Nursing and Midwifery Council determination — substantive hearing
NMC orders Mark Frances Madriaga struck off following sexual offence convictions
The NMC ordered striking off after convictions involving children. It acknowledged developing insight and reflection but found continuing impairment, with interim suspension covering the appeal period.
MedicWatch editorial · Published 10 September 2026 · Updated 22 September 2026
Erasure (struck off the register)
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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 Mark Frances Madriaga, nurse (Nursing and Midwifery Council 19E0384O).
Decision date: 10 September 2026 · Hearing started 9 September 2026 and ended 10 September 2026
In plain English
The NMC's Fitness to Practise Committee ordered Mark Frances Madriaga to be struck off following convictions for sexual offences involving children. The panel acknowledged his developing insight and reflection but found that the concerns had not been sufficiently addressed and that a risk of repetition remained. It concluded that lesser sanctions would not adequately protect the public or maintain confidence in nursing. An interim suspension covers the appeal period.
Charges
The case concerned convictions in March and June 2025 for offences involving indecent images of children, sexual communication with a child and other sexual offences involving a child. The NMC panel found all charges proved on certified convictions, which Mr Madriaga had admitted. The decision records a 20-month prison sentence suspended for two years, 200 hours of unpaid work and a 10-year Sexual Harm Prevention Order.
Findings
The NMC panel found impairment on public protection and public interest grounds. It acknowledged developing insight, extensive reflection and previous efforts to seek support, but found insufficient evidence of continuing work addressing the underlying concerns and a risk of repetition. It imposed a striking-off order and an 18-month interim suspension during the appeal period. If no appeal is made, the final order replaces the interim order 28 days after written notification. Private personal matters remain undisclosed. The outcome was disciplinary striking off rather than agreed removal.
Mitigating and aggravating factors
Mitigating factors
• Evidence of developing insight and reflection
Aggravating factors
• Patterns of behaviour over a prolonged period of time • Mr Madriaga is currently subject to a suspended custodial sentence and sexual harm protection order • The NMC considers the charges to be a specified offence as set out in the NMC Guidance FTP-2c-1 • The nature of the conduct behind the convictions
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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