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Fitness to practise concerns

A guide for RCN members who have concerns about a nurse or midwife’s fitness to practise.

The NMC Code

The Nursing and Midwifery Council (NMC) states that '...if you have concerns that someone who is registered as a nurse or midwife is not fit to practise because of a health or character issue, you have a duty outlined in the Code to make your concerns known.'

The following publications, available on the NMC website, provide further information:

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How to raise concerns

If you have concerns about the fitness to practise of a colleague you should:

  • raise your concerns internally, following your employer's policy
  • after raising your concerns, you or your employer may decide to raise these concerns externally. The NMC investigates complaints about nurses and midwives.

At all stages, ensure that you keep records of your concerns, and any steps you have taken to resolve them, as you may need to refer to them at a later date.

Please see our raising concerns guidance and refer to the NMC website for information about fitness to practise.

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Supporting you

You can contact us between 8.30am and 8.30pm, 7 days a week, 365 days per year on 0345 772 6100 for further support. We may put you in touch with a local RCN representative to support you with raising concerns.

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What to do if you are facing investigation

Read our advice if you are facing investigation and possible NMC referral - find out what to expect and how the RCN can support you.

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Need more advice?

Call RCN Direct on: 0345 772 6100