Sandra Marshall

As a registered Speech and Language Therapist (SL33414) your fitness to practice is impaired by reason of lack of competence. In that:

1. Between 1 March 2019 and 31 March 2021 you did not maintain and develop your own knowledge and skills. In that:
   a. You were unable to manage your caseload and/or take clinical decisions independently.
   b. You made errors when asked questions by service users and their parents.
   c. You were unable to make referrals appropriately.
   d. You were unable to make appropriate decisions regarding ongoing care for service users.
2. Between 1 March 2019 and 31 March 2021 you did not keep accurate and complete records, in that you produced inadequate SOAP notes, and/or care plans and/or discharge summaries.
3. Between 1 March 2019 and 31 March 2021 you did not communicate professionally with service users and their parents. In that:
   a. You did not adapt your communication style for service users and/or their parents.
   b. You did not clearly explain appointment details in terms service users and/or their parents would understand.
4. The matters set out in particulars 1, 2 & 3 above constitute lack of competence.
5. By reason of your lack of competence your fitness to practise is impaired.