In February 2024 Dr Stan’s name was removed from the medical register after it was found that he had inappropriately administered rectal medication to a number of patients for his sexual gratification. It was also found that he had not offered patients a chaperone or given the patients enough information about the options for their medication and the patients had not given informed consent for rectal mediation.
Dr Stan started to work at Royal Cornwall Hospital (Treliske) in 2015 as a locum SHO in the trauma and orthopaedic department. We understand that he also worked in the A&E department at various points during his time at Treliske. He stopped working at Treliske in September 2020 and his employment was terminated in March 2021.
In March 2020 a concern was raised by a father of a child. Dr Stan had given the child rectal pain relief shortly after giving him oral pain relief. The hospital investigated this which led to Dr Stan being called for a meeting with the Clinical Director in May 2020. Following this meeting Dr Stan received a letter from the Clinical Director advising him to familiarise himself with the Trust’s Chaperone Policy. The Clinical Director has since said that this letter was watered down and during the meeting, he had also made it clear to Dr Stan that he should not be administering medication, something which would normally be done by a nurse.
Dr Stan continued working and it appears his practices did not change and similar concerns were raised in August 2020. He stopped working at Treliske on 7 September 2020 and the Trust carried out an internal investigation that was completed by November 2020. Evidence was heard that over the last five years, against Trust policy, Dr Stan had prescribed and administered rectal medication on more than 200 occasions, predominantly to male patients under the age of 40. There was evidence that he did not follow the Chaperone Policy.
In March 2021 they referred the matter to the General Medical Council (GMC). It appears at this stage they have reviewed the records of many patients and identified 37 patients who then were the basis of the GMC investigation. It is not clear how this small group of patients was selected.
The GMC referred the matter to the Medical Practitioner Tribunal Service (MPTS) for a fitness to practice hearing. This took place in mid-January 2024. The Trust wrote to that small group of 37 patients telling them that there was an investigation about Dr Stan’s prescribing practices and there would be a hearing the following week. In very broad terms. Fortunately, one patient contacted the MPTS and asked to give evidence at the hearing. Dr Stan did not attend the hearing.
The MPTS published its findings on 8 February 2024 and they found that Dr Stan inappropriately administered rectal medication for his own sexual gratification. It was also found that he failed to provide informed consent or did not tell patients they could have a chaperone. The outcome of the investigation was that his name was erased from the medical register; which means he can no longer practice medicine in this country.
Approximately five months after this report was published the Trust wrote to a further, unknown, number of patients to tell them that Dr Stan had given them rectal medication. The letter was quite vague and did not tell the patients of the detailed investigations that had been carried out or that the MPTS report was publicly available.