Melanie McDonagh: The David Southall I know is not the man the GMC condemns

The case of the struck-off doctor may deter others from speaking out about parental violence

Share

There is no more contentious issue than the possibility that mothers wilfully harm their children, and there is no more contentious figure among the doctors who specialise in this area than Professor David Southall. Last week, he was struck off by the General Medical Council (GMC). The chairman of the panel, Dr Jacqueline Mitton, told him: "You have deep-seated attitudinal problems and your conduct is so serious that it is fundamentally incompatible with your continuing to be a medical practitioner."

The case she had in mind was of Mandy Morris, a mother whose son Lee died hanging from a curtain rail. According to Mandy Morris, Southall had wrongly accused her of drugging and killing Lee. Almost as shocking was the case that caused the GMC to ban Southall from engaging in child protection work. That was after he became involved in the case of Sally Clark, wrongly imprisoned for killing two of her children. Southall had watched a Dispatches programme in which her husband Steve described one child bleeding from both nostrils, and called the police to express his opinion that the children's father might have been responsible. To many, this appeared to put this distinguished paediatrician on much the same level as the pundits who watch programmes about Madeleine McCann and then turn to each other and exclaim, "It was the father!"

Two days later, Janet Alexander, mother of a boy who had been made a ward of court as a result of Southall's intervention, and who, she said, had been damaged by research the professor conducted on him, declared on the Today programme: "David Southall was using our son for research purposes." He is, she said, "a very dangerous doctor".

Another allegation, which the GMC did take seriously, was that Southall had taken children's records from their medical files 4,500 of them for his own purposes. Nonetheless, 38 senior paediatricians last week complained in The Guardian about Southall's punishment. There was, they said, a conspiracy "to deny the existence and reality of child abuse in all its forms". Some of them had worked with Southall. So, indeed, did my husband, several years ago, for his international children's charity. All of them say the same thing: that he really does care passionately about children.

But paediatricians are also worried that the GMC's treatment of Southall could affect them all. And not just because the panel that condemned him included three lay people and an orthopaedic surgeon no one with any experience in child abuse.

In the case of Mandy Morris, Southall denies that he accused her of murdering her son. He was putting different scenarios to her to try to establish the truth. One of them was the possibility that she had brought about her son's death. The GMC accepted the mother's version. But the professor had brought along to this fraught interview a senior social worker who took notes, and who testified that he had behaved in an "exemplary way". So, the GMC discounted the evidence of two professionals in favour of that of a mother, testifying from memory.

As one paediatrician said: "What's the point of taking notes if they're disregarded in favour of an angry mother relying on her memory?" Margaret Crawford, another paediatrian asked: "Where does this leave us? What kind of witness do we need?" Crawford was herself a prospective witness in the case, on the question of whether Southall had wrongly appropriated children's notes from their files for his own private use. She read the evidence and thinks the charge is a result of the GMC's failure to understand that what seemed like aberrant behaviour is actually quite common practice.

"We all kept child protection records in a separate file," she said. "It's done all over the country. He didn't hide records." Paediatricians are still reluctant to keep sensitive child protection papers solicitors' letters for instance among ordinary medical records that do the rounds of hospital wards. Another colleague, Dr Martin Samuel, who worked with Southall for more than 20 years, explains that of the 4,500-odd files, almost all related to his work on breathing problems, which were entirely uncontentious. "The documents were not kept outside the hospital," he said. On the subject of Southall's research work on breathing in which Janet Alexander said he harmed her son Samuel is emphatic that he would never have harmed a child. "Any research was done with consent," he said.

There have been about 20 complaints about this research, suggesting that Southall deprived children of oxygen or administered carbon dioxide to them. But those involved explain that what he did with the approval of his hospital's ethics committee was give children the same levels of oxygen they would breathe on a plane, and that he never administered carbon dioxide. Remarkably, the police investigation into the allegations has still not been concluded after 10 years. So far as Janet Alexander's accusations against Southall are concerned, they were dismissed by the GMC.

So what about the serious allegation that he impulsively accused Sally Clark's husband of murder? The GMC says that he did not make clear, throughout his involvement in the case, that all he had to go on was the Dispatches programme. This is not true. In the first place, the bleeding from both nostrils described by Steve Clark, is a symptom that alarms most experts. Chris Hobbs, a paediatrics professor at Leeds, says that many doctors do not realise that nosebleed in babies very often has sinister implications. Now a research paper from Edinburgh by Neil McIntosh, professor of child health, which looked at a large database, has confirmed that.

And by the time Southall came to write a report on his concerns, he had spoken to expert witnesses and to the police, and sat in on a strategy meeting on the case. Certainly, he didn't have access to medical records. But this was because another doctor involved, who had already said that the Clarks' remaining child was safe with their father, had denied Southall access to them.

Southall rouses strong passions, both ways. But it would be a grim irony if the way his career has been concluded means that people who should be protecting children from abuse now feel too intimidated to do so.

Further browsing: http://www.gmc-uk.org/concerns/hearings_and_decisions/index.asp

React Now

Latest stories from i100
Have you tried new the Independent Digital Edition apps?
iJobs Job Widget
iJobs General

Recruitment Genius: Sales Executives - OTE £60,000

£25000 - £60000 per annum: Recruitment Genius: Are you passionate about Custom...

Recruitment Genius: Care Workers Required - The London Borough of Bromley

£15000 per annum: Recruitment Genius: This homecare agency is based in Beckenh...

Recruitment Genius: Sales Executives - OTE £50,000

£25000 - £50000 per annum: Recruitment Genius: Are you passionate about Custom...

Recruitment Genius: Sales Executives - OTE £50,000

£25000 - £50000 per annum: Recruitment Genius: Are you passionate about Custom...

Day In a Page

Read Next
Polish minister Rafal Trazaskowski (second from right)  

Poland is open to dialogue but EU benefits restrictions are illegal and unfair

Rafal Trzaskowski
The report will embarrass the Home Secretary, Theresa May  

Surprise, surprise: tens of thousands of illegal immigrants have 'dropped off' the Home Office’s radar

Nigel Farage
Homeless Veterans appeal: 'You look for someone who's an inspiration and try to be like them'

Homeless Veterans appeal

In 2010, Sgt Gary Jamieson stepped on an IED in Afghanistan and lost his legs and an arm. He reveals what, and who, helped him to make a remarkable recovery
Could cannabis oil reverse the effects of cancer?

Could cannabis oil reverse effects of cancer?

As a film following six patients receiving the controversial treatment is released, Kate Hilpern uncovers a very slippery issue
The Interview movie review: You can't see Seth Rogen and James Franco's Kim Jong Un assassination film, but you can read about it here

The Interview movie review

You can't see Seth Rogen and James Franco's Kim Jong Un assassination film, but you can read about it here
Serial mania has propelled podcasts into the cultural mainstream

How podcasts became mainstream

People have consumed gripping armchair investigation Serial with a relish typically reserved for box-set binges
Jesus Christ has become an unlikely pin-up for hipster marketing companies

Jesus Christ has become an unlikely pin-up

Kevin Lee Light, aka "Jesus", is the newest client of creative agency Mother while rival agency Anomaly has launched Sexy Jesus, depicting the Messiah in a series of Athena-style poses
Rosetta space mission voted most important scientific breakthrough of 2014

A memorable year for science – if not for mice

The most important scientific breakthroughs of 2014
Christmas cocktails to make you merry: From eggnog to Brown Betty and Rum Bumpo

Christmas cocktails to make you merry

Mulled wine is an essential seasonal treat. But now drinkers are rediscovering other traditional festive tipples. Angela Clutton raises a glass to Christmas cocktails
5 best activity trackers

Fitness technology: 5 best activity trackers

Up the ante in your regimen and change the habits of a lifetime with this wearable tech
Paul Scholes column: It's a little-known fact, but I have played one of the seven dwarves

Paul Scholes column

It's a little-known fact, but I have played one of the seven dwarves
Fifa's travelling circus once again steals limelight from real stars

Fifa's travelling circus once again steals limelight from real stars

Club World Cup kicked into the long grass by the continued farce surrounding Blatter, Garcia, Russia and Qatar
Frank Warren column: 2014 – boxing is back and winning new fans

Frank Warren: Boxing is back and winning new fans

2014 proves it's now one of sport's biggest hitters again
Jeb Bush vs Hillary Clinton: The power dynamics of the two first families

Jeb Bush vs Hillary Clinton

Karen Tumulty explores the power dynamics of the two first families
Stockholm is rivalling Silicon Valley with a hotbed of technology start-ups

Stockholm is rivalling Silicon Valley

The Swedish capital is home to two of the most popular video games in the world, as well as thousands of technology start-ups worth hundreds of millions of pounds – and it's all happened since 2009
Did Japanese workers really get their symbols mixed up and display Santa on a crucifix?

Crucified Santa: Urban myth refuses to die

The story goes that Japanese store workers created a life-size effigy of a smiling "Father Kurisumasu" attached to a facsimile of Our Lord's final instrument of torture
Jennifer Saunders and Kate Moss join David Walliams on set for TV adaptation of The Boy in the Dress

The Boy in the Dress: On set with the stars

Walliams' story about a boy who goes to school in a dress will be shown this Christmas