MedicWatchAn independent record

Health and Care Professions Council determination — review hearing

HCPTS panel extends Sandra Marshall's practice conditions for 18 months

An HCPTS panel extended speech and language therapist Sandra Marshall's conditions for 18 months after finding no evidence that she had addressed wide-ranging clinical shortcomings.

MedicWatch editorial · Published 11 June 2024 · Updated 23 September 2026

Conditions on practice (practising with restrictions) — 18 months

Data last checked: 23 September 2026Report a correction

What does “practising with restrictions” mean?

Conditions of practice allow the practitioner to keep working but only subject to specific restrictions — for example, supervision, limits on certain procedures, or required reporting to the regulator.

Concerning Sandra Marshall, speech and language therapist (Health and Care Professions Council SL33414).

Decision date: 11 June 2024 · Hearing started 11 June 2024

In plain English

The HCPTS panel found that speech and language therapist Sandra Marshall remained impaired after taking no steps to address wide-ranging clinical shortcomings while under an 18-month conditions order. It found a high risk that the failings would be repeated, but considered supervised practice could support remediation, and extended the conditions for a further 18 months.

Charges

The original allegations concerned failures to maintain and develop professional knowledge and skills, manage a caseload and take clinical decisions independently, answer questions accurately, make appropriate referrals and care decisions, keep adequate records, and communicate professionally and clearly with service users and parents.

Findings

The review panel found that nothing had changed since the conditions order was imposed. It found no evidence of developing insight, remediation, relevant learning or reflection, and found Sandra Marshall remained impaired on the personal and public components with a high risk of repeated failings. It extended the conditions of practice order for 18 months.

Source

All facts on this page are drawn from the publicly published Health and Care Professions Council determination linked below. MedicWatch does not editorialise the regulator’s findings.

Spot something incorrect?

If a fact on this page is wrong, or you believe the page should not be published, please submit a correction or takedown request.

Choose what works for you. Your choices are remembered for 180 days and you can change them any time using Cookie settings.