Miss Helen Middleham

Whilst registered as a Paramedic and employed by North West Ambulance

Service NHS Trust between April 2013 and February 2017:

1. In relation to Patient A, on or around 8 June 2016, you:

a) Did not act act and/or communicate appropriately, in that you:

i. Told the patient in relation to her reported pain level “you would have had

to have no arms and legs to have so much pain” and/or “not to be so

dramatic, you wouldn’t have been able to walk to the ambulance if it was

that” or words to that effect;

ii. Stood with your arms folded;

iii. Rolled your eyes;

iv. Tutted;

b) Falsified and/or incorrectly recorded the patient’s pain level on the

Patient Report Form;

c) Inappropriately delegated the care of the patient to your Emergency

Medical Technician colleague;

2. In relation to Patient B, on or around 20 November 2016, you:

a) Did not undertake an adequate assessment of the patient;

b) Did not review the patient’s maternity notes;

c) Did not contact the maternity triage unit;

d) Did not treat and/or record on the Patient Report Form completed by

your Emergency Medical Technician colleague the patient’s pain level;

e) Did not offer the patient an ambulance transfer to hospital;

f) Did not review and/or countersign the Patient Report Form completed by

your Emergency Medical Technician colleague;

g) Fabricated your application of the Manchester Triage System;

3. Between approximately 3 December 2016 and 30 December 2016, you

fabricated a Patient Report Form in relation to your call out to Patient B on

20 November 2016;

4. Your actions described at particulars 1(b) and/or 2(g) and/or 3 were

dishonest;

5. Your actions described at particulars 1 to 4 constitute misconduct and/or

lack of competence;

6. By reason of your misconduct and/or lack of competence your fitness to

practise is impaired.