The way she describes it it seems like the loss of her licence was a practical failure, rather than due to disapproval of her..modus operandi. In other words not a direct result of misconduct or anything.
However, when a doctor is out of medicine for that long (nearly six years), they lose their connection with their NHS employer or “designated body”. These are the people who sign off the revalidation recommendations. In these special cases, where a doctor doesn’t have someone to sign off on recommendations, the doctor undergoes an examination paper set by the GMC.
Unfortunately, there is currently no exam that covers the treatment of transgender people. There is an exam that covers General Practice but I have not practiced as a GP since I was stopped from working in 2017. That was too long ago, and I am too rusty.
The other exam that the GMC suggested I sit is the one that covers doctors fresh from medical school. However, I qualified many years ago and have not covered the topic areas such as surgery, orthopaedics, and pathology since 1992.
I had the choice to sit an exam and risk failing, which would have resulted in my license being withdrawn. Alternatively, I could choose not to book an exam and let the Registrar decide on an individual basis whether my license should be withdrawn. I opted for the latter, and the GMC’s decision is to withdraw my license on 19 July 2024
I have known some very good doctors to fall foul of this. And some GPs just don't want to do the assessments any more and are retiring early.
Plus she can still practice abroad.
If anything she's an unfettered maverick now and more dangerous.