Nathan Lees
Introduction
Nathan Lees is a paramedic who was registered with the Health and Care Professions Council (HCPC) under registration number PA48119. On 16 July 2026, at the end of a hearing that had begun on 13 July 2026, a panel of the Health and Care Professions Tribunal Service (HCPTS) struck him off the register. The case concerned serious clinical and communication failures while he worked as a paramedic in Gibraltar in 2022 — including a failure to manage a patient’s airway during a cardiac arrest — with the panel finding service-user harm, a high risk of repetition, and current impairment on both personal and public grounds. Several allegations were dismissed or not proved.
Background Information
The published record identifies Lees only as a paramedic holding HCPC registration PA48119. It does not name an employer or ambulance service, and it does not describe his training or career; this page does not guess at any of them. The allegations concerned inadequate assessment and treatment, failure to manage a patient’s airway during cardiac arrest, incomplete clinical records, failure to offer pain relief, and unprofessional communication with or about patients and colleagues while working in Gibraltar in 2022. His MedicWatch profile records his most recent published outcome as striking off, decided on 16 July 2026, while noting his registration status as not yet verified and directing readers to the official HCPC register for current details. MedicWatch aggregates regulator outcomes and states it does not editorialise the regulator’s findings.
The Controversy or Incident That Led to Their Cancellation
Regulatory findings, not a criminal case. The findings below come from an HCPTS panel applying the civil standard — the balance of probabilities. They are regulator findings, not criminal convictions, and no criminal proceedings appear in the published record. Several allegations were dismissed or not proved, including those withdrawn when no evidence was offered.
The panel found serious misconduct in clinical care, assessment, record-keeping and communication. It dismissed particulars after no evidence was offered on them, found the allegation concerning one patient not proved, and did not find that Lees had prevented a colleague from managing a patient’s airway — but it did prove his own failure to provide airway management during the cardiac arrest. The panel found current impairment on both the personal and public components.
On sanction, the panel recognised some limited insight, remorse and reported remediation — but found no adequate independent evidence that the serious clinical failings had been addressed, and considered the risk of repetition high. The aggravating factors it listed were the repeated nature of the issues over a period of time, service-user harm actually caused, Lees’s lack of genuine recognition of the seriousness of the concerns, failure to work in partnership with colleagues, failure to raise concerns, and the vulnerability of service users requiring emergency paramedic care. It ordered striking off from the order’s operative date, with a separate interim suspension of up to 18 months covering the appeal period; an earlier decision not to impose an interim order at the adjourned facts stage was superseded by this final decision.
Public Reaction and Consequences
The published record contains no press coverage of the hearing and no public statements — none from Lees or from any other party. The concrete consequences recorded in the determination are the striking-off direction of 16 July 2026 and the separate interim suspension covering the appeal period before it takes effect.
Current Status
Lees was struck off the HCPC register by the panel’s decision of 16 July 2026, with an interim suspension covering the appeal period before the order takes full effect. His MedicWatch profile records striking off as his most recent published outcome, notes his registration status as not yet verified, and directs readers to the official HCPC register for his current position.
Impact on Their Career/Life
Striking off ended Lees’s registration to practise as a paramedic in the UK unless a future restoration application succeeds. The panel’s route to that outcome matters for how the case is understood: this was a competence-and-conduct case, not a dishonesty or sexual-misconduct case, and the panel expressly credited limited insight, remorse and remediation efforts — yet still concluded that unproven self-report could not outweigh service-user harm, repeated failings, and a high repetition risk in an emergency profession where the public has no way to check a paramedic’s clinical performance in advance. The outcome illustrates that in UK healthcare regulation, engagement without verifiable remediation does not preserve a registration once harm has been found.
Beyond the determinations, the published record contains no information about his circumstances since the decision, and nothing on this page should be read as going beyond it.