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Nursing and Midwifery Council determination — substantive hearing

NMC panel imposes conditions on nurse Kirstie Imrie over medication errors and dishonesty

The Nursing and Midwifery Council's Fitness to Practise Committee has placed nurse Kirstie Imrie under a 12-month conditions of practice order after finding she failed to administer medications to care home residents and dishonestly signed a medication tracker.

MedicWatch editorial · Published 6 May 2026 · Updated 10 July 2026

Conditions on practice (practising with restrictions) — 1 year

Added to MedicWatch: 10 July 2026Report a correction

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 Kirstie Louise Imrie, nurse (Nursing and Midwifery Council 14I1955S).

Decision date: 6 May 2026 · Hearing started 27 April 2026 and ended 6 May 2026

In plain English

The NMC's Fitness to Practise Committee found that nurse Kirstie Louise Imrie's fitness to practise was impaired by misconduct, including failing to administer medications to care home residents, poor record keeping, and dishonestly signing a medication tracker at Lochleven Care Home. The panel imposed a 12-month conditions of practice order on 6 May 2026, restricting her to supervised medication practice, noting her early admission, genuine remorse and the staffing pressures she faced.

Charges

Facts found proved: at Lochleven Care Home on 8 October 2022, did not administer and/or contemporaneously record on a resident's MAR chart doses of Laxido, Fluvastatin and Lansoprazole, did not contemporaneously record a Tamsulosin dose, signed the medication tracker as having administered the medicines, and did so dishonestly (admitted). At Lomond View Nursing Home on 6/7 January 2023, unknown medications were not administered to two residents; on 20 January 2023 did not examine a resident's burn for 2 hours, did not provide pain relief and did not contact the NHS out-of-hours service; and confirmed to a colleague that she did not take MAR charts with her when administering medication and/or did not complete them at the time. Charges alleging further dishonesty, incorrect disposal of medication, missed doses for three other residents and falsification of stock levels were found not proved.

Findings

The panel found that the conduct in charges 1, 2, 3 and 11 (medication administration failures, record-keeping failures and dishonestly signing a medication tracker) amounted to serious misconduct; the burn-related conduct in charge 7 did not amount to misconduct as she had exercised appropriate clinical judgement. It found her fitness to practise impaired on public protection and public interest grounds, noting developing insight, no clinical practice since March 2023 and a risk of repetition. The panel found the dishonesty was not premeditated, arose under extreme workplace pressure and was not at the most serious end of the spectrum. It imposed a 12-month conditions of practice order with a review, including restrictions to one employer, not being nurse in charge, and at least indirect supervision of medicine administration, plus an 18-month interim conditions of practice order to cover any appeal period.

Mitigating and aggravating factors

Mitigating factors

She was the only nurse on duty in a care home with up to 100 patients at Lochleven and up to 50 at Lomond View; short staffing issues which she had raised with her employer; inadequate support and training at Lomond View; her early admission of the dishonesty found proved in charge 1; she apologised and showed genuine remorse; her developing insight; she had taken part in some relevant training following the dishonesty found proved; negative attitude from other staff to her being an agency nurse; and a private matter.

Aggravating factors

Her conduct recklessly put people receiving care at risk of suffering harm; a pattern of medication errors over a period of time; inappropriate leadership as the nurse in charge.

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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