NMC insights
Why UK nurses and midwives are struck off
This analysis groups published NMC erasure determinations into broad reason categories using the regulator-described charges, findings, and summaries indexed by MedicWatch. The figures describe MedicWatch's indexed corpus of published regulator determinations, not all healthcare misconduct.
272
published erasure determinations analysed
263
matched at least one specific reason category
16 January 2026
earliest decision date in this view
18 September 2026
latest decision date in this view
Cite this: https://medicwatch.co.uk/insights/why-nurses-are-struck-off#dataset-summary · download the underlying data (CSV).
Interactive chart
Categorised reasons in published erasure decisions
Clinical care
149 of 272
54.8%
Records
116 of 272
42.6%
Workplace conduct
106 of 272
39%
Medicines and drugs
93 of 272
34.2%
Dishonesty
88 of 272
32.4%
Patient safety
82 of 272
30.1%
Health and substance
82 of 272
30.1%
Criminal conviction
61 of 272
22.4%
Consent and dignity
55 of 272
20.2%
Sexual misconduct
48 of 272
17.6%
Non-engagement
24 of 272
8.8%
Other
9 of 272
3.3%
Category table
| Category | Count | Share | What this includes |
|---|---|---|---|
| Clinical care and competence | 149 | 54.8% | Findings involving clinical care, treatment, diagnosis, competence, performance, or professional skill. |
| Records, paperwork, and administration | 116 | 42.6% | Findings involving record keeping, notes, paperwork, documentation, or administrative compliance. |
| Workplace conduct and colleagues | 106 | 39% | Findings involving colleagues, workplace behaviour, bullying, harassment, or employer-related conduct. |
| Medicines, prescribing, and drugs | 93 | 34.2% | Findings involving prescribing, medicines management, controlled drugs, medication errors, or drug misuse. |
| Dishonesty and false records | 88 | 32.4% | Findings involving dishonesty, fraud, forged documents, false statements, or misleading records. |
| Patient safety and safeguarding | 82 | 30.1% | Findings involving patient safety, safeguarding, vulnerable people, child protection, or risk of harm. |
| Health, alcohol, or substance concerns | 82 | 30.1% | Findings involving health concerns, alcohol, substance misuse, or health-related impairment. |
| Criminal conviction or caution | 61 | 22.4% | Findings where the published determination refers to a criminal conviction, caution, court sentence, or criminal offence. |
| Communication, consent, and dignity | 55 | 20.2% | Findings involving consent, communication, dignity, confidentiality, or patient information. |
| Sexual misconduct and boundaries | 48 | 17.6% | Regulator-described findings involving sexual misconduct, sexualised behaviour, or professional-boundary violations. |
| Non-engagement with the regulator | 24 | 8.8% | Findings involving failure to engage, non-compliance, breach of conditions, or failure to cooperate with the regulator. |
| Other or unclear | 9 | 3.3% | Determinations where the available summary text does not clearly match one of the other broad categories. |
Example source-backed determinations
Clinical care and competence
14 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Raphael Iyiewuare to be struck off after he admitted dishonest competency declarations and references, alongside clinical competence failings. The panel found that patients were put at risk but noted no evidence of actual harm. It acknowledged his admissions, mentoring and developing insight, but concluded that striking off was required. An interim suspension covers the appeal period before the final order takes effect.
11 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Carlo Federico Spatola's striking off after reviewing earlier professional-boundary breaches involving contact with a patient on social media. The panel found no evidence of insight, reflection or steps to address the concerns and found his fitness to practise remained impaired. It concluded that further suspension would serve no useful purpose. The order was to take effect at the end of 16 October 2026.
11 September 2026Nursing and Midwifery CouncilNurse
The NMC agreed to Lesley Sara Norman's request for removal from its register. The decision followed allegations about wound care and records, but no allegation had been substantively proved and Case Examiners had not made a decision. The Assistant Registrar found that agreed removal served the public interest, noting that Ms Norman no longer intended to practise. The matters may be reconsidered if she seeks readmission.
Records, paperwork, and administration
18 September 2026Nursing and Midwifery CouncilNurse
The NMC's Assistant Registrar agreed to Jade Megan Linton's removal from the register on 18 September 2026, following an application made in July. A health-related referral had been investigated, but no allegation had been substantively proved. The decision records that Linton no longer intended to work as a registered nurse and that agreed removal best served the public interest. The matters may be reconsidered if readmission is sought.
15 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Melanie Hayworth's striking off with immediate effect on 15 September 2026. Reviewing conditions imposed after medication errors, it found no new evidence of reflection, training or compliance with those conditions. The panel found continuing impairment and a risk of repetition. It concluded that further conditions or suspension would not adequately protect the public or serve the public interest.
14 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Amanda Lillian Reid to be struck off following a conviction for pension fraud. The panel found sustained, planned dishonesty and insufficient evidence of insight or remediation. It acknowledged her guilty plea and acceptance of the regulatory concern, but concluded that lesser sanctions would not protect the public or maintain confidence in nursing. An interim suspension covers the appeal period.
Workplace conduct and colleagues
14 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Raphael Iyiewuare to be struck off after he admitted dishonest competency declarations and references, alongside clinical competence failings. The panel found that patients were put at risk but noted no evidence of actual harm. It acknowledged his admissions, mentoring and developing insight, but concluded that striking off was required. An interim suspension covers the appeal period before the final order takes effect.
11 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Anish Babu Thananki to be struck off for dishonesty about employment history and sexual harassment of a colleague. An intention to violate the colleague's dignity was not proved, and no evidence was offered on a separate allegation. The panel acknowledged his participation and expressed remorse but found insufficient insight or remediation. An interim suspension covers the appeal period before the final order takes effect.
9 September 2026Nursing and Midwifery CouncilNurse
The NMC found that Susan Sanni slept on duty and dishonestly signed care records in advance during a July 2022 night shift. A separate allegation about knowing that care staff had missed hourly checks was not proved. The panel acknowledged positive subsequent practice and some remorse but found insufficient insight and remediation. In September 2026 it ordered striking off, with interim suspension during the appeal period.
Medicines, prescribing, and drugs
15 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Melanie Hayworth's striking off with immediate effect on 15 September 2026. Reviewing conditions imposed after medication errors, it found no new evidence of reflection, training or compliance with those conditions. The panel found continuing impairment and a risk of repetition. It concluded that further conditions or suspension would not adequately protect the public or serve the public interest.
14 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Raphael Iyiewuare to be struck off after he admitted dishonest competency declarations and references, alongside clinical competence failings. The panel found that patients were put at risk but noted no evidence of actual harm. It acknowledged his admissions, mentoring and developing insight, but concluded that striking off was required. An interim suspension covers the appeal period before the final order takes effect.
11 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Razvan Luca's striking off after reviewing a suspension imposed for medication-related misconduct. It found no new evidence of reflection, improved practice or insight, and noted his lack of engagement and the DBS barring information before it. The panel found continuing impairment and concluded that further suspension would serve no useful purpose. The order was to take effect at the end of 26 October 2026.
Dishonesty and false records
14 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Amanda Lillian Reid to be struck off following a conviction for pension fraud. The panel found sustained, planned dishonesty and insufficient evidence of insight or remediation. It acknowledged her guilty plea and acceptance of the regulatory concern, but concluded that lesser sanctions would not protect the public or maintain confidence in nursing. An interim suspension covers the appeal period.
14 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Raphael Iyiewuare to be struck off after he admitted dishonest competency declarations and references, alongside clinical competence failings. The panel found that patients were put at risk but noted no evidence of actual harm. It acknowledged his admissions, mentoring and developing insight, but concluded that striking off was required. An interim suspension covers the appeal period before the final order takes effect.
11 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Anish Babu Thananki to be struck off for dishonesty about employment history and sexual harassment of a colleague. An intention to violate the colleague's dignity was not proved, and no evidence was offered on a separate allegation. The panel acknowledged his participation and expressed remorse but found insufficient insight or remediation. An interim suspension covers the appeal period before the final order takes effect.
Patient safety and safeguarding
14 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Raphael Iyiewuare to be struck off after he admitted dishonest competency declarations and references, alongside clinical competence failings. The panel found that patients were put at risk but noted no evidence of actual harm. It acknowledged his admissions, mentoring and developing insight, but concluded that striking off was required. An interim suspension covers the appeal period before the final order takes effect.
10 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered Mark Frances Madriaga to be struck off following convictions for sexual offences involving children. The panel acknowledged his developing insight and reflection but found that the concerns had not been sufficiently addressed and that a risk of repetition remained. It concluded that lesser sanctions would not adequately protect the public or maintain confidence in nursing. An interim suspension covers the appeal period.
8 September 2026Nursing and Midwifery CouncilNurse
The NMC's Fitness to Practise Committee ordered David Allister Bradley to be struck off following a common-assault conviction involving a colleague. An earlier sexual-assault conviction had been quashed on appeal. The panel acknowledged his apology and training but found incomplete insight and a significant risk of repetition, including similar previous disciplinary concerns. It accepted a consensual determination and imposed interim suspension to cover the appeal period.
Methodology and limits
This page analyses published erasure and voluntary-erasure determinations in the MedicWatch indexed corpus. It does not claim to measure all misconduct in UK healthcare or every regulator decision ever made.
MedicWatch applies a fixed taxonomy to regulator-derived charges, findings, and plain-English summaries. A determination can match more than one category, so category percentages may add up to more than 100%. The denominator for each percentage on this page is 272 published determinations.
Categories describe broad themes in the regulator's published findings. They are not new allegations by MedicWatch. Follow the linked source determinations for the full wording and context.
For citation, describe this as “MedicWatch analysis of its indexed corpus of published UK healthcare regulator erasure determinations”. Do not describe it as a measure of all UK healthcare misconduct.