Interim orders and fraudulent or incorrect entry allegations
In this guide
Overview
Back to topIn cases of concerns about the legitimacy of the nurse, midwife or nursing associate’s entry in the register, the Investigating Committee can make an interim order to restrict or suspend the nurse, midwife or nursing associate’s right to practise, while the concerns are being resolved.
In these circumstances, decision makers will take into account:
- the public interest in maintaining the integrity of the register
- proportionality
- balancing the risk of serious damage to the reputation of the profession against the impact of the order on the nurse, midwife or nursing associate
- the impact on the nurse, midwife or nursing associate; for example this might include financial hardship if their practice is restricted or suspended, pending the final outcome.
If they consider that there would be serious damage to the public interest, due to the impact on the integrity of the register, the panel will identify the specific evidence of this.
Imposing interim orders during the investigation
Back to topThe Investigating Committee can impose either:
- an interim suspension order or
- an interim conditions of practice order.
The decision is dependent on the circumstances.
If the allegation raises public protection concerns, it may be necessary to make an interim suspension order to protect the public from the risk of harm.
If an individual has more than one entry on the register (e.g. they are registered as both a nurse and a midwife) and concerns about fraudulent or incorrect entry relate to only one of their entries in the register, an interim conditions of practice order, to restrict the person from working, may be appropriate.
Court decisions1 have emphasised the need for Investigating Committee panels to consider if the integrity of the register could be properly maintained through sanctions imposed at the end of proceedings.
Imposing interim orders at the determination stage
Back to topIf the Investigating Committee finds an allegation of fraudulent or incorrect entry is proved and makes an order for removal any interim order that’s in place will lapse.
At this stage the Investigating Committee can impose another interim order to prevent the nurse, midwife or nursing associate from practising, until the order to remove their entry on the register takes effect.
This power is discretionary and should not be viewed as an automatic decision in every case. The Investigating Committee will consider the public interest in maintaining the integrity of the register in light of any order it has made.
1 See Christou v Nursing and Midwifery Council [2016] EWHC 1947 (Admin)
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- Last Updated: 12/10/2018
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FtP library
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Understanding Fitness to Practise
- Aims and principles for fitness to practise
- Allegations we consider
- How we determine seriousness
- Why we screen cases
- When we use interim orders
- Investigations
- Examining cases
- How we manage cases
- Meetings and hearings
- Resolving cases by agreement
- What sanctions are and when we might use them
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Taking account of context
- Taking account of context - overview
- 1: We’ll approach cases on the basis that most people referred to us are normally safe
- 2: We’ll seek to build an accurate picture about the nurse, midwife or nursing associate’s practising history
- 3: We’ll always carefully consider evidence of discrimination, victimisation, bullying or harassment
- 4: Where risks are caused by system and process failures, we’ll concentrate on the action we can take to help resolve the underlying issues
- 5: In cases where a nurse, midwife or nursing associate was required to use their professional judgement we’ll respond proportionately
- 6: Evidence of steps the nurse, midwife or nursing associate has taken to address serious concerns caused by a gap in knowledge or training or personal context factors
- 7: We’ll always look into whether group norms or culture influenced an individual’s behaviour before taking action
- 8: Where an incident has occurred because of cultural problems, we’ll concentrate on taking action to minimise the risk of the same thing happening again
- What context factors we think are important to know about when considering a case
- Insight and strengthened practice
- Engaging with your case
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Screening
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Our overall approach
- Our overall approach - overview
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The Three Questions we ask when making Screening Decisions
- The Three Questions we ask when making Screening Decisions - overview
- Do we have a written concern about a nurse, midwife or nursing associate on our register?
- Is there evidence of a serious concern that could require us to take regulatory action to protect the public
- Is there clear evidence to show that the nurse, midwife or nursing associate is currently fit to practise?
- Clinical advice
- Referrals to other regulators
- Referrers that wish to remain anonymous
- Whistleblowing
- A decision not to take any further action at this time
- Determining the regulatory concern
- Cases that may involve incorrect or fraudulent entry
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Our overall approach
- Interim Orders
- Investigations
- Case Examiners
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Preparing for the FtP Committee
- Reviewing cases after they are referred to the FtPC
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Drafting charges
- Why do we have guidance on charges?
- Jargon buster
- General approach
- How a charge becomes final
- Practical drafting issues
- Particular features of misconduct charging
- Drafting charges in health cases
- Other fitness to practise charges
- Multiple allegations
- Drafting charges in incorrect or fraudulent entry cases
- Documents panels use when deciding cases
- Gathering further evidence after the investigation
- Disclosure
- Notice of our hearings and meetings
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Case management
- Hearing fitness to practise allegations together
- Telephone conferences
- Preliminary meetings
- Considering cases at meetings and hearings
- Removal by Agreement
- Cancelling hearings
- Constitution of panels
- Proceeding with hearings when the nurse, midwife or nursing associate is absent
- Case management during hearings
- Hearings in private and in public
- When we postpone or adjourn hearings
- Supporting people to give evidence in hearings
- FtP Committee decision making
- Sanctions
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Reviews
- Reviewing case examiner decisions
- Interim order reviews
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Substantive order reviews
- Substantive order reviews - overview
- Standard reviews before expiry
- Early review
- Exceptional cases: changing orders with immediate effect at a standard review
- Review of striking-off orders
- New allegations
- Reviewing orders when there may have been a breach
- Reviews where an interim order is in place
- Allowing nurses, midwives or nursing associates to be removed from the register when there is a substantive order in place
- Appeals and restoration