Mrs Sarah Holt

Whilst registered as a Paramedic and employed by North West Ambulance Service:

 1. On 5 March 2016:

 a) In relation to Patient A, you:

 i. Did not undertake a full set of observations and/or examinations;

 b) In relation to Patient B, you:

 i. Did not undertake appropriate clinical observations and/or examinations;

 ii. Did not request Colleague A to undertake the clinical observations;

 iii. Did not discuss an appropriate care pathway;

 iv. Did not take the patient to hospital;

 v. Inappropriately said to Patient B ‘There’s nothing much we can do for you, you’ve got a stomach bug, you need to man up and get on with it’ or words to that effect.

 c) In relation to Patient C, you:

 i. Did not undertake clinical observations and/or a complete assessment

 ii. Did not discuss an appropriate care pathway;

 2. On or around 13 March 2016, in relation to Patient D, you:

 i. Did not undertake clinical observations and/or examinations

 ii. Did not complete an appropriate care pathway;

 3. In relation to the Patient Report Form (PRF’s) of Patient A and Patient B, you recorded clinical observations when you had not taken observations.

 4. The matters described in particular 3 was dishonest.

 5. The matters described at particulars 1 and 2 amount to misconduct and/or lack of competence.

 6. The matters described at particulars 3 and 4 amount to misconduct.

 7. By reason of your misconduct and/or lack of competence your fitness is impaired.