Mohammad M Rahman

As a registered Physiotherapist (PH105985) your fitness to practise is
impaired by reason of lack of competence, in that:

1) You did not display an adequate level of clinical theoretical knowledge,
in that:

a) On or around 22 November 2016, when you were treating Patient 78, you:
i) Did not display an adequate level of understanding of the role of a locked knee brace;
ii) Did not display the ability to develop exercise progression.

b) On or around 26 January 2017, when assessing Patient 80, who was experiencing coincidental low back pain, you:
i)[No case to answer];
ii) [No case to answer];
iii) [Not proved];
iv) [Not proved].

2) You did not display an adequate level of clinical understanding, in that:

a) On or around 27 October 2016, when assessing Patient 21, who was mobilising independently on stairs, you advised that they should move their bed downstairs, when this was not required;
b) [Not proved].

3) You were unable to demonstrate adequate clinical reasoning in that:

a) On or around 11 October 2016, when assessing Patient 14 who had a Long Head of Biceps repair, you were unable to establish a
treatment and/or action plan

b) On or around 20 October 2016, following an assessment of Patient 31:
i) You were unable to explain to nursing staff how to safely transfer the patient;
ii) You were unable to discuss an action plan and/or work to be undertaken with the patient in future treatment sessions;

4) You were unable to develop appropriate discharge goals and/or plans, in that you:

a) On or around 17 November 2016, in relation to Patient 67, you were:
i) Unaware of the discharge plans and/or that this service user was a priority;
ii) Unaware of arrangements under Section 5 of the Mental Health Act.

b) On or around 21 October 2016, when assessing Patient 4:
i) Did not demonstrate an understanding of discharge planning;
ii) Stated that you did not need to see Patient 4 as they were already discharged, when they had an estimated discharge date of 25 October 2016.

c) On or around 17 November 2016, in relation to Patient 63, you stated during a handover meeting that they were ready for discharge, when this was not the case.

5) You were unable to apply appropriate and/or safe treatment, and/or management, in that:

a) On or around 11 October 2016, when treating Patient 12, who had had Total Hip Replacement, you:
i) Treated them as if they had had a Total Knee Replacement;
ii) Were unaware of and/or did not undertake relevant standing exercises.

b) On or around 16 November 2016, when assisting Patient 1 in going to the toilet, you:
i) [Not proved];
ii) Left Patient 1 to stand on his own when you left to retrieve a wheelchair.

c) [Not proved];

d) [No case to answer];

e) On or around 18 October 2016, when assisting Patient 29 with stair descending exercises, you did not notice that:
i) One of Patient 29’s arms had not been inserted through the cuff of the crutch;
ii) One or both of the crutches were facing the wrong way.

6) You were unable to adequately evaluate clinical intervention, in that you:

a) [Not proved];

b) On or around 15 November 2016, when assessing Patient 57, you were not able to adapt Patient 57’s mobility goals or treatment to account for their previous mobility;

c) On or around 11 November 2016 you discharged Patients 53 and/or 54 following knee replacement surgery without discussion with a senior colleague and/or consultant despite their inadequate range of movement.

7) You did not display adequate levels of written and/or verbal communication, in that you:

a) Did not document consent in writing for the following patients, on the following dates:
i. [No case to answer];
ii. [No case to answer];

b) [Not proved];

8) [No case to answer].

9) The matters set out in paragraphs 1 – 8 constitute lack of competence.

10)By reason of your lack of competence your fitness to practise is impaired.