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 Mr Twinkle Antwi Baffour, nurse (Nursing and Midwifery Council 04L0755O).
Decision date: 2 April 2026 · Hearing started 3 November 2025 and ended 2 April 2026
In plain English
The NMC's Fitness to Practise Committee found that Mr Twinkle Antwi Baffour, a registered adult and mental health nurse, had repeatedly slept on duty during night shifts, failed to carry out required patient observations, and dishonestly falsified medical records on two occasions in 2020 and 2021 while working as nurse in charge at two care homes. The panel ordered his erasure from the register and imposed an 18-month interim suspension order, finding that his misconduct, including dishonesty affecting vulnerable residents, was incompatible with continued registration.
Charges
The charges concerned two separate incidents. While working as nurse in charge at Home A on the night shift of 1-2 June 2021, Mr Baffour was charged with falling asleep on duty in front of patients, failing to undertake required patient observations between 03:30 and 05:06, inaccurately recording that observations had been carried out and acting dishonestly in falsifying records to conceal the failure, failing to complete the shift planner adequately, leaving the ward door open, leaving after handover without completing a drug count, administering Lorazepam without recording it, and copying and pasting entries from the previous shift's coordination report and acting dishonestly in doing so. While working at Home B on 16 October 2020 he was also charged with falling asleep in a chair on duty.
Findings
Charges 1, 2, 3, 4, 5, 6, 7, 8, 9, 11, 12, 13a, 13b and 13c were proved. Charge 10 (administering medication without signing the drug card) was not proved. The panel found Mr Baffour's fitness to practise impaired by reason of misconduct, including two incidents of dishonest falsification of medical records affecting vulnerable residents. Mr Baffour did not engage with the NMC after the misconduct and impairment stage of proceedings.
Mitigating and aggravating factors
Mitigating factors
The panel noted that there were no mitigating features in this case.
Aggravating factors
The panel identified abdication of responsibility for residents and not supporting junior staff as the only registered nurse on duty; presenting a risk of harm to vulnerable patients by falsifying records and not undertaking care; limited evidence of insight, remorse or remediation; repeated episodes of dishonesty; and failure to engage with the NMC as a regulator from the misconduct and impairment stage of proceedings.
Source
All facts on this page are drawn from the publicly published Nursing and Midwifery Council determination linked below.MedicWatchdoes not editorialise the regulator’s findings.
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