I agree with @Northernlurker. There won't be updates during unless either the press picks up on it or someone sits in and updates here.
To outline how it works, it's a two* stage process. The first stage is basically 'What happened?'. The GMC will need to prove that it is more likely than not that:
- Harrop posted the tweets
- That they were offensive and/or insulting and/or inappropriate in nature
- Some of them were intended to intimidate.
Assuming that some or all of that is proved, then the process will move to the second stage, which is basically the 'what do we do about it?' stage. At this stage, the GMC will need to convince the panel that:
- When the tweets were posted, this was misconduct. That is, conduct which would be considered deplorable by his colleagues. Misconduct is all about the situation then.
- That his fitness to practice is currently impaired by that misconduct. That's about the situation now. There's lots of case law on impairment but I would expect it to be argued along the lines of either 'he doesn't realise he did anything wrong, so he's likely to do it again' or 'what he did was so shocking that public trust in doctors would be undermined if the panel doesn't do something'. Or both.
- If he's impaired, what is to be done about it. The law is that you do the least neccessary to protect the public, declare and uphold proper standards, and maintain public confidence in the profession. The options are do nothing, give a warning, impose conditions, suspend for up to 12 months, or erase.
Insight is really important to both impairment (you're much less likely to repeat something if you realise how badly you've screwed up) and also to what sanction the panel needs to impose. The case law on insight is:
a doctor or other professional who has done wrong has to look at his or her conduct with a selfcritical eye, acknowledge fault, say sorry and convince a panel that there is real reason to believe he or she has learned a lesson from the experience. That's from the case of Kimmance v. GMC.
I may be wrong but, from everything I've read, this guy doesn't strike me as the self-critical type. Which, as @Northernlurker has said, is unlikely to go in his favour.
It's goign to be really interesting to read the determination.
(*Some of the regulators divide it into three. It's the same process, just sanction is dealt with seperately.)
(Sorry if I'm rambling on - I find this stuff fascinating.)