Lady Deborah Knight-Griffiths

As a registered Chiropodist/Podiatrist (CH31360) your fitness to practise is impaired by reason of misconduct. In that:

On or around 13 November 2020 you performed a partial right second toe amputation on Service User 1, and in respect of this procedure you did not carry out an adequate pre-operative assessment in that you did not:

(a) take and/or record Service User 1’s blood pressure;

(b) take and/or record Service User 1’s pulse;

(c) take and/or record Service User 1’s temperature;

(d) take and/or record Service User 1’s oxygen saturation;

(e) take and/or record Service User 1’s respiration rate;

(f) take and/ or record Service User 1’s level of consciousness;

(g) obtain and/or record Service User 1’s medical history and/or drug history and/or allergy status;

(h) undertake and/or record a vascular and/or a neurological assessment;

(i) perform an up-to-date x-ray on Service User 1’s right foot;

(j) undertake and/or record a venous thromboembolism assessment; and/or

(k) obtain informed and/or written consent from Service User 1 to perform the procedure.

2. On or around 6 November 2020, you did not obtain a tissue sample and/or wound swab from Service User 1’s right foot which was necessary and/or appropriate.

3. Between 20 December 2019 and 13 November 2020 (inclusive), you did not maintain accurate and complete records for Service User 1, in that you did not:

(a) record the location, dose and/or volume of local anaesthetic block administered to Service User 1 on or around 13 November 2020;

(b) document your clinical notes in the Subjective, Objective assessment, Action taken, Plan of care and (optional) Education (SOAP) (E)) format;

(c) undertake and/or document the dimensions of Service User 1’s foot ulceration;

(d) document and/or undertake an appropriate diabetic assessment of Service User 1’s feet; and/or

(e) adequately, or at all record any post-operative advice provided to Service User 1 following the procedure detailed at Particular 1.

4. Following performing the procedure set out at Particular 1 above, you sutured Service User 1’s wound when it was not appropriate to do so.

5. In respect of the procedure detailed at Particular 1 above, you did not undertake the procedure in a hospital setting and/or as part of a hospital’s Diabetes Multidisciplinary Team which was necessary and/or appropriate.

6. In respect of particulars 4 and/or 5 you have worked beyond your scope of practice.

7. The matters set out in particulars 1a and/or 1b and/or 1c and/or 1d and/or 1e and/or 1f and/or 1g and/or 1h and/or 1i and/or 1j and/or 1k and/or 2, and/or 3a and/or 3b and/or 3c and/or 3d and/or 3e, and/or 4, and/or 5 and/or 6 above constitute misconduct.

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