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A paramedic who refused to help a dying homeless woman later told his bosses "go f*** yourselves".

Nicholas Stock, 41, was struck off for refusing to help the woman, who died from heart failure.

A scathing ruling said he had shown "bias, a lack of care, a lack of humility, a lack of compassion and an alarming degree of callousness".

Stock, a senior paramedic with South Western Ambulance Service Trust (SWAST), was sent to a church car park in Chippenham, Wiltshire, after the woman told 999 operators she had overdosed.

But, instead of helping her, the medic peered through the window before calling police and driving off.

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(Image: DCM)

The unnamed woman subsequently died from heart failure before officers arrived.

Remorseless Stock was struck off as a paramedic after disciplinary panel condemned him for "manifestly serious misconduct".

The Health and Care Professions Tribunal Service (HCPTS) heard the woman - known as Patient A - was found lying down across her car's rear seats.

Because she was surrounded by bags of her possessions, the only way to gain access was through the boot.

The hearing was told that Stock deliberately chose not to treat his patient - later telling bosses investigating the May 2018 incident: "I wasn't going to get into the car."

(Image: Getty Images)

He wrote: "It was disgusting, filthy. The car was full of plastic bags like a homeless person. The car smelt [sic] of alcohol. The patient had been incontinent."

The panel heard that Stock did not perform any "specific observations" on the woman or take medical equipment from his ambulance but "merely watched through the car window".

Panel chair Gill Madden said Stock "failed to put in place effective safeguarding measures and left Patient A alone in the car, delegating responsibility to the police and leaving the scene before they arrived".

Stock, who worked for the trust from 2003 to 2018, alleged that the patient had refused treatment and told him to go away.

He denied wrongdoing, telling the HCPTS in one crude email: "Do not contact me again. C U next Tuesday".

In another message, with the subject heading 'TWUNTS', he called the regulator's staff "seriously ugly, bottom-feeding, sub-normal, moronic, sorry excuse for human beings".

He added: "I'm no longer practicing as a paramedic, so I would sincerely suggest that you and SWAST go and f*** yourselves."

Post-mortem tests revealed that the woman died from cardiac failure and acute alcohol poisoning.

Striking Stock from the medical register, Mrs Madden said the medic had not shown "any remorse or regret for his actions".

She said: "The risk and degree of harm caused by Mr Stock's failure to safeguard Patient A in this case was significant.

"Patient A had a cardiac arrest after the ambulance crew had left the scene and before the police arrived.

"Mr Stock's actions derived from an intentional decision not to take appropriate action and did not arise from a lack of knowing what to do."

Stock, from Bristol, was not present or represented at the hearing. He refused to comment on the ruling.