Nursing and Midwifery Council determination — substantive hearing

NMC orders Raphael Iyiewuare struck off over false competency documents

The NMC found misconduct and lack of competence after all charges were admitted. It acknowledged developing insight and no evidence of actual patient harm, but ordered striking off with interim suspension during the appeal period.

MedicWatch editorial · Published 14 September 2026 · Updated 22 September 2026

Erasure (struck off the register)

Data last checked: 22 September 2026Report a correction

What does “struck off the register” mean?

The regulator directed removal from the register in this decision. The decision explains when the direction takes effect and any appeal provisions. Check the official register for the practitioner's current registration status.

Concerning Raphael Iyiewuare, nurse (Nursing and Midwifery Council 23A1776E).

Decision date: 14 September 2026 · Hearing started 10 September 2026 and ended 14 September 2026

In plain English

The NMC's Fitness to Practise Committee ordered Raphael Iyiewuare to be struck off after he admitted dishonest competency declarations and references, alongside clinical competence failings. The panel found that patients were put at risk but noted no evidence of actual harm. It acknowledged his admissions, mentoring and developing insight, but concluded that striking off was required. An interim suspension covers the appeal period before the final order takes effect.

Charges

All 12 charges were proved by admission. Charges 1 to 6 concerned dishonest competency declarations and employment references used to obtain critical-care agency work, including a colleague's signature used without authority. Charges 7 to 12 concerned inadequate knowledge or skills in intravenous and critical-care medication, communication and seeking assistance, escalation of deterioration, time management, and setting or monitoring patient alarms.

Findings

The NMC panel found serious misconduct and lack of competence, and impairment on public protection and public interest grounds. It found repeated, deliberate dishonesty and clinical deficiencies that put patients at risk, while explicitly noting no evidence of actual patient harm. It acknowledged admissions, engagement, developing insight, training and mentoring, but found insight incomplete and remediation insufficient. It imposed a striking-off order and an 18-month interim suspension to cover the appeal period. If no appeal is made, the striking-off order replaces the interim order 28 days after written notification of the decision.

Mitigating factors

• Full admissions for all charges and impairment • Engaged with the NMC investigation • Attempted remediation in terms of competency and some online courses undertaken • Multiple reflective statements attempting to demonstrate insight and his desire to rectify the identified issues • Sought out and continued to work with a mentor in the healthcare sector, provided testimonials and reports from said mentor regarding his ongoing development • Most recent reflection statements acknowledge the potential risks and harm his actions created • Personal mitigation – he states at the time he was suffering financial hardship and difficult personal circumstances [PRIVATE]

Aggravating factors

• Lack of competence concerns over period of time • Limited insight at local level • Two instances of dishonesty • Conduct which put people receiving care at real risk of harm • The actions of Mr Iyiewuare had a direct effect on colleague 1’s wellbeing • His actions could have affected the profession and career of his colleagues who he forged the references from

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.

Spot something incorrect?

If a fact on this page is wrong, or you believe the page should not be published, please submit a correction or takedown request.