Nursing and Midwifery Council determination — substantive hearing
NMC panel strikes off nurse Lance Jukes over abuse messages and concealed caution
The Nursing and Midwifery Council's Fitness to Practise Committee has struck adult nurse Lance Jukes off the register after he admitted exchanging explicit messages about sexual and racial abuse of children, babies and a disabled person and dishonestly concealing a police caution for harassment.
MedicWatch editorial · Published 16 July 2026 · Updated 21 July 2026
Erasure (struck off the register)
Added to MedicWatch: 21 July 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 Lance Jukes, nurse (Nursing and Midwifery Council 12C0043E).
Decision date: 16 July 2026 · Hearing started 16 July 2026
In plain English
The NMC found that Lance Jukes, an adult nurse, sent and received explicit messages about the sexual and racial abuse of children, babies and a disabled person and shared indecent images of children between 2017 and 2022, and later dishonestly concealed a police caution for harassment from the regulator. Through a consensual panel determination, the Fitness to Practise Committee found his fitness to practise impaired by misconduct and caution and imposed a striking-off order.
Charges
The NMC charged that, between November 2017 and January 2022, Mr Jukes sent to and/or received from another person explicit and graphic messages relating to the sexual abuse or rape of children, babies and a disabled person, and shared or received indecent images and videos of children. It was charged that one or more messages contained racist language and that his conduct was racist and/or racially motivated. It was further charged that on 3 January 2024 he received a police caution for harassment without violence, that he failed to inform the NMC of that caution, and that this failure was motivated by an intention to conceal the caution from the regulator. The allegation was brought as misconduct (charges 1 to 6) and caution (charge 7).
Findings
The case was resolved by a Consensual Panel Determination, which the panel accepted after exercising its own independent judgement. Mr Jukes admitted all the charges in full. The panel found that his conduct amounted to misconduct that was particularly serious and wide-ranging, took place over a significant period, and in part related to the sexual and racial abuse of some of the most vulnerable in society, together with a dishonest concealment of his caution from the regulator. It found his fitness to practise currently impaired by reason of misconduct and caution, on both public protection and public interest grounds, concluding that there were deep-seated attitudinal issues, no evidence of insight or remediation, and a consequent risk of repetition.
Mitigating and aggravating factors
Mitigating factors
The panel identified the following mitigating features: his admissions, and his signing of the Consensual Panel Determination agreement.
Aggravating factors
The panel identified the following aggravating features: a pattern of behaviour over a significant period of time; allegations involving highly vulnerable members of society (babies, children and disabled people); absence of insight; predatory behaviour; discriminatory behaviour; and that he originally denied all charges except 5 and 7 before later accepting all charges.
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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