Miss Zoe L Flello

Profession: Practitioner psychologist

Registration Number: PH54840

Hearing Type: Final Hearing

Date and Time of hearing: 10:00 03/12/2018 End: 17:00 10/12/2018

Location: Health and Care Professions Tribunal Service (HCPTS), 405 Kennington Road, London, SE11 4PT

Panel: Conduct and Competence Committee
Outcome: Hearing has not yet been held

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Allegation

During the course of your employment as a Physiotherapist at Milton Keynes University Hospital:

1) In the case of Child A, you:
a. did not record and/or place on file in a timely manner, contemporaneous treatment notes for appointments on 30.03.16 and/or 20.04.16 and/or 25.05.16;
b. did not record and/or place on file treatment notes for appointments on 07.05.15 and/or 07.10.15 and/or 15.10.15;
c. did not assess and/or record objective measures adequately and/or at all;
d. did not consistently record an analysis of whether the treatment was effective;
e. did not provide and/or record clear goals for the patient.

2) In the case of Child B, you:
a. did not record and/or place on file in a timely manner, contemporaneous treatment notes for appointments on 30.03.16 and/or 20.04.16 and/or 25.05.16;
b. did not record and/or place on file treatment notes for appointments on 07.05.15 and/or 07.10.15 and/or 27.10.16;
c. did not assess and/or record objective measures adequately and/or at all;
d. did not consistently record an analysis of whether the treatment was effective;
e. did not provide and/or record clear goals for the patient.

3) In the case of Child C, you:
a. did not record sufficient detail about the patient's treatment on 22.10.2015;
b. did not consistently record an analysis of whether treatment was effective;
c. did not consistently record an adequate plan of what the patient’s goals were and/or when outcome measures would be retested;
d. did not record and/or place on file in a timely manner, contemporaneous notes for the contact with the patient’s father on 03.02.2016.

4) In the case of Child D, you:
a. did not undertake and/or record treatment notes for patient appointments on 22.05.14 and/or 04.12.14;
b. did not see and/or record that you had seen the patient between 19.12.14 and 01.07.15;
c. noted a deterioration in the patient’s condition on 02.07.15 but did not:
i. contact and/or record your contact with the patient’s parents to update them; and/or
ii. plan to offer treatment until approximately two months later; and/or
iii. provide and/or record that you had provided the patient with a home exercise plan.
d. did not see and/or record that you had seen the patient between 03.07.15 and 21.10.15;
e. did not assess and/or record objective measures adequately and/or at all;
f. did not consistently record an analysis in your notes of whether treatment was effective.

5. In the case of Child E, you:
a. did not set and/or record goals and/or outcome measures to reassess the patient;
b. did not provide and/or record the provision of treatment to the patient;
c. did not record justification for continuing with regular appointments.

6. In the case of Child F, you:
a. did not consistently record sufficient objective assessment in patient notes;
b. did not consistently record sufficient detail with regards to goals and/or outcomes;
c. did not record and/or place on file in a timely manner, a contemporaneous treatment note for an appointment on 21.05.16.

7. In the case of Child G, you:
a. did not record an assessment of whether the SDR surgery was successful;
b. did not see the patient between 17.12.2015 and September 2016;
c. did not consistently record an adequate plan in the patient’s notes and merely stated “continue”;
d. did not consistently set and/or record goals and/or outcome measures to reassess the patient;
e. did not consistently record an analysis of the patient's problems and/or whether physiotherapy treatment was effective;
f. did not set and/or record any home exercise programme for the patient, despite its importance following surgery.

8. In the case of Child H, a patient suffering from a worsening gait pattern and falls, you:
a. did not conduct and/or record the following assessments of neuro testing for neuromuscular weakness:
iv. an assessment of the patient’s strength; and/or
v. Eccentric control; and/or
vi. any testing for fatigue; and/or
vii. an assessment of how the patient gets off the floor;
b. did not include a copy of and/or record details of the patient's exercise programme in their notes;
c. did not provide and/or record clear plans and goals.

9. In the case of Child I, you:
a. did not document in sufficient detail the treatment provided to the patient;
b. did not consistently record an analysis of the patient's condition and/or whether treatment was effective;
c. did not set and/or record goals and/or outcome measures to reassess the patient.

10. In the case of Child J, you:
a. in respect of the use of equipment at appointment on 17.09.15 did not:
i. obtain a signed copy of the safety advice sheet and/or place this on file; and/or
ii. provide and/or record that safety advice was given on this date.
b. did not record in sufficient detail the patient's treatment;
c. did not record and/or place on file in a timely manner, treatment notes for the patient's appointment on 10.12.15.

11. In the case of Child K, you:
a. did not record the treatment given;
b. did not set and/or record goals and/or outcome measures to reassess the patient;
c. did not consistently record an adequate analysis of the patient's condition and/or whether treatment was effective;
d. on 26.02.16 and 22.06.16 recorded that a plan was in place to visit the patient's school to run through the exercise programme but did not conduct and/or record a subsequent school visit.

12. In the case of Child L, you did not carry out and/or record strength or stability observations.

13. In the case of Child M, you:
a. did not action the plan to order different accessories arrange and/or record arranging for a company representative to complete an assessment of the appropriate equipment to meet Child M’s needs, despite identifying the need for alternative equipment on 28 October 2015;
b. did not attend and/or record attending the patient between 28.10.15 and 23.08.16;
c. Attended an appointment on 08.09.16, during which you:
i. set up the standing frame without trialling Child M in the standing frame; and/or
ii. agreed for the mother to adjust the standing frame herself.

14. In the case of Child N, you:
a. did not record the treatment the patient received;
b. did not consistently record an adequate analysis of the patient's condition;
c. did not record clear reasoning for not arranging either a follow up appointment with the patient following the appointment on 16.12.15 or arranging discharge.

15. In the case of Child O, you:
a. did not clearly record an analysis of the patient's condition;
b. did not set and/or record goals and/or outcome measures to be achieved;
c. did not arrange and/or record arranging a school visit as you indicated you would do in the notes of appointment on 03.06.15.
d. did not take steps and/or record those steps taken to order equipment as you indicated you would do in the note of your appointment on 3.06.15.

16. In the case of Child P, you:
a. did not provide Child P with weekly physiotherapy for a period of six weeks following Botox therapy in April 2015;
b. despite noting that the child’s walker was too small, did not order and/or record that you had ordered the patient's walker;
c. identified that the patient required a standing frame on 21.05.15 but did not:
i. speak and/or record a discussion with the child’s mother regarding this issue until 24.02.2016;
ii. actively progress the plan to provide a standing frame;
d. following concerns identified on 16.06.16, regarding Child P not attending school, did not undertake adequate steps to ensure Child P was safe.

17. In the case of Child Q, you:
a. did not see the patient between 30.09.15 and 06.01.16, despite the child requiring a full assessment as soon as possible;
b. did not record a clear analysis of the patient's problems;
c. did not carry out a detailed physical assessment of the patient's condition on 06.01.16;
d. despite noting Child Q needed an alternative walker on 6.01.16, did not take/and or record steps to arrange for a suitable walker to be provided in a timely manner;
e. on 15.09.16 placed an order to trial equipment but did not detail which accessories should accompany the walker.

18. In the case of Child R, you:
a. did not provide adequate safety advice and/or record providing adequate safety advice to the patient's parents;
b. did not provide a treatment block following appointment on 19.03.15;
c. did not carry out and/or document evidence of any home exercise programme or advice on activities for the patient to do at home;
d. despite agreeing on 10.06.15 to make a wheelchair referral, did not do so until 21.01.16;
e. did not record that the patient's walker tipped outside at school on the Trust Datix incident reporting system;
f. did not visit the patient at school between 13.10.15 and 05.05.16;
g. did not record and/or place on file in a timely manner, a contemporaneous record of your conversation with the child’s mother on 16.06.17.

19. In the case of Child S, you:
a. did not consistently record sufficient observations of the patient’s condition;
b. did not provide and/or record an adequate treatment plan;
c. did not provide follow up treatment between 24.06.13 and 07.01.15.

20. The matters set out in paragraphs 1 – 19 constitute misconduct and/or lack of competence.

21. By reason of your misconduct and/or lack of competence your fitness to practice is impaired.

Finding

No information currently available

Order

No information currently available

Notes

No notes available

Hearing History

History of Hearings for Miss Zoe L Flello

Date Panel Hearing type Outcomes / Status