The Privy Council has dismissed Dr John Roylance's appeal against being struck off for his part in the Bristol case.

Dr Roylance, former chief executive of United Bristol Healthcare trust, was struck off by the General Medical Council at the end of its hearing last year. He appealed with the support of the Medical Defence Union on the grounds that GMC president Sir Donald Irvine showed 'apparent bias' - a claim dismissed by the Privy Council - and the GMC's decision was 'legally flawed' and 'unfair'. The MDU is now advising doctors with dual roles as managers that 'they may be held accountable to the GMC if they fail to take all reasonable steps to protect patients' interests'.