"I have pleasure in confirming your appointment to the above Authority as a Clinical Medical Officer commencing on25th March 1985 . You will be based at The Community Health Service Headquarters and you will be responsible for undertaking duties throughout the Health District. You will be accountable to the specialist in Community [I think the last word is "Medicine" but it does not matter much]."
"She [that is to say Dr Naglingam] again, mistakenly we find, believed that her main contact would be with Dr Nesbitt."
"He [that is Mr Barr] had persuaded Dr Nagalingam that she should continue to work in West Lewisham until 19 December. This was a period of only two weeks from the adjourned hearing of the disciplinary procedure. On 6 December, Dr Nagalingam was asked to give assurances that until 19 December she would recognise both Dr Cooper and Dr Nesbitt as her Managers, and that she would work within Management framework including attending and participating in meetings which they arranged. She was also asked for assurances that she would continue to work within Management framework when she went back to North Southwark. In her evidence Dr Nagalingam said that she was willing to sign the assurances for the two weeks she was to remain at West Lewisham but she saw no reason to sign any assurances relating to her acceptance of Management when she returned to Southwark. She stated that that was part of the terms and conditions of her contract which she had already signed."
"We also have to consider whether in all the circumstances it was just and equitable to treat that reason as a sufficient reason for dismissing Dr Nagalingam."
"We are satisfied that Dr Nagalingam did refuse to conform with the reasonable Management instructions both from the documents, from the respondents' witnesses, and from Dr Nagalingam's evidence."
"Having regard to her refusals, which she admitted, to attend the SMCO and CMO meetings in November and the meetings with Dr Cooper on 13 November we are satisfied that it was reasonable for Management to want those assurances."
"she did not have respect for her Managers and that there was a constant under-current of friction."
"We are satisfied that proper procedures were followed though we regret that there has been an inordinate delay in the internal appeal being heard. We find Dr Nagalingam was dismissed for gross misconduct and that in all the circumstances it was just and equitable to treat that conduct as sufficient reason for dismissal."