Readmission to the register

Agreed removal is not necessarily permanent, as the nurse, midwife or nursing associate may seek to be readmitted to the register at some point in the future. For readmission to the register, the nurse, midwife or nursing associate will need to make an application for readmission supported by appropriate evidence. The Assistant Registrar will consider the application alongside the details of any concern that was unresolved at the time removal was agreed and any new information the nurse, midwife or nursing associate provides about this.

The Assistant Registrar will exercise caution in allowing a professional to be readmitted following removal from the register in circumstances where there are outstanding fitness to practise concerns, particularly where the professional has previously expressed an intention to cease practising permanently. The nurse, midwife or nursing associate will be expected to explain why they are seeking readmission, having previously applied for removal.

Where the nurse, midwife or nursing associate’s removal was agreed after concerns were raised about their health, they may be required to provide up-to-date medical evidence in order to satisfy the Assistant Registrar that they now meet our health requirements and are capable of safe and effective practice. In cases relating to lack of competence or poor clinical performance, the nurse, midwife or nursing associate may be expected to provide evidence of clinical competence, for example through completion of a return to practice course, with particular reference to the clinical concerns identified.

The applicant will need to satisfy the Assistant Registrar that they are capable of safe and effective practice, and meet the health and character requirements, in light of any concerns that were outstanding when they applied for removal. Where any outstanding concerns were not admitted or proved, the Assistant Registrar will consider the evidence available in relation to those concerns at the time of the application for readmission. The Assistant Registrar may also seek additional information about the concerns before reaching their decision. When considering those concerns, the applicant will need to satisfy the Assistant Registrar, in the light of all the available evidence, that they are now capable of safe and effective practice. The applicant will also need to meet all other relevant requirements for readmission.