Scottish Daily Mail

SAVIOUR OR SINNER?

To some families who gave evidence against him, this top professor offered false – and expensive – hope to dying cancer patients. To others, including celebritie­s, he is a maverick genius...

- By Tom Rawstorne and James Tozer

DIAGNOSED with cancer hours earlier, Lynda Bellingham couldn’t hold back the tears as she entered the office of world-renowned oncologist Justin stebbing.

‘I don’t want to be a burden,’ the actress told him, assuming she was about to be told she was beyond help and should return home to put right her affairs. ‘if i’m going to die, let me die now.’ But Professor stebbing – a man nicknamed ‘god’ by his grateful patients – was having none of it.

‘You can both stop crying,’ he told her and husband Michael Pattemore. ‘Lynda, i can’t cure your cancer, but i think i can get you to the point where we can control it.’

Over the next two hours the medic painstakin­gly explained how he intended to treat the cancer which, by then, had spread from her bowel to her liver and lungs. and, from that moment on, stebbing would be with Lynda, the ‘oxo Mum’ in 16 years of gravy adverts, every step of the way.

‘I was by her side while she had cancer and i don’t care what anyone says – life is precious,’ Mr Pattemore told the Daily Mail. ‘if you can extend life by a month, a week, a day, an hour or a minute, if you are the patient, you will try and extend it by whatever you can.

‘If it’s your wife, your husband, parents or kids who has cancer, they are going to want that extra week, that extra day before their

‘I will always be grateful for the extra 15 months’

last breath. and i feel that thanks to Justin, i had Lynda for an extra 15 months. and for that i will always be grateful.’

And yet those words of praise could hardly contrast more with those of the relatives of other patients treated by the 50-year-old oncologist.

Over the course of the past 20 months they have been among dozens of witnesses giving evidence to the Medical Practition­ers Tribunal service in Manchester at a hearing probing his private practice.

It ruled he had failed to provide good care and will now decide if stebbing’s fitness to practice has been impaired and what sanctions, if any, he will face. This could include striking him off the medical register.

Whatever the final outcome, his reputation as a world-leading oncologist lies in ruins. Having previously had 1,200 patients under his care and with earnings running to millions of pounds a year, on Monday he applied to dissolve the company through which he did much of his private work.

That stebbing has a brilliant medical mind, there can be little debate.

After a first-class degree in medicine at oxford University, he trained in the United states before returning to London, first at the Royal Marsden and then at imperial College and its linked NHS Trust.

At the height of the pandemic he even wrote a series of papers on coronaviru­s, one examining how easily it could be transmitte­d by touching a ball – be it a football, a cricket ball or a golf ball.

With a private practice in Harley street his reputation grew, along with the financial rewards. as well as a £3.5million north London townhouse, company accounts show that in 2017 and 2018 he received dividend payments of £2.2million and £1.6million.

But this week he applied to Companies House to dissolve Justin stebbing Ltd, a process often undertaken when a company is no longer active.

Twice married, he has two sons with his second wife aimee, an oxford-educated lawyer whose clients include Umbro, Mulberry, alexa Chung and space NK. she often supports him at charity events, as does sir Michael Parkinson, who he treated for prostate cancer.

other supporters, and there are many, highlight his treatment of Douglas Myers, a new Zealand brewing tycoon who consulted the professor in 2013 after being told he had only weeks to live.

sir Douglas, who had colon cancer, spent tens of thousands of pounds, including on three shots a week of pembrolizu­mab, an immunother­apy drug costing up to £20,000 a dose. He later wrote to a friend: ‘My take is i won’t be cured but probably the way it’s responding to treatment it’ll be contained and OK for a few years.’

sir Douglas died four years later, at the age of 78.

it was also in 2013 that stebbing started treating Miss Bellingham, who was referred to him at a private London clinic. she died in her husband’s arms the following year.

‘if a patient turns round and says to a doctor like Justin stebbing “do whatever you can’, then he will,” Michael Pattemore said.

‘everything he did for Lynda, he would sit down and explain exactly what’s going on. This hearing concerns 12 of his patients, but how many thousands more has he treated who, like us, were absolutely happy?’

But lawyers for the GMC argued that the number of satisfied patients was irrelevant to the tribunal’s considerat­ion of the allegation­s relating to those he was accused of failing to provide good care for between March 2014 and March 2017.

other charges concerned his failure to gain informed consent by not discussing the risks and benefits of treatment with patients and failing to maintain proper records.

Complainan­ts in the case

included Leaders in Oncology Care, a specialist cancer treatment centre which is part of HCA Healthcare UK, BUPA and AXA insurers.

Its concerns resulted in the firm – the country’s largest private healthcare provider – requiring Stebbing to get approval from his supervisor for his work.

However in March 2017 he was found to have breached those conditions over the care of a patient. In response HCA suspended him from its list of recognised consultant­s, meaning they would not fund treatment he prescribed.

A source yesterday stressed that the firm’s concerns ‘were not about billing’ but were instead about his alleged failure to heed the conditions.

Shortly afterward a whistleblo­wer sent a dossier raising serious concerns about Stebbing’s private practice to the General Medical Council and the Care Quality Commission.

Described by one investigat­or who saw it as ‘causing quite a stir’, is understood to have contained allegation­s that he was prescribin­g expensive cancer medication beyond the remit of its licence as well as having a ‘gung ho’ attitude to patient care.

The GMC then launched an investigat­ion which ultimately focused on 12 patients, imposing interim restrictio­ns in May 2017 requiring Prof Stebbing to be supervised in all his medical work. Stebbing faced no accusation­s that his actions were financiall­y motivated.

As the hearings unfolded, the tribunal pored over the often-agonising details of each patient’s cancer struggle, with evidence from dozens of witnesses, including patients’ families.

A recurring theme in the case was patients receiving treatment in spite of their disease progressio­n, deteriorat­ing condition or poor prognosis. Many of the 12 had been told by other oncologist­s they had just months to live and had gone to Stebbing for a second opinion.

One patient even received immunother­apy while he was in a hospice and some died on intensive care units just days after being given chemothera­py.

Even Stebbing’s own QC Mary O’Rourke acknowledg­ed that all but one of the 12 patients had died within a month of having treatment.

Experts called by the GMC spoke of the need to used evidence-based medicine, to recognise the limitation­s of treatment and have ‘honest and open’ conversati­ons with patients and their families to help them make difficult decisions.

In one case, Stebbing sought to obtain private funding to treat an NHS patient when medics at The Christie hospital in Manchester had stopped treating as her prognosis was likely to measure just a ‘short number of weeks’.

The 44-year-old woman – known as Patient D – had been diagnosed with breast cancer that had spread to her liver and bones.

Stebbing sought funding for her chemothera­py and stated, inaccurate­ly, in a letter that The Christie was taking ‘an enormously long time’ to make a decision about her treatment.

He then failed to inform the patient or her family that his funding applicatio­n had been refused prior to her £3,000 treatment, which her father then had to pay. The woman died two days later. Stebbing also admitted inappropri­ately treating a 47-year-old female patient – known as Patient E – and failing to maintain an inappropri­ate degree of profession­al distance with her after they exchanged ‘flirty’ messages.

He’d referred to her as LMT, or ‘Little Miss Trouble’, and many messages were accompanie­d with kisses, ‘love to LMT’ and ‘good LMT’. Patient E later admitted to developing feelings for him due to their ‘strong chemistry’ and his ‘super tactile and affectiona­te’ nature.

Although there was no suggestion their relationsh­ip went any further, it was claimed the patient’s emotional attachment may have clouded Stebbing’s judgement.

In his defence, Miss O’Rourke repeatedly highlighte­d the difference­s between NHS care and private care, where private patients had more choice over their treatment.

There were always private patients, she argued, who wanted to pursue a ‘last chance’ or seek out cancer treatment regardless of the slim chance of success.

In giving his evidence to the panel, Stebbing had described the GMC’s position as being ‘if you’re in doubt, let the patient die’ whereas his was to try to save lives.

‘I always did my best and I’ve clearly fallen short in some cases and I’m very remorseful, upset and sad about that, and hopefully I’ve learned my lesson,’ he said.

He was also forced to deny claims of spreading himself too thinly by having 1,200 patients under his care at one time.

Allegation­s found not proved included one that he had failed to explain to a patient the reason for escalating treatment.

Another unproven allegation was that he failed to explain to another patient the option of ‘receiving no systemic anti-cancer therapy’.

‘Only a slim chance of success’ ‘Hopefully I have learned my lesson’

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 ?? ?? Well connected: Professor Justin Stebbing in his surgery and, right, with the late James Bond star Sir Roger Moore
Well connected: Professor Justin Stebbing in his surgery and, right, with the late James Bond star Sir Roger Moore
 ?? ?? Patients: Stebbing treated ‘Oxo Mum’ actress Lynda Bellingham and Sir Michael Parkinson
Patients: Stebbing treated ‘Oxo Mum’ actress Lynda Bellingham and Sir Michael Parkinson
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