A DIRTY doctor kept his job despite suggesting a woman patient should pleasure herself to increase her heart rate during an examination, a court was told.

Cardiologist Dr Nilesh Pravin Jagjivan said the 27-year-old woman could “stimulate down there” after she took off her top during a check-up.

4 A cardiologist for the University Hospitals of Leicester NHS Trust suggested a female patient should pleasure herself during check up Credit: PA:Press Association Archive

Jagjivan, 37, escaped punishment after a medical tribunal accepted his claims that he was a virgin who had no interest in sex in May last year.

But he now faces being struck off after a High Court appeal ruled that his actions were indeed driven by sexual desire.

He told investigators he had "no sexual experience" and was "not attracted to men or women", let alone patients.

4 A medical tribunal accepted the 37-year-old's claims that he was a virgin who was 'not interested in men or women' Credit: PA:Press Association Archive

But Lady Justice Sharp ruled at a High Court appeal that he must have been "sexually motivated" when he spoke to the patient during a cardiac test.

The cardiology registrar, who worked for the University Hospitals of Leicester NHS Trust, pointed at her nipples and vagina and told her "there were three different places to get excited".

A Medical Practitioners Tribunal heard he told her she could "put pressure down there" to quicken her pulse.

He told her: "It's a bit 80s and some people aren't comfortable doing this" then suggested she could “stimulate down there to excite herself.”

4 The doctor claimed stimulating her vagina or nipples would increase her heart rate Credit: PA:Press Association Wire

The tribunal described his behaviour during the consultation as "deplorable" after hearing evidence.

But, after he alleged he had no interest in sex, it refused to strike him off, suspend him or even issue him with a warning.

No one had ever heard him "engage in the slightest sexual banter" and it was accepted that Jagjivan had no sexual experience.

Although his "unacceptable words" left the patient "distressed", the tribunal ruled they were not sexually motivated.

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But the General Medical Council challenged the decision, saying it flew in the face of the evidence.

Allowing the appeal, Lady Justice Sharpe said: "The tribunal's failure to find that there was a sexual motivation for Dr Jagjivan's actions was wrong."

She ruled that Jagjivan, from Leicester, gave no other explanation for what he said and a finding that he was sexually motivated was "irresistible".

4 But he now faces being struck off after a High Court appeal ruled that his actions were indeed driven by sexual desire Credit: Getty Images

Lady Sharpe - sitting with Mr Justice Dingemans - added: "In our view...there could be no motivation other than a sexual one for making statements to a partially dressed patient about intimate body parts and the stimulation of her vagina".

The judges substituted a finding that Dr Jagjivan's words were sexually motivated and sent the case back to the tribunal.

A panel will now decide whether his fitness to practice is impaired and whether he should be punished.