To set it out properly again since some posters still appear to be confused...
She accepted a shift that was supposed to finish at 16:45, with the final appointment at 16:30. She needed to get away no later than 16:45 in order to pick her children up by 18:00.
She was not under any pressure to accept this shift. She chose to accept additional work but did not make any fallback provision for childcare in case her shift overran.
She became concerned that the shift might overrun, so booked an appointment for patient A at 16:30. She had a telephone consultation with patient A that morning and they did not need a face to face appointment.
She subsequently changed the 16:30 appointment to patient B, another patient with whom she had a telephone consultation that morning and who also did not need a face to face appointment.
When challenged by another doctor over the fact there was no entry in patient B's notes regarding the 16:30 appointment, rather than admitting what she had done she made a false entry stating that she had seen the patient and carried out a physical examination. The tribunal found that this showed a reckless disregard for patient safety.