Nursing and Midwifery Council determination — substantive hearing
NMC panel suspends London nurse Sanjay Narasimhan for four months over dishonest shift payments
The Nursing and Midwifery Council has suspended ward manager Sanjay Kumar Narasimhan for four months after a panel found he dishonestly allocated bank shifts a junior nurse had not worked and requested the payments for himself.
MedicWatch editorial · Published 25 June 2026 · Updated 9 July 2026
Suspension (suspended from practice) — 4 months
Added to MedicWatch: 9 July 2026Report a correction
What does “suspended from practice” mean?
A suspension is a fixed-term pause on the right to practise. The practitioner cannot work in the regulated profession during the suspension. At the end of the period the suspension may be extended, replaced with another sanction, or lifted on review.
Concerning Sanjay Kumar Narasimhan, nurse (Nursing and Midwifery Council 18F0298O).
Decision date: 25 June 2026 · Hearing started 17 November 2025 and ended 25 June 2026
In plain English
The NMC's Fitness to Practise Committee found that Sanjay Kumar Narasimhan, a ward manager at Royal Free London NHS Foundation Trust, dishonestly allocated bank shifts a junior colleague had not worked and requested the payments for himself, and acted in an intimidating manner towards that colleague. The panel found his fitness to practise impaired on public interest grounds and imposed a four-month suspension order, with an 18-month interim suspension order pending any appeal.
Charges
That you, a registered nurse, working as a ward manager: retrospectively allocated and/or authorised bank shifts to Colleague 1 knowing he had not worked them and had no knowledge of the shifts (24 January and 1 February 2022); requested and/or received £321.47 from Colleague 1's personal banking account in relation to those shifts; re-instated shifts Colleague 1 had cancelled (25, 26 and 27 February 2022) knowing he could not work them; requested Colleague 1 to transfer the payments received for those shifts; your conduct was dishonest in that you knew the shifts had not been worked and it was motivated by financial gain; your conduct was an abuse of your position as a senior manager; and you behaved in an intimidating and/or threatening manner towards Colleague 1.
Findings
The panel found all charges proved, several by admission, concluding the registrant's explanations were implausible and preferring the evidence of Colleague 1. It found the conduct amounted to serious misconduct involving calculated dishonesty and coercive behaviour towards a junior colleague, placed at the higher end of the spectrum. Fitness to practise was found impaired on public interest grounds only; the panel assessed the risk of repetition as low given significant remediation, insight and testimonials. A four-month suspension order with a review was imposed, with an 18-month interim suspension order to cover any appeal period.
Mitigating and aggravating factors
Mitigating factors
Early admission to several charges; demonstration of insight, genuine remorse and apologies to Colleague 1, the Trust, the NMC and the public; continued employment at the same Trust with a subsequent promotion and no concerns raised since; numerous positive references attesting to honesty, integrity, leadership and clinical capabilities; extensive reflective accounts; continued non-mandatory training and CPD; personal circumstances at the time; lack of support as a newly appointed ward manager; the pressured period following the COVID-19 pandemic; return of the money to the Trust.
Aggravating factors
Abuse of a position of trust as a ward manager; conduct which deliberately put a vulnerable junior member of staff at risk; premeditated and calculated dishonesty; a period of misconduct over a period of time; deliberate breaches of the Code.
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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