Nursing and Midwifery Council determination — review hearing
NMC panel gives James Josh Hartley 12-month conditions over saline incident
An NMC review panel has placed nurse James Josh Hartley under conditions for 12 months after finding he remained impaired following misconduct involving an unprescribed saline-filled syringe.
MedicWatch editorial · Published 21 August 2026 · Updated 23 September 2026
Conditions on practice (practising with restrictions) — 1 year
Data last checked: 23 September 2026Report a correction
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 James Josh Hartley, nurse (Nursing and Midwifery Council 19D1554E).
Decision date: 21 August 2026 · Hearing started 21 August 2026
In plain English
The NMC's Fitness to Practise Committee found that James Josh Hartley remained impaired after reviewing his response to misconduct involving an unprescribed saline-filled syringe and Person A's parents. The panel found that he had made meaningful progress but lacked evidence of safe nursing practice after time away. It replaced his suspension with a 12-month conditions of practice order.
Charges
The substantive panel found that Mr Hartley filled a syringe with unprescribed saline solution and left it within Person A's reach for self-administration, and obstructed Person A's parents from attending to him.
Findings
The reviewing panel found that Mr Hartley had developed insight and made meaningful progress, but lacked direct evidence of his ability to return to nursing safely after a significant period away from practice. It found continuing impairment on public protection and public interest grounds, assessed a low risk of repetition, and replaced his suspension with 12 months of conditions.
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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