Selim MAHBUB

Between December 2022 and June 2023, you failed to provide good clinical care to your patients in that you: failed to make a red flag gynaecological referral to rule out endometrial carcinoma; failed to examine a patient when this was required; inappropriately prescribed medication to a patient for a condition that the medication was not licensed for; failed to carry out an assessment of a patient's skin lesion to rule out any potentially suspicious features, or make an adequate record of this. Your actions presented a risk to patient safety by reason of the failings listed above. This conduct does not meet with the standards required of a doctor. It risks bringing the profession into disrepute and it must not be repeated. The required standards are set out in Good medical practice and the associated guidance Good practice in prescribing and managing medicines and devices. In this case, paragraphs 6 and 7 of Good medical practice and paragraphs 20 and 27 of Good practice in prescribing and managing medicines and devices are particularly relevant: Good medical practice 6. You must provide a good standard of practice and care. If you assess, diagnose, or treat patients, you must work in partnership with them to assess their needs and priorities. The investigation or treatment you propose, provide or arrange must be based on this assessment, and on your clinical judgement about the likely effectiveness of the treatment options. 7. In providing clinical care you must: a adequately assess a patient's condition(s), taking account of their history, including i. symptoms ii. relevant psychological, spiritual, social, economic, and cultural factors iii. the patient's views, needs, and values b carry out a physical examination where necessary c promptly provide (or arrange) suitable advice, investigation or treatment where necessary

d propose, provide or prescribe drugs or treatment (including repeat prescriptions) only when you have adequate knowledge of the patient's health and are satisfied that the drugs or treatment will meet their needs e propose, provide or prescribe effective treatment based on the best available evidence f follow our more detailed guidance on professional standards, Good practice in prescribing and managing medicines and devices, if you prescribe g consult colleagues or seek advice from your supervising clinician, where appropriate h refer a patient to another suitably qualified practitioner when this serves their needs Good practice in prescribing and managing medicines and devices 20. You should only prescribe medicines if you have adequate knowledge of the patient's health and you are satisfied that the medicines serve the patient's needs. 27. You must only prescribe if it is safe to do so. Whilst these failings are not so serious as to require any restriction on your registration, it is necessary in response to issue this formal warning. This warning will be published on the List of Registered Medical Practitioners (LRMP) in line with our publication and disclosure policy, which can be found at www.gmc-uk.org/disclosurepolicy.