Nursing and Midwifery Council determination — review hearing
Struck off the register
The regulator’s term: erasure
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 Ms Gilvana Da Silva Nogueira, nurse (Nursing and Midwifery Council 99I2615E).
Decision date: 1 April 2026 · Hearing started 1 April 2026
In plain English
The NMC's Fitness to Practise Committee found at a substantive order review meeting on 1 April 2026 that Ms Gilvana Da Silva Nogueira, a registered adult nurse, remained impaired by reason of lack of competence and ordered her erasure from the register. She was originally suspended for 12 months in April 2024 after the panel found she had failed to meet competency objectives across four successive structured improvement processes. The review panel found no engagement and no realistic prospect of returning to safe practice, and replaced the suspension with a striking-off order taking effect on 1 May 2026.
Charges
Ms Nogueira was charged with failing to meet competency objectives across four successive structured improvement processes between September 2019 and January 2021: an informal capability process, a supervision plan, a period of supervised practice, and a formal capability process. The objectives covered communication, patient care, discharge planning, clinical care, medication practice, role-modelling, and completion of a medicines management booklet. She was also charged with not attending a shift on 28 October 2019, arriving late for shifts on more than one occasion, and on 6 April 2020 spending an unacceptable amount of time writing up a patient's notes.
Findings
All charges were proved at the original substantive hearing on 3 April 2024, which imposed a 12-month suspension order on the basis of lack of competence. The first review on 24 March 2025 found insufficient remediation, insight or engagement and extended the suspension by a further 12 months. At this second review on 1 April 2026, the panel found Ms Nogueira had again not engaged with the NMC, had provided no evidence of remediation or insight, and that her continued lack of engagement indicated no realistic prospect of returning to safe practice. The panel determined that a striking-off order was the only adequate sanction.
Mitigating and aggravating factors
Aggravating factors
The lack of competence persisted across four structured improvement processes spanning over a year, during which Ms Nogueira was under observation and supervision. The previous reviewing panel noted her attitude towards attempts to help her improve, and successive panels found no engagement, no insight, and no evidence of remediation.
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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