A doctor has been removed from the medical register after it was found he failed to provide "good clinical care" to three patients, including one at Fairfield General Hospital.

Dr Vytautas Liesis received his university medical qualification in Vilnius, Lithuania, in 2001 and worked primarily as a locum middle grade doctor in emergency medicine in the UK.

But between June 25, 2019, and March 26, 2020, it was alleged that he failed to provide "good clinical care" to three patients at Fairfield General, Shrewsbury and Telford Hospital NHS Trust and Aneurin Bevan Hospital in Wales.

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A Medical Practitioners Tribunal Service report, documenting a misconduct hearing into the claims made against Dr Liesis, also said he was accused of sending emails to his employer using unprofessional language, answered dishonestly on a form and failed to return a work form.

Regarding the case at the Rochdale Old Road hospital, a patient was assessed at the emergency department on December 29, 2019.

The patient said he had pain in the lower back, right buttock going down the back of the right leg and into the foot.

But Dr Liesis failed to provide good clinical care and failed to review blood tests and a CT scan the patient had undergone the previous day, the report said.

The tribunal also concluded that Dr Liesis did not conduct an adequate examination of the patient and did not refer him for an orthopaedic opinion and did not diagnose an infective cause for his symptoms.

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An expert quoted in the report said: “Dr Liesis did not arrange any tests, but none were necessary if he had reviewed the tests which had been performed the previous day.

“Had he reviewed these, he would have noted that the inflammatory markers were raised.

"In my opinion this should have led him to consider an infective cause for the symptoms, either septic arthritis or discitis.

“Had he made either of these diagnoses, referral for an orthopaedic opinion would have been appropriate.”

Regarding another patient at Royal Shrewsbury Hospital, it was found that on June 25, 2019, Dr Liesis did not conduct an adequate neurological examination or assessed them for cerebellar disease and confusion.

It was found that he failed to provide the patient good clinical care as they were still suffering from symptoms at the time they were discharged.

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And regarding a third patient at the A&E department at Aneurin Bevan Hospital, on March 26, 2020, Dr Liesis failed to provide good clinical care by not organising tests, ultrasounds and recommending suitable treatment.

The tribunal found that Dr Liesis did not show any insight into his misconduct, did not offer any apologies or acknowledge his failings.

The tribunal ruled that the only appropriate action to take was to erase Dr Liesis’ name from the medical register.

It was also determined that his fitness to practise is "currently impaired by reason of misconduct".

The report added: "The tribunal determined that an immediate order of suspension is necessary to protect members of the public, to protect confidence in the medical profession and is in the wider public interest.

"This means that Dr Liesis’ registration will be suspended from the date on which notification of this decision is deemed to have been served upon him.

"The substantive direction, as already announced, will take effect 28 days from that date, unless an appeal is made in the interim."