Miss Kirsty Gull

: Speech and language therapist

: SL30429

: Final Hearing

Date and Time of hearing:10:00 18/09/2017 End: 17:00 21/09/2017

: Jurys Inn, 245 Broad Street, Birmingham, B1 2HQ

: Conduct and Competence Committee
: Adjourned part heard

Allegation

Whilst employed as a Speech and Language Therapist by The Dudley Group NHS Foundation Trust from 5 January 2015 to 5 October 2015:

 

1)     In relation to Patient A:

 

a)     You did not assess the patient’s communication skills;

b)    You did not adequately communicate with the patient;

c)     You did not adequately complete an oromotor assessment;

d)    You demonstrated a poor knowledge of anatomy;

e)     You did not liaise with the patient’s next of kin;

f)     You made an assumption that the patient would not be able to sip normal fluid as part of the assessment;

g)    You did not plan follow-up intervention appropriately;

h)     Your written record of the patient’s swallowing difficulty was different to your verbal description given during the assessment;

 

2)     In relation to Patient B:

 

a)     You did not adequately complete an oromotor assessment;

b)    You did not check the patient’s food charts and/or suggest a referral to Dietetics;

c)     You made recommendations regarding the patient’s diet which were not based upon your assessment of the patient;

d)    You did not adequately document your assessment of the patient;

 

3)     In relation to Patient C:

 

a)     You did not adequately communicate with the patient;

b)    You did not provide adequate oral care;

c)     You did not check whether the patient had any oral residue of your own volition;

d)    You did not adequately document your assessment of the patient;

 

4)     In relation to Patient D:

 

a)     You did not adequately communicate with the patient;

b)    You did not use the correct finger placement when undertaking laryngeal palpation:

c)     You did not adequately document your assessment of the patient;

 

5)     In relation to Patient E:

 

a)     You did not remove a water jug and/or a cup of water from the patient’s reach of your own volition following your assessment of the patient;

b)    You did not adequately document your assessment of the patient:

 

6)     In relation to Patient F:

 

a)     You did not adequately undertake a dysphagia and/or communication assessment;

b)    You did not put a nebuliser on the patient of your own volition following your assessment of the patient;

c)     You did not update the patient’s swallow sign;

d)    You did not adequately document your assessment of the patient;

 

7)     In relation to Patient G:

a)     You did not correctly interpret clinical information from the patient’s medical notes;

b)    You did not adequately undertake a dysphagia and/or communication assessment;

 

8)     In relation to Patient H:

 

a)     You did not adequately undertake a dysphagia and/or communication assessment;

b)    You did not give consideration to discharging the patient;

 

9)     In relation to Patient I:

 

a)     You did not adequately prepare for your assessment of the patient;

b)    You demonstrated poor feeding technique;

c)     You did not encourage the patient to feed himself;

d)    You did not identify an alternative for a pureed diet;

e)     You did not carry out an information communication assessment of your own volition;

f)     You did not adequately undertake a communication assessment;

 

10)  In relation to Patient J:

 

a)     You did not read the Speech and Language Therapy case notes prior to seeing the patient;

b)    You did not intervene and/or discuss as a concern when you observed a nurse giving the patient fluids via a syringe;

c)     You did not discontinue the assessment of the patient of your own volition, despite the patient’s distress;

d)    You required support from your supervisor to discuss the assessment with the medical team;

 

11)  In relation to Patient K:

 

a)     You did not ask for any information and/or an update regarding the patient’s communication skills;

b)    You did not update the patient’s swallow sign;

c)     You acted inappropriately in asking the patient to explain what difficulty they were having;

d)    You did not adequately undertake a communication assessment;

e)     You did not handover the patient’s communication difficulties to nursing staff;

f)     You did not consider a joint assessment with an Occupational Therapist to assess the patient;

g)    You did not adequately document your assessment of the patient;

 

12)  In relation to Patient L:

 

a)     You did not adequately document your assessment of the patient;

 

13)  In relation to Patient M:

 

a)     You did not implement a relevant swallow manoeuvre with normal fluids prior to trialling with stage 1 thickened fluids;

b)    You did not adequately document your assessment of the patient;

 

14)  In relation to Patient N:

 

a)     You did not adequately undertake a dysphagia and/or communication assessment;

b)    You did not adequately document your assessment of the patient;

 

15)  In relation to Patient O:

 

a)     You demonstrated poor feeding technique;

b)    You did not consistently palpate the patient’s larynx accurately;

c)     You did not discuss the long term management plan of nutrition for the patient with the medical team;

 

16)  Your actions described at particulars 1 to 15 constitute misconduct and/or lack of competence;

 

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

Finding

No information currently available

Order

No information currently available

Notes

This hearing adjourned due to a lack of time. This hearing will be rescheduled on a yet to be confirmed future date.

Hearing history

History of Hearings for Miss Kirsty Gull

Date Panel Hearing type Outcomes / Status
18/09/2017 Conduct and Competence Committee Final Hearing Adjourned part heard