Sandra Marshall

Introduction

Sandra Marshall is a speech and language therapist who was registered with the Health and Care Professions Council (HCPC) under registration number SL33414. On 8 December 2025, at a review hearing of the Health and Care Professions Tribunal Service (HCPTS), a panel directed that she be struck off the register. Hers was a lack-of-competence case rather than a misconduct one: the allegation concerned failings between March 2019 and March 2021 in her clinical knowledge, caseload management, record keeping and communication with service users and their parents. Marshall did not attend the hearing. The record shows she confirmed by email that she would not be attending “because she is away celebrating her 60th birthday”, and asked about being removed from the register. The panel directed removal all the same.

Background Information

The published record identifies Marshall as a speech and language therapist holding HCPC registration SL33414. It does not name an employer and does not describe her training or career, and this page does not guess at them. Her hearing history on MedicWatch shows two published decisions: a review hearing on 11 June 2024 at which a panel extended her conditions of practice order by 18 months, and the review hearing of 8 December 2025 that ended in erasure (struck off the register). By the June 2024 decision she was already working under an 18-month conditions order; the published record does not set out when that order was first imposed or the hearing that produced it. MedicWatch notes her registration status as not yet verified and directs readers to the official HCPC register for her current position.

The Controversy or Incident That Led to Their Cancellation

The allegation before the panel was that Marshall’s fitness to practise was impaired by reason of lack of competence. Its particulars, spanning 1 March 2019 to 31 March 2021, were wide-ranging: that she did not maintain and develop her own knowledge and skills; was unable to manage her caseload and/or take clinical decisions independently; made errors when asked questions by service users and their parents; was unable to make referrals appropriately; was unable to make appropriate decisions regarding ongoing care; produced inadequate SOAP notes, care plans and/or discharge summaries; and did not communicate professionally — failing to adapt her communication style and to explain appointment details in terms service users and parents would understand. The allegation further stated that particulars 1, 2 and 3 constituted lack of competence, and that by reason of it her fitness to practise was impaired.

The published window on the earlier stages of the case is thin; what follows is what the record shows. At the review hearing of 11 June 2024, a panel found that Marshall remained impaired after taking no steps to address “wide-ranging clinical shortcomings” while under an 18-month conditions order — that “nothing had changed since the conditions order was imposed” — and found “no evidence of developing insight, remediation, relevant learning or reflection”. The panel found her impaired on the personal and public components, with a “high risk of repeated failings”, but considered that supervised practice could support remediation, and extended the conditions for a further 18 months.

The December 2025 review was the next recorded step, listed some 18 months later. Notice was sent to Marshall on 10 November 2025 by email, informing her of the hearing’s date, time, format and purpose. In the exchanges that followed she confirmed she would not attend “because she is away celebrating her 60th birthday”, provided some information on her work over the last 18 months, and “asked about being removed from the register”. The determination records the panel’s consideration of service and of proceeding in absence; the hearing went ahead on 8 December 2025, and the Conduct and Competence Committee panel directed removal from the register in the order’s words: “The Registrar is directed to strike the Registrant’s name off the Register.”

Public Reaction and Consequences

The published record contains no press coverage of the case and no public statements from Marshall or any other party beyond the email exchanges recorded in the determination. The concrete consequences are on the record: an 18-month extension of conditions in June 2024 after a panel found no remediation, then erasure in December 2025. Because the December 2025 hearing was a review, the panel’s task was to test whether the position found in 2024 had changed; the record shows her account of work over the preceding 18 months was before it, and the outcome was removal from the register rather than a further extension. Her inquiry about leaving the register did not change the outcome recorded: erasure (struck off the register).

Current Status

Marshall was struck off the HCPC register by the panel’s decision of 8 December 2025. The published record does not state any interim order accompanying the direction. Her MedicWatch profile records erasure (struck off the register) as her most recent published outcome, notes her registration status as not yet verified, and directs readers to the official HCPC register for her current position. Striking off means removal from the register and an inability to practise as a speech and language therapist in the UK unless a future restoration application succeeds; under the HCPC framework, an erasure decision is reviewable only after a minimum of five years. The record does not show whether any application has been made.

Impact on Their Career/Life

Striking off ended Marshall’s registration and her ability to work as a speech and language therapist in the UK unless restoration succeeds. The case illustrates the mechanics of competence cases, which turn on remediation rather than punishment: the 2024 panel left a route open through supervised practice, and the record shows nothing in the following 18 months that took it. It also shows what happens when a registrant does not attend the hearing that decides their registration — the panel proceeds on the evidence before it, and the only evidence recorded here was the unchanged picture found the year before, alongside her own account of her work over the same period. Beyond the determination, the published record contains no information about her circumstances since the decision.

Sources

• *MedicWatch, “Sandra Marshall — Struck off the register · 8 December 2025” (HCPC determination, review hearing, decision dated 8 December 2025) — source
• *MedicWatch, “HCPTS panel extends Sandra Marshall’s practice conditions for 18 months” (HCPC determination, review hearing, decision dated 11 June 2024) — source
• *MedicWatch, “Sandra Marshall — Speech and language therapist · Health and Care Professions Council SL33414” — source