Health and Care Professions Council determination — substantive hearing
HCPTS gives Francis Mwangi a two-year caution
The paramedic's failures in assessment, record keeping, pain relief and communication created a potential risk of harm.
MedicWatch editorial · Published 22 March 2024 · Updated 23 September 2026
Warning (formally warned) — 2 years
Data last checked: 23 September 2026Report a correction
What does “formally warned” mean?
A formal warning is a note on the practitioner's record. It does not restrict practice but tells the public that the regulator considered the conduct to have fallen below expected standards.
Concerning Francis Mwangi, paramedic (Health and Care Professions Council PA39810).
Decision date: 22 March 2024 · Hearing started 18 March 2024 and ended 22 March 2024
In plain English
The HCPTS panel imposed a two-year caution order on paramedic Francis Mwangi after finding serious failures in assessing, documenting and treating a patient with severe abdominal pain. Dishonesty was not proved. The incident was isolated and the risk of repetition was low, but the panel found a public-interest impairment because the failings exposed the patient to potential harm.
Charges
Mr Mwangi failed to conduct a required abdominal assessment, falsely recorded that it had been completed, did not offer or provide analgesia despite a pain score of eight, and was dismissive of the service user's presenting symptoms. Dishonesty was not proved.
Findings
The panel found multiple serious failings amounting to misconduct. It found no current personal impairment because the isolated incident was remediable, the risk of repetition was low and Mr Mwangi had practised unrestricted for four years without further concern. It found public-interest impairment and imposed a two-year caution order.
Mitigating and aggravating factors
Mitigating factors
The Registrant had admitted the majority of the Particulars; The Registrant had complied with what the Trust had asked of him in terms of remediation; This was an isolated, one-off episode of misconduct; There was no previous regulatory finding or findings against the Registrant; The presence of a barking dog had created difficulties for the Registrant at the time of the Allegation; The Registrant was impacted by difficult personal circumstances at the time of the Allegation, which were unique to that immediate period of time.
Aggravating factors
The lack of apology or remorse to SU A; Limited remediation for the purposes of regulatory proceedings; The potential for harm to SU A; Lack of fully developed insight.
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.
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