Nereus Ekweozor

1) On 12 April 2023 during a telephone consultation with Patient A, you:  

a. Did not conduct an adequate assessment on Patient A, in that you did not obtain sufficient information about Patient A’s condition  

b. Did not record adequate clinical observations of Patient A’s injury.  

2) On 11 May 2023 during a face to face consultation you did not undertake and/or record undertaking adequate clinical observations of Patient A’s injuries in that you:  

a. Did not assess and/or record assessing the location and/or nature and/or severity of Patient A’s swollen ankle  

b. Did not conduct and/or record conducting a gait analysis on Patient A 

c. Did not consider Achilles Tendon Rupture as a differential diagnosis, in that you:  

i. Did not conduct and/or record conducting a “Thompson” test on Patient A to check the integrity of Patient A’s Achilles tenson.  

ii. Did not palpate and/or record that you palpated Patient A’s ankle/Achilles tendon  

d. Did not discuss and/or record that you discussed the use of non-steroid anti inflammatories and/or signpost Patient A to a pharmacy or GP.  

e. Did not refer Patient A to his GP to refer Patient A to orthopaedics for specialist opinion and management.  

3) On 16 August 2023, during a face to face consultation, you: 

a. Did not maintain accurate and complete records in that you did not record and/or recognise “collapse of the lunate consistent with AVN/Keinbock disease” as reported on Patient B’s X-Ray.  

b. Were not able to recognise pathology requiring additional investigation and or referral to orthopaedics in respect of Patient B’s suspected AVN/Keinbock disease.  

c. Did not escalate and/or discuss Patient B with a senior practitioner.  

4) On 02 October 2023, during a face to face consultation you did not conduct and/or record that you conducted an adequate assessment on Patient C, in that you:  

a. Did not adequately assess and/or record that you assessed Patient C’s mental health.  

b. Did not determine and/or record that you determined if Patient C should be signposted for further support.  

5) On 30 October 2023, during a face to face consultation you did not maintain accurate and complete records in that you:  

a. Recorded that you have assessed Patient D’s dermatomes from the top of the hip to the foot when you had not.  

b. Recorded that you had completed a heel shin test on Patient D when you had not.  

c. Recorded that Patient D’s slump test was positive when it was negative.  

6) On 14 November 2023, during a face to face consultation, you did not follow the post operative protocol in respect of Patient F, in that you:  

a. Allowed Patient F to move their knee beyond 90 degrees.  

b. Allowed Patient F to walk without his brace during the assessment.  

c. Prescribed an exercise for Patient F requiring them to bend their knee beyond 90 degrees.  

d. Did not advise Patient F to follow the post operative protocol and explain the possible consequences of not adhering to the protocol.  

7) Between 22 November 2022 and 20 September 2023, during face to face consultations with Patient G, you;  

a. Did not carry out adequate assessment in that you: 

i. Did not screen Patient G for cervical arterial dysfunction until their third appointment on 17 February 2023.  

ii. Did not ask and/or record asking any follow up questions after Patient G responded positively to seven screening questions.  

iii. Did not determine whether the lumps you identified in Patient G’s hand and neck were new and/or changing in shape or size and/or were painful.  

b. Did not report the findings of the cervical arterial dysfunction to Patient G’s GP.  

c. Did not maintain accurate and complete records in that you;  

i. Did not record the location of Patient G’s pain.  

ii. Did not record the size or shape of the lumps you identified in Patient G’s hand and neck.  

d. Did not conduct and/or record conducting an adequate assessment of Patient G in that you did not adequately assess their mental health and/or determine if they should be signposted for further support.  

e. Did not provide adequate treatment in that you did not review the exercises you provided to Patient G.  

f. Did not include sufficient detail in a letter to Patient G’s GP about the concerns related to the lumps identified in Patient G’s hand and neck.  

8) The matters set out in Particulars 1 - 7 above constitute lack of competence.  

9) By reason of the matters set out above your fitness to practise is impaired by reasons of lack of competence.