Nursing and Midwifery Council determination — substantive hearing
NMC panel suspends nurse Mariya Holyanova over oxygen error and dishonest records
The Nursing and Midwifery Council's Fitness to Practise Committee has suspended nurse Mariya Holyanova for six months after finding she gave a ventilated child more oxygen than his care plan allowed, failed to call an ambulance, and dishonestly amended records to conceal the error.
MedicWatch editorial · Published 21 May 2026 · Updated 10 July 2026
Suspension (suspended from practice) — 6 months
Added to MedicWatch: 10 July 2026Report a correction
What does “suspended from practice” mean?
A suspension is a fixed-term pause on the right to practise. The practitioner cannot work in the regulated profession during the suspension. At the end of the period the suspension may be extended, replaced with another sanction, or lifted on review.
Concerning Mariya Holyanova, nurse (Nursing and Midwifery Council 07I0060C).
Decision date: 21 May 2026 · Hearing started 14 May 2026 and ended 21 May 2026
In plain English
The NMC's Fitness to Practise Committee found that Mariya Holyanova, a nurse caring for a ventilated child at home in Kent, gave the child more oxygen than his care plan allowed, did not call an ambulance when his condition deteriorated, and did not supervise him on the journey to hospital. It also found she dishonestly amended the care records and an incident form to conceal the error. The panel imposed a six-month suspension order with a review.
Charges
That, as a registered nurse providing one-to-one care for Child A, who was ventilated at home via a tracheostomy: between 22 and 23 January 2024 she failed to administer the correct amount of oxygen, failed to respond appropriately to Child A's deteriorating condition in that she did not call an ambulance, and failed to maintain clinical supervision of Child A on their journey to hospital; on or after 25 January 2024 she amended Child A's daily log notes; on 28 January 2024 she submitted an inaccurate incident form; on 12 February 2024 she told local investigators she had amended the notes at 5am on 23 January 2024 when she had not; and her actions in amending the notes, submitting the incident form and answering the investigators were dishonest. All charges found proved, six by admission.
Findings
The panel found all charges proved: charges 1a-1c, 2, 4 and 6 by admission, and the three dishonesty charges (3, 5 and 7) proved after hearing evidence, applying the test in Ivey v Genting. It found Mrs Holyanova amended accurate records of the oxygen she had administered to conceal a clinical mistake, and that her conduct breached the duty of candour and amounted to misconduct. Fitness to practise was found impaired on public protection and public interest grounds. The panel concluded the dishonesty arose from a single clinical incident and was not at the most serious end of the spectrum, declined the NMC's request for a striking-off order, and imposed a six-month suspension order with a review, plus an 18-month interim suspension order.
Mitigating and aggravating factors
Mitigating factors
Early admission to some of the charges; she has shown genuine remorse and apologised for her actions; she has shown some insight into her clinical failings; she has practised in a senior nursing role for two years since the incident without any further concerns; some evidence of steps taken to remediate the concerns through training courses in relevant areas of concern and positive testimonials made on her behalf.
Aggravating factors
The misconduct placed Child A at unwarranted risk of harm; Child A was a vulnerable child with complex needs; three acts of dishonesty arising from a single incident and a breach of the duty of candour; insufficient insight into the dishonesty and its impact on others; late acceptance of the dishonest conduct.
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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