Mrs Kathryn G Blake

During the course of your employment as a registered Physiotherapist with NHS Grampian, you:

1. In relation to:

a) at least 37 patients, did not keep full and accurate records of all patient
appointments.
b) at least 14 patients, did not make any notes of appointments.

2. In relation to Patient A

a) Did not carry out and/or record a physical examination of the patient at the first appointment on 2 September 2014.
b) Did not make and/or record a clinical diagnosis or impression.
c) In the notes of the first appointment on 2 September 2014 did not record:

i) Subjective markers; and/or
ii) Objective markers; and/or
iii) Risks/precautions; and/or
iv) A timescale for implementation/review of the treatment plan.

d) Did not record any appointments between 3 September 2014 and 10
December 2014 although the patient was seen on 14 October 2014.

3. In relation to Patient B:

a) Did not make records of appointments that were noted in the diary on:

i) 7 October 2014; and/or
ii)14 October 2014.
b) In the records made did not:
i) identify the patient’s needs/problems; and/or
ii) identify subjective markers; and/or
iii) identify objective markers; and/or
iv) record a treatment plan; and/or
v) record timescales for implementation and review of the treatment plan;
and/or
vi) record that interventions were implemented according to a treatment
plan; and/or
vii) record a review of the treatment plan; and/or
viii) record changes to a treatment plan; and/or
ix) record a review of goals; and/or
x) record the result of the outcome measure; and/or
xi) record advice/information given to the patient.

4. In relation to Patient C:

a) Noted that the patient was seeing a private physiotherapist but not why
you then continued treatment.
b) Did not carry out and/or record a full physical examination.
c) Did not make and/or record a clinical diagnosis or impression.
d) Did not record:

i) A treatment plan; and/or
ii)Timescales for implementation and review; and/or
iii) Whether interventions were implemented according to the treatment
plan; and/or
iv) The advice given to the patient; and/or
v) A review of subjective markers in that no pain scale was used; and/or
vi) Whether the treatment plan was reviewed; and/or
vii) Changes to the treatment plan; and/or
viii) Needs/problems; and/or
ix) Subjective markers; and/or
x) Objective markers.

5. In relation to Patient D:

a) Did not carry out and/or record a physical examination of the patient.
b) Did not make and/or record a clinical diagnosis or impression.
c) Did not record:

i) The patient’s needs and/or problems; and/or
ii) Subjective markers; and/or
iii) Objective markers; and/or
iv) A treatment plan; and/or
v) Timescales for implementation and/or review of treatment; and/or
vi) Goals and/or expectations; and/or
vii) Reviews of subjective markers; and/or
viii) Reviews of objective markers; and/or
ix) Reviews of treatment plan; and/or
x) Subjective and/or objective changes; and/or
xi) Changes to the treatment plan; and/or
xii) Reviews of goals; and/or
xiii) Results of the outcome measure; and/or
xiv) Risks and/or precautions.

6. In relation to your notes for Patient E you:

a) Did not record a full clinical diagnosis/impression.
b) Did not record risks and/or precautions.
c) Did not identify needs/problems.
d) Did not record:

i) subjective markers being identified; and/or
ii) a treatment plan; and/or
iii) timescales for implementation and/or review of the treatment plan;
and/or
iv) interventions being implemented according to the treatment plan; and/or
v) the advice and/or information given to the patient; and/or
vi) subjective markers being reviewed; and/or
vii) the treatment plan being reviewed; and/or
viii) subjective and objective changes; and/or
ix) changes to the treatment plan; and/or
x) a review of goals; and/or
xi) the result of the outcome measure.

7.In relation to Patient F:

a) Did not carry out and/or record a physical examination of the patient.
b) Did not make and/or record a clinical diagnosis or impression.
c) Did not complete the section on ‘Yellow flags’.
d) Did not record a pain scale.
e) Did not complete and/or record an objective assessment.
f) Did not record a treatment plan.

8. In relation to Patient G:

a) Did not carry out and/or record a full physical examination of the patient.
b) Did not make and/or record a clear clinical diagnosis or impression.
c) Did not complete the section on ‘Yellow flags’.
d) Did not ask and/or record patient allergies.
e) Did not record:

i) precautions and/or risks; and/or
ii) presenting position and/or problems; and/or
iii) a complete medical history; and/or
iv) relevant investigations; and/or
v) subjective markers using a pain scale; and/or
vi) a treatment plan in place; and/or
vii) a timescale for implementation and/or review; and/or
viii) interventions being implemented according to the treatment plan;
and/or
xi) the treatment plan being reviewed; and/or
xii) changes to the treatment plan; and/or
xiii) subjective and/or objective changes; and/or
xiv) a review of goals; and/or
xv) the result of the outcome measure.

9. In relation to Patient H, following an assessment on 14 April 2014, you did not make any records of appointments which took place on:

a) 20 May; and/or
b) 28 May; and/or
c) 4 June; and/or
d) 19 June; and/or
e) 3 July; and/or
f) 10 July; and/or
g) 6 August; and/or
h) 20 August 2014.

10. In relation to Patient I and an assessment on 23 October 2014 you did not record:

a) a clinical impression/diagnosis; and/or
b) a problem plan; and/or
c) the first treatment.

11. In relation to Patient J who attended a review appointment with you on 18 November 2014 your notes were not adequate in that they consisted of 3 lines.

12. The matters set out in paragraphs 1 - 11 constitute misconduct.

13. By reason of your misconduct your fitness to practise is impaired.