Pre hearing information
The tribunal will inquire into the allegation that on 7 July 2017, Dr Narayanan consulted Patient A and failed to make adequate contemporaneous notes, take the necessary action to correct Patient A’s abnormal International Normalised Ratio or adequately complete blood transfusion forms for Patient A. It is also alleged that Dr Narayanan knew that Dr B had not taken a blood sample from Patient A, but dishonestly indicated to the contrary.
The tribunal will also inquire into the allegation that on 2 August 2017, Patient C presented to Dr Narayanan with chest pain and that he failed to take an adequate history, provide appropriate safety netting advice, make a diagnosis of acute coronary syndrome, appreciate the raised troponin levels were a risk factor, assess the adequacy of Patient C’s anticoagulation, undertake any discussion about the risks of discharge and seek advice about his treatment plan from a senior colleague.
Further, the tribunal will inquire into the allegation that, in Dr Narayanan’s discharge letter dated 2 August 2017, he incorrectly stated ‘patient can be discharged in a stable condition’ and that, having been asked on 2 August 2017 by Dr D to reconsider his diagnosis and treatment of Patient C, he failed to consider his diagnosis was incorrect and told Dr D a CT scan was unnecessary.
It is also alleged that on 2 August 2017, Dr Narayanan consulted Patient E and failed to make adequate contemporaneous notes, take an adequate history, undertake any examination to consider other factors, make an adequate diagnosis, arrange for Patient E to undergo a CT scan, provide safety netting advice for the planned discharge or seek input from a senior colleague in his management of Patient E.
This reflects the allegation as it stands at the start of the hearing. The allegation may be amended as the hearing proceeds and when findings of fact are made by the tribunal.
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In accordance with Rule 41(2) of the General Medical Council (Fitness to Practise) Rules 2004, the tribunal may decide to exclude the public from the proceedings or any part of the proceedings, where they consider that the circumstances of the case outweigh the public interest in holding the hearing in public.