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enitan
May 5, 2009, 05:06 PM
A foreign doctor who killed two elderly patients after flying in to provide out-of-hours care hospitalised a third patient with 'inappropriate' treatment, it has emerged.

The woman was visited by Daniel Ubani just before he killed kidney patient David Gray by injecting him with ten times the maximum recommended dose of morphine.

Yesterday the Daily Mail learned that, hours later,Iris Edward , 86, died of a heart attack two hours after being given medication by the Nigerian-born doctor.

Exhausted after only three hours' sleep, Ubani was working his first-ever shift in Britain after travelling from Germany to improve his 'earning capabilities'.

The woman, in her 50s, said: 'I class myself as extremely lucky it made me worried about calling out-of-hours doctors. I am of the age where doctors are still God.'
David Gray
Dr Daniel Ubani

'Disturbing': David Gray (left) died after he was given a lethal dose of painkiller by German doctor Daniel Ubani (right) who was employed as a locum

'I felt terrible your head is exploding in pain. He took my blood pressure and said it was too high,' she told the Guardian.

'He injected me with this drug and said it would help bring my blood pressure down, which was the reason for my headache. I felt better for a couple of hours but ended up in hospital.'

Her family rushed her to Addenbrooke's hospital, Cambridge,within hours of being seen by Dr Ubani.

'The only thing I really remember was there was a problem with the language. I felt Dr Ubani did not speak good English, which doesn't help when you are lying in bed going gaga.'

Despite the inquiries, however, it seems unlikely that Ubani will face British justice.

He has already admitted Mr Gray's manslaughter before a German court and received a suspended sentence, meaning he cannot be tried again under the double jeopardy rule.

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* The doctor who left two dead: How Labour's GP contract reform let the 'flying doctors' in

And the Crown Prosecution Service has already decided not to bring charges in the case of the 86-year-old woman.

The two deaths have exposed glaring flaws in the out-of-hours care system which relies on foreign doctors commuting into Britain to earn 150 an hour on evenings, weekends and bank holidays despite their being unfamiliar with British practices and having no previous knowledge of their patients.

Many doctors travel for hours before their shift, leaving them exhausted before they even start work.
Enlarge Untitled-7 copy.jpg

Mr Gray's son Stuart, himself a GP, said: 'After-hours care provision needs sorting out urgently. How can we allow a doctor with little experience in general practice to come over to this country and then be put straight to work?'

Ubani, who specialises in cosmetic surgery and anti-ageing medicine, has since admitted that he administered the overdose of morphine because 'he could not understand the patient'.

The two deaths happened on February 16 last year after the doctor was employed as a locum to provide out-of-hours care from a base in Suffolk. He arrived at his hotel at 4am that day, had threehours sleep and started work at 8am.

On his first day's work, he was called to the Cambridgeshire village of Manea where Mr Gray, a former senior technical manager with British Aerospace, was suffering from acute kidney pain.

Instead of administering the painkiller pethidine, Ubani injected him with the massive overdose of morphine after confusing the two drugs owing to tiredness.
rory and stuart gray whose father died after being given overdose

Mr Gray's sons Stuart (right) and Rory. Stuart, a GP, said of Ubani: 'We don't think he was tired and confused, we think he was just incompetent.'

Mr Gray was initially thought to be sleeping but was pronounced dead within three hours. Toxicology tests suggested he could have died within ten minutes of the injection. An inquest has yet to be held.

In the aftermath of the tragedy, his devastated family learned from police that officers had investigated the death of a second patient after Ubani was called to a care home in Ely the same day.

The 86-year-old woman died two hours after he treated her. Police investigated both cases and handed files to the Crown Prosecution Service. It recommended a manslaughter charge over the death of Mr Gray but decided against further action over the second death.

In March, the CPS issued a European Arrest Warrant to bring Ubani back to the UK to charge him with manslaughter. But two weeks later, British prosecutors were told legal action against the doctor had been started in Germany.

It remains unclear why this happened.
Timeline

To the dismay of Mr Gray's family, he escaped with a nine-month suspended sentence and a 4,500 fine after admitting manslaughter in a German court. Despite his conviction he is still being allowed to practise in Witten, near Dusseldorf.

The CPS is seeking clarification from Eurojust, a go-between for European prosecutors, on why German authorities took the decision to prosecute without consulting their British counterparts.

A spokesman for Cambridgeshire Police said: 'A thorough investigation was conducted into David Gray's death in conjunction with the Crown Prosecution Service.

'We had completed the complex process of obtaining arrest warrants for Europe and are disappointed that any subsequent prosecution was not allowed to reach its natural conclusion in this country.

'We did investigate the death of a woman in her 80s in an Ely care home. A post mortem revealed she had died of a heart attack. However, she had just been treated by Dr Ubani so we put a case together and put it before the CPS but no charges were brought.'

Stuart Gray, 49, a GP in Kidderminster, Worcestershire, cannot believe what happened to his late father. He said the firm which employed Ubani as a locum doctor carried out only a'scant' induction, which involved the doctor 'ticking boxes' on a form.

Dr Gray added: 'We don't think he was tired and confused, we think he was just incompetent. It is unbelievable that a doctor, even one specialising in cosmetic surgery and anti-ageing medicine, would not know what diamorphine is or how much of it was safe to be administered.

'But even if we accept what Ubani said about his physical state that day, he should have held his hands up and admitted he was too tired to work. He should not have been treating patients.'
'I want no-one else to go through what we have been through. They have to work out a way this does not happen again.'

His younger brother Rory, 44, added that Ubani was simply 'chasing the money'.

Mr Gray's partner, Lynda Bubb, who called the out-of-hours service, said yesterday: 'I want no one else to go through what we have been through. They have to work out a way this does not happen again.'

The family are considering taking civil action against Ubani, who has since been fired from the agency who hired him, Suffolk Doctors on Call.

He has also been suspended from working in Britain by the General Medical Council.

Ubani, who has been a GP in Germany for 22 years, wrote a misspelt letter to the family asking for forgiveness.

Suffolk Doctors On Call, part of a group named Take Care Now, said it has now changed its procedures.

Take Care Now chief executive David Cocks said: 'Our response has been focused on doing everything we can to ensure such a tragedy could never happen again.'

The Care Quality Commission, which acts as the health and social care watchdog for England, said it would be holding an inquiry into TCN and its provision of out-of-hours services.

Head of investigations and enforcement Christine Braithwaite said: 'This is a deeply disturbing case and one that must be thoroughly looked into. We have to ensure that lessons are learned.

'We are aware of a number of concerns in relation to out-of-hours provision by TCN. We will be looking into these issues to ensure the interests and safety of patients are properly safeguarded.'

No Smoking
May 5, 2009, 08:42 PM
Ubani, who has been a GP in Germany for 22 years....

The Mail neva do dem homework finish, for to say which Naija village da dokita come from, and which varsity, ati be-be-lo...

enitan
May 5, 2009, 09:19 PM
oh no..the print version read 'Daniel Ubani, the nigerian born doctor'......

No Smoking
May 5, 2009, 10:48 PM
A-ha. Trust the Mail to dig that out..

lateesha
May 5, 2009, 11:08 PM
Chei
poor patients
poor doctor

lesson: cut your coat according to your size not chasing money all over the place.