Nursing and Midwifery Council determination — review hearing
NMC panel strikes off nurse Julia Nixon over patient care and record-keeping failings
A Nursing and Midwifery Council panel has struck nurse Julia Ann Nixon from the register, replacing two 12-month suspension orders after finding she had shown no remediation and insufficient insight into failings in patient care and record-keeping.
MedicWatch editorial · Published 14 August 2026 · Updated 1 September 2026
Erasure (struck off the register)
Added to MedicWatch: 31 August 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 Julia Ann Nixon, nurse (Nursing and Midwifery Council 09H1870E).
Decision date: 14 August 2026 · Hearing started 14 August 2026
In plain English
The NMC found that registered nurse Julia Ann Nixon's fitness to practise remains impaired in two cases. Reviewing two 12-month suspension orders, the panel found she had not undertaken remediation, training or supervised practice and had not shown sufficient insight into failings in patient care and record-keeping. It replaced both suspension orders with striking-off orders, taking effect on 19 September and 27 November 2026.
Charges
The review concerned two cases. In case 085052 the charges found proved related to Mrs Nixon’s care of Patient A on 13 December 2019, including failing to discuss clinical red flag warning signs, failing to advise the patient to contact out of hours or 111 or to seek further medical advice if symptoms worsened, and recording in the patient’s notes that she had held those discussions and given that advice when she had not. Several sub-charges are redacted in the published document. In case 094889, brought against her as an Advanced Nurse Practitioner, the charges found proved concerned four patients between July 2022 and March 2023. They included not undertaking home visits when clinically justified, delegating a home visit to a health care assistant when not clinically appropriate, incorrectly recording “no red flags” when a patient reported weight loss, bowel problems and not eating, not carrying out a clinical assessment requested by a doctor, not adequately safeguarding a patient over access to their property, and failing to recognise a patient’s worsening condition.
Findings
The panel reviewed two existing suspension orders of 12 months each and found that Mrs Nixon’s fitness to practise remains impaired in both cases. It found no evidence that she had undertaken relevant continuing professional development, retraining, supervised practice or other remedial work since the previous proceedings, and considered that she had not demonstrated sufficient insight or explained how she would practise differently. The panel treated the absence of remediation as evidence of a lack of progress during the period the existing restriction had been in place. It took into account her written submission that she no longer wished to be a nurse and that striking off would be “extremely disproportionate”, but did not treat those statements as determinative. Having rejected no further action, a caution order, conditions of practice and a further suspension, the panel concluded that the findings raised fundamental questions about her professionalism and that public confidence could not be maintained if she remained on the register. It imposed striking-off orders in both cases, to take effect on 19 September 2026 and 27 November 2026. Mrs Nixon was not present and unrepresented.
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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