Doctor denies money motive over referring cancer patients for new treatment

A DOCTOR denied wanting to make money when he referred eight cancer patients for treatment on a machine he co-owned, a medical tribunal has heard.

Consultant urologist Paul

Miller, 63, was said to have had only the “best clinical interests” of his patients when he recommended high intensity focused ultrasound (Hifu).

The General Medical Council (GMC) argues Hifu in its early stages was “novel and experimental”, was still not a standard treatment for prostate cancer and was inappropriate for the patients concerned.

Mr Miller was said to be an “early advocate” of Hifu, which emerged in the mid-2000s, and in October 2005 jointly formed a private company, Mobile Hifu Limited, of which he was co-owner and co-director with another clinician, Tim Larner.

The company purchased a Hifu machine with a bank loan in the region of £440,000 and received payments every time it was used at privately-run Spire Gatwick Park Hospital in Horley, Surrey, where Mr Miller treated patients with prostate problems.

Catherine Cundy, for the GMC, said Mr Miller alone performed more than 150 procedures between 2005 and 2013 at Spire Gatwick Park which would have generated in excess of £500,000 in fees and a “substantial profit”.

David Morris, representing Mr

Miller, told the Medical Practitioners Tribunal Service (MPTS) hearing: “Mr Miller knew he did not have a financial interest in the machine. He was at no personal financial risk if the company defaulted. There is no evidence he had provided any personal guarantee to the bank.”

The manufacturers of the machine had also offered to buy back the machine if the venture was unsuccessful, the tribunal heard.

Mr Morris said fees were paid to the company, which was sold in 2013 when Mr Miller resigned his co-directorship, and it was “speculative and wrong” to suggest substantial profits were made.

The company did no more than break even between 2005 and 2013 and there was no evidence in its accounts that it made any profit, the tribunal in Manchester heard.

Mr Miller faces other allegations of misconduct, which he also denies, including failing to provide adequate care to five other patients.