A doctor found to have urinated in a consultation room’s sink and failed to adhere to restrictions on his registration has been struck off.

Graham Holmes worked as a locum consultant in Hampshire, Dorset, Greater Manchester and the Wirral.

A hearing also found he told a woman that she needed a CT scan “to see if she had a brain”, or words to that effect.

The Medical Practitioners Tribunal Service (MPTS) found there was “no evidence of an acknowledgment, appreciation of, or apology for, his proven serious misconduct”.

Its tribunal found Dr Holmes worked at various hospitals between August 2019 and March 2021.

At the Gosport War Memorial Hospital, Hampshire, in August 2019, a colleague said she had overheard Dr Holmes telling the woman she needed the scan – but that the patient did not hear.

Dr Holmes told the regulator he could not remember if he made the comment.

A colleague at the same hospital reported they watched through an internal window as he urinated into the sink while pouring water from a cup down it.

Concerns were raised about him adhering to Covid-19 infection control protocols while working at the Royal Bournemouth Hospital in Dorset in 2020.

A manager said he was the “worst member of staff for not wearing his mask properly” while working at the Royal Albert Edward Infirmary in Wigan, Greater Manchester, also in 2020.

It was also found Dr Holmes had deliberately failed to comply with conditions placed on his registration over six weeks while working for the Wirral University Teaching Hospital NHS Trust in 2021.

The regulator said that was deliberate and the “most serious” element of his misconduct.