Nursing and Midwifery Council determination — review hearing
NMC strikes off nurse Ludo Msinamwa after she failed to comply with practice conditions
The Nursing and Midwifery Council's Fitness to Practise Committee has ordered nurse Ludo Msinamwa struck off the register, replacing a conditions of practice order after finding she gave no evidence of compliance, insight or remediation across three years of reviews.
MedicWatch editorial · Published 5 August 2026 · Updated 18 August 2026
Erasure (struck off the register)
Added to MedicWatch: 17 August 2026Report a correction
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 Ludo Msinamwa, nurse (Nursing and Midwifery Council 05H0198O).
Decision date: 5 August 2026 · Hearing started 5 August 2026
In plain English
The NMC's Fitness to Practise Committee found that Ludo Msinamwa's fitness to practise remains impaired and replaced her conditions of practice order with a striking-off order. The panel was reviewing an order first imposed in August 2023 after she breached undertakings about falls management and record keeping. It noted she had not attended the last two review hearings and had provided no evidence of insight, remediation or compliance with the conditions. The order takes effect at the end of 7 September 2026.
Charges
The charges found proved at the original hearing were that she, a registered nurse, having agreed undertakings recommended in the light of a case to answer being found in respect of the regulatory concerns set out in Schedule 1, failed to remedy the issues identified in her practice in that she breached the undertakings listed in Schedule 2, and that in light of the above her fitness to practise was impaired by reason of her misconduct. The Schedule 1 concerns were medication administration, concerns with falls management and escalating concerns, poor record keeping, and failure to adhere to a care plan in relation to moving and handling. Schedule 2 concerned undertaking 9, which required her to create a personal development plan with her workplace manager addressing care plans for moving and handling after a fall, assessment and observation of people after a fall, and documentation in relation to falls.
Findings
This was the third review of a conditions of practice order originally imposed for 12 months on 10 August 2023 and continued at reviews in July 2024 and September 2025. The panel proceeded in Ms Msinamwa's absence and found her fitness to practise remains impaired on both public protection and public interest grounds, noting no new evidence of insight, remediation or strengthening of practice and no reflective piece. On sanction, the panel decided that a conditions of practice order was no longer workable and would serve no useful purpose given the repeated failure to engage in NMC proceedings and the absence of evidence of compliance, and that a suspension order would serve no useful purpose because it was not realistic that she would return to unrestricted practice. Applying guidance REV-2h, the panel decided that allowing the order to lapse with a finding of impairment was not appropriate, as it could not attribute her lack of engagement to any health condition. It directed the registrar to strike her name off the register, the order taking effect at the end of 7 September 2026 under Article 30(1).
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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