A family doctor charged the Night Home Service (NHS) more than ￡ 500,000 in seven years for night visits that his patients did not need, a General Medical Council disciplinary hearing was told yesterday. Jagdeep Gossain charged for up to 540 emergency call-outs a month, increasing his annual salary to close to ￡ 200,000 a year and using almost a third of the local health authority’s out-of-hours GP budget. Dr Gossain, 46, had a target list of about 100 patients in his practice at Fulham, southwest London, whom he used repeatedly on claim forms to Ealing, Hammersmith and Hounslow Health Authority. Nearly all emergency visits conducted by the doctor, who often made up to 40 calls a night, were “clinically inappropriate“. He had also duped the GMC into postponing his hearing, before the professional conduct committee, four times by claiming that his bad back made him unfit to attend, Sarah Plaschkes, for the GMC, said. But that injury had not prevented him enjoying his favourite sport — weightlifting — at an exclusive gym in Heston. Ms Plaschkes added: “The council submits that Dr Gossain deliberately, dishonestly deceived this professional body by pretending he was too ill to attend the hearing when, in fact, he was at a leisure centre. “ Between May 1990 and April 1998 he claimed an “ inordinate and extraordinary number“ of night visits, she said. The average GP makes 50 emergency night calls a year. In September 1997 alone Dr Gossain put in 542 claims. Ms Plaschkes alleged that it was unjustifiable reward in the sum of about ￡ 500,000 from the public purse. Dr Gossain’s claims escalated over the years. In 1991 he claimed ￡ 1,000; by 1995 the sum had risen to more than ￡ 75,000, peaking in 19% at almost ￡ 160,000. Over the seven-year period he allegedly fleeced the NHS of ￡ 514,593. In 1998 he claimed ￡ 124,591, when the average GP in his health authority claimed ￡ 670. Dr Gossain is accused of doing so many night visits that he “could not have provided adequate care and attention“ for the patients he visited. It is also said that his ability to provide competent daytime services “was compromised“. Dr Gossain denies serious professional misconduct but, if found guilty, could be struck off the medical register. A BBC Panorama investigation found that his three children went to private school and he drove a Mercedes with private number plates. His wife, Shashi, a pharmacist, has said that his only crime was to have been a workaholic. The hearing continues.

For what was the doctor in the passage charged?

A．For his incompetence“.

B．For his unnecessary services to the patients.

C．For unusually large number of night visits.

D．All the above.

Why did the professional conduct committee delay its hearing of the case under question?

A．Because the committee said it had been too busy then.

B．Because the doctor said that he had hurt his back.

C．Because the doctor was too busy with his NHS to his patients.

D．Because the committee was different on the doctor’s behavior.

The phrase “call-outs“ in the passage is used to______.

A．cancelled NHS

B．emergent visits to his patients at any time

C．night visits to the home of his patients

D．night walks out of his home

The part of the sentence: his ability to provide competent daytime services “was compromised“ may mean______.

A．his being unable to provide competent daytime services

B．his ability to provide competent daytime services was discredited

C．his qualification as a doctor was suspected

D．his NHS practice is no more than a cheat to the patients

The best title of the passage can be______.

A．A Dishonest Person

B．The Guilty Practice for a Noble Profession

C．The Illegal NHS of a GP in London

D．The Fortune-making Activities of a Doctor

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The council has to adapt its administrative procedures, its procurement rules and its intellectual property______to be compatible with such a partnership approach. respect regime portion peril

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A complete investigation into the causes of the accident should lead to improved standards and should______new operating procedures. match with result in subject to proceed with

In the developing nations, the technology has the capacity to reach teachers in remote and educationally______areas and hopefully improve teaching skills and productivity. defective efficient deficient effective

The role played by supranational entities, such as the WTO, ITU and telecoms MOU bodies in______and regulating this environment will be examined. following arbitrating synchronizing betraying

The two companies are going to merge by the first month of the year. become one divide into two dissolve change owners

It is futile to argue with him once he has made up his mind. unpleasant encouraging helpful useless

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For what was the doctor in the passage charged?

Why did the professional conduct committee delay its hearing of the case under question?

The phrase “call-outs“ in the passage is used to______.

The abbreviation of “GP“ in the passage can probably mean______.

In the statement of “a General Medical Council disciplinary hearing“ , the synonym to the word “hearing“ is______.

What is the name of the place where the doctor’s NHS practice is done?

The part of the sentence: his ability to provide competent daytime services “was compromised“ may mean______.

The word “workaholic“ is used in the passage to have______.

The best title of the passage can be______.

The phrase “that injury“ underlined in Paragraph 5 refers to______.