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The professional performance of a neurologist at the centre of Northern Ireland's biggest ever patient recall was unacceptable, a tribunal has ruled.

The Medical Practice Tribunal Service is carrying out a hearing into Michael Watt's fitness to practice as a doctor.

He was referred to the panel by the General Medical Council (GMC) after a performance assessment outcome in 2018.

The GMC said he failed to make correct diagnoses resulting in inappropriate and unnecessary treatment.

It also had concerns about his prescribing and poor communication with colleagues and patients.

That led to about 3,000 neurology patients being recalled to be re-examined.

On Thursday, the independent tribunal upheld the evidence by the GMC and determined it "proved".

It found Michael Watt's professional performance was unacceptable in several ways including assessments, clinical management, record keeping and relationships with patients.

On Friday, the tribunal will determine whether his fitness to practice is impaired.

Michael Watt has been out of active practice since 2017.

A previous tribunal granted him voluntary removal from the medical register, meaning he would not face a public hearing.

However, that decision was overturned in the High Court earlier this year following an appeal by two of his former patients.

A new tribunal began in September.

Last week, Michael Watt's legal team withdrew from the process citing concerns about his "serious mental health condition".

His barrister said the continuation of the hearing in public presents a risk to his mental health, one they were not willing to embrace.

The panel has continued with the hearing in his absence.