Judith A Calvin

As a registered Dietitian (DT08155) your fitness to practise is impaired by reason of misconduct and/or lack of competence. In that:

1. When writing a letter for Person 6 to their General Practitioner (GP) recommending a feeding product on or around 29 November 2018:

a. You used Belfast Health and Social Care Trust (BHSCT) headed paper to write a letter despite Person 6 not being a patient of the dietetics team at BHSCT.

b. You did not carry out an assessment of the child before writing the letter

c. You did not follow the referral protocol before writing the letter

d. You did not complete records of your involvement with Person 6

2. Between January 2018 and December 2018, you did not adequately assess and/or provide adequate treatment and/or advice to;

a. Patient 1

b. Patient 2

c. Patient 3

d. Patient 4

e. Patient 5

3. You did not record adequate information within your patient notes for:

a. Patient 1 in that you did not plot Patient 1’s weight at the appointment on 23 February 2018 on a growth chart;

b. Patient 4 in that in respect of the appointment on 20 July 2018, you did not record:
i. Patient 4’s weight and/or height or the reason why these were not recorded;
ii. The blood work results;
iii. The brand of milk Patient 4 was taking;
iv. The time and location of the assessment.

c. Patient 5 in that following your assessment on 25 May 2018, you did not record:
i. The time and location of the assessment;
ii. Patient 5’s weight and/or height;
iii. Information relating to how Patient 5 was reacting to the newly recommended formula;
iv. Information relating to diet history.

d. Patient 2 in that you did not record your advice to request an Epipen.

e. Patient 3 in that following the assessment on 10 December 2018, you did not record:
i. The time and location of the assessment;
ii. Patient 3’s weight or the reason this could not be taken;
iii. Adequate information regarding Patient 3’s food intake;
iv. A treatment plan

4. On 10 December 2018, you inaccurately recorded within Patient 3’s clinical notes that Patient 3’s PEG tube was out; when this was not the case.

5. In respect of Patient 1, between 23 February 2018 and 28 December 2018, you made alterations to previous records and did not make clear what alterations you had made to such records.

6. In respect of Patient 3, sometime between December 2018 and December 2019 you made alterations to previous records and did not make clear what alterations you had made to such records.

7. In respect of Patient 6, between 24 August 2018 and September 2019, you made alterations to previous records and did not make clear what alterations you had made to such records.

8. Your actions in allegation 1 and/or 5, 6, 7 were dishonest

9. The matters set out in allegations 1 – 8 constitute lack of competence and/or misconduct.

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