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					                                  GENERAL DENTAL COUNCIL
                           PROFESSIONAL CONDUCT COMMITTEE
                                  October 2008 – October 2010
                                        Katsikas, Nectarios
                                      Registration No: 80105

Charge
Findings of fact
Determination
“Mr Katsikas,
The Committee has considered all the evidence presented to it, including your own evidence and
the testimonials given on your behalf. It has accepted the advice provided by the Legal Adviser.
In September 2005, at a meeting with the Cluster Clinical Director of your employer‟s company
several deficiencies in your clinical performance were identified and discussed with you. There
were failures in your treatment of a large number of patients, which endangered their oral health
and led in some cases to irreversible damage to their mouths. These deficiencies were drawn to
your attention again, at another meeting with a senior clinician at your employer‟s in September
2006 and then, because there was no improvement, led to the termination of your contract in
December 2006. This indicates to the Committee that you had a total lack of insight into your
clinical shortcomings.
The Committee has noted that the matters found proved are serious and relate to widespread
deficiencies in your practise of dentistry. They indicate that your conduct fell far short of the
standards expected of dental professionals in respect of record keeping, clinical diagnosis,
radiology, restorative care and endodontic therapy. In these respects your conduct breached the
General Dental Council‟s ethical guidance, “Standards for Dental Professionals” dated May 2005,
as set out in sections:
            1.3    Work within your knowledge, professional competence and physical abilities.
                   Refer patients for a second opinion and for further advice when it is necessary,
                   or if the patient asks. Refer patients for further treatment when it is necessary to
                   do so.
            1.4    Make and keep accurate and complete patient records, including a medical
                   history, at the time you treat them. Make sure that patients have easy access to
                   their records.
            2.4    Listen to patients and give them the information they need, in a way they can
                   use, so that they can make decisions. This will include:
                      communicating effectively with patients;
                      explaining options (including risks and benefits); and
                      giving full information on proposed treatment and possible costs.
            4.1    Co-operate with other team members and colleagues and respect their role in
                   caring for patients.




KATSIKAS, Nectarios      Professional Conduct Committee October 2008 - October 2010        Page -1-
           4.3   Communicate effectively and share your knowledge and skills with other team
                 members and colleagues as necessary in the interests of patients. In all dealings
                 with other team members and colleagues, make the interests of patients your
                 first priority.
           5.1   Recognise that your qualification for registration was the first stage in your
                 professional education. Develop and update your knowledge and skills
                 throughout your working life.
           5.2   Continuously review your knowledge, skills and professional performance.
                 Reflect on them, and identify and understand your limits as well as your
                 strengths.
           5.3   Find out about current best practice in the fields in which you work. Provide a
                 good standard of care based on available up-to-date evidence and reliable
                 guidance.
           5.4   Find out about laws and regulations which affect your work, premises, equipment
                 and business, and follow them.
In view of the facts proved the Committee finds your fitness to practise is impaired by reason of
your misconduct.
In July 2007 you were subject to an interim order by the GDC for conditional registration and this
was renewed in subsequent hearings in January and June 2008 respectively. The Committee
notes that under this conditional registration you have undertaken a large amount of further
education and training and have produced regular reports of your activities. There is a
considerable measure of improvement, as reflected in letters to the GDC from your immediate
supervisor Mr Simon Dumper and your Postgraduate Dental Dean. The Committee was pleased to
receive a report of your professional development during the period to May 2008 from Mr Dumper.
The Committee recognises, therefore, that in recent months you have started to address the
deficiencies identified. However, this improvement has occurred over a relatively short period of
just over a year.
In considering the disposal of this case the Committee has kept in mind that the purpose of these
proceedings is not punitive but is to protect the public, to uphold professional standards and to
maintain public confidence in the profession. It has considered the mitigation and testimonials
advanced on your behalf and it has applied the principle of proportionality.
The Committee has considered whether it would be sufficient to conclude this case with or without
a reprimand, but has not been satisfied that the public would be adequately protected thereby. The
Committee has decided that the public interest would be served by imposing conditions on your
registration for 36 months, with a review at the end of the each 12 months. The Committee
considered suspension, but concluded that this would serve no useful purpose.
For these reasons, the panel has agreed to impose the following conditions on your practice:
     1.    You must notify the GDC promptly of any professional appointment you accept and
           provide the contact details of your employer.
     2.    At any time that you are employed, or providing dental services, which require you to
           be registered with the GDC, you must place yourself and remain under the supervision
           of a mentor, who is a registered dentist, agreed by your employer and by the GDC.
     3.    You must allow the GDC to exchange information with your employer, or any
           organisation for which you provide dental services, and any individual involved in your
           supervision.


KATSIKAS, Nectarios    Professional Conduct Committee October 2008 - October 2010      Page -2-
     4.    You must inform the GDC of any formal disciplinary proceedings taken against you,
           from the date of this determination.
     5.    You must keep your professional commitments under review and limit your dental
           practice in accordance with your mentor‟s advice.
     6.    You must inform the GDC if you apply for employment outside the UK.
     7.    You must not engage in single-handed dental practice and shall only work at premises
           where another dentist or dentists are working at the same time as you are working.
     8.    You must not be responsible for the administration of any dental practice
     9.    You must not work as a locum.
     10.   You must maintain a Personal Development Plan (“PDP”). This should be supported
           by an appropriate audit programme. The PDP should also enable you to meet GDC
           Continuing Professional Development requirements.
     11.   You must continue to meet with the postgraduate Dental Dean or his nominated
           deputy on a regular basis to discuss your progress towards achieving the aims set out
           in your PDP. The frequency of these meetings is to be set by the Postgraduate
           Dental Dean or his nominated deputy.
     12.   You must attend local professional meetings, such as those organised under “Section
           63” or by the British Dental Association, so that you may engage and maintain contact
           with local colleagues outside your practice.
     13.   You must undertake an annual appraisal of your activities in your practice by a
           registered dentist who is not a member of your practice.
     14.   In consultation with the Postgraduate Dental Dean, you must provide the GDC with an
           independent evaluation of a selection of your clinical cases at your first review hearing.
     15.   You must inform the following parties that your registration is subject to these
           conditions:
           -     any organisation or person employing or contracting with you to undertake dental
                 work
           -     any prospective employer at the time of application
           -     the PCT in whose Dental Performers List you are included, or seeking inclusion
                 at the time of application
           -     the Regional Director of Public Health
     16.   You must permit the GDC to disclose the above conditions to any person requesting
           information about your registration status.
The committee is minded to consider imposing the above conditions on your registration with
immediate effect, but before taking that decision it must seek submissions from both parties.
     xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
The committee has decided that it is necessary to impose the stated conditions on your
registration with immediate effect.
The effect of this determination is that, unless you exercise your right of appeal, the stated
conditions will be imposed from today, for a period of 36 months. Before the end of 12 months this
matter will be considered at another meeting of the Professional Conduct Committee, which you



KATSIKAS, Nectarios    Professional Conduct Committee October 2008 - October 2010        Page -3-
are expected to attend. You should be prepared to provide that Committee with evidence to the
extent to which you have complied with the conditions imposed on your registration. That
Committee will have the option of imposing further conditions or of suspending your registration.
The interim order for conditional registration determined on June 23rd 2008 is hereby revoked.
That concludes the case for today.”


At the resumed hearing, on 12 October 2009, the Chairman announced the determination as
follows:
Mr Katsikas
In October 2008, the Professional Conduct Committee found your fitness to practise to be
impaired. The Committee concluded that there were a number of serious deficiencies in your
clinical practice which meant that it would not be in the interests of patients to allow you to practise
without restriction. That Committee recognised that you had started to address the deficiencies
identified. However, the improvement had occurred over just a relatively short period. The
Committee determined that your registration be made conditional on your compliance with
conditions aimed at rectifying these deficiencies.
Today, this Committee has heard from Mr Snell, on behalf of the General Dental Council and Ms
Gollop, on your behalf. It has considered all the evidence provided by both Counsel and Dr Simon
Dumper, your mentor, relating to your progress in meeting the conditions. The Committee has
also noted the report from Professor Lambert-Humble, your Postgraduate Dental Dean.
The Committee has accepted the advice of the Legal Adviser.
The Committee accepts that you have complied with the conditions imposed on your registration in
October 2008.
Mr Snell submitted that your registration should continue to be the subject of conditions. Ms
Gollop submitted that you accepted that it would be appropriate at this stage for conditions to
continue. She argued, however, that the evidence of the considerable improvement that you have
made in the past twelve months strongly suggested that patients would not be at risk if two of the
current restrictions on your practice were amended. First, the condition that you do not engage in
single-handed dental practice and shall only work at premises where another dentist or dentists
are working at the same time as you are working, should be varied to apply only to engaging in
single-handed practice. Second, the ban on your working as a locum should be lifted. She
submitted that these changes represented a proportionate balance between the interests of
patients and your own interests due to difficulties you had encountered in finding suitable
employment.
The Committee accepts this submission. It accepts the evidence you have presented as to the
considerable and continuing improvement in your practice; your commitment and hard work in
seeking to address the serious deficiencies in your practice and also that you are showing good
insight into where you went wrong and the importance of developing and updating your knowledge
and skills throughout your working life.
The Committee has concluded that it would be appropriate and proportionate for conditions on
your registration to remain in force but that they should be varied as submitted on your behalf. In
addition, the Committee believes that your continued improvement would benefit from a well
developed Personal Development Plan which clearly sets out clear aims and objectives and how
these are to be achieved. You should prepare this plan in consultation with your mentor and the




KATSIKAS, Nectarios     Professional Conduct Committee October 2008 - October 2010          Page -4-
Postgraduate Dental Dean. This is now reflected in revised condition 9. The Committee
recognises the fruitful and professional relationship between yourself and your mentor.
The Committee thinks that it would be in your best interests to continue with this relationship but to
put it on a more structured basis in the form of, for example, monthly meetings to review the
structure of your PDP and provide peer support. This is reflected in modified condition 10.
The following conditions will apply to your registration for a further 24 months, with a review at the
end of 12 months.
The amended conditions are:
   1. You must notify the GDC promptly of any professional appointment you accept and provide
      the contact details of your employer.
   2. At any time that you are employed, or providing dental services, which require you to be
      registered with the GDC, you must place yourself and remain under the supervision of a
      mentor, who is a registered dentist, agreed by your employer and by the GDC.
   3. You must allow the GDC to exchange information with your employer, or any organisation
      for which you provide dental services, and any individual involved in your supervision.
   4. You must inform the GDC of any formal disciplinary proceedings taken against you, from
      the date of this determination.
   5. You must keep your professional commitments under review and limit your dental practice
      in accordance with your mentor‟s advice.
   6. You must inform the GDC if you apply for employment outside the UK.
   7. You must not engage in single-handed dental practice.
   8. You must not be responsible for the administration of any dental practice
   9. You must work with your mentor and the Postgraduate Dental Dean to formulate a
      Personal Development Plan (“PDP”) to provide a structured framework for your continuing
      improvement. This should be supported by an appropriate audit programme. The PDP
      should also enable you to meet GDC Continuing Professional Development requirements.

       You must continue to meet with your mentor on a regular basis to discuss your progress
       towards achieving the aims set out in your PDP. The frequency of these meetings is to be
       decided between you and your mentor. You should also keep the Postgraduate Dental
       Dean informed of your progress.
   10. You must attend local professional meetings, such as those organised under “Section 63”
       or by the British Dental Association, so that you may engage and maintain contact with
       local colleagues outside your practice.
   11. You must undertake an annual appraisal of your activities in your practice by a registered
       dentist who is not a member of your practice.
   12. In consultation with the Postgraduate Dental Dean, you must provide the GDC with an
       independent evaluation of a selection of your clinical cases at your second review hearing.
   13. You must inform the following parties that your registration is subject to these conditions:
      - any organisation or person employing or contracting with you to undertake dental work
      - any prospective employer at the time of application




KATSIKAS, Nectarios     Professional Conduct Committee October 2008 - October 2010         Page -5-
     - the PCT in whose Dental Performers List you are included, or seeking inclusion at the time
     of application
     - the Regional Director of Public Health
   14. You must permit the GDC to disclose the above conditions to any person requesting
       information about your registration status.

     That concludes the case for today

At the resumed hearing, on 11 October 2010, the Chairman announced the determination as
follows:
„Mr Katsikas,
In October 2008, the Professional Conduct Committee found your fitness to practise to be
impaired. The Committee concluded that there were a number of serious deficiencies in your
clinical practice. It recognised that you had begun to address these deficiencies, but noted that the
improvement had taken place over a relatively short period prior to the hearing. The Committee
imposed conditions on your registration aimed at remedying the deficiencies in your practice.
When your case was reviewed in October 2009, the Committee noted that your practice had
continued to improve. It took account of your growing insight into your deficiencies and the steps
you had taken to address them. It varied the conditions applying to your registration in line with
submissions made on your behalf, as well as making variations which the Committee saw as being
beneficial to the continuing improvement of your practice.
The Committee has considered all of the information presented to it today, including the
submissions made on behalf of the General Dental Council (GDC) by Mr Snell and those made on
your behalf by Ms Gollop. It has accepted the advice of the Legal Adviser.
The Committee notes that you have complied with the conditions currently applying to your
registration. It heard that you continue to make efforts to improve your practice, taking account of
the positive oral evidence given on your behalf by your mentor, Mr Simon Dumper.
The Committee notes that in the last year you had a period of suspension from West Kent PCT
and you remain under conditions from West Sussex PCT, due for a review in April 2011. The
Committee also noted a number of concerns expressed in a letter of 8 October 2010 from
Professor Lambert-Humble. These related principally to record keeping. In light of continuing
concerns, the Committee has determined that revised conditions should continue to apply for a
further 12 months, with a review before the end of that period.

The Conditions are as follows:
  1. You must notify the GDC promptly of any professional appointment you accept and provide
     the contact details of your employer.
  2. At any time that you are employed, or providing dental services, which require you to be
     registered with the GDC, you must place yourself and remain under the supervision of a
     mentor, who is a registered dentist, agreed by your employer and by the GDC.
   3. You must allow the GDC to exchange information with your employer, or any organisation
      for which you provide dental services, and any individual involved in your supervision.
   4. You must inform the GDC of any formal disciplinary proceedings taken against you, from the
       date of this determination.



KATSIKAS, Nectarios    Professional Conduct Committee October 2008 - October 2010        Page -6-
   5. You must keep your professional commitments under review and limit your dental practice
      in accordance with your mentor‟s advice.
   6. You must inform the GDC if you apply for employment outside the UK.
   7. You must not engage in single-handed dental practice.
   8. You must not be responsible for the administration of any dental practice
   9. You must work with your mentor and the Postgraduate Dental Dean to formulate a Personal
       Development Plan (“PDP”) to provide a structured framework for your continuing
       improvement. This should be supported by an appropriate audit programme.     The PDP
       should also enable you to meet GDC Continuing Professional Development requirements.
   10. You must continue to meet with your mentor on a regular basis to discuss your progress
       towards achieving the aims set out in your PDP. The frequency of these meetings is to be
       decided between you and your mentor. You should also keep the Postgraduate Dental
       Dean informed of your progress.
   11. You must attend local professional meetings, such as those organised under “Section 63”
       or by the British Dental Association, so that you may engage and maintain contact with
       local colleagues outside your practice.
   12. In consultation with your postgraduate dean and your mentor, you must undertake an
       annual appraisal of your activities, to include record keeping, in your practice by a
       registered dentist who is not a member of your practice.
   13. You must inform the following parties that your registration is subject to these conditions:
   a. any organisation or person employing or contracting with you to undertake dental work
   b. any prospective employer at the time of application
   c. the PCT in whose Dental Performers List you are included, or seeking inclusion at the time
      of application
   d. the Regional Director of Public Health
   14. You must permit the GDC to disclose the above conditions to any person requesting
       information about your registration status.

That concludes the case for today‟.




KATSIKAS, Nectarios    Professional Conduct Committee October 2008 - October 2010         Page -7-

				
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