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How we determine seriousness

Reference: FTP-3

Last Updated 31/08/2018

What we mean by seriousness

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Seriousness is an important concept which informs various stages of our regulatory processes. 

When assessing whether a concern is serious, we look at what risks are likely to arise if the nurse or midwife doesn’t remedy or put this concern right. This could be risks to patients or service users or, in some cases, to the public's confidence in all nurses and midwives.

It's vitally important that we encourage nurses and midwives to try to put problems right where they can, because we want to promote a learning culture that keeps patients and members of the public safe.

By focusing on how risks could arise if concerns aren’t put right, we can see what the nurse or midwife may need to do to remedy the problems in their practice, or what action we may need to take if they don't.

When our decision makers are looking at overall fitness to practise, they’ll always consider what the nurse or midwife has done to remediate the concerns.

The guidance below helps us assess the seriousness of concerns by looking at how easy they are to put right, what could happen if they aren’t, and what the role of public confidence and professional standards is.

Factors that indicate the seriousness of a case

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Decision makers across our fitness to practise process look at factors of a case to identify the types of concern which, unless put right, will usually mean a nurse or midwife’s right to practise needs to be restricted.

These factors indicate the seriousness of the case and we use these as a framework for the way we investigate cases and present cases before panels of the Fitness to Practise Committee.

The factors can be broken down into three broad categories:

The guidance in our library, needs to be read alongside our NMC Guidance during the Covid-19 emergency period. We have new rules that are in force during the period of  the coronavirus emergency that are relevant to how it applies.

Want to download and print whole sections of this FtP library? Visit the downloads page.