Fitness to Practise Panel Session beginning 8 June 2009' - 'Euston Road, London' - 'Dr Jane Ann Barton' - 'Determination on findings of fact and as to insufficiency supporting a finding of serious professional misconduct' addressed to Dr Barton

Subheadings: 1. Inappropriate transfers on Dryad and Daedalus wards 2. Propensity to sudden deterioration, the effects of transfer and the appropriateness of investigation 3. Your dealings with patients' relatives 4. 'Happy for nurses to confirm death' 5. The role of note-taking in clinical care 6. The absence of notes of specific events 7. Allegations that you did not sufficiently record the drug regime in respect of specific patients 8. Euphemisms relating to end of life status 9. Guidelines and the Analgesic Ladder 10. Opiates in the treatment of distress, restlessness, agitation and pain 11. Side effects / adverse consequences of opiates 12. The Diamorphine / Midazolam mix 13. Prescribing opiates outside the guidelines 14. Anticipatory prescribing and the delegation of powers 15. Syringe Drivers 16. Syringe drivers and the immediate relief of pain 17. Titration and the use of syringe drivers 18. The effect of staffing pressures on your prescribing practice 19. The role of consultants 20. Mr Langdale's argument that the very fact that senior medical staff and the visiting pharmacist did not object indicated that you were doing nothing wrong 21. The principle of double effect. Refers to: 12 patients who died between 1996 and 1999, the Panel, Gosport War Memorial Hospital, Queen Alexandra Hospital, Royal Haslar Hospital, General Medical Council, Professor Gary Ford, Mr Kark, 'Good Medical Practice' 1995 edition, Professor Karol Sikora, Mr Langdale, Medicine, British National Formulary (BNF), 'Prescribing in Palliative Care', 'Prescribing for the Elderly', World Health Organisation's 'Analgesic Ladder', Dr Logan, Wessex Protocol, Sister Joines, Dryad ward, Daedalus ward, Mr Leslie Pittock (Patient A), Mrs Elsie Lavender (Patient B), Mrs Eva Page (Patient C), Mrs Alice Wilkie (Patient D), Mrs Gladys Richards (Patient E), Mrs Ruby Lake (Patient F), Mr Arthur Cunningham (Patient G), Mr Robert Wilson (Patient H), Mrs Enid Spurgin (Patient I), Mr Geoffrey Packman (Patient J), Mrs Elsie Devine (Patient K) and Mrs Jean Stevens (Patient L). Associated with CPS000162.