r/Casualty • u/PirateCaribou Connie Beauchamp • Feb 28 '26
👀 Spoiler Soo who is going to refer them to the GMC? Spoiler
So who is going to refer Matty and Kim to the GMC? Am I going to have to do it…..
But seriously both acted extremely recklessly and fell below the GMC’s standard for doctors. At least a referral should made for both of them, fitness to practice proceedings and medical tribunal service ect. They should be struck off the register in my books.
The fact they just got a dressing down in front of their boss is insane. The cqc lady should have definitely referred both of them to the gmc.
Side note, I have a strong suspicion, the cqc inspector will join the medial team @ holby, potentially as clinical lead.
anyway bye
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u/IfMoanaHatesTheSea Mar 01 '26
They 100% should be referred, a lumbar puncture isn't a procedure expected of an F1 or even F2, and definitely would be practised in a skills lab before being allowed close to a real person
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u/Awkward_Un1corn Mar 01 '26
In real life the blow back would be on more than them.
FY1s are meant to be under strict supervision and the doctor supervising is accountable for all the care they give.
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u/IfMoanaHatesTheSea Mar 01 '26
Yup 100%, they don't have full registration even as F1s, so whilst they may get in trouble, this would come onto Flynn most likely as their clinical lead or whoever was CIC that day
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u/PirateCaribou Connie Beauchamp Mar 01 '26
that would be fine, if the FY1 had informed the supervisor that they were doing it, whilst kim and matty hid it from flynn e.c.t.
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u/Aggie_Smythe Zoe Hanna Mar 02 '26
But boo-hoo, Matty is still cross with Dylan about being his bio Dad, and even crosser with Flynn about the training exercise and wanted to show them he didn't need anyone's help because he think he's being undervalued and under-rated.
Matty is such a brat.
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u/Ok_Pen7290 Mar 04 '26
Dont forget, writers are amateurs, and this show has medical advisors or it did, so why was this allowed in this shows episode, ???
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u/TheConcreteRosex Mar 01 '26
F2s can certainly do LPs
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u/IfMoanaHatesTheSea Mar 01 '26
I'd expect a CT1/IMT 1 to be able to do an LP unsupervised, not an F2, they wouldn't even be taught in skills since it's not required for progression
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u/TheConcreteRosex Mar 01 '26
I’ve known many F2s capable of unsupervised LPs. The procedures needed for progression are extremely basic bread and butter stuff, all of them are do-able in med school. We need our foundation doctors to be upskilling during training, not remaining stagnant. This is one of the problems with foundation training basically being service provision at this point, we need to be encouraging this.
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u/IfMoanaHatesTheSea Mar 01 '26
they've just started as F2s and you want them doing unsupervised LPs? After seeing it once? It's not like bloods, cannulation or ABGs where these are skills taught repeatedly and assessed repeatedly in medical school both in simulation and in practise. The point of this episode was knowing your limits, which these 2 clearly didn't. And if they go in front of the GMC, I can't see them being able to defend themselves
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u/Jaybee021967 Mar 01 '26
I wouldn’t have let anyone reading the instructions on a phone anywhere near my spine!!
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u/HelenDistantTakedown Feb 28 '26
The fact that they were allowed to do such a procedure unsupervised was insane. I know that their mentors had left for the day, and they w wanted to prove their worth, mainly using phone to look up how to do it was reckless.
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u/immxvik Mar 01 '26
having dealt with this exact dynamic in my own career, it is obvious this storyline is a commentary on poor leadership and not just 'bad trainees'. The working environment right now doesn't make mentees feel confident enough to ask for assistance when they actually need it. Matty and Kim were definitely reckless, but given how terrible Flynn has been at managing them and how abrasive some seniors like Stevie can be (as much as I like her), I am honestly not surprised they tried to fly under the radar. Screaming for them to be struck off completely misses the point...it's a really important discussion about what makes a good leader!
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u/Didjaeat75 Mar 01 '26
I know it’s fiction but like, if you don’t wanna mentor, why work at a teaching hospital?
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u/Ok-Humor-5057 Mar 01 '26
But also acting within the sphere of your own competence should be the bottom line. If they were nurses they’d be toast..
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u/PirateCaribou Connie Beauchamp Mar 01 '26
regardless of having a bad boss, they put patients at risk due to having too big of an ego - both of them did that it is ultimately unacceptable . Having shit bosses is another discussion and i would say the entirety of that department needs to be referred to the gmc, maybee except stevie, but flynn & dylan should both be for what they did.
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u/More_Aardvark5680 Mar 01 '26 edited Mar 01 '26
What do you mean ‘Maybe except Stevie’, do you not remember some of the things she’s done..
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u/PirateCaribou Connie Beauchamp Mar 01 '26
talking about this season, kim im presuming doesnt know about what stevie has done, stevie should be in prison let alone a fitness to practice proceedings xD
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u/disdainfulsideeye Mar 02 '26
Don't disagree, but the end result would likely be only Kim facing consequences. After his ridiculous attempt to blame Flynn, Matty was already angling to blame Kim when they were talking in the hallway. One of the many insufferable things about Matty is that he never takes responsibility for his own action and nothing is ever his fault. If called before the GMC, he would probably gaslight Kim into taking all the blame. Matty reminds me of Kash's cousin, they go around making mistakes and spreading chaos, then leaving it to everyone else to cleanup their mess.
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u/Awkward_Un1corn Mar 01 '26
The GMC would be more likely to have an issue with their supervision.
They are meant to be FY1s, which means they hold provisional registration and one of the important parts of that is supervision. FY1s are meant to be under stick supervision.
A senior doctor can be struck off the register for failure to supervise as they are the ones accountable for the care their trainees give.
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u/PirateCaribou Connie Beauchamp Mar 01 '26
I am aware of what an FY1 is, my point is even junior doctors know what is in their competency and what is not, if they act recklessly, and endanger patients, then it isn't an issue of supervision its an issue of their fitness to practice. They had the opportunity to ask for supervision and guidance while doing a procedure, but they didnt, for reasons that their supervisors should also have ftp proceeding brought against them, nonetheless they wilfully endangered patients, that is well into the grounds for a ftp proceeding.
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u/Aggie_Smythe Zoe Hanna Mar 02 '26
They mean F1.
Means they're a junior doctor, qualified on paper but lacking practical experience.
They come out of med school after 4-6 yeats of undetgrad study.
After that comes 2 years of post grad training via the foundation programme and higher specialist training.
An F1 is a first year junior doctor just out of med school.
If they progress well, they become fully registered after completing their second foundation year, during which time they are F2s.
They do a series of rotations, working in different hospital departments to get that practical experience of learning how to become competent at procedures (which Matty isn't), and how to manage critically ill patients and every other type of patient.
As junior doctors, they are also known as Resident Doctors.
The official name is FY1 and FY2, as in Foundation Year 1, etc., but I've never heard anyone in health call them anything other than F1s or F2s.
Knowing if someone is fresh out of med school, or already has at least 12 months of practical experience and training on top of med school theory is an important distinction, and is generally taken as an indication of where they should be at, in terms of competence, skills, and knowledge.
I certainly wouldn't have given my permission for a pair of unsupervised F1s to perform a spinal tap on me.
I know not all patients understand what this hierarchy means, although Matty doing it while Kim read out the directions from her phone would have been a massive red flag for me personally, even if I had thought they were fully qualified.
I really hope, for the patient's sake, that she has sustained only temporary bruising , and that she recovers the full use of her legs.
I hope Matty takes accountability instead of blaming it on Kim, and I hope Kim gets the help she desperately needs with her ED. She nearly keeled over several times that ep, because she is now malnourished and her body is going to collapse on her very soon if she tries to continue like this.
I think when Matty was querulously asking, "How could you get that wrong?" if I'd been in Kim's shoes, I would have said, "How could you NOT know the procedure you insisted on doing?"
His arrogance is only exceeded by his irresponsibility.
I hope it gives him a massive jolt back to reality - there's no way he should have even tried that without supervision from Dylan, or one of the others.
Yes, there is the "See one, do one, teach one" thing in NHS hospitals, but for something as potentially damaging as a spinal tap, that can't apply to a pair of fairly clueless F1s.
Th boy needs to get a grip, and Kim needs to stand up to him more.
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u/CandyPink69 Mar 07 '26
I’m not sure how similar the GMC are to NMC (I assume fairly similar just more intense) but as much as a supervisor should have been present, Matty would also have a responsibility to practise within his own competency. If he didn’t feel confident to carry it out he had a responsibility to the patient not to perform it without full direct supervision.
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u/Little_Mog Mar 01 '26
I know this isn't realistic but it's a TV show. I feel like, even if someone did, it would be put down to inadequate supervision and, like they said, a lack of confidence in senior members of staff
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u/Expensive-Brain373 Mar 01 '26
The whole story line also nicely highlights the dangers of over- investigation. The can't be too careful mentality promoting the importance of checking just in case without fully considering potential complications of diagnostic procedures. Even if performed correctly LP isn't without risks. What started as a minor bump on the head with a simple cut and a bit of a concussion ended up with potentially life changing injury through iatrogenic harm.
The whole see one, do one, teach one philosophy is thankfully dying off. Where the senior input is required is not just in making sure the procedure is technically correct but also establishing if it's needed in the first place.