Suspension order
This order suspends the professional’s registration for a period of up to one year. The professional will not be able to practise while the suspension order is in place. It may be appropriate in cases where:
- the impairment is very serious but not fundamentally incompatible with continuing to be a registered professional
- an outcome less severe than strike-off would still satisfy the over-arching objective.
A suspension order is usually reviewed before it expires. The professional may not practise as a registered nurse, midwife or nursing associate during the period the order is in force.
Key things to weigh up before imposing this order include (but aren’t limited to):
- whether the risk posed to the public, or to people receiving care, can only be managed by temporary removal from the Register?
- will suspension be sufficient to protect people using services, public confidence in the profession, or professional standards?
- is it realistic that the professional could return to unrestricted practice in the future, even if it is not appropriate for them to do so now?
- What would the registrant need to do in order to be fit to practise in the future? Is it realistic that they will be able to do this?
Below is a non-exhaustive list of circumstances that may make a suspension order an appropriate sanction:
- the charges found proved are at the most serious end of the spectrum and call into question the professional’s suitability to continue practising, either currently or at all
- while it is possible that the professional could be fit to practise in future, only a period out of practice would be sufficient to allow them to fully strengthen their practice through reflection, the development of their professional skills and / or development of insight and remediation
- there is a risk to the safety of people using services if the professional were allowed to continue to practise even with conditions
- what went wrong is so serious that public confidence in the profession and professional standards could not be maintained if the professional were able to continue practising without stopping for a period of time
- despite the seriousness of what happened, the professional has engaged in the proceedings and has shown at least some meaningful insight which evidences a realistic possibility that they will continue to develop this insight, address their concerns and return to practice.
The Committee needs to make a separate decision as to whether the suspension should be subject to a review at the end. When ordering suspension with a review, the Committee should explain clearly what expectations it has, or what actions the professional could take, to help the future review Committee. This could include what kinds of learning the professional should do or evidence they should provide. However these are not binding on the future Committee, which will need to make its own decision on whether or not the professional is still impaired when it reviews the suspension.1
1 Khan v General Pharmaceutical Council [2016] UKSC 64
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- Last Updated: 28/01/2026
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FtP library
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Understanding Fitness to Practise
- Aims and principles for fitness to practise
- Allegations we consider
- When we use interim orders
- Our 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
- Our culture of curiosity
- Clinical advice
- Decisions of the Disclosure and Barring Service (DBS) and Disclosure Scotland
- Insight and strengthened practice
- What we mean by vulnerability
- Early engagement
- Screening
- Interim Orders
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Investigations
- Gathering information
- How we investigate health concerns about nurses, midwives and nursing associates
- Directions to take a language assessment
- Investigating what caused the death or serious harm of a patient
- Investigating what caused the death or serious harm of a patient
- Independent experts
- Investigating at the same time as other organisations
- Case Examiners
- Preparing for the FtP Committee
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Case management
- Hearing fitness to practise allegations together
- Case 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
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Substantive order reviews
- Substantive order reviews - overview
- Standard reviews of substantive orders before they expire
- Early review of a substantive order
- 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
- Removal from the register when there is a substantive order in place
- Appeals and restoration