Mr John Harold Bisson

Profession: Occupational therapist

Registration Number: OT53290

Hearing Type: Final Hearing

Date and Time of hearing: 10:00 03/06/2019 End: 17:00 12/06/2019

Location: Mercure York Fairfield Manor Hotel Shipton Road, Skelton, York, YO30 1XW, United Kingdom

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

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Allegation

Whilst registered as an Occupational Therapist and employed by Leeds and York Partnership NHS Foundation Trust and Tees, Esk and Wear Valleys NHS Foundation Trust:

1. In relation to Service User A:

a) Between approximately 15 June 2015 and 15 February 2016, you did not complete and / or record:

i. a holistic assessment; and / or

ii. a SAMP; and / or iii. a care plan; and / or

iii. a clinical MDT discussion.

b) Between approximately 27 October 2015 and 15 February 2016, you did not arrange and / or conduct any visits to the service user.

2. Between January 2015 and March 2016, you did not consistently complete documentation in respect of 8 service users as follows:

i. In relation to Patient 3, as identified in caseload reviews undertaken on 9 September 2015, 15 February 2016 and 1 and 3 March 2016;

a) In reference to the SAMP assessment of 29 July 2015, did not record;

i) the end time of the assessment; and / or

ii) the outcome of the assessment; and / or iii) reasons for the assessment; and / or

iv) the location of the assessment; and / or

v) a planned completion date for the assessment; and / or

vi) a planned review date for the assessment; and / or vii) any notes under the header details section within the assessment; and / or viii) any information within the source of information section within the assessment; and / or

ix) sufficient information in relation to the risk to the patient within the assessed outcome of the assessment; and / or

x) information as to the patient’s ‘Strengths and Protective Factors’; and / or

xi) information as to the patient’s ‘Harmful and Dynamic Risk Factors’.

b) In reference to the SAMP assessment of 29 December 2015, did not record;

i) a reason for the assessment; and / or

ii) a planned completion date for the assessment; and / or iii) an outcome for the assessment; and / or

iv) a reason for the delay in completing the assessment; and / or

v) information from the previous SAMP within the ‘Known Significant History’ of the assessment; and / or

vi) sufficient information within the ‘Short Term Risk’ section of the assessment; and / or vii) a clinical MDT discussion arising from the patient’s risk of suicide; and / or viii) an adequate assessment of the patient’s needs; and /or

ix) concerns about the patient arising from previous plans; and / or

x) a decision arising from the assessment; and / or

xi) any options which had been considered; and / or xii) a plan arising from the assessment.

c) In reference to the SAMP assessment of 20 January 2016, did not record;

i) a reason for the assessment; and / or

ii) an end date for the assessment; and / or iii) the outcome of the assessment; and / or

iv) a planned completion date for the assessment; and / or

v) a reason for the delay in completing the assessment; and / or

vi) a planned review date for the assessment; and / or vii) information from the previous SAMP within the ‘Known Significant History’ of the assessment; and / or viii) adequate information about Patient 3’s plans; and / or

ix) adequate information about short term risks for the patient; and / or

x) adequate information as to the patient’s ‘Strengths and Protective Factors’; and / or

xi) adequate information as to the patient’s ‘Harmful and Dynamic Risk Factors’; and / or xii) adequate information within the management plan section of the assessment.

d) In reference to the MH clustering tool of 7 July 2016, did not record a care plan arising from the information within the MH clustering tool.

e) In reference to case notes entered on 11 September 2015 and 19 February 2016, did not record any plan arising from the patient’s stated desire to kill himself.

ii. In relation to Patient 7, as identified in caseload reviews undertaken on 9 September 2015, 15 February 2016 and 1 and 3 March 2016;

a) In reference to the CPA wellbeing recovery plan dated 31 July 2015, did not record;

i) details of contact with the patient; and / or

ii) the reason for the assessment; and / or iii) a planned completion date for the assessment; and / or

iv) adequate information within the ‘Goals’ section of the assessment; and / or

v) adequate information within the ‘Staying Safe’ section of the assessment; and / or

vi) a specific goal for increasing the patient’s activities within the ‘Making the Most of My Time’ section of the assessment; and / or vii) adequate information within the ‘My Medication’ section of the assessment; and / or viii) adequate information within the ‘People Important to Me’ section; and / or

ix) adequate information about the Pathways Team and their role in the patient's case within the ‘My Money’ section of the assessment.

b) In reference to the CPA Review and Care Plan dated 27 February 2015, did not record;

i) a specific timeframe for completion of the identifiable goals; and / or

ii) a goal in respect of the patient’s issues with alcohol detailed within the ‘Physical Health’ section of the plan; and / or iii) adequate information within the ‘Learning Disability’ section of the plan; and / or

iv) adequate information within the ‘Safety and Risk’ section of the plan; and / or

v) a plan within the ‘Safety and Risk’ section arising from the patient’s indication that he was hearing voices; and / or

vi) correct information within the useful details section of the plan; and / or vii) adequate emergency contact information within the ‘Coping Strategies’ section of the plan.

c) In reference to the caseload review on 9 September 2015, did not complete a MH Clustering Tool by the time of the review.

d) In reference to a case note entered on 11 February 2016, you did not record an action plan arising from the information provided to you.

e) In reference to the caseload review on 15 February 2016, did not record a holistic assessment by the time of the review.

iii. In relation to Patient 12, as identified in caseload reviews undertaken on 9 September 2015, 15 February 2016 and 1 and 3 March 2016;

a) In reference to a case note on 8 June 2015, did not record any contact with the patient within 7 days of their discharge from inpatient care; and / or

b) In reference to the CPA wellbeing recovery plan of 4 June 2015, did not record whether the patient was in agreement with the plan to conduct the next CPA review on 3 August 2016; and / or

c) In reference to the MH clustering tool dated 14 December 2015, did not record a reason for the assessment; and / or

d) In reference to a case note entered on 6 February 2016, did not record a response to the patients request to contact them.

iv. In relation to Patient 13, as identified in caseload reviews undertaken on 15 February 2016 and 1 and 3 March 2016;

a) In reference to the SAMP assessment of 13 November 2015, did not record a care plan arising from the information within the SAMP;

b) In reference to the caseload review on 15 February 2016, did not record by the time of the review:

i) a wellbeing recovery plan; and / or

ii) a crisis plan.

c) In reference to the case note entered on 5 January 2016, did not record clear information as to the next step to be undertaken in respect of the patient’s care and how this would be progressed.

d) In reference to the caseload review on 1 and 3 March 2016, did not record a care plan by the time of the review.

v. In relation to Patient 15, as identified in caseload reviews undertaken on 9 September 2015, 15 February 2016 and 1 and 3 March 2016;

a) In reference to the SAMP assessment of July 2015, did not record adequate information within the ‘Assessment of Short Term Risk’ section of the assessment.

b) In reference to the caseload review on 9 September 2015, did not record by the time of the review;

i) a clustering tool; and / or

ii) a care plan.

c) In reference to the caseload review on 15 February 2015, did not record by the time of the review;

i) a clustering tool; and / or

ii) a recovery care plan; and / or iii) a crisis plan.

d) In reference to the caseload review on 1 and 3 March 2015, did not record a care plan by the time of the review.

vi. In relation to Patient 16, as identified in caseload reviews undertaken on 9 September 2015, 15 February 2016 and 1 and 3 March 2016;

a) in reference to the CPA wellbeing recovery plan started on 31 July 2015, you did not;

i) within the Mental Health header, complete a clear plan of intervention for the patient; and / or

ii) record that the patient was attending the Hearing Voices group under the Mental Health header; and / or iii) record clear notes of your assessment with the patient.

b) In reference to the caseload review on 9 September 2015, did not record a MH clustering tool by the time of the review.

c) In reference to the caseload review on 15 February 2015, did not record by the time of the review.

i) a holistic assessment; and / or

ii) a clustering tool. vii. In relation to Patient 20, as identified in caseload reviews undertaken on 9 September 2015, 15 February 2016 and 1 and 3 March 2016;

a) In reference to the CPA wellbeing recovery plan dated 31 July 2015, did not record;

i) adequate detail of the patient’s chronic physical health problems within the ‘Staying Physically Well’ section of the assessment; and / or

ii) adequate detail of the types of long-term support required by the patient within the ‘Moving On’ section of the assessment; and / or iii) adequate detail in the patient’s crisis plan; and / or

iv) adequate clinical information relating to the patient’s goals.

b) In reference to the caseload review on 9 September 2015, did not record by the time of the review:

i) a CPA; and / or

ii) a SAMP.

c) In reference to the caseload review on 15 February 2015, did not record by the time of the review:

i) a crisis plan and / or;

ii) a holistic assessment. viii. In relation to Patient 37, as identified in caseload reviews undertaken on 9 September 2015, 15 and February 2016;

a) In reference to the ‘Casenote Text Report’ of 21 December 2015, did not record;

i) clinically objective comments; and / or

ii) clinical reasoning for discharging the patient.

b) In reference to the SAMP dated 29 December 2015, did not record;

i) a reason for the assessment; and / or

ii) the planned review date for the assessment; and / or iii) information in the history section about the patient’s history; and / or

iv) a clear plan of how the risks highlighted under ‘Assessment of Short Term Risk’ were going to be managed; and / or

v) clinical discussions with other members of staff.

c) In reference to the MH clustering tool of 3 December 2015, did not record;

i) a care plan to manage the clinical needs identified; and / or

ii) a clinical evaluation of the patient.

d) In reference to the clustering tool dated 22 September 2015, did not record the reason for the assessment;

e) In reference to the care plan started on 12 June 2015, did not record:

i) the reason for the assessment; and / or

ii) did not record correspondence with the patient’s GP in which you provided the completed care plan and/ or the completed points of the care plan.

3. Your actions described at particulars 1 and 2 constitute misconduct and / or lack of competence.

4. By reason of your misconduct and/or lack of competence your fitness to practise is impaired.

Finding

No information currently available

Order

No information currently available

Notes

Reconvened final hearing to take place at Mercure York Fairfield Manor Hotel from Monday 3rd June to Friday 7 June and Monday 10 June to Wednesday 12 June 2019 at 10:00am on day 1 and 09.30 am on days 2-8.

Hearing History

History of Hearings for Mr John Harold Bisson

Date Panel Hearing type Outcomes / Status
03/06/2019 Conduct and Competence Committee Final Hearing Hearing has not yet been held