Nursing and Midwifery Council determination — review hearing
NMC panel strikes off mental health nurse Francis Dike over unremedied care failings
The Nursing and Midwifery Council's Fitness to Practise Committee has directed that mental health nurse Francis Dike be struck off the register, finding he had not complied with his conditions of practice order or shown that wide-ranging care failings had been remedied.
MedicWatch editorial · Published 6 July 2026 · Updated 12 July 2026
Erasure (struck off the register)
Added to MedicWatch: 12 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 Francis Dike, nurse (Nursing and Midwifery Council 06H2816E).
Decision date: 6 July 2026 · Hearing started 6 July 2026
In plain English
The NMC's Fitness to Practise Committee found that Francis Dike's fitness to practise remains impaired and directed that his name be struck off the register. At a substantive order review meeting, the panel said it had no evidence that Mr Dike had complied with his conditions of practice order, shown insight, or maintained his skills, and noted he had not engaged with the NMC since October 2024. The striking-off order takes effect on 22 August 2026.
Charges
The charges found proved at the original substantive hearing concerned wide-ranging failings in the care of service users in the community, including failing to ensure care plans clearly set out hoist and sling use, meal preparation support, pressure-area prevention, catheter and stoma care and use of Functional Electronic System equipment; failing to ensure staff had adequate specialist training; failing to ensure accurate and complete incident and accident records; failings in the recording and monitoring of care calls; personally providing training to staff without a relevant training qualification; failing to have in place an effective complaints policy and system; and delays of several months in reporting reportable concerns. The panel found his fitness to practise impaired by reason of misconduct.
Findings
This was the fourth review of a substantive order originally imposed on 25 May 2023. The panel noted it had no new information before it to show that Mr Dike had complied with the conditions imposed, no evidence of insight, and no evidence of steps taken to maintain his knowledge or skills. It found there had been no change in circumstances since the hearing in October 2024 and determined that a finding of continuing impairment was necessary on the grounds of public protection, and also on the grounds of public interest given the wide-ranging failings concerning vulnerable service users where there was no evidence of remediation. At sanction, the panel considered that conditions of practice would not be workable and would serve no useful purpose, and that a suspension order would not serve any useful purpose. Having regard to the NMC's sanctions guidance on failure to engage, the panel concluded that the only sanction that would adequately protect the public and serve the public interest was a striking-off order, and directed the registrar to strike Mr Dike's name off the register with effect from the end of 22 August 2026.
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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