Nursing and Midwifery Council determination — review hearing
Practising with restrictions — 6 months
The regulator’s term: conditions on practice
What does “practising with restrictions” mean?
Conditions of practice allow the practitioner to keep working but only subject to specific restrictions — for example, supervision, limits on certain procedures, or required reporting to the regulator.
Concerning Miss Marie Louise Fiske, nurse (Nursing and Midwifery Council 01A0289E).
Decision date: 2 April 2026 · Hearing started 2 April 2026
In plain English
The NMC's Fitness to Practise Committee found at a substantive order review hearing on 2 April 2026 that Miss Marie Louise Fiske, a registered mental health nurse, remained impaired and replaced her existing 6-month suspension with a 6-month conditions of practice order. She was originally suspended in September 2025 after the panel found she had attempted to kick a vulnerable mental health patient in crisis on the ward. The review panel concluded that conditions of practice would provide a more realistic route to safe return given her engagement and remediation.
Charges
On 23 January 2024, whilst dealing with Patient A, Miss Fiske attempted to kick them. Patient A was a vulnerable mental health patient in a state of crisis on the ward where Miss Fiske worked as a mental health nurse.
Findings
The charge was proved at the original substantive hearing in September 2025, which imposed a 6-month suspension order on the basis of misconduct. The panel found Miss Fiske's fitness to practise impaired on both public protection and public interest grounds. At this first review on 2 April 2026, the panel found Miss Fiske had made admissions, demonstrated some insight, remained engaged with the process, and was willing to undertake further remediation. The panel decided to replace the suspension order with a 6-month conditions of practice order, which would allow her to return to practice safely under supervision and oversight.
Mitigating and aggravating factors
Mitigating factors
Miss Fiske made admissions at the substantive hearing, demonstrated some insight, remained engaged with the NMC process, has shown a willingness to undertake further remediation including therapy and professional development work, and indicated she wishes to return to nursing practice.
Aggravating factors
The original panel identified the physical act of attempted violence against a patient putting them at risk of physical and psychological harm, that the conduct involved a vulnerable mental health patient in a state of crisis, and that the registrant's account of the incident had changed over time.
Source
All facts on this page are drawn from the publicly published Nursing and Midwifery Council determination linked below.MedicWatchdoes not editorialise the regulator’s findings.
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