Pre hearing information
The tribunal will reconvene to inquire into the allegation, that on various dates between 10 April 2013 and 22 March 2016, Dr Mouton consulted with eight patients.
It is alleged that, with respect to one patient, Dr Mouton failed to elicit adequate information from them, adequately assess their mental state and make a differential diagnosis in light of their presenting symptoms. It is further alleged in an email to the patient’s father dated 15 December 2014, Dr Mouton failed to communicate clearly with him and advised him that psychiatrists ‘too often react with a very heavy chemical load which I find dangerous and sometimes definitely destructive’.
It is further alleged that, with respect to one patient, Dr Mouton failed to record any clear diagnosis and any differential diagnoses. It is further alleged that, with respect to one patient, Dr Mouton wrongly diagnosed a patient with adrenal insufficiency.
It is further alleged that, with respect to one patient, Dr Mouton attributed a patient’s symptoms of acute lethargy to hypothyroidism when there was no sound clinical basis for doing so.
The tribunal will also inquire into the allegation that, with respect to eight patients, Dr Mouton referred patients for investigations which were not clinically indicated. It is further alleged that, with respect to seven of these patients, the investigations were conducted without appropriate counselling and obtaining informed consent.
It is further alleged that, with respect to eight patients, Dr Mouton prescribed treatments which were not clinically indicated, supported by scientific guidelines or evidence based.
It is further alleged that, with respect to five patients, Dr Mouton failed to adequately interpret or act upon findings.
It is further alleged that Dr Mouton failed communicate adequately and appropriately with two patients, with seven patients’ GPs and two patients’ Gastroenterologists.
This reflects the allegation as it stands at the start of the hearing. The allegation may be amended as the hearing proceeds and when findings of fact are made by the tribunal.
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In accordance with Rule 41(2) of the General Medical Council (Fitness to Practise) Rules 2004, the tribunal may decide to exclude the public from the proceedings or any part of the proceedings, where they consider that the circumstances of the case outweigh the public interest in holding the hearing in public.