An unregistered East Lancashire doctor has been erased from the medical register after being found guilty of 77 allegations of misconduct.

A tribunal held by the Medical Practitioner's Tribunal Service (MPTS) last year into Dr Gary Tudor, a practising doctor based in Rossendale, found between August 2017 and May 2020 he failed to provide good clinical care to multiple patients.

The tribunal found his raft of failings related variously to diagnoses, prescribing, informed consent, record keeping, examination, and communicating with his patient’s GP.

One of the failings included treating family members, including an exacerbation of bronchial asthma in his granddaughter, although he submitted to the tribunal panel he regretted not referring them to their own GPs.

It was also found he had been undertaking regulated activities without the correct registration.

In 2017, Dr Tudor opened Tudor Medical Matters situated in Bank Street, Rawtenstall, alongside his wife Jane.

The tribunal found that between 2017 and 2020, Dr Tudor undertook regulated activities without having the necessary registration with the Care Quality Commission (CQC).

Following a visit from the CQC in 2018, inspectors found price lists for services and patient records showing that the company was offering numerous regulated activities – including consultations, blood tests and scan referrals.

In an interview with inspectors, a representative of Tudor Medical Matters admitted providing regulated activities without registration since early 2017.

Following the CQC’s intervention, Tudor Medical Matters applied for registration, but was warned about continuing to practise without registration and was told that in doing so the private practice would be committing criminal offences.

Contrary to this warning Dr Tudor continued to practise throughout 2018 and his surgery continued to break the law by providing regulated services before its application for registration was approved.

He was then interviewed under the Police and Criminal Evidence Act under caution by CQC officers in April 2019 and was told to cease providing medical care until registered, and conditions were imposed upon him by an Interim Orders Tribunal (IOT).

Undeterred, his surgery doors remained open.

The tribunal found then, that between April and October 2019, Dr Tudor dishonestly breached those conditions imposed on his registration by the Interim Orders Tribunal (IOT) and for this he was suspended.

Unbelievably, in 2020 he continued to provide clinical care, while suspended, and dishonestly instructed his representative at his IOT review hearing.

Tudor Medical Matters received registration on October 17, 2019.

The surgery remained open until the end of May 2020 but was not actually registered to provide prescriptions to patients until February 24, 2020.

As a result of the prosecution brought by the Care Quality Commission (CQC), in November 2020, Tudor Medical Matters Ltd was fined £8,000 at Blackpool Magistrates’ Court and ordered to pay £4,962.55 costs.

At a previous hearing, Tudor Medical Matters pleaded guilty to providing regulated activities, including diagnostic screening and treatment, without CQC registration.

At the conclusion of the tribunal this week, by way of his continued misconduct, Dr Tudor’s fitness to practise was found impaired, and yesterday (Tuesday, January 9), it was determined by the MPTS panel that he would be erased from the medical register.

During the tribunal, a representative from the General Medical Council raised concerns about Tudor's lack of insight and failure to take appropriate steps towards remediation.

She also highlighted that Dr Tudor has demonstrated a “dismissive attitude towards the proceedings”, a “refusal to accept his mistakes”, and had made “inadequate efforts in respect of remediation”, and indicated he would be "better controlled in an NHS Practice”.

At the time of his conviction in 2020, Joyce Frederick, CQC’s deputy chief inspector of registration, said: “It is unacceptable that Tudor Medical Matters broke the law and risked people’s safety by operating without the benefit of CQC registration.

“The registration process vets services before they care for patients. Services are then monitored and inspected to ensure that they continue to meet standards that people should be able to expect.

“Unregistered services operate without oversight, putting people at risk of harm.

“When we find providers operating illegally, we do not hesitate to act to protect people.”

An interim order of suspension is currently in place until March 11, with the MPTS agreeing that this can run until the substantive sanction of erasure is imposed.

Dr Tudor’s registration will be erased 28 days from the date on which written notification of the decision is deemed to have been served upon him, unless he lodges an appeal.

The Care Quality Commission declined to comment on the sancation.