QUEEN'S BENCH DIVISION
THE ADMINISTRATIVE COURT
Strand London WC2A 2LL |
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B e f o r e :
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SHARP | Claimant | |
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NURSING AND MIDWIFERY COUNCIL | Defendant |
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Mrs A Thompson (instructed by Nursing and Midwifery Council) appeared on behalf of the Defendant
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"In light of the above, your fitness to practise is impaired by reason of misconduct."
"...[the appellant] was fortunate to receive a period of suspension rather than erasure. It is arguable that his case should have been dealt with more severely rather than more leniently."
"Alternatively, even if the sanction imposed by the [committee] was not disproportionate in the circumstances at that time, the appellant now admits the factual allegations, misconduct and impairment of his fitness to practise. Consequently, the sanction imposed on the appellant is disproportionate and unfair."
"It is of note that the appellant, having had the benefit of legal advice, now makes full admissions to the factual allegations against him, and admits that his fitness to practise is impaired by reason of his misconduct."
"Even if a caution order was not the appropriate sanction at the time of the [committee's] decision, it is now a fair and proportionate disposal, given the appellant's admissions, and the further evidence that he shall present to the High Court."
"Prior to the hearing, the appellant intends to provide further evidence to the court, as outlined in paragraph 23 of the advice of 2 September 2010..."
"The panel noted that in the information it had before it and produced by Ms Sannachan, there was evidence that the Registrant had worked four additional shifts for the Trust's nurse bank in January 2007. These shifts precede the Registrant's written notice of resignation on 14 March 2007. There had therefore been a repetition of the misconduct which formed the basis of charge 1(i). This evidence contradicted the Registrant's assertion in his communication of 2 August 2010 that 'if I was being dishonest why only work three shifts and why not work any more for personal gain?'"
Pausing there, I emphasise within that passage the phrase "There had therefore been a repetition of the misconduct..."
"12. This sanction may be appropriate where most of the following factors are present. This list is not exhaustive.
"12.1 There is evidence that behaviour would not have caused direct or indirect patient harm.
"12.2 There was early admission of facts alleged and/or:
"12.2.1 an insight into failings
"12.2.2 it was an isolated incident which was not deliberate
"12.2.3 there is a genuine expression of regret or apology.
"12.3 The registrant was acting under duress.
"12.4 The registrant has previous good history.
"12.5 There has been no repetition of the behaviour since the incident.
"12.6 Appropriate rehabilitative or corrective steps have been taken.
"12.7 Relevant and appropriate references and testimonials have been received."
"This was not an isolated incident and in addition to the three shifts referred to in Charge 1(i) there were four further known occasions when the Registrant has repeated this dishonest behaviour."
"The Fitness to Practise Panel is not determining what sanction to impose upon a doctor by way of punishment, but to determine whether or not his fitness to practise is impaired, and if so, and in the public interest, what sanction should be imposed upon him... Given that purpose, the panel are, in my view, clearly entitled to take into account, at the stage at which they determine whether fitness to practise is impaired, material other than the allegations which they have considered which suggest that it is either is not impaired [sic] or that it is impaired."
"In my judgment, the Panel was more than entitled to conclude as it did in relation to these matters. And having concluded as it did, the Panel was equally, in my judgment, entitled to take these serious matters into account as going to the doctor's veracity in deciding where the truth lay on the central or core issue."
"In cases of actual proven dishonesty, the balance ordinarily can be expected to fall down on the side of maintaining public confidence in the profession by a severe sanction against the practitioner concerned. Indeed, that sanction will often and perfectly properly be the sanction of erasure, even in the case of a one-off instance of dishonesty."