Nursing and Midwifery Council determination — substantive hearing
Struck off the register
The regulator’s term: erasure
What does “struck off the register” mean?
Being struck off (the regulator calls this "erasure") removes the practitioner from the register. They are no longer permitted to practise this profession in the UK. Erasure can be reviewed after a minimum of five years, but is otherwise indefinite.
Concerning Susan Shuga, nurse (Nursing and Midwifery Council 99K1213O).
Decision date: 26 March 2026 · Hearing started 20 November 2025 and ended 26 March 2026
In plain English
The NMC's Fitness to Practise Committee imposed a striking-off order on Susan Shuga, a registered adult nurse from London, on 26 March 2026. The panel found that, on 30 April 2015, she had provided Person 1 with a job offer letter from her own agency that contained falsified information, and that she had been dishonest in seeking to mislead any third party reading the letter into believing it was true. The panel concluded the misconduct involved an abuse of trust and that her absence of insight, remorse, and engagement made any lesser sanction insufficient. An interim suspension order of 18 months was imposed pending appeal.
Charges
That, as the Registered Manager of an agency, Ms Shuga on 24 July 2012 provided Anglia Ruskin University with a false reference for Person 1, and on 30 April 2015 provided Person 1 with a job offer letter that contained falsified information. Charges 2 and 4 were proved: that her conduct in providing the job offer letter was dishonest in that she deliberately sought to mislead any third party reading the letter into believing the information contained within it to be true, when she knew it was not. Charges 1 and 3 (the false reference and its dishonesty) were not proved.
Findings
The panel found Ms Shuga's fitness to practise impaired by reason of her misconduct. The panel concluded the misconduct involved abuse of her position of trust as the registered manager of an agency, deliberate and multiple breaches of the Code, and that she had not engaged with the regulatory process since 2022 and had demonstrated absence of insight and remorse. The panel determined the conduct was fundamentally incompatible with remaining on the register and that public confidence could only be maintained by a striking-off order.
Mitigating and aggravating factors
Aggravating factors
Abuse of a position of trust. Deliberate and multiple breaches of the Code. Failure to engage in the Fitness to Practise process since 2022. Absence of insight. Absence of remorse.
Source
All facts on this page are drawn from the publicly published Nursing and Midwifery Council determination linked below. MedicWatch does not editorialise the regulator’s findings.
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