Please visit for information about temporary registration and changes to how we’re operating during this time.


Serious concerns based on public confidence or professional standards

Reference: FTP-3c

Last Updated 10/01/2020

Sometimes we may need to take regulatory action against a nurse or midwife not because their practice presents a risk of harm to patients, but because of our objectives to promote and maintain professional standards and public confidence in nurses and midwives.

This means we may need to take action even if the nurse or midwife has shown that they have put serious clinical failings right, if the past incidents themselves were so serious they could affect the public’s trust in nurses and midwives.

We’re more likely to need to do this if the clinical failings suggest an underlying issue with the nurse or midwife’s attitude to people in their care.

We may also need to take action in cases where the concerns were not directly related to the care the nurse or midwife provided to people, but which call into question the basics of their professionalism. This may cover things that have happened in the nurse or midwife’s private life, but this will usually only happen if they’ve committed serious criminal offences.

A need to take action because the public may not feel able to trust nurses and midwives generally is a high threshold. It suggests that members of the public might take risks with their own health and wellbeing by avoiding treatment or care from nurses or midwives.

We may need to take restrictive regulatory action against nurses and midwives whose conduct has had this kind of impact on the public’s trust in their profession, who haven’t made any attempt to reflect on it, show insight, and haven’t taken any steps to put it right. This may mean they can’t stay on the register.

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.