew him or not and that was his fear.
"No I did not proposition him."
The Appellant was then asked why he had thought Y had made a complaint to which he replied: -
"The relationship with his mother – she knew about the drug dealing, but not the violence. I approached the mother. He may not have been happy about this. He gave his consent for the information to be disclosed. He was not happy for me to talk about the drugs. He was not comfortable with me informing his mother about the drug dealing and violence. I only disclosed to his mother matters for which he gave me permission……………."
The Appellant was asked why he had not recorded the telephone conversation with Y on the 20th October. The Appellant stated: -
"The threats made had an impact on me. I am fearful of walking on the street. Inderjeet Sandhu said that I should not have done anything until the complaint had been made. I was not told fully about the allegations, but I knew the gist of the allegations were about sexually impropriety."
"Nick McNulty deliberated carefully on all of the evidence presented to him by both yourself and management and was persuaded that there was not a case of gross misconduct to answer.Nick McNulty concluded that there were a number of mitigating circumstances including irregular supervision with your immediate line manager, lack of written protocols and procedures and an exceptionally heavy case load which was not known to management. He did however find that you had acted inappropriately when phoning a service user under the influence of medication from your private home telephone and that this had served to place you in a position of potential risk. He further considered your inability to end the telephone call of 2 hours and twenty minutes and decided that despite your experience as an approved social worker you should not work in a position which grants such autonomy. Nick McNulty also considered the failure by you to maintain adequate records including obtaining the service users consent to speak with his mother and recording the threats made by the service user towards you during the telephone conversation to be an important consideration when reflecting on the subsequent event.
On the basis of this evidence Nick McNulty considers that a sanction under the Conduct and Discipline Procedure is appropriate and has decided that you should receive a written warning which will remain on your personnel file for a period of 18 months and that you should be demoted to the position of a social worker."
Later in her letter Ms Frayne stated: -
"The Council is obliged to inform the General Social Care Council of the disciplinary investigation and the decision reached by Nick McNulty. The GSCC do reserve the right to conduct their own independent investigation and will contact you directly if they deem this to be necessary."
The Conduct Committee met to hear the allegations on the 22nd and 24th of October 2007. The Appellant attended the hearing and was represented by Mr Martin Weinbren. The Appellant prior to the hearing made various admissions of fact; namely that on the 20th of October 2004 he had made several telephone calls to the home of Y between 16.56 and 20.21, these calls being outside of his working hours and made from the Appellant's home. Further, that he had failed to make any record of the conversation and that he had not notified the GSCC of the disciplinary action taken by Waltham Forest. Whilst admitting these facts the Appellant denied that they amounted to misconduct. He specifically denied that during a telephone conversation on the 20th of October 2004 with Y that he had invited Y to his flat to sleep with him. A number of witnesses signed witness statements in relation to the proceedings and also gave live evidence including Y, Z, Mr Sandhu, Mr Flood, Mr McAlpin and Ms Frayne.
"After what happened it really changed my life. I cannot seem to trust anybody anymore, because I thought I could trust Jim, who I thought, was a professional, but obviously I couldn't trust him, as he took advantage of my state of mind. Because of this I have not been able to hold down a job and my friendship with my friends has changed, because I do not trust anyone anymore, because of what Jim said to me. I am also upset that this has taken so long and I still have not to this day seen a counsellor since this happened in October 2004."
Y was specifically asked whether during his telephone conversation with the Appellant he had threatened him. Y replied "I certainly most never."
"I haven't admitted to that as fact simply because I have no recollection of that occurring."
"Again, the memories are limited but there is a recollection, as I said to my representative, of the client saying to me "As a social worker you've just lost your job" and that is the gist of it………."
It was pointed out to the Appellant that he had also said to Mr Flood that Y had said to him: -
"…You could lose your job you know for talking to me for so long" "I can find out where you live locally" "I really don't know how I know you."
The Appellant was asked whether these were statements that he had fabricated to which the Appellant replied: -
"They were fabricated – not the statement about me losing my job."
"Professionally I should have written a record, although it is hard to write a record of something that I didn't have much recollection of."
The Appellant was also asked how common it was for social workers to progress cases where it had been previously been determined that the case should be closed, without the authority of a line manager, to which the Appellant replied: -
"…Working as ASW it wasn't unusual to phone people from home in the evening if it was the nearest relative and you needed to obtain consent, and I've done that. I can't speak for my colleagues, but that was the way I worked. I have fallen foul of that but that was the way that I worked."
Later the Appellant stated that he had obtained verbal consent from Y for the Appellant to speak to Y's mother.
The Appellant was again asked about the allegation that he had invited Y to sleep with him at the Appellant's flat. The Appellant stated that: -
"I genuinely have no recollection of that allegation."
In relation to the alleged threat by Y the Appellant admitted that there were certain threats that he had said were made to him that were not true.
"On the day of the incident the drinking was evident. I'd also been to the dentist and had intravenous sedation. What I feel I have to say is that the inconsistencies and the whole process I've been through over the last three has resulted from one I can only describe as an alcoholic blackout………..."
He went on –
"I'd been to the dentist. I'm a nervous patient, I'd had three extractions. I'd had intravenous sedation. I wasn't expected to go back to work. I went home. I started doing work from home. My judgement was impaired and I drank white wine as well, and the consequences of that I genuinely have no recollection."
The Appellant was specifically asked as to whether he knew whether or not he had propositioned service user Y which he replied: -
"I don't know. I don't know whether I propositioned him or not, but given that I can't remember I can't prove it or disprove it. I don't know."
He was then asked whether he might have, to which he responded: -
"It sounds…I might have. I might have. Anything could have happened."
When asked whether he was under the influence of alcohol when interviewed by Mr Flood the Appellant stated that: -
"Not under the influence but I continued drinking after the incident and I guess alcohol was in my body most days."
"This serves to confirm that Mr James McNicholas was seen at this practice on Wednesday 20th October 2004. Mr McNicholas had an intravenous sedation and three teeth extracted whilst under sedation, he was also given local anaesthesia for the extractions.Mr McNicholas was advised that as a result of the sedation his reflexes and judgement may have been affected also that the effects of the local anaesthetic would linger and may have affected his speech for some hours post operatively……………….."
The intravenous sedation leaflet included the following: -
"Following your sedation you will be required to stay at the practice until the dental surgeon is satisfied that you are safe to be accompanied home by a responsible adult. This is because your judgement may be affected for anything up to the next 24 hours."
The leaflet also contained the following: -
"DO NOT drive any vehicle, operate machinery, use cookers, kettles or irons or make any business decisions on the same day as your treatment. Your reflexes and judgement may have been affected.DO NOT drink any form of alcohol until the following day."
The leaflet was signed by the Appellant under a statement which read as follows: -
"I understand and have followed the written instructions given to me. I will abide by the post operative instructions which I have received and any further instructions which may be given to my escort."
The form was dated the 20th of October 2004.
"I believe that I have been suffering from a compulsion towards the consumption of alcohol and an impaired ability as a consequence to recognise the negative effects and excessive alcohol consumption, leading to a lowering of inhibition and doing things that overlook social, moral or legal considerations."
At paragraph 13: -
"However I have no recollection of the event. I experienced an alcoholic blackout."
The Appellant stated that he had joined a programme in Alcoholics Anonymous in August 2006 and had remained sober since then. He spent at least 7 hours a week in AA meetings and spoke to his sponsor everyday. He had experienced a great deal of loss as a consequence of his actions and his alcoholism. There was no likelihood of his behaviour ever recurring as it was alcohol related and he was now free from alcohol and in recovery. He had continued to work for his employer since removal from the register.
Hearing
The Appellant said that he had come to social work quite late, he was seen by others as a valued colleague and respected by clients. After April 2002 he had gone from team working to working unsupervised, there should have been supervision but that was not in place. He took more and more work on, including taking work home, he considered that he could not refuse nor could he ask for help. He had met with a work counsellor in 2003, but had not felt able to raise the issue of his drinking.
Mr Grant also referred to the need for the protection of the public and the public interest in maintaining confidence in social care services. The Conduct Committee had had regard to all of these matters, namely the seriousness of the Appellant's misconduct, the protection of the public, the public interest in maintaining confidence in social care services and the issue of proportionality, as well as the mitigation evidence put forward, before deciding on the question of an appropriate sanction. The decision to remove the Appellant from the register was appropriate and the appeal should be dismissed.
The law
"Upon a finding of Misconduct, the Committee may: -(a) admonish the Registrant and direct that a record of the admonishment to be placed on the Registrant's Entry in the Register, for a period of up to five years; or(b) make an order suspending the Registrant's registration for a period not exceeding 2 years ("a Suspension Order"), or
(c) make an order for removal of the Registrant's registration from the Register ("a Removal Order")
(d) revoke any Interim Suspension Order imposed by the Preliminary Proceedings Committee."
In deciding what sanction is to be imposed the Committee is required under paragraph 25 (2) of Schedule 2 of the Rules to take into account: -
"(a) the seriousness of the Registrant's Misconduct;(b) the protection of the public;
(c) he public interest in maintaining confidence in social care services; and
(d) the issue of proportionality."
- The power of the Tribunal on an appeal is that it may confirm the decision of the GSCC or direct that it shall not have effect (section 68 (2) of the Care Standards Act). The Tribunal also has the power to vary any condition for the time being in force, to direct that any such condition shall cease to have effect or to direct that any such condition as it thinks fit shall have effect in respect of the Appellant.
Tribunal's conclusions
- The hearing before this Tribunal is in effect a re-hearing of the allegations against the Appellant that were heard by the Respondent's Conduct Committee. It is not the prime function of the Tribunal to consider the procedure followed by the Conduct Committee although clearly there may be occasions where that may be relevant. We are aware in this case that the Appellant had a number of misgivings about the way matters were dealt with by the Conduct Committee, in our view they followed the procedure laid down in the legislation, but in any event we have looked at the allegations afresh.
- The Appellant accepted at the outset of the Tribunal hearing the findings of fact made by the GSCC in respect of the allegations against him and also accepted, as in our view he was bound to do, that these amounted to misconduct. The decision for us was therefore to determine whether the sanction imposed by the Conduct Committee, namely to remove the Appellant from the register should be upheld.
- The Rules in particular Rule 25 (2) sets out the matters which the Conduct Committee were required to take into account in determining the appropriate sanction. It seems to us that these are factors that should also form the basis of our consideration.
- The finding of fact made by the Conduct Committee was that the Appellant had sexually propositioned Y. The admissions made by the Appellant were that he had made telephone calls to Y and Z from his home, in the case of his telephone conversation with Z he did not have Y's consent to discuss Y's case with her, further that he had not kept records of the telephone conversations and that he had not informed the GSCC about the disciplinary action taken against him.
- In looking first then at the seriousness of the Appellant's misconduct we would be prepared to acknowledge that there may be circumstances where a social worker has a heavy case load so that telephone calls are made out of office hours and that records are not updated immediately, fully or at all. However these are all important issues in the context of properly managing a service which could have serious consequences and accordingly do amount to misconduct, but in themselves we would not see as being at the most serious type of misconduct.
- It is clearly important and understandably a requirement that social workers notify the GSCC of any disciplinary investigation that is being undertaken in order that the GSCC can perform their regulatory role appropriately. The Appellant failed to comply with the terms of his declaration to this effect as set out in his application for registration to the GSCC. This could have serious implications in particular that serious matters could go undetected and it is important that the profession understands the significance of this reporting requirement.
- The sexual propositioning of Y by the Appellant in his telephone call on the 20th of October is undoubtedly serious and clearly in breach of the Code of Practice and is unacceptable. Whilst in one sense it might be said that in terms of sexual conduct it is not at the most severe end of the spectrum, however there are in our view a number of factors regarding the Appellant's behaviour which do impact on the seriousness. The service user Y had approached the Appellant for help at a particularly vulnerable time in his life and in circumstances where the referral from his GP suggested that Y had become actively suicidal. The Appellant was in a position of authority and trust and abused that position by propositioning Y. The evidence from Y as presented to the Conduct Committee, which we have no reason to doubt, sets out the impact that the Appellant's behaviour had on him and in particular his reluctance to seek further advice and treatment.
The position has been made worse by the way in which the Appellant conducted himself after having made the telephone call on the 20th of October.
He initially denied having made the telephone call, but then confronted with the evidence of his own telephone bill was forced to acknowledge that calls had been made by him, but continued to deny having propositioned Y and indeed went so far as to suggest that Y had made threats towards him. The Appellant then sought to maintain that he could not recollect what he had said in the telephone calls. The overall effect of the Appellant's conduct subsequent to October 2004 has been to create further distress for Y and his family, particularly by making it necessary for them to attend before the Conduct Committee, which can have only meant Y having to relive the events of the 20th of October which must have been a painful experience for him.
We therefore take the view that it is important to look at the Appellant's conduct as a whole and on that basis we do take the view that it does amount to serious misconduct.
- The public have a right to expect social workers to operate to the highest professional standards and to have trust in their honesty and integrity. In this case, as already identified the Appellant has breached important aspects of the Code of Practice. He submits that having acknowledged his alcoholism; stopped drinking and obtained support from AA there is no longer a risk to the public, because his previous behaviour can be attributed to his drinking. It is said he is now a changed man. We have great difficulty in accepting this proposition because of the various fabrications and denials that he has made since October 2004. Even if it is accepted that his behaviour in October 2004 and in the period immediately thereafter was influenced by alcohol, we were told that the Appellant had stopped drinking on the 15th of August 2006 yet it was not until October 2007 before the Conduct Committee that he was able to acknowledge that he had not been truthful in his account of the events of the 20th of October when questioned about them. A period of only just over 4 months has elapsed since that recognition by the Appellant that he has not always told the truth. We therefore find it difficult in a situation where the Appellant has found it impossible to tell the truth to his employers and the regulatory authority to believe that if similar problems were to arise in the future he would not seek to try and cover up what had happened.
- The question of the public interest in maintaining confidence in social care services is a wider consideration relating to the public's trust in the reputation of the social work profession as a whole being harmed. It was suggested to us that in this case the public had not become aware of the Appellant and his misconduct and to that extent the profession had not been damaged. We do not accept that is a relevant consideration, we were referred by Mr Grant to comments of Sir Thomas Bingham in Bolton v The Law Society, which was a case concerning disciplinary action against a solicitor, Sir Thomas Bingham stated: -
"…..The second purpose is the most fundamental of all: to maintain the reputation of the solicitors' profession as one in which every member, of whatever standing, may be trusted to the ends of the earth. To maintain the reputation and sustain public confidence in the integrity of the profession it is often necessary that those guilty of serious lapses are not only expelled but denied readmission……. A profession's most valuable asset is its collective reputation and the confidence which that inspires."We endorse those comments in the context of this case.
- Finally, on the issue of proportionality it is right that we should consider the mitigation put forward by the Appellant for his misconduct. He gave evidence about the heavy case load that he was managing, his lack of supervision and general pressure that he was under. As we have already indicated there may be circumstances where this would be mitigation for example telephone calls made out of office hours, records not being kept etc. In terms of his failure to notify the GSCC of the disciplinary investigation then again the fact that it had been indicated by his employers that they were going to report matters, while not a defence to the lack of action by the Appellant nevertheless we acknowledge is some mitigation. As regards the failure to obtain the consent of Y to discuss matters with Z, although the Appellant made admissions in relation to this, he did not appear to appreciate the serious consequences that could arise, particularly where someone has disclosed very personal information when that information is disclosed to a third party even a person's close relative without consent.
On the issue of propositioning Y, the Appellant suggested that this had been caused by an alcoholic blackout on the 20th of October as a result of sedation given to him by his dentist and the Appellant subsequently having consumed two glasses of wine. Further that we should see this in the context of the Appellant being an alcoholic at the time. In our view this has limited value as mitigation, whilst it is true that the information provided by his dentist does indicate that sedation can affect a person's judgement and that alcohol should not be taken. It was all information that the Appellant acknowledged that he had been given prior to receiving the dental treatment and therefore he was or should have been fully aware of the possible consequences of the sedation and taking alcohol. This appears to be a risk that he was prepared to take. The guidance provided also suggested that he should be accompanied at the dentist by a friend, should not drive and as we have already said should not drink. The Appellant did not abide by any of this advice and therefore so far as we accept that his conduct may have been affected by the sedation and the alcohol, it was a situation of the Appellant's own making and provides little in the way of mitigation.
- We have also considered the extent to which the Appellant understands the nature and affect of his conduct and the serious misconduct that has been found against him. There is undoubtedly some understanding and the Appellant has taken a positive step in stopping drinking, but we are not convinced having heard the Appellant that he has a full acknowledgement of the aggravating factors which we have identified, such as his lies during the course of the investigation and the effect on Y. He does not seem to have addressed the reasons why in the past he took on too much work or was unable to communicate with anyone in management to alleviate the problems. We are not clear that he would be able to disclose his alcoholism to any future employers given his difficulty in being open and frank with third parties.
We have taken into account the stress that the Appellant stated that he was under at the time of the incident in October 2004 and the long hours that he was working, also his view that he was not being appropriately supervised or managed. However, whilst that might lead to in some circumstances to telephone calls being made out of hours and records not being kept, we cannot see that this in itself led to the sexual propositioning made by the Appellant in his telephone call to Y. We also acknowledge as we have done already that the Appellant is a recovering alcoholic, but that does not in our view provide an answer all of the Appellant's problems, given his conduct since he stopped drinking, in particular the denials and fabrications that he has made.
We take into account the Appellant's social work history and the evidence from a number of sources that he was a good social worker and had many years of dedicated service, with no previous conduct resulting in disciplinary proceedings. However, matters need to be considered as a whole and taking into account the Appellant's behaviour in its totality and the various factors set out in Rule 25 (2), we come to the conclusion that the decision of the General Social Care Council to remove the Appellant's registration from the register was appropriate.
Our Decision is unanimous
Appeal dismissed.
Mr Stewart Hunter (Nominated Chairman)
Ms Linda Redford
Ms Wendy Stafford
Dated: 18th April 2008