A GP from a single practitioner practice has been struck off the register following 22 allegations of dishonesty, insulting treatment of staff, and disrespectful references to patients and a fellow doctor.

According to a report from the British Medical Journal, a medical practitioners tribunal heard that Khashayar Ghaharian had described patients as ‘f*ckers’ and ‘pieces of sh*t’. He called one receptionist ‘a fat blob’ and another ‘thick,’ and he said of a doctor with a practice in the same building that he ‘hated him and hoped he f*cking died.’

Ghaharian, who qualified at the University of London in 1997, practiced in Wollaton, Nottingham where he worked with several administrative staff.

One of the reception staff, named in the tribunal as Ms B, told the primary care trust that Ghaharian had scheduled fictitious clinics, allegedly to create the false impression that patients with chronic conditions were being properly followed up with.

The former GP was investigated for this allegation by the primary care trust and then by NHS England.

The clinics were confirmed to be fictitious by an expert. They could not identify who had created them, although whoever had done so would have had to have some clinical experience.

Folllowing this, Ghaharian was assessed by the General Medical Council (GMC) who referred him to NHS England for disciplinary proceedings. However, he successfully appealed against the outcome in the High Court, arguing misfeasance in public office.

NHS England was forced to apologise, acknowledging that it held no evidence that he had defrauded the NHS and that ‘the conduct of NHS England officials in the investigations created an appearance of bias.’

The GMC then held another case against him which made no allegation about who had created the fictitious clinics. The tribunal did find, however, that Ms B had not created them, as Ghaharian, who is originally for Iran, claimed that she had done in a racially-motivated effort to discredit him.

The GMC found that Ghaharian had offered another receptionist, Ms A, a raise if she gave a false statement to the primary care trust blaming Ms B for creating the fictitious clinics.

He also asked a nurse, Ms E, to falsely claim that she had overheard the trust’s investigators plotting against him. Later, he complained about Ms E to the Nursing and Midwifery Council, but the case concluded on day one with a finding that she had no case to answer.

He suspended another receptionist, Ms D, after falsely claiming that she had subjected him to racial abuse. He also picked up and retained Ms A’s mislaid mobile phone and accessed and recorded her messages.

Ghaharian instructed his solicitors to draft a letter to NHS England claiming that a ‘high up doctor’ had told him that he was in great danger and that people were out to get him.

The former GP’s dishonesty was repeated and continuous, it was found. Tribunal chair, Wendy Kuriyan said: ‘He was evasive in response to questions and at other times his evidence was inconsistent.’

In his recent Facebook posts Ghaharian has continued to refuse to accept responsibility for his actions and asserts that he was the victim of a conspiracy to ‘destroy’ his practice.