Keyur Buch
Introduction
Keyur Buch is a former consultant trauma and orthopaedic surgeon who was erased from the medical register by a Medical Practitioners Tribunal Service (MPTS) review hearing on 22 May 2025. His case concerns what he posted on Twitter rather than how he treated patients: at a December 2023 tribunal, facts were found proved that in or around September 2022 he published posts from his Twitter account, while representing himself as a doctor, that were motivated by racial and religious hostility and encouraged hostility towards Islam, Muslims and Pakistanis. When the case returned to a tribunal two years later, the panel found his fitness to practise remained impaired and directed that his name be erased .
Background Information
Buch qualified in India in 1987 and registered with the General Medical Council in February 1995. In April 2000 he joined the Specialist Register as a Consultant in Trauma and Orthopaedic surgery. He subsequently left the UK in 2016 and has not held a licence to practise since January 2018 — a point that mattered at the review, because the tribunal had to weigh conduct from his Twitter years against a registration that had already lapsed in practical terms .
The December 2023 hearing had already established the conduct findings. Buch was not present and was not represented at that hearing, but he did provide written evidence by email and testimonials. The facts the 2023 tribunal found proved all related to posts on the social media platform Twitter made while he represented himself as a doctor .
The Controversy or Incident That Led to Their Cancellation
Adjudicated (regulatory). The findings below were made by a Medical Practitioners Tribunal on the balance of probabilities — a civil standard, not a criminal conviction. No criminal charge is recorded in this case.
The 2023 tribunal found proved that in or around September 2022 Buch posted inappropriate comments on social media from his Twitter account while representing himself as a doctor. It found the comments were motivated by racial and religious hostility, demonstrated hostility based on race and religion, and encouraged racial and religious hostility .
The tribunal’s published reasons were explicit about the targets. It found that Buch’s posts had been “motivated by an opposition to the religion of Islam and the Pakistani race and were for that reason hostile”, and that the posts “had encouraged hostility towards Islam, Muslims and Pakistanis” .
Reach mattered to the panel’s assessment. It noted that Buch had a significant number of followers on Twitter and therefore had a large audience for his posts. It also observed that at least one member of the medical profession had found the posts so offensive as to prompt a complaint to the GMC — which demonstrated, in the tribunal’s view, that the posts were “capable of being found deplorable by other members of the profession”. The 2023 tribunal determined that the actions amounted to misconduct .
What followed was the escalation to erasure. At the review hearing that concluded on 22 May 2025, the tribunal considered a misconduct case and recorded the decision on impairment as impaired, directing erasure from the medical register. The MPTS’s published note records that the source determination contains the tribunal’s full reasons, with private material redacted .
Public Reaction and Consequences
The recorded public consequence began inside the profession itself: the complaint to the GMC from a fellow doctor who found the posts offensive enough to report. The 2023 tribunal treated that complaint as evidence that the conduct would be regarded as deplorable by peers, and it weighed the size of Buch’s audience as an aggravating feature of the posting rather than a neutral fact.
The sanction history ended in the profession’s most severe outcome. The tribunal’s direction of erasure removes Buch from the register entirely, and MedicWatch records the case among the doctors struck off in 2025 . No separate criminal proceeding appears in the public record of this case; the cancellation here is a regulatory one, built on tribunal findings about the content and motivation of his posts.
Because Buch did not attend the 2023 hearing and the 2025 review proceeded on the papers, there was no public contest of the findings and no public statement from him in the fetched record. The testimonials and written evidence he submitted at the 2023 stage did not prevent the eventual erasure.
Current Status
Keyur Buch has been erased from the medical register. The erasure was directed at the review hearing on 22 May 2025, following the December 2023 tribunal’s findings that his Twitter posts were motivated by hostility towards Islam and Pakistanis and encouraged the same hostility in others. He has not held a licence to practise since January 2018, and erasure now forecloses any return to licensed practice unless a future tribunal were to allow restoration .
Impact on Their Career/Life
The erasure ends a career that once sat at the top of the surgical profession: a consultant appointment on the Specialist Register from 2000, in a specialty that plans and performs emergency and elective bone and joint surgery. Whatever the state of his licence since 2018, the register entry itself is now gone.
The case also shows how conduct far from the clinic — posts made from a personal account, outside any workplace — can end a medical career when the poster trades on the identity of “doctor”. A tribunal found the audience large, the hostility motivated, and the encouragement of hostility toward religious and ethnic groups proved; the profession’s own complaint, and the eventual erasure, are the visible consequences .