Medical practitioner – Disciplinary proceedings. Section 40A of the Medical Act 1983 created a right for the General Medical Council to appeal to the High Court against a decision of a Medical Practitioners Tribunal (MPT), rejecting a charge that a doctor's fitness to practise was impaired. The Court of Appeal, in allowing the appellant's appeal, further held that the judge had adopted an approach which had been too 'cut and dried' in analysing the position as he had by reference to parts of the MPT's findings, whereas it had been a case which the MPT had plainly regarded as finely balanced, involving circumstances which had required subtle, but important and morally significant distinctions to be drawn.