Nursing and Midwifery Council determination — interim orders hearing
NMC review replaces nurse Alexander Francis's interim suspension with conditions
At an interim order review, the Nursing and Midwifery Council's Fitness to Practise Committee replaced an interim suspension order on children's nurse Alexander Francis with an interim conditions of practice order. The panel has yet to determine the substantive allegations against him.
MedicWatch editorial · Published 17 July 2026 · Updated 21 July 2026
Interim order imposed (interim restrictions imposed)
Added to MedicWatch: 21 July 2026Report a correction
What does “interim restrictions imposed” mean?
An interim order is a precautionary restriction imposed before the regulator's investigation is complete. It is not a finding of fault — the underlying allegations have not yet been adjudicated.
Concerning Alexander Francis, nurse (Nursing and Midwifery Council 20C3198E).
Decision date: 17 July 2026 · Hearing started 17 July 2026
In plain English
The NMC's Fitness to Practise Committee decided, at an interim order review, to replace Alexander Douglas Francis's interim suspension order with an interim conditions of practice order. The children's nurse may continue working under supervision and other restrictions, including on medication administration. The conditions are an interim measure; the panel has yet to deal with the substantive allegations against him, which remain undetermined.
Charges
This was an interim order review and did not set out the substantive allegations against Mr Francis, which remain to be determined by a panel of the Fitness to Practise Committee. The interim conditions imposed relate to concerns about his medication administration and management and the identification of training needs.
Findings
There were no findings of fact at this stage. The panel reviewed the existing 18-month interim suspension order and decided to replace it with an interim conditions of practice order, which it considered proportionate and necessary. The conditions require Mr Francis to work for a single employer under supervision, to be supervised when administering or managing medication until assessed as competent, and to engage in a personal development plan, among other requirements. The interim order must be reviewed at least every six months. A substantive panel has still to deal with the allegations.
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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