Nursing and Midwifery Council determination — substantive hearing
Practising with restrictions — 1 year
The regulator’s term: conditions on practice
What does “practising with restrictions” mean?
Conditions of practice allow the practitioner to keep working but only subject to specific restrictions — for example, supervision, limits on certain procedures, or required reporting to the regulator.
Concerning Nirmala Anil Lole, nurse (Nursing and Midwifery Council 19G0082O).
Decision date: 5 February 2026 · Hearing started 2 June 2025 and ended 5 February 2026
In plain English
The NMC's Fitness to Practise Committee imposed a conditions of practice order on Nirmala Anil Lole, a registered adult nurse from Wiltshire, on 5 February 2026. The committee found charges of misconduct proved, including medication administration errors and failure to escalate a deteriorating patient. The order lasts 12 months and includes requirements for supervision and a personal development plan.
Charges
Multiple charges found proved, including: incorrectly setting a patient's IV infusion rate; medication administration errors; failure to appropriately escalate a deteriorating patient; and further clinical practice concerns. Some charges were proved by admission.
Findings
The NMC's Fitness to Practise Committee found multiple charges of misconduct proved and determined that Nirmala Anil Lole's fitness to practise was impaired. The panel imposed a conditions of practice order for 12 months. The panel found that although there were attitudinal concerns, these were not deep-seated, and that there was a realistic prospect of remediation with structured supervision. An interim conditions of practice order for 18 months was imposed pending the appeal period.
Mitigating and aggravating factors
Mitigating factors
• Early admissions to some of the charges • Evidence of training undertaken since the incidents, including in recognising patient deterioration and medication administration • Some evidence of efforts to strengthen practice • Previous good history and a period of approximately three and a half years since the incidents without further regulatory concerns • Positive feedback and character references, particularly from patients • Personal mitigation, including the difficult and pressured working environment at the time of the incidents, some of which took place during the COVID pandemic
Aggravating factors
• A lack of fully developed insight into failings • Attitudinal concerns, in particular a tendency to prioritise own needs over patient safety and to deflect responsibility rather than take accountability • Despite efforts made towards reflection and remediation, this is limited as it has not yet addressed concerns identified • Conduct which placed patients at risk of suffering harm, including failure to escalate a deteriorating patient appropriately and a failure to follow an IV medication administration safeguard
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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