PART IU.K.GENERAL
Citation and commencementU.K.
1.—(1) This Order may be cited as the Nursing and Midwifery Order 2001.
(2) This article and article 54(4) come into force on the day on which this Order is made and the other provisions of this Order shall come into force on such day as the Secretary of State may specify.
(3) Different days may be specified under paragraph (2) for different purposes and any day so specified shall be caused to be notified in the London, Edinburgh and Belfast Gazettes published not later than one week before that date.
Commencement Information
I1Art. 1 in force at made date, see art. 1(2)(3)
InterpretationU.K.
2. This Order is to be interpreted in accordance with Schedule 4.
Commencement Information
I2Art. 2 in force at 1.4.2002 for specified purposes as notified in the London Gazette (Issue 56517, published 25.3.2002), see art. 1(2)(3)
I3Art. 2 in force at 22.1.2003 for specified purposes as notified in the London Gazette (Issue 56816, published 10.1.2003), see art. 1(2)(3)
I4Art. 2 in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
PART IIU.K.THE COUNCIL AND ITS COMMITTEES
The Nursing and Midwifery Council and its CommitteesU.K.
3.—(1) There shall be a body corporate known as the Nursing and Midwifery Council (referred to in this Order as “the Council”).
(2) The principal functions of the Council shall be to establish from time to time standards of education, training, conduct and performance for nurses and midwives and to ensure the maintenance of those standards.
(3) The Council shall have such other functions as are conferred on it by this Order or as may be provided by the Privy Council by order.
(4) The main objective of the Council in exercising its functions shall be to safeguard the health and well-being of persons using or needing the services of registrants.
[F1(5) In exercising its functions, the Council shall—
(a)have proper regard for—
(i)the interests of persons using or needing the services of registrants in the United Kingdom, and
(ii)any differing interests of different categories of registrants;
(b)co-operate, in so far as is appropriate and reasonably practicable, with public bodies or other persons concerned with—
(i)the employment (whether or not under a contract of service) of registrants,
(ii)the education or training of nurses, midwives or other health care professionals,
(iii)the regulation of, or the co-ordination of the regulation of, other health or social care professionals,
(iv)the regulation of health services, and
(v)the provision, supervision or management of health services.
(5A) In carrying out its duty to co-operate under paragraph (5)(b), the Council shall have regard to any differing considerations relating to practising as a nurse or midwife which apply in England, Scotland, Wales or Northern Ireland.
(5B) In paragraph (5), “health care professionals” means persons regulated by a body, other than the Council, mentioned in section 25(3) of the National Health Service Reform and Health Care Professions Act 2002 (which relates to the Council for the Regulation of Health Care Professionals).]
(6) Before making any order under paragraph (3), the Privy Council shall consult the Council.
F2(7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[F3(7A) The Council shall be constituted as provided for by order of the Privy Council, subject to Part 1 of Schedule 1.]
(8) Part I of Schedule 1 shall have effect with respect to the constitution of the Council [F4and orders of the Privy Council under paragraph (7A)].
(9) There shall be four committees of the Council, to be known as—
(a)the Investigating Committee;
(b)the Conduct and Competence Committee;
(c)the Health Committee; and
(d)the Midwifery Committee.
(10) The four committees are referred to in this Order as “the statutory committees”.
(11) Each of the statutory committees shall have the functions conferred on it by this Order.
(12) The Council may establish such other committees as it considers appropriate in connection with the discharge of its functions and delegate any of its functions to them, other than any power to make rules.
(13) The Council shall inform and educate registrants, and shall inform the public, about its work.
(14) Before establishing any standards or giving any guidance under this Order the Council shall consult representatives of any group of persons it considers appropriate including, as it sees fit, representatives of—
(a)registrants or classes of registrant;
(b)employers of registrants;
(c)users of the services of registrants; and
(d)persons providing, assessing or funding education or training for registrants or prospective registrants.
(15) The Council shall publish any standards it establishes and any guidance it gives.
(16) Paragraphs (14) and (15) do not apply to guidance given to an individual which is particular to him.
(17) Part II of Schedule 1 shall have effect with respect to the statutory committees.
(18) Nothing in this Order shall require or permit any disclosure of information which is prohibited by or under any other enactment.
Textual Amendments
F1Art. 3(5)-(5B) substituted for art. 3(5) (12.6.2008) by The Nursing and Midwifery (Amendment) Order 2008 (S.I. 2008/1485), art. 1(2)(b), Sch. 1 para. 1(a)
F2Art. 3(7) omitted (1.1.2009 as notified in the London Gazette (Issue 58904, published 5.12.2008)) by virtue of The Nursing and Midwifery (Amendment) Order 2008 (S.I. 2008/1485), Sch. 1 para. 1(b)
F3Art. 3(7A) inserted (1.1.2009 as notified in the London Gazette (Issue 58904, published 5.12.2008)) by The Nursing and Midwifery (Amendment) Order 2008 (S.I. 2008/1485), Sch. 1 para. 1(c)
F4Words in art. 3(8) inserted (1.1.2009 as notified in the London Gazette (Issue 58904, published 5.12.2008)) by The Nursing and Midwifery (Amendment) Order 2008 (S.I. 2008/1485), Sch. 1 para. 1(d)
Commencement Information
I7Art. 3(1)-(7), (9)(d), (12)-(16), (18) in force at 1.4.2002 as notified in the London Gazette (Issue 56517, published 25.3.2002), see art. 1(2)(3)
I8Art. 3(8)(10)(11)(17) in force at 1.4.2002 for specified purposes as notified in the London Gazette (Issue 56517, published 25.3.2002), see art. 1(2)(3)
I9Art. 3(8)(11)(17) in force at 22.1.2003 for specified purposes as notified in the London Gazette (Issue 56816, published 10.1.2003), see art. 1(2)(3)
I10Art. 3(9)(10) in force at 22.1.2003 in so far as not already in force as notified in the London Gazette (Issue 56816, published 10.1.2003), see art. 1(2)(3)
I11Art. 3(11)(17) in force at 1.8.2004 in so far as not already in force as notified in the London Gazette (Issue 57361, published 21.7.2004), see art. 1(2)(3)
PART IIIU.K.REGISTRATION
RegistrarU.K.
4.—(1) The Council shall appoint a Registrar who shall hold office for such period and on such terms as the Council may determine.
(2) The Registrar shall have such functions as the Council may direct.
(3) The terms on which the Registrar holds office may, in addition to providing for his remuneration, include provision for the payment of such pensions, allowances or gratuities to or in respect of him, or such contributions or payments towards provision for such pensions, allowances or gratuities, as may be determined by the Council.
(4) Where the terms on which the Registrar holds office include provision for the payment to him of any allowances or expenses, the rate at which those allowances or expenses are paid shall be determined by the Council.
(5) If the Council appoints a deputy or assistant Registrar and that deputy or assistant Registrar is authorised by the Registrar to act for him in any matter, any reference in this Order to “the Registrar” shall include a reference to that deputy or assistant Registrar.
Commencement Information
Establishment and maintenance of registerU.K.
5.—(1) In accordance with the provisions of this Order the Council shall establish and maintain a register of qualified nurses and midwives.
(2) The Council shall from time to time—
(a)establish the standards of proficiency necessary to be admitted to the different parts of the register being the standards it considers necessary for safe and effective practice under that part of the register; and
(b)prescribe the requirements to be met as to the evidence of good health and good character in order to satisfy the Registrar that an applicant is capable of safe and effective practice as a nurse or midwife.
(3) The Council shall—
(a)before prescribing the requirements mentioned in paragraph (2)(b), consult F5... the persons referred to in article 3(14); and
(b)publish those requirements.
(4) The register shall show, in relation to each registrant, such address and other details as the Council may prescribe.
(5) In any enactment or instrument (past or future and including this Order), except where the context otherwise provides, “registered” in relation to nurses and midwives means registered in the register maintained under this article by virtue of qualifications in nursing or midwifery, as the case may be.
Textual Amendments
F5Words in art. 5(3)(a) omitted (14.5.2009) by virtue of The Health Care and Associated Professions (Miscellaneous Amendments and Practitioner Psychologists) Order 2009 (S.I. 2009/1182), art. 1(2)(e), Sch. 4 para. 38(a)
Commencement Information
I14Art. 5(2)(b) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
I15Art. 5(3)(a) in force at 7.7.2003 for specified purposes as notified in the London Gazette (Issue 56984, published 27.6.2003), see art. 1(2)(3)
[F6Supplementary provisions as to necessary knowledge of EnglishU.K.
5A.—(1) The Council must publish guidance about—
(a)the evidence, information or documents to be provided by an applicant for the purpose of satisfying the Registrar under article 9(2)(ba) that the applicant has the necessary knowledge of English; and
(b)the process by which the Registrar is to determine whether the Registrar is satisfied as mentioned in paragraph (a).
(2) The Registrar must have regard to the guidance published under paragraph (1) in determining whether the Registrar is satisfied as mentioned in paragraph (1)(a).
(3) Paragraphs (4) and (6) apply if, having considered any evidence, information or documents provided by the applicant in support of the applicant’s application, the Registrar is not satisfied under article 9(2)(ba) that the applicant has the necessary knowledge of English.
(4) The Registrar may request the applicant to provide further evidence, information or documents within such period as the Registrar may specify.
(5) The Registrar may not exercise any power under paragraph (4) unless the Registrar has complied with any duty under article 9(3C).
(6) The Registrar may require the applicant—
(a)to undergo an examination or other assessment; and
(b)to provide information in respect of that examination or assessment,
within such period as the Registrar may specify.
(7) In the case of an applicant who is an exempt person, the Registrar may not exercise the power under paragraph (6) without having first—
(a)exercised the power under paragraph (4); and
(b)considered any further evidence, information or documents provided by the applicant.
(8) Guidance published under paragraph (1) may make different provision in relation to different cases or classes of case.
(9) In this article, references to an applicant are references to a person applying for registration in a part of the register or readmission to that part.]
Textual Amendments
RegisterU.K.
6.—(1) The register shall be divided into such parts as the Privy Council may by order determine, on a proposal by the Council or otherwise, and in this Order, references to parts of the register are to the parts so determined.
(2) Each part shall have a designated title indicative of different qualifications and different kinds of education or training and a registrant is entitled to use the title corresponding to the part of the register in which he is registered.
(3) Subject to article 7, the Privy Council may by order, on a proposal by the Council or otherwise, make such other provision in connection with the register as it considers appropriate and in particular may provide for—
(a)the register to include entries indicating the possession of qualifications (whether or not they are approved qualifications) or competence in a particular field or at a particular level of practice, or for the use of a particular category of entry to be discontinued;
[F7(aa)the register to include an annotation denoting that a registrant is a visiting nurse or midwife from a relevant European State;]
(b)persons to be registered in one or more parts of the register by virtue of having been included in the register maintained under the 1997 Act;
(c)the recording of additional entries by virtue of their having been in the register maintained under the 1997 Act;
(d)a specified part of the register to be closed, as from a date specified in the order, so that on or after that date no further person may become registered in that part;
(e)a specified part of the register to be sub-divided into two or more parts, or for two or more parts to be combined into one;
(f)persons to be registered in one or more parts of the register by virtue of having been registered in a part or parts of the register which have been closed, sub-divided or combined;
(g)the register to include a part or parts for specialists in community and public health;
(h)the recording in Welsh of titles, qualifications and other entries referred to in this paragraph in respect of those members of the professions regulated by this Order whose registered address is in Wales.
(4) The Privy Council, except where acting in accordance with a proposal made by the Council, shall consult the Council before making, varying or revoking any order under this article.
(5) Before making any proposal referred to in paragraph (1) or (3), the Council shall consult representatives of any group of persons who appear likely to be affected by the proposed order.
Textual Amendments
F7Art. 6(3)(aa) inserted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 156
Commencement Information
[F8Temporary annotations with regard to emergencies involving loss of human life or human illness etc.U.K.
6A.—(1) If the Secretary of State advises the Registrar that an emergency has occurred, is occurring or is about to occur and that action should be considered under this article, the Registrar may make—
(a)an annotation in the register against the name of a registrant to indicate that the registrant is qualified to order drugs, medicines and appliances in a specified capacity, notwithstanding that the registrant is not so qualified, if the Registrar considers that the registrant is a fit, proper and suitably experienced person to order drugs, medicines and appliances in that capacity with regard to the emergency;
(b)annotations in the register against the names of registrants comprising a specified group of registrants to indicate that they are qualified to order drugs, medicines and appliances in a specified capacity, notwithstanding that they are not so qualified, if the Registrar considers that the group is comprised of registrants who are of a type who may reasonably be considered fit, proper and suitably experienced persons to order drugs, medicines and appliances in that capacity with regard to the emergency.
(2) The Registrar may make the annotation in such a way so as to distinguish registrants against whose names in the register annotations are made by virtue of paragraph (1) from registrants in respect of whom the annotation is made otherwise than by virtue of paragraph (1).
(3) Annotations made by virtue of paragraph (1)—
(a)must be removed by the Registrar if the Secretary of State advises the Registrar that the circumstances that led the Secretary of State to advise the Registrar as mentioned in paragraph (1) no longer exist;
(b)may be removed by the Registrar at any time, including where the Registrar has grounds for suspecting that the registrant’s fitness to order drugs, medicines or appliances may be impaired.
(4) A registrant against whose name in the register an annotation is made by virtue of paragraph (1)(b) as one of a specified group may have that annotation removed without the Registrar removing the equivalent annotations against the names of the other members of the group or by virtue of a decision to remove the annotations made by virtue of paragraph (1)(b) against the names of all the members of the group.
(5) For the purposes of this article, “emergency” means an emergency of the type described in section 19(1)(a) of the Civil Contingencies Act 2004 (meaning of “emergency”), read with [F9subsection (2)(a) and (b)] of that section.]
Textual Amendments
F8Art. 6A inserted (12.6.2008) by The Nursing and Midwifery (Amendment) Order 2008 (S.I. 2008/1485), art. 1(2)(b), Sch. 1 para. 2
The register: supplemental provisionsU.K.
7.—(1) The Council shall make rules in connection with registration and the register, and as to the payment of fees.
(2) The rules shall, in particular, make provision as to—
(a)the form and keeping of the register;
(b)the procedure for the making, alteration and deletion of entries in the register;
(c)the form and manner in which applications are to be made and the fee to be charged—
(i)for registration, renewal of registration and readmission to the register,
(ii)for the making of any additional entry in the register, and
(iii)for registration to lapse;
(d)the documentary and other evidence which is to accompany applications of the kind mentioned in sub-paragraph (c).
(3) Before determining or varying any fees mentioned in paragraph (2)(c) the Council shall consult such of those persons mentioned in article 3(14) as it considers appropriate.
[F10(4) Rules under this article shall not provide for fees to be charged in respect of a person's registration in exercise of entitlement under article 39A or Schedule 2A (visiting nurses and midwives from relevant European States).]
[F11(5) Rules may not be made under this article in connection with annotations made under article 6A.]
Textual Amendments
F10Art. 7(4) inserted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 157
F11Art. 7(5) inserted (12.6.2008) by The Nursing and Midwifery (Amendment) Order 2008 (S.I. 2008/1485), art. 1(2)(b), Sch. 1 para. 3
Commencement Information
Access to register etc.U.K.
8.—(1) The Council shall make the register available for inspection by members of the public at all reasonable times.
(2) The Council shall publish the register maintained by it in such manner, and at such times, as it considers appropriate.
(3) Any copy of, or extract from, the published register shall be evidence (and in Scotland sufficient evidence) of the matters mentioned in it.
(4) A certificate purporting to be signed by the Registrar, certifying that a person—
(a)is registered in a specified category;
(b)is not registered;
(c)was registered in a specified category at a specified date or during a specified period;
(d)was not registered in a specified category, or in any category, at a specified date or during a specified period; or
(e)has never been registered,
shall be evidence (and in Scotland sufficient evidence) of the matters certified.
(5) On application by a registrant who wishes to practise in another [F12relevant European State], the Council shall provide him with such documentary evidence as is required by [F13the relevant provisions of the Directive].
Textual Amendments
F12Words in art. 8(5) substituted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 158(a)
F13Words in art. 8(5) substituted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 158(b)
Commencement Information
RegistrationU.K.
9.—(1) [F14Subject to paragraph (7), a person] seeking admission to a part of the register must apply to the Council and, subject to the provisions of this Order, if he satisfies the conditions mentioned in paragraph (2) he shall be entitled to be registered in that part.
(2) Subject to paragraph (3), the conditions are that the application is made in the prescribed form and manner and that the applicant—
(a)satisfies the Registrar that he holds an approved qualification awarded—
(i)within such period, not exceeding five years ending with the date of the application, as may be prescribed, or
(ii)before the prescribed period mentioned in head (i), and he has met such requirements as to additional education, training and experience as the Council may specify under article 19(3) and which apply to him;
[F15(aa)satisfies the Registrar that there is in force in relation to the applicant, or there will be as necessary for the purpose of complying with article 12A, appropriate cover under an indemnity arrangement;]
(b)satisfies the Registrar in accordance with the Council’s requirements mentioned in article 5(2) that he is capable of safe and effective practice as a [F16nurse or midwife;]
[F17(ba)satisfies the Registrar that he has the necessary knowledge of English; and]
(c)has paid the prescribed fee.
(3) Where the applicant is already registered in the register and wishes to be registered in an additional part of the register or to have additional entries recorded, paragraph (2)(a) shall apply only to the qualifications on which his application is based.
[F18(3A) Where an exempt person makes an application under paragraph (1), the Registrar, within the period of one month beginning with the date of receipt of the application, must—
(a)acknowledge receipt of the application; and
(b)inform the applicant of any missing document required for the purposes of the application.]
[F19(3B) Paragraph (3C) applies if—
(a)the Registrar is satisfied that the applicant falls within article 13(1)(b), (c) or (e) but not within article 13(1A); and
(b)the applicant has paid the prescribed fee under paragraph (2)(c); but
(c)the Registrar decides to make a request under article 5A(4).
(3C) The Registrar must notify the applicant that the Registrar recognises that the applicant, by virtue of falling within article 13(1)(b), (c) or (e), but not within article 13(1A), is entitled to be registered in a part of the register, subject to meeting any other requirements for registration.]
[F20(4) Where a person makes an application under paragraph (1), the Registrar must, as soon as reasonably practicable and in any event within the specified period, notify the applicant in writing—
(a)of the result of the application; and
(b)if the Registrar refuses the application, of the reasons for the decision, and of the applicant's right of appeal.
(5) [F21Subject to paragraph (5ZA),] in paragraphs (4) and (6) “the specified period”—
(a)except in a case specified in sub-paragraph (b), means the period of three months beginning with the relevant date;
(b)in the case of an application by a person seeking registration in the register on the basis that he is to be regarded as having an approved qualification by virtue of falling within article 13(1)(e) or (f), means the period of four months beginning with the relevant date.
[F22(5ZA) In calculating any period of time for the purposes of paragraph (5), the following are to be disregarded—
(a)any period which begins on the date on which the Registrar makes a request under article 5A(4) and ends on the date on which the applicant complies with the request; and
(b)any period which begins on the date on which the Registrar requires the applicant to undergo an examination or other assessment under article 5A(6)(a) and ends on the date on which the applicant complies with the requirement under article 5A(6)(b).]
(5A) The “relevant date”, in relation to an application, is—
(a)the date when the Registrar receives the application; or
(b)if any document required for the purposes of the application is missing when the Registrar receives the application, the date on which the Registrar first has all the documents required for those purposes.]
[F23(5B) A document that is requested or required under article 5A(4) or (6)(b) is not to be treated as missing for the purposes of this article.]
(6) Failure to notify the applicant of the Registrar’s decision [F24, including a decision for the purposes of paragraph (3B)(a) that the Registrar is not satisfied that the applicant falls within article 13(1)(b), (c) or (e) and not within article 13(1A),] within [F25the specified period] shall be treated as a decision from which the applicant may appeal under article 37.
[F26(7) This article does not apply to a person who seeks registration in exercise of entitlement under article 39A or Schedule 2A (visiting nurses and midwives from relevant European States).]
Textual Amendments
F14Words in art. 9(1) substituted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 159(a)
F15Art. 9(2)(aa) inserted (17.7.2014) by The Health Care and Associated Professions (Indemnity Arrangements) Order 2014 (S.I. 2014/1887), art. 1(2), Sch. 1 para. 24
F16Words in art. 9(2)(b) substituted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 34(2)(a); S.I. 2015/1451, art. 4
F17Art. 9(2)(ba) inserted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 34(2)(b); S.I. 2015/1451, art. 4
F18Art. 9(3A) inserted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 159(b)
F19Art. 9(3B)(3C) inserted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 34(3); S.I. 2015/1451, art. 4
F20Art. 9(4)-(5A) substituted for art. 9(4) (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 159(c)
F21Words in art. 9(5) inserted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 34(4); S.I. 2015/1451, art. 4
F22Art. 9(5ZA) inserted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 34(5); S.I. 2015/1451, art. 4
F23Art. 9(5B) inserted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 34(6); S.I. 2015/1451, art. 4
F24Words in art. 9(6) inserted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 34(7); S.I. 2015/1451, art. 4
F25Words in art. 9(6) substituted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 159(d)
F26Art. 9(7) inserted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 159(e)
Commencement Information
I21Art. 9(2)(a)(i) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
Renewal of registration and readmissionU.K.
10.—(1) [F27Subject to paragraph (6), where a person] is registered and wishes to renew his registration at the end of a prescribed period, he shall make an application for renewal to the Registrar in accordance with rules made by the Council.
(2) The Registrar shall grant the application for renewal if the applicant—
(a)meets the conditions set out in article 9(2)(b) and (c);
[F28(aa)satisfies the Registrar that there is in force in relation to the applicant or there will be as necessary for the purpose of complying with article 12A, appropriate cover under an indemnity arrangement;]
[F29(ab)in such circumstances as may be prescribed, meets the condition in article 9(2)(ba);]
(b)satisfies the Registrar that he has met any prescribed requirements for continuing professional development within the prescribed time; and
(c)where he has not practised, or has practised for less than the prescribed period, since his first registration or, as the case may be, his latest renewal, has met such requirements as to additional education, training or experience as the Council may specify under article 19(3) and which apply to him.
[F30(2A) If the Council makes rules pursuant to paragraph (2)(ab)—
(a)paragraph (3) applies to an applicant who is required to meet the condition in article 9(2)(ba) as if “ (ab),” were inserted after “paragraph (2)”; and
(b)article 5A applies as if in paragraph (9) of that article “or renewal of registration,” was inserted after “registration”.]
(3) Where an applicant does not satisfy the Registrar that he has met the requirements mentioned in paragraph (2)(b) or (c), the Registrar may renew the applicant’s registration on condition that he satisfy those requirements within a specified time and if the person fails to comply with the condition, subject to articles 12(3) and 37(3), his registration shall lapse and, in accordance with prescribed procedure, his name shall be removed from the register.
(4) Where a person’s registration has lapsed, he may apply to the Registrar to be readmitted and the Registrar shall grant the application if—
(a)the applicant meets the conditions set out in article 9(2)(b) [F31, (ba)] and (c); and
(aa)[F32the applicant satisfies the Registrar that there is in force in relation to the applicant or there will be as necessary for the purpose of complying with article 12A, appropriate cover under an indemnity arrangement;]
(b)he satisfies the Registrar that he has met such requirements as to additional education, training or experience as the Council may specify under article 19(3) and which apply to him.
(5) Article 9(4) to (6) shall apply to applications made under this article.
[F33(6) This article does not apply to a visiting nurse or midwife from a relevant European State.]
Textual Amendments
F27Words in art. 10(1) substituted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 160(a)
F28Art. 10(2)(aa) inserted (17.7.2014) by The Health Care and Associated Professions (Indemnity Arrangements) Order 2014 (S.I. 2014/1887), art. 1(2), Sch. 1 para. 25(a)
F29Art. 10(2)(ab) inserted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 35(2); S.I. 2015/1451, art. 4
F30Art. 10(2A) inserted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 35(3); S.I. 2015/1451, art. 4
F31Word in art. 10(4)(a) inserted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 35(4); S.I. 2015/1451, art. 4
F32Art. 10(4)(aa) inserted (17.7.2014) by The Health Care and Associated Professions (Indemnity Arrangements) Order 2014 (S.I. 2014/1887), art. 1(2), Sch. 1 para. 25(b)
F33Art. 10(6) inserted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 160(b)
Commencement Information
Deemed registration of visiting EEA nurses and midwivesU.K.
F3411. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Textual Amendments
F34Art. 11 omitted (3.12.2007) by virtue of The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 161
Lapse of registrationU.K.
12.—(1) The Council may make rules providing for the procedure by which and the circumstances in which a registrant’s name may be removed from the register on his own application or after the expiry of a specified period.
(2) Where a person’s name is removed in accordance with this article or article 10(3), his registration shall be referred to as lapsed.
(3) Any rules made under paragraph (1) shall provide that a person’s registration shall not lapse under this article or under article 10(3)—
(a)where the person concerned is the subject of an allegation, or is treated under article 22(6) as if he were the subject of an allegation, or is the subject of any investigations or proceedings under Part V or VI of this Order, on the grounds only that he has not paid the prescribed fee or has failed to apply for renewal in the prescribed form or within the prescribed time; or
(b)if the person concerned is the subject of a suspension order, a conditions of practice order, an interim suspension order or an interim conditions of practice order.
Commencement Information
[F35Indemnity arrangementsU.K.
12A.—(1) Each practising registrant must have in force in relation to that registrant an indemnity arrangement which provides appropriate cover for practising as such.
(2) For the purposes of this article, an “indemnity arrangement” may comprise—
(a)a policy of insurance;
(b)an arrangement made for the purposes of indemnifying a person;
(c)a combination of the two.
(3) For the purposes of this article, “appropriate cover”, in relation to practice as a registered nurse or midwife, means cover against liabilities that may be incurred in practising as such which is appropriate, having regard to the nature and extent of the risks of practising as such.
(4) The Council may make rules in connection with the information to be provided to the Registrar—
(a)by or in respect of a person applying for registration (including an application for restoration or readmission) for the purpose of determining whether or not the Registrar is satisfied that if the person is registered, there will be in force in relation to that person by the time that person begins to practise, an indemnity arrangement which provides appropriate cover;
(b)by or in respect of a person applying for renewal of their registration for the purpose of determining whether or not the Registrar is satisfied that if the person's registration is renewed, there will be in force in relation to that person by the time that person resumes practice, an indemnity arrangement which provides appropriate cover; and
(c)by or in respect of a registrant for the purposes of determining whether at any time there is in force in relation to the registrant an indemnity arrangement which provides appropriate cover.
(5) Rules made under paragraph (4) may require information to be provided—
(a)at the request of the Registrar; or
(b)on such dates or at such intervals as the Registrar may determine, either generally or in relation to individual registrants or registrants of a particular description.
(6) The Council may also make rules requiring a registrant to inform the Registrar if there ceases to be in force in relation to that registrant appropriate cover under an indemnity arrangement.
(7) The Council may also make rules requiring a registrant to provide the Registrar with such information as is necessary for the purpose of satisfying the Registrar that there is or will be in force in relation to that registrant appropriate cover provided under an indemnity arrangement by an employer.
[F36(7A) For the purposes of verifying that information, the Registrar may disclose to any person information relating to a person’s indemnity arrangement which is provided to the Council by virtue of rules made under paragraph (4) or (7).]
(8) If a registrant is in breach of paragraph (1)—
(a)the Registrar may remove that person from the register; or
(b)the person's fitness to practise may be treated for the purposes of article 22(1)(a)(i) as being impaired by reason of misconduct, and the Registrar may accordingly refer the matter to persons appointed by it under article 22(5)(b)(i) (where rules under article 23 provide) or to a Practice Committee under article 22(5)(b)(ii).
(9) If an applicant breaches rules under paragraph (4), or there is a breach of rules under that paragraph in respect of the applicant the Registrar may refuse the applicant's application for—
(a)admission (or readmission) to the register;
(b)restoration to the register; or
(c)renewal.
(10) If a registrant breaches rules under paragraph (4)(b) or (c), that person's fitness to practise may be treated for the purposes of article 22(1)(a)(i) as being impaired by reason of misconduct, and the Registrar may accordingly refer the matter to persons appointed by it under article 22(5)(b)(i) (where rules under article 23 provide) or to a Practice Committee under article 22(5)(b)(ii) .
(11) This article does not apply to a person who has an entitlement to be registered under article 39 and Schedule 2A (visiting midwives, and certain nurses from relevant European States), or article 39A (visiting general system nurses from relevant European States).]
Textual Amendments
F35Art. 12A inserted (17.7.2014) by The Health Care and Associated Professions (Indemnity Arrangements) Order 2014 (S.I. 2014/1887), art. 1(2), Sch. 1 para. 26
F36Art. 12A(7A) inserted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 3
Approved qualificationsU.K.
13.—(1) For the purposes of this Order a person is to be regarded as having an approved qualification if—
(a)he has a qualification awarded in the United Kingdom which has been approved by the Council as attesting to the standard of proficiency it requires for admission to the part of the register in respect of which he is applying;
[F37(b)he is an exempt person who has a qualification of the kind mentioned in article 14;
(c)subject to paragraph (1A), he is an exempt person (other than a person to whom sub-paragraph (b), (e) or (f) applies) who has a qualification awarded outside the United Kingdom, and either—
(i)the Council is satisfied that his qualification attests to a standard of proficiency comparable to that attested to by a qualification referred to in sub-paragraph (a), or
(ii)the Council is not so satisfied, but the applicant has undergone in the United Kingdom or elsewhere such additional training or experience as satisfies the Council, following any test of competence as it may require him to take, that he has the requisite standard of proficiency for admission to the part of the register in respect of which he is applying;
(d)he is not an exempt person and he has, elsewhere than in the United Kingdom, undergone training in nursing or midwifery, and either—
(i)the Council is satisfied that his qualification attests to a standard of proficiency comparable to that attested to by a qualification referred to in sub-paragraph (a), or
(ii)the Council is not so satisfied, but the applicant has undergone in the United Kingdom or elsewhere such additional training or experience as satisfies the Council, following any test of competence as it may require him to take, that he has the requisite standard of proficiency for admission to the part of the register in respect of which he is [F38applying.]
F39...;
(e)he is an exempt person—
(i)whose case falls within regulation 3(9)(a), (c), (d) or (e) of the General Systems Regulations,
(ii)to whom regulations 20 to 26 of those Regulations apply by reason of the operation of regulation 3(4) of those Regulations, and
(iii)who is permitted to pursue the profession of nursing or midwifery in the United Kingdom by virtue of Part 3 of those Regulations (having, in particular, successfully completed any adaptation period, or passed any aptitude test, that he may be required to undertake pursuant to that Part of those Regulations); or
(f)he is an exempt person (other than a person to whom sub-paragraph (e) applies) who is permitted to practise as a nurse in the United Kingdom by virtue of Part 3 of the General Systems Regulations (having, in particular, successfully completed any adaptation period, or passed any aptitude test, that he may be required to complete pursuant to that Part of those Regulations).]
[F40(1A) In the case of an exempt person to whom paragraph (1)(c) applies, who holds a qualification in nursing or midwifery which was granted otherwise than in a relevant European State, and has not previously been accepted by a relevant European State as qualifying him to practise as a nurse or midwife in that State, that qualification shall not be regarded as an approved qualification unless the qualification—
(a)is evidence of nursing training that meets, or under article 22(a) of the Directive (part-time training) is to be treated as meeting, the requirements of article 31 of the Directive (training of nurses responsible for general care), or
(b)is evidence of training in midwifery that meets, or under article 22(a) of the Directive is to be treated as meeting, the requirements of article 40 of the Directive (training of midwives),
as the case may be.
(1B) In considering whether an exempt person to whom paragraph (1)(c) applies is to be regarded as having an approved qualification, the Council shall take into account—
(a)if the person holds a qualification in nursing or midwifery which—
(i)was granted otherwise than in a relevant European State, but
(ii)has been accepted by a relevant European State, other than the United Kingdom, as qualifying him to practise as a nurse or midwife in that State (as the case may be),
the acceptance of that qualification; and
(b)all other qualifications, knowledge or experience, wherever acquired, which are relevant to the determination of the application.]
(2) The Council shall determine procedures to—
(a)assess whether a qualification awarded outside the United Kingdom is of a comparable standard to a qualification mentioned in paragraph (1)(a) and it shall, where it sees fit, keep a list of qualifications which are of a comparable standard which it shall publish and keep under review; and
(b)assess other training or professional experience acquired outside the United Kingdom and to compare it, together with qualifications mentioned in sub-paragraph (a) where appropriate, with the standard of proficiency required for admission to any part of the register.
Textual Amendments
F37Arts. 13(b)-(f) substituted for art. 13(b)(c) (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 162(a)
F38Word in art. 13(1)(d) substituted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 36; S.I. 2015/1451, art. 4
F39Words in art. 13(1)(d) omitted (18.1.2016) by virtue of The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 36; S.I. 2015/1451, art. 4
F40Art. 13(1A)(1B) inserted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 162(b)
Commencement Information
EEA qualificationsU.K.
14.—(1) For the purposes of article 13(1)(b) a qualification is one obtained [F41in a relevant European State other than the United Kingdom], to which [F42the Directive] applies and which the Privy Council has by order designated as being an approved qualification for the purposes of registration in the relevant part of the register.
(2) An order under paragraph (1) may provide—
(a)that a qualification is designated for the purposes of registration in a particular part of the register only if prescribed conditions required by [F43the relevant provisions of the Directive] are fulfilled, and different conditions may be prescribed with respect to the same qualification for different [F44circumstances.]
F45(b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F46(3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Textual Amendments
F41Words in art. 14(1) substituted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 163(a)(i)
F42Words in art. 14(1) substituted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 163(a)(ii)
F43Words in art. 14(2)(a) substituted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 163(b)(i)
F44Word in art. 14(2)(a) substituted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 163(b)(ii)
F45Art. 14(2)(b) omitted (3.12.2007) by virtue of The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 163(c)
F46Art. 14(3) omitted (3.12.2007) by virtue of The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 163(c)
Commencement Information
PART IVU.K.EDUCATION AND TRAINING
Education and trainingU.K.
15.—(1) The Council shall from time to time establish—
(a)the standards of education and training necessary to achieve the standards of proficiency it has established under article 5(2); and
(b)the requirements to be satisfied for admission to, and continued participation in, such education and training which may include requirements as to good health and good character.
(2) So far as is necessary to implement the requirements [F47of article 31 (training of nurses responsible for general care) and article 40 (training of midwives) of the Directive], the standards and requirements established under paragraph (1) shall be set out in rules made by the Council.
(3) The standards mentioned in paragraph (1)(a) shall include such matters as the outcomes to be achieved by that education and training.
(4) Before establishing the requirements referred to in paragraph (1) the Council shall consult such of those persons mentioned in article 3(14) as it considers appropriate.
(5) The Council shall—
(a)ensure that universities and other bodies in the United Kingdom concerned with such education and training are notified of the standards and requirements established under paragraph (1); and
(b)take appropriate steps to satisfy itself that those standards and requirements are met.
(6) In performing the function mentioned in paragraph (5)(b) the Council may in particular, approve, or arrange with others to approve—
(a)a course of education or training which the Council is satisfied confers or would confer on persons completing it successfully the standards of proficiency mentioned in paragraph (1);
(b)qualifications which are granted following success in an examination, or some other appropriate assessment, taken as part of an approved course of education or training;
(c)institutions which the Council considers to be properly organised and equipped for conducting the whole or part of an approved course of education or training;
(d)such tests of competence or knowledge of English as it may require.
(7) In connection with paragraph (6), the Council may approve or arrange with others to approve a course of education or training run outside the United Kingdom by an institution to which paragraph (6)(c) applies.
(8) The Council shall from time to time publish a statement of the criteria which will be taken into account in deciding whether to give approval under paragraph (6).
(9) The Council shall maintain and publish a list of the courses of education or training, qualifications and institutions—
(a)which are for the time being approved under this Order; or
(b)which have been approved under this Order but which are no longer so approved, together with a record of the periods in respect of which they were approved.
(10) In this article a reference to education or training includes any course of education or training or test referred to in paragraph (6).
Textual Amendments
F47Words in art. 15(2) substituted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 164
Commencement Information
I30Art. 15(2)(4) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
VisitorsU.K.
16.—(1) The Council may appoint persons (“visitors”) to visit any place at which or institution by which or under whose direction—
(a)any relevant course of education or training is, or is proposed to be, given;
(b)any examination or other assessment is, or is proposed to be, held in connection with any such course;
(c)any test of competence is, or is proposed to be, conducted in connection with any such course or for any other purposes connected with this Order.
(2) For the purposes of this article and article 18, the words “any test of competence” includes an assessment to establish the level of a person’s knowledge of written or spoken English.
(3) In this article, “relevant course of education or training” means any course of education or training which forms, or is intended to form, part of an approved course of education or training or any course which a registrant may be required to undergo after registration in accordance with rules made by the Council.
(4) No visitor may exercise his functions under this Order in relation to—
(a)any place at which he regularly gives instruction in any subject; or
(b)any institution with which he has a significant connection.
(5) A person shall not be prevented from being a visitor merely because he is—
(a)a member of the Council or any of its committees; or
(b)a Screener,
but no person may be a visitor if he is employed by the Council.
(6) Visitors shall be selected with due regard to the profession with which the education and training they are to report on is concerned and at least one of the visitors shall be registered in that part of the register which relates to that profession.
(7) Where a visitor visits any place or institution in the exercise of his functions under this article, he shall report to the Council—
(a)on the nature and quality of the instruction given, or to be given, and the facilities provided or to be provided, at that place or by that institution; and
(b)on such other matters (if any) as it requires.
(8) Requirements of the kind mentioned in paragraph (7)(b) may be imposed by the Council—
(a)generally in relation to all visits made to a specified kind of place or institution or in respect of a specified type of course; or
(b)specifically in relation to a particular visit.
(9) Where a visitor reports to the Council in accordance with paragraph (7), the Council shall on receipt of the report—
(a)send a copy of it to the institution concerned; and
(b)notify that institution of the period within which it may make observations on the report.
(10) The period specified by the Council in a notice given under sub-paragraph (b) of paragraph (9) shall be not less than one month beginning with the date on which a copy of the report is sent to the institution concerned under sub-paragraph (a) of paragraph (9).
(11) The Council shall not take any steps in the light of any report made under paragraph (7) before the end of the specified period mentioned in paragraph (10).
(12) The Council shall publish such reports together with, on the request of the institution concerned, the response of that institution to the report.
(13) The Council may make such provision in respect of visitors as it may determine—
(a)for the payment of fees and allowances, including the payment of allowances to employers of visitors for the purposes of enabling visitors to perform functions under this article;
(b)for the reimbursement of such expenses as visitors may reasonably have incurred in the course of carrying out their functions under this article.
Commencement Information
Information to be given by institutionsU.K.
17.—(1) This article applies to any institution in the United Kingdom by which, or under whose direction, whether inside or outside the United Kingdom—
(a)any relevant course of education or training is, or is proposed to be, given; or
(b)any test of competence is, or is proposed to be, conducted in connection with any such course or for any other purpose connected with this Order.
(2) In paragraph (1) “relevant course of education or training” has the same meaning as in article 16(3).
(3) Whenever required to do so by the Council, any such institution shall give to the Council such information and assistance as the Council may reasonably require in connection with the exercise of its functions under this Order.
(4) Where an institution refuses any reasonable request for information made by the Council under this article, the Council may in accordance with article 18 refuse to approve, or withdraw approval from, as the case may be, any education, training, qualification or institution to which the information relates.
(5) In this article a reference to education or training includes any course of education or training or test referred to in article 15(6).
Commencement Information
Refusal or withdrawal of approval of courses, qualifications and institutionsU.K.
18.—(1) Where as a result of any visitor’s report or other information acquired by the Council and taking account of the observations received from the institution under article 16(9), the Council is of the opinion that the standards established under article 15(1) are not, or will not be, met by particular education or training or that an institution is not observing the requirements referred to in article 15(1) it may refuse to approve, or withdraw approval from, as the case may be, any education, training, qualification or institution to which that opinion relates.
(2) In this article a reference to education or training includes any course of education or training or test referred to in article 15(6).
(3) In making any decision under paragraph (1) to refuse or to withdraw approval the Council shall act in accordance with this article.
(4) The Council shall—
(a)notify the institution concerned, setting out its reasons; and
(b)inform the institution of the period within which it may make observations on the matters raised, which shall be not less than one month beginning with the date on which the reasons are sent to the institution under sub-paragraph (a).
(5) The Council shall take no further steps before the period specified in sub-paragraph (b) of paragraph (4) has expired.
(6) If, taking account of the matters referred to in paragraph (1) and any observations submitted by the institution under paragraph (4), the Council decides that it is appropriate to refuse or withdraw approval under paragraph (1) it shall notify the institution accordingly.
(7) A decision under paragraph (6) shall have effect from the date of the decision or from such later date as may be specified in the decision.
(8) Where approval is withdrawn under this article, the Council shall use its best endeavours to secure that any person who is undertaking the education or training concerned or is studying for the qualification concerned or is studying at the institution concerned at the time when recognition is withdrawn is given the opportunity to follow approved education or training or to study for an approved qualification or at an approved institution.
(9) The withdrawal under this article of approval from any education or training, qualification or institution shall not affect the entitlement of any person to be registered on the basis of an award to him, before the date on which the decision withdrawing approval had effect, of—
(a)the qualification concerned; or
(b)any qualification awarded—
(i)in connection with any education or training, or
(ii)by an institution
from which approval has been withdrawn.
Commencement Information
Post-registration trainingU.K.
19.—(1) The Council may make rules requiring registrants to undertake such continuing professional development as it shall specify in standards.
(2) The rules may, in particular, make provision with respect to registrants who fail to comply with any requirements of the rules, including making provision for their registration to cease to have effect.
[F48(2A) Paragraphs (1) and (2), so far as relating to a person (“P”) who is is a registrant only as a result of being a visiting nurse or midwife from a relevant European State, have effect subject to, respectively, paragraphs (2B) and (2C).
(2B) Rules made under paragraph (1)—
(a)may not impose requirements on P if P is required to undertake, in P's home State, continuing professional development in relation to the profession of nursing or midwifery (as the case may be); and
(b)where they impose requirements on P—
(i)shall take account of the fact that P is fully qualified to pursue that profession in P's home State, and
(ii)shall specify that continuing professional development which P is required to undertake by the requirements may be undertaken outside the United Kingdom.
(2C) Where rules make provision such as is mentioned in paragraph (2), the rules must secure that any sanction imposed in relation to P by or under that provision is appropriate and proportionate in view of P's continued lawful establishment in P's home State as a nurse or midwife (as the case may be).
(2D) In paragraphs (2B) and (2C) “home State”, in relation to P, means the relevant European State in which P is lawfully established as a nurse or midwife (as the case may be).]
(3) The Council may by rules require persons who have not practised or who have not practised for or during a prescribed period, to undertake such education or training or to gain such experience as it shall specify in standards.
(4) If the Council makes rules under paragraph (1) or (3), it shall establish the standards to be met in relation to—
(a)continuing professional development;
(b)the education or training mentioned in paragraph (3),
and article 15(3) to (9) and articles 16 to 18 of this Order shall apply in respect of those standards as if they were standards established under article 15(1)(a).
(5) In the articles mentioned in paragraph (4), references to “education and training” shall, for the purposes of that paragraph, be treated as being to education, training or experience.
(6) In respect of additional qualifications which may be recorded on the register the Council may establish standards of education and training and article 15(3) to (9) and articles 16 to 18 shall apply in respect of those standards as if they were standards established under article 15(1)(a).
Textual Amendments
F48Art. 19(2A)-(2D) inserted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 165
Commencement Information
I35Art. 19(1)(2)(3) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
WalesU.K.
20. The National Assembly for Wales may create or designate a body with which the Council may enter into any such arrangements as are referred to in article 15(6) of this Order in order to perform its function under article 15(5)(b) in respect of the standards established under article 15(1) or 19(4) or (6).
Commencement Information
PART VU.K.FITNESS TO PRACTISE
Modifications etc. (not altering text)
C1Pt. V applied (with modifications) (1.8.2004) by The Nursing and Midwifery Order 2001 (Transitional Provisions) Order of Council 2004 (S.I. 2004/1762), arts. 1(1), 7(4)(b)
C2Pt. V applied (with modifications) (1.8.2004) by The Nursing and Midwifery Order 2001 (Transitional Provisions) Order of Council 2004 (S.I. 2004/1762), arts. 1(1), 6(b)
Council’s functions in respect of fitness to practise, ethics and other mattersU.K.
21.—(1) The Council shall—
(a)establish and keep under review the standards of conduct, performance and ethics expected of registrants and prospective registrants and give them such guidance on these matters as it sees fit; and
(b)establish and keep under review effective arrangements to protect the public from persons whose fitness to practise is impaired.
(2) The Council may also from time to time give guidance to registrants, employers and such other persons as it thinks appropriate in respect of standards for the education and training, supervision and performance of persons who provide services in connection with those provided by registrants.
(3) Before establishing any F49... arrangements mentioned in paragraph (1), the Council shall consult F49... the persons mentioned in article 3(14).
Textual Amendments
F49Words in art. 21(3) omitted (14.5.2009) by virtue of The Health Care and Associated Professions (Miscellaneous Amendments and Practitioner Psychologists) Order 2009 (S.I. 2009/1182), art. 1(2)(e), Sch. 4 para. 38(c)
Commencement Information
I38Art. 21(3) in force at 7.7.2003 for specified purposes as notified in the London Gazette (Issue 56984, published 27.6.2003), see art. 1(2)(3)
AllegationsU.K.
22.—(1) This article applies where any allegation is made against a registrant to the effect that—
(a)his fitness to practise is impaired by reason of—
(i)misconduct,
(ii)lack of competence,
(iii)a conviction or caution in the United Kingdom for a criminal offence, or a conviction elsewhere for an offence which, if committted in England and Wales, would constitute a criminal offence,
(iv)his physical or mental health, or
[F50(iva)not having the necessary knowledge of English,]
(v)a determination by a body in the United Kingdom responsible under any enactment for the regulation of a health or social care profession to the effect that his fitness to practise is impaired, or a determination by a licensing body elsewhere to the same effect;
(b)an entry in the register relating to him has been fraudulently procured or incorrectly made.
(2) For the purposes of this article references to a conviction include a conviction by a Court Martial.
(3) This article is not prevented from applying because the allegation is based on a matter alleged to have occurred outside the United Kingdom or at a time when the person against whom the allegation is made was not registered.
(4) Rules may provide that where a Practice Committee finds that a person has failed to comply with the standards mentioned in article 21(1), such failure shall not be taken of itself to establish that his fitness to practise is impaired, but may be taken into account in any proceedings under this Order.
(5) When an allegation is made to the Council or any of its committees, as soon as reasonably practicable after receipt of the allegation in the form required by the Council, the Council shall refer it—
(a)where it is an allegation of the kind mentioned in paragraph (1)(b), to the Investigating Committee; and
(b)in any other case—
(i)to persons appointed by the Council in accordance with any rules made under article 23, or
(ii)to a Practice Committee.
(6) If an allegation is not made under paragraph (1) but it appears to the Council that there should be an investigation into the fitness to practise of a registrant or into his entry in the register it may refer the matter in accordance with paragraph (5) and this Order shall apply as if it were an allegation made under paragraph (1).
(7) Hearings and preliminary meetings of Practice Committees at which the person concerned is entitled to be present or to be represented are to be held in—
(a)the United Kingdom country in which the registered address of the person concerned is situated; or
(b)if he is not registered and resides in the United Kingdom, in the country in which he resides; and
(c)in any other case, in England.
(8) While the registration of a registrant is suspended by virtue of a suspension order or an interim suspension order he shall be treated as not being registered notwithstanding that his name still appears in the register but this does not prevent action being taken in respect of such a person as appropriate under articles 22 to 32 of this Order.
(9) The Council shall publish as soon as reasonably practicable particulars of any orders and decisions made by a Practice Committee under article 26(7) or (11), 29(5), 30(1), (2), (4), (6), (7) or (8) or 33 and of its reasons for them and of any decision given on appeal.
(10) The Council may disclose to any person any information relating to a person’s fitness to practise which it considers it to be in the public interest to disclose.
(11) In this Part “the person concerned” means the person against whom an allegation has been made.
Textual Amendments
F50Art. 22(1)(a)(iva) inserted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 37; S.I. 2015/1451, art. 4
Commencement Information
I40Art. 22(4) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
ScreenersU.K.
23.—(1) The Council may by rules provide for the appointment of persons, to be known as Screeners, to whom allegations may be referred in accordance with this Order or rules made under it.
(2) A person shall not be prevented from being a Screener merely because he is—
(a)a member of the Council or any of its committees, other than a Practice Committee; or
(b)a visitor.
(3) No person may be a Screener if he is—
(a)a member of a Practice Committee;
(b)a legal, medical or registrant assessor; or
(c)employed by the Council.
(4) No person may act as a Screener in respect of a particular case if he has been involved in that case in any other capacity.
Commencement Information
I42Art. 23(1) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
Screeners: supplementary provisionsU.K.
24.—(1) Any rules made under article 23 shall contain the provisions mentioned in paragraphs (2) and (3).
(2) The rules made under article 23(1) shall provide that—
(a)any matter referred to the Screeners shall be considered by a panel of at least two Screeners;
(b)the panel shall include at least one lay person and one registrant selected with due regard to the professional field of the person concerned and to the matter under consideration;
(c)the number of registrants on any panel may not exceed the number of lay persons.
(3) Any such rules shall give Screeners the functions—
(a)of considering the allegation and establishing whether, in their opinion, power is given by this Order to deal with it if it proves to be well founded;
(b)if in their opinion such power is given, of referring the matter together with a report of the result of their consideration to such Practice Committee as they see fit;
(c)if in their opinion such power is not given, of closing the case, provided that—
(i)if there are two Screeners, the lay person agrees, or
(ii)if there are more than two Screeners, it is the decision of the majority,
and if head (i) or (ii), as the case may be, is not satisfied, of referring the matter in accordance with sub-paragraph (b);
(d)where requested to do so by any Practice Committee, of mediating in any case with the aim of dealing with the allegation without it being necessary for the case to reach the stage at which the Health Committee or Conduct and Competence Committee, as the case may be, would arrange a hearing in accordance with article 32(2)(f);
(e)in the event that mediation fails, of referring the matter back to the Practice Committee which referred it to the Screeners.
(4) The Council may make such provision in respect of Screeners as it may determine—
(a)for the payment of fees and allowances, including the payment of allowances to employers of Screeners for the purpose of enabling Screeners to perform their functions under this Order; and
(b)for the reimbursement of such expenses as the Screeners may reasonably have incurred in the course of carrying out their functions under this Order.
(5) If the Screeners decide that power is not given by this Order to deal with the allegation the Registrar shall inform the person making the allegation giving reasons.
Commencement Information
I44Art. 24(1)(3) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
Council’s power to require disclosure of informationU.K.
25.—(1) For the purpose of assisting [F51the Council [F52, any of its Practice Committees, the Registrar or any other officer of the Council] in] carrying out functions in respect of fitness to practise, a person authorised by [F51the Council] may require any person (other than the person concerned) who in his opinion is able to supply information or produce any document which appears relevant to the discharge of any such function, to supply such information or produce such a document.
(2) As soon as is reasonably practicable after a decision has been made under article 22(5) or (6) to refer an allegation or other matter to a Practice Committee, the Council shall require, from the person concerned, details of—
(a)any person—
(i)by whom he is employed to provide services in, or in relation to, nursing or midwifery; or
(ii)with whom he has an arrangement to provide such services; and
(b)any body by which he is authorised to practise, in the United Kingdom or elsewhere, a health or social care profession which is regulated under any enactment.
(3) Nothing in this article shall require or permit any disclosure of information which is prohibited by or under any other enactment.
(4) But where information is held in a form in which the prohibition operates because the information is capable of identifying an individual, the person referred to in paragraph (1) may, in exercising his functions under that paragraph, require that the information be put into a form which is not capable of identifying that individual.
(5) Paragraph (1) shall not apply in relation to the supplying of information or the production of any document which a person could not be compelled to supply or produce in civil proceedings in any court to which an appeal would lie from a decision of [F53a Practice Committee with regard to the person concerned].
(6) For the purposes of paragraph (5), “enactment” includes an enactment comprised in, or in an instrument made under, an Act of the Scottish Parliament.
Textual Amendments
F51Words in art. 25(1) substituted (14.5.2009) by The Health Care and Associated Professions (Miscellaneous Amendments and Practitioner Psychologists) Order 2009 (S.I. 2009/1182), art. 1(2)(e), Sch. 4 para. 38(d)(i)
F52Words in art. 25(1) substituted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 4
F53Words in art. 25(5) substituted (14.5.2009) by The Health Care and Associated Professions (Miscellaneous Amendments and Practitioner Psychologists) Order 2009 (S.I. 2009/1182), art. 1(2)(e), Sch. 4 para. 38(d)(ii)
Commencement Information
The Investigating CommitteeU.K.
26.—(1) The Investigating Committee shall investigate any allegation which is referred to it in accordance with article 22 or 24.
(2) Where an allegation is referred to the Investigating CommitteeF54...—
[F55(a)the Council shall without delay notify the person concerned of the allegation and invite him to submit written representations to the Committee within a prescribed period;]
(b)[F56the Committee shall] where it sees fit, notify the person making the allegation of the representations mentioned in sub-paragraph (a) and invite him to deal within a specified period with any points raised by the Committee in respect of those representations;
(c)[F57the Committee shall] take such other steps as are reasonably practicable to obtain as much information as possible about the case;
(d)[F58the Committee shall] consider, in the light of the information which it has been able to obtain and any representations or other observations made to it under sub-paragraph (a) or (b), whether in its opinion—
(i)in respect of an allegation of the kind mentioned in article 22(1)(a), there is a case to answer, and
(ii)in respect of an allegation of the kind mentioned in article 22(1)(b), whether the entry concerned has been fraudulently procured or incorrectly made.
(3) The Council shall by rules make provision as to the procedure to be followed by the Investigating Committee in any investigation carried out by it under this article.
(4) In the case of an allegation of the kind mentioned in article 22(1)(b) the rules shall, in particular, make similar provision to that made by virtue of article 32(2)(b), (f), (g), (h), (i), (j), (m), (n), (o) and (p) and may provide for the Registrar to be made a party to the proceedings.
(5) When the Investigating Committee reaches a decision under paragraph (2) as to whether—
(a)there is a case to answer; or
(b)an entry in the register has been fraudulently procured or incorrectly made,
it shall notify in writing both the person concerned and the person making the allegation, if any, of its decision, giving its reasons.
(6) Where the Investigating Committee concludes that there is a case to answer under paragraph (2)(d)(i), it shall—
(a)undertake mediation; or
(b)refer the case—
(i)to Screeners for them to undertake mediation,
(ii)to the Health Committee in the case of an allegation of a kind mentioned in article 22(1)(a)(iv), or
(iii)to the Conduct and Competence Committee, in the case of any other allegation.
(7) In the case of an allegation of a kind mentioned in article 22(1)(b), if the Investigating Committee is satisfied that an entry in the register has been fraudulently procured or incorrectly made, it may make an order that the Registrar remove or amend the entry and shall notify the person concerned of his right of appeal under article 38.
(8) If the Investigating Committee concludes that there is no case to answer or that the relevant entry was not fraudulently procured or incorrectly made—
(a)where requested to do so by the person concerned, it shall make a declaration to that effect, giving its reasons; and
(b)in any other case and with the consent of the person concerned, may make such a declaration.
(9) For the purposes of paragraph (8), the publication of the decision mentioned in paragraph (5) together with the reasons for it may constitute such a declaration.
(10) No order made under paragraph (7) shall have effect—
(a)before the expiry of the period within which an appeal against the order may be made; or
(b)where an appeal against the order has been made, before the appeal is withdrawn or otherwise finally disposed of.
(11) The Investigating Committee may make an interim order in accordance with article 31 at the same time as making an order under paragraph (7) or at any time before [F59or after] referring a case to the Health Committee or Conduct and Competence Committee under paragraph (6) [F60: but the Investigating Committee may only make an interim order after it has referred a case if the Health Committee or the Conduct and Competence Committee has not begun its consideration of the case].
(12) The Investigating Committee may review an order made under paragraph (7) if new evidence relevant to the order becomes available after the order has been made and may revoke that order if it considers that it should not have been made.
(13) Where the Investigating Committee makes an order under paragraph (7) or decides not to review such an order under paragraph (12) the person concerned may appeal to the appropriate Court and the provisions of article 38 shall apply to the appeal.
(14) Any such appeal must be brought before the end of the period of 28 days beginning with the date on which notice of the order or decision appealed against is served on the person concerned.
(15) On an appeal under this article, the Council shall be the respondent.
(16) An entry which has been restored to the register on an application for readmission or restoration being granted may be treated for the purposes of this article as having been fraudulently procured or incorrectly made if any previous entry from which the restored entry is derived was fraudulently procured or incorrectly made.
Textual Amendments
F54Words in art. 26(2) omitted (11.12.2014) by virtue of The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 5(a)(i)
F55Art. 26(2)(a) substituted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 5(a)(ii)
F56Words in art. 26(2)(b) inserted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 5(a)(iii)
F57Words in art. 26(2)(c) inserted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 5(a)(iii)
F58Words in art. 26(2)(d) inserted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 5(a)(iii)
F59Words in art. 26(11) inserted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 5(b)(i)
F60Words in art. 26(11) inserted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 5(b)(ii)
Commencement Information
I47Art. 26(2)(a)(3)(4) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
[F61Exercise of Investigating Committee functions by the Registrar or officers of the CouncilU.K.
26A.—(1) The Council may by rules make provision for—
(a)the Registrar; or
(b)any other officer of the Council,
to exercise the functions of the Investigating Committee under paragraphs (1), (2)(b) to (d), (5), (6) and (8) of article 26, whether generally or in relation to such classes of case as may be specified in the rules.
(2) Where, by virtue of paragraph (1), rules provide for the Registrar or any other officer of the Council to exercise the functions of the Investigating Committee under paragraph (6)(b)(ii) or (iii) of article 26, the referral of a case to the Health Committee or to the Conduct and Competence Committee shall be deemed to have been made by the Investigating Committee.
Textual Amendments
F61Arts. 26A-26C inserted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 6
Review of decisions by the CouncilU.K.
26B. The Council may—
(a)review a decision made under article 26(2)(d)(i), or by virtue of rules made under article 26A, that there is no case to answer; and
(b)make rules in connection with the carrying out of a review under paragraph (a).
Textual Amendments
F61Arts. 26A-26C inserted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 6
Exercise of Council functions by the Registrar or officers of the CouncilU.K.
26C.—(1) The Council may make rules providing for—
(a)the Registrar; or
(b)any other officer of the Council,
to exercise the functions of the Council under articles 22, 26(2)(a) and 26B(a) whether generally or in relation to such classes of case as may be specified in the rules.
(2) Where, by virtue of paragraph (1), rules provide for the Registrar or any other officer of the Council to exercise the functions of the Council under article 22(5), the referral of a case to the Conduct and Competence Committee or to the Health Committee shall be deemed to have been made by the Council.]
Textual Amendments
F61Arts. 26A-26C inserted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 6
The Conduct and Competence CommitteeU.K.
27. The Conduct and Competence Committee shall—
F62(a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(b)consider—
(i)any allegation referred to it by the Council, Screeners, the Investigating Committee or the Health Committee, and
(ii)any application for restoration referred to it by the Registrar.
Textual Amendments
F62Art. 27(a) omitted (14.5.2009) by virtue of The Health Care and Associated Professions (Miscellaneous Amendments and Practitioner Psychologists) Order 2009 (S.I. 2009/1182), art. 1(2)(e), Sch. 4 para. 38(e)
Commencement Information
The Health CommitteeU.K.
28. The Health Committee shall consider—
(a)any allegation referred to it by the Council, Screeners, the Investigating Committee or the Conduct and Competence Committee; and
(b)any application for restoration referred to it by the Registrar.
Commencement Information
[F63Assessment of necessary knowledge of EnglishU.K.
28A.—(1) The Council may make rules authorising the giving of directions by—
(a)any of the Practice Committees;
(b)any other persons specified in the rules,
requiring the person concerned to undertake an examination or other assessment of that person’s knowledge of English.
(2) An examination or other assessment under paragraph (1) must be made in accordance with rules.
(3) The rules must, in particular, provide for—
(a)the procedures to be followed by such persons when directing the person concerned to undertake such an examination or other assessment;
(b)the person concerned who is required to undertake such an examination or other assessment to provide information in respect of that examination or assessment to such persons as may be prescribed under the rules;
(c)the information provided by virtue of sub-paragraph (b) to be disclosed to such persons as may be prescribed under the rules.
(4) Rules under this article may make provision for the Conduct and Competence Committee or the Health Committee to draw such inferences as seem appropriate to it if a person fails—
(a)to undergo an examination or other assessment by virtue of rules under paragraph (1); or
(b)to provide the information required by virtue of rules made under paragraph (3)(b).]
Textual Amendments
Orders of the Health Committee and the Conduct and Competence CommitteeU.K.
29.—(1) If, having considered an allegation, the Health Committee or the Conduct and Competence Committee, as the case may be, concludes that it is not well founded—
(a)where requested to do so by the person concerned, it shall make a declaration to that effect giving its reasons; and
(b)in any other case and with the consent of the person concerned, may make such a declaration.
(2) For the purposes of paragraph (1) the publication of the decision mentioned in article 32(2)(k) and the reasons for it may constitute such a declaration.
(3) If, having considered an allegation, the Health Committee or the Conduct and Competence Committee, as the case may be, concludes that it is well founded, it shall proceed in accordance with the remaining provisions of this article.
(4) The Committee may—
(a)refer the matter to Screeners for mediation or itself undertake mediation, or
(b)decide that it is not appropriate to take any further action.
(5) Where a case does not fall within paragraph (4), the Committee shall—
(a)make an order directing the Registrar to strike the person concerned off the register (a “striking-off order”);
(b)make an order directing the Registrar to suspend the registration of the person concerned for a specified period which shall not exceed one year (a “suspension order”);
(c)make an order imposing conditions with which the person concerned must comply for a specified period which shall not exceed three years (a “conditions of practice order”); or
(d)caution the person concerned and make an order directing the Registrar to annotate the register accordingly for a specified period which shall be not less than one year and not more than five years (a “caution order”).
(6) A striking-off order may not be made in respect of an allegation of the kind mentioned in article 22(1)(a) [F64(ii), (iv) or (iva)] unless the person concerned has been continuously suspended, or subject to a conditions of practice order, for a period of no less than two years immediately preceding the date of the decision of the Committee to make such an order.
(7) The Committee may specify in an order made under paragraph (5) a period within which an application to vary, replace or revoke the order may not be made, which—
(a)in the case of a striking-off order, except where new evidence relevant to the order becomes available, shall be expressed in terms of article 33(2);
(b)in the case of a suspension order shall not exceed 10 months; and
(c)in the case of a conditions of practice order shall not exceed two years.
(8) The Committee shall, when it makes, varies, replaces or revokes an order under this article or article 30 or when an order it has made ceases to have effect, give the Registrar such directions as are appropriate as to annotation of the register to record the decision made or, as the case may be, the expiry of the order;
(9) The person concerned may appeal to the appropriate court against an order made under paragraph (5) and article 38 shall apply to the appeal.
(10) Any such appeal must be brought before the end of the period of 28 days beginning with the date on which notice of the order or decision appealed against is served on the person concerned.
(11) No order mentioned in paragraph (9) shall have effect—
(a)before the expiry of the period within which an appeal against the order may be made; or
(b)where an appeal against the order has been made, before the appeal is withdrawn or otherwise finally disposed of.
Textual Amendments
F64Words in art. 29(6) substituted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 39; S.I. 2015/1451, art. 4
Modifications etc. (not altering text)
C3Art. 29 applied (1.8.2004) by The Nursing and Midwifery Order 2001 (Transitional Provisions) Order of Council 2004 (S.I. 2004/1762), arts. 1(1), 9(5), 11(3)(b)
C4Art. 29(4)(5) applied (1.8.2004) by The Nursing and Midwifery Order 2001 (Transitional Provisions) Order of Council 2004 (S.I. 2004/1762), arts. 1(1), 6(b)
C5Art. 29(4)(5) applied (1.8.2004) by The Nursing and Midwifery Order 2001 (Transitional Provisions) Order of Council 2004 (S.I. 2004/1762), arts. 1(1), 7(4)(b)
Commencement Information
Review of orders by the Health Committee and the Conduct and Competence CommitteeU.K.
30.—(1) Before the expiry of an order made under article 29(5)(b) or (c) by the Conduct and Competence Committee or the Health Committee, the Committee which made the order or, if the matter has been referred to the other Committee, that Committee, shall review the order and may, subject to paragraph (5)—
(a)with effect from the date on which the order would, but for this provision, have expired, extend, or further extend the period for which the order has effect;
[F65(b)with effect from the expiry of that order, and subject to article 29(6) and (7), make an order falling within article 29(5);]
(c)with effect from the expiry of a suspension order, make a conditions of practice order with which the practitioner must comply if he resumes the practice of his registered profession after the end of his period of suspension.
(2) Subject to paragraph (1), on the application of the person concerned or otherwise, at any time an order made by the Conduct and Competence Committee or the Health Committee under article 29(5)(b) to (d) is in force, the Committee which made the order or, if the matter has been referred to the other Committee, that Committee, may review the order and may take any of the steps referred to in paragraph (4).
(3) Paragraphs (1) and (2) apply to an order made on a review under paragraph (1) or (2) as they do to an order made under article 29(5)(b) to (d).
(4) The steps mentioned in paragraph (2) are for the Committee to—
(a)confirm the order;
(b)extend, or further extend, the period for which the order has effect;
(c)reduce the period for which the order has effect, but in the case of a caution order not so that it has effect for less than one year beginning with the date on which the order was made under article 29(5)(d);
[F66(d)subject to article 29(6) and (7), replace the order with one falling within article 29(5): any replacement order falling within article 29(5)(b), (c) or (d) shall have effect for the remainder of the term of the order it replaces;]
(e)subject to paragraph (6), revoke the order or revoke any condition imposed by the order;
(f)vary any condition imposed by the order.
(5) The Committee may not extend a conditions of practice order by more than three years at a time or a suspension order by more than one year at a time.
(6) The Committee may make the revocation of a suspension order subject to the applicant’s satisfying such requirements as to additional education or training and experience as the Council has established under article 19(3) and which apply to him.
(7) Where new evidence relevant to a striking-off order becomes available after the making of the order, the Committee which made the order or, where appropriate, the Committee mentioned in article 33(3)(b) may review it and article 33(4) to (8) shall apply as if it were an application for restoration made under that article.
(8) A striking-off order, conditions of practice order, suspension order or caution order which is in force by virtue of a decision made on appeal to the appropriate court may be reviewed in accordance with paragraph (2) or (7), as the case may be, by the Committee which made the order appealed from and any of the steps mentioned in paragraph (4) may be taken.
(9) Before exercising its powers under paragraph (1), (2), (4), (6), (7) or (8) a Practice Committee shall give the person concerned the opportunity to appear before it and to argue his case in accordance with rules made by the Council which shall include the matters referred to in article 32(2)(b), (g), (i), (j), (k), (m), (n) and (o).
(10) The person concerned may appeal to the appropriate court against an order or decision made under paragraph (1), (2), (4), (6), (7) or (8).
(11) Any such appeal must be brought before the end of the period of 28 days beginning with the date on which notice of the order or decision appealed against is served on the person concerned.
(12) On an appeal under this article the Council shall be the respondent.
Textual Amendments
F65Art. 30(1)(b) substituted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 7(a)
F66Art. 30(4)(d) substituted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 7(b)
Modifications etc. (not altering text)
C6Art. 30 applied (1.8.2004) by The Nursing and Midwifery Order 2001 (Transitional Provisions) Order of Council 2004 (S.I. 2004/1762), arts. 1(1), 9(5), 10(2), 11(3)(b)
Commencement Information
I52Art. 30(9) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
Interim Orders by a Practice CommitteeU.K.
31.—(1) This article applies where—
(a)an allegation against a registered professional has been referred to the Investigating Committee, Conduct and Competence Committee or to the Health Committee but—
(i)that Committee has not reached a decision on the matter; or
(ii)in a case to which article 26(6) applies, where the Investigating Committee refers the matter to another Practice Committee;
(b)the Investigating Committee makes an order under article 26(7), or
(c)the Conduct and Competence Committee or the Health Committee makes an order under article 29(5)(a) to (c).
(2) F67... If the Committee is satisfied that it is necessary for the protection of members of the public or is otherwise in the public interest, or is in the interests of the person concerned, for the registration of that person to be suspended or to be made subject to conditions, it may—
(a)make an order directing the Registrar to suspend the person’s registration (an “interim suspension order”), or
(b)make an order imposing conditions with which the person must comply (an “interim conditions of practice order”),
during such period not exceeding eighteen months as may be specified in the order.
(3) In a case coming within paragraph (1)(b) or (c), such an order may be made at the same time as an order made under article 26(7) or 29(5)(a) to (c).
F68(4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(5) Subject to paragraphs (6), (7), (9) and (12) the order mentioned in paragraph (2) shall cease to have effect—
[F69(a)in a case falling within paragraph (1)(a)—
(i)when the Conduct and Competence Committee or the Health Committee reaches a decision in respect of the allegation in question, or
(ii)when, in respect of an allegation of the kind mentioned in article 22(1)(b), the Investigating Committee reaches a decision in respect of the allegation;]
(b)in a case falling within paragraph (1)(b) or (c)—
(i)if there is no appeal against the order mentioned in that paragraph, when the period for appealing expires, or
(ii)if there is an appeal against that order, when the appeal is withdrawn or otherwise finally disposed of.
[F70(6) In a case falling within paragraph (1)(a), an order made under paragraph (2) must be reviewed by either the Committee which made the order or any Practice Committee to which the matter has been referred—
(a)within the period of six months beginning on the date on which the order was made, and that Committee must thereafter, for so long as the order continues in force, further review it before the end of the period of three months beginning on the date of the decision of the immediately preceding review;
(b)where new evidence relevant to the order has become available after the making of the order.]
(7) Where an interim suspension order or an interim conditions of practice order has been made under this article (including this paragraph) [F71then either] the Practice Committee which made the order or [F72any Practice Committee to which the matter has been referred], F73... may, subject to paragraph (15)—
(a)revoke the order or revoke any condition imposed by the order;
(b)confirm the order;
(c)vary any condition imposed by the order;
(d)if satisfied that to do so is necessary for the protection of members of the public or is otherwise in the public interest, or is in the interests of the person concerned, replace an interim conditions of practice order with an interim suspension order having effect for the remainder of the term of the former;
(e)if satisfied that the public interest, including the protection of members of the public, or the interests of the person concerned would be adequately served by an interim conditions of practice order, replace an interim suspension order with an interim conditions of practice order having effect for the remainder of the term of the former.
(8) The Council may apply to the court for an order made by a Practice Committee under paragraph (2) or (7) to be extended, and may apply again for further extensions.
(9) On such an application the court may extend (or further extend) for up to 12 months the period for which the order has effect.
(10) In this article, references to an interim suspension order or interim conditions of practice order include such an order as so extended.
(11) For the purposes of paragraph (6) the first review after the court’s extension of an order made by a Practice Committee or after a replacement order made by a Practice Committee under paragraph (7)(d) or (e) shall take place—
(a)if the order (or the order which has been replaced) had not been reviewed at all under paragraph (6), within the period of six months beginning on the date on which the court ordered the extension or on which a replacement order under paragraph (7)(d) or (e) was made; and
(b)if it had been reviewed under the provision, within the period of three months beginning on that date.
(12) Where an order has effect under paragraph (2), (7) or (9), the court may, on an application being made by the person concerned—
(a)in the case of an interim suspension order, terminate the suspension;
(b)in the case of an interim conditions of practice order, revoke or vary any condition imposed by the order;
(c)in either case, substitute for the period specified in the order (or in the order extending it) some other period which could have been specified in the order when it was made (or in the order extending it),
and the decision of the court under any application under this paragraph shall be final.
(13) In this article “the court” has the same meaning as “the appropriate court” in article 38.
(14) The Committee shall notify the person concerned giving its reasons where it makes an order under paragraph (2) or any decision under paragraph (7) and shall notify him of his right to apply to the court.
(15) No order under paragraph (2) or (7)(c) to (e), or, in a case where paragraph (5)(b) applies, under paragraph (7)(b), shall be made by any Practice Committee in respect of any person unless he has been afforded an opportunity of appearing before the Committee and being heard on the question whether such an order should be made in his case.
(16) At any such hearing, the person concerned shall be entitled to be represented whether by a legally qualified person or otherwise.
(17) The Committee shall when it makes, varies, replaces or revokes an order under this article or when an order it has made ceases to have effect, give the Registrar such directions as are appropriate as to annotation of the register to record the decision made or, as the case may be, the expiry of the order.
Textual Amendments
F67Words in art. 31(2) omitted (11.12.2014) by virtue of The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 8(a)
F68Art. 31(4) omitted (11.12.2014) by virtue of The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 8(b)
F69Art. 31(5)(a) substituted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 8(c)
F70Art. 31(6) substituted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 8(d)
F71Words in art. 31(7) inserted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 8(e)(i)
F72Words in art. 31(7) inserted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 8(e)(ii)
F73Words in art. 31(7) omitted (11.12.2014) by virtue of The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 8(e)(iii)
Commencement Information
Investigation of allegations: procedural rulesU.K.
32.—(1) The Council shall make rules as to the procedure to be followed by the Health Committee and the Conduct and Competence Committee in considering any allegation and before making an order under article 29(5).
(2) The rules shall, in particular, make provision—
(a)empowering each Committee to refer to the other any allegation which it considers would be better dealt with by that other Committee;
(b)empowering each Committee, before it holds any hearing to which sub-paragraph (f) applies, where it considers that it would assist it in performing its functions, to hold a preliminary meeting in private attended by the parties and their representatives and any other person it thinks appropriate;
(c)requiring the person concerned to be given notice of the allegation without delay;
(d)giving the person concerned an opportunity to submit written representations within a prescribed period;
(e)for the Committee, where it sees fit, to notify the person making the allegation of the representations provided under sub-paragraph (d) and to invite him to deal within a prescribed period with any points raised by the Committee in respect of those representations;
(f)giving the person concerned an opportunity to put his case at a hearing if—
(i)before the end of the prescribed period, he asks for a hearing; or
(ii)the Committee considers that a hearing is desirable;
(g)entitling the person concerned to be represented whether by a legally qualified person or otherwise at any such hearing;
(h)where an allegation is referred by the Council, Screeners or the Investigating Committee to the Health Committee or the Conduct and Competence Committee, for the Council to give notice of that referral to specified persons who shall include the Secretary of State, the Scottish Ministers, the National Assembly for Wales and the Department of Health, Social Services and Public Safety in Northern Ireland, and, where they are known, to any person referred to in article 25 paragraph (2)(a) or (b);
(i)giving any person, other than the person concerned, who, in the opinion of the relevant Committee, taking account of any criteria included in the rules, has an interest in proceedings before it, the opportunity to submit written representations;
(j)requiring a hearing before a Committee to be held in public except in so far as may be provided by the rules;
(k)requiring the Committee to notify the person concerned of its decision, its reasons for reaching that decision and of his right of appeal;
(l)requiring the person by whom the allegation was made to be notified by the Committee of its decision and of its reasons for reaching that decision;
(m)empowering the Committee to require persons (other than the person concerned) to attend and give evidence or to produce documents;
(n)about the admissibility of evidence;
(o)enabling the Committee to administer oaths;
(p)where the person concerned has been convicted of a criminal offence, for the conviction to be proved by the production of a certified copy of the certificate of conviction, or, in Scotland, an extract conviction, relating to the offence and for the findings of fact upon which the conviction is based to be admissible as proof of those facts.
(3) Each stage in proceedings under Part V and article 37 shall be dealt with expeditiously and the Committee concerned may give directions as to the conduct of the case and for the consequences of failure to comply with such directions (which may include the making of an order or refusal of an application if the failure to comply was without reasonable excuse).
(4) The Council may provide in the rules for the [F74chair] of the Committee to hold the meeting referred to in paragraph (2)(b) or to give the directions mentioned in paragraph (3) and, subject to the agreement of the parties to his acting on behalf of the Committee, to take such action as the Committee would be competent to take at such a meeting.
(5) In this article “parties” means the Council and the person concerned.
Textual Amendments
F74Word in art. 32(4) substituted (1.1.2009 as notified in the London Gazette (Issue 58904, published 5.12.2008)) by The Nursing and Midwifery (Amendment) Order 2008 (S.I. 2008/1485), Sch. 1 para. 5
Commencement Information
Restoration to the register of persons who have been struck offU.K.
33.—(1) Where a person who has been struck off the register by virtue of an order made by a Practice Committee or the court wishes to be restored to the register, he shall make an application for restoration to the Registrar.
(2) Subject to article 30(7), no such application may be made—
(a)before the end of the period of five years beginning with the date on which the order under article 29, 30 or 38 took effect; or
(b)in any period of twelve months in which an application for restoration to the register has already been made by the person who has been struck off.
(3) Any application for restoration shall be referred by the Registrar for determination to—
(a)the Committee which made the striking-off order; or
(b)where any previous applications have been made in connection with the same striking-off order, the Committee which last gave a decision on such an application.
(4) Before making any decision on the application the Committee shall give the applicant an opportunity to appear before it and to argue his case in accordance with rules made by the Council which shall include the matters referred to in article 32(2)(b), (g), (i), (j), (k), (m), (n) and (o).
(5) The Committee shall not grant an application for restoration unless it is satisfied, on such evidence as it may require, that the applicant not only satisfies the requirements of article 9(2)(a) [F75, (b) and (ba)] but, having regard in particular to the circumstances which led to the making of the order under article 29, 30 or 38, is also a fit and proper person to practise the relevant profession.
(6) The Committee may make the granting of an application subject to the applicant satisfying such requirements as to additional education or training and experience as the Council has specified under article 19(3) and which apply to him.
(7) On granting an application for restoration, the Committee—
(a)shall direct the Registrar to register the applicant in the relevant part of the register [F76on his satisfying the Registrar as mentioned in article 10(4)(aa),] on his satisfying any requirements imposed under paragraph (6) and on payment of the prescribed fee; and
(b)may make a conditions of practice order with respect to him.
(8) The provisions of article 29 shall have effect in relation to a conditions of practice order made under paragraph (7) as they have effect in relation to a conditions of practice order made under that article and article 30 shall apply as if the order made under paragraph (7) were an order made under article 29.
(9) If, while a striking-off order is in force, a second or subsequent application for restoration to the register, made by the person who has been struck off, is unsuccessful, the Committee which determined that application may direct that that person’s right to make any further such applications shall be suspended indefinitely.
(10) A person in respect of whom a direction is made under paragraph (9) may, after the expiration of three years from the date on which the direction was made, apply to the Registrar for that direction to be reviewed and, thereafter, may make further applications for review but no such application may be made before the expiration of three years from the date of the most recent review decision.
(11) The Registrar shall refer an application made under paragraph (10) to the Committee which made the direction under paragraph (9).
(12) A person whose application under paragraph (10) or whose application for restoration is refused or made subject to his satisfying requirements under paragraph (6) may appeal to the appropriate Court and article 38 shall apply to that appeal.
(13) The appeal must be brought before the end of the period of 28 days beginning with the date on which notice of the decision rejecting the application, or granting it but imposing conditions under paragraph (6), is served on the applicant.
Textual Amendments
F75Words in art. 33(5) substituted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 40; S.I. 2015/1451, art. 4
F76Words in art. 33(7)(a) inserted (17.7.2014) by The Health Care and Associated Professions (Indemnity Arrangements) Order 2014 (S.I. 2014/1887), art. 1(2), Sch. 1 para. 27
Modifications etc. (not altering text)
C7Art. 33 applied (with modifications) (1.8.2004) by The Nursing and Midwifery Order 2001 (Transitional Provisions) Order of Council 2004 (S.I. 2004/1762), arts. 1(1), 8(2)(c)(3)
C8Art. 33(9)-(11) applied (with modifications) (1.8.2004) by The Nursing and Midwifery Order 2001 (Transitional Provisions) Order of Council 2004 (S.I. 2004/1762), arts. 1(1), 9(6)
Commencement Information
I57Art. 33(4)(7)(a) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
Legal assessorsU.K.
34.—(1) The Council shall appoint legal assessors.
(2) Legal assessors shall have the general function of giving advice to—
(a)Screeners;
(b)the Practice Committees;
(c)the Registrar; or
(d)the Council,
on questions of law arising in connection with any matter which any of those persons is considering under article 9 or 10, Part V or VI.
(3) They may at the request of the person mentioned in paragraph (2) assist in the drafting of any decision required by this Order to be issued under any of the provisions mentioned in that paragraph.
(4) They shall have such other functions as may be conferred on them by rules made by the Council.
(5) To be qualified for appointment as a legal assessor, a person must—
(a)have a 10 year general qualification (within the meaning of section 71 of the Courts and Legal Services Act 1990); or
(b)be an advocate or solicitor in Scotland of at least 10 years' standing; or
(c)be a member of the Bar of Northern Ireland of at least 10 years' standing.
(6) No person shall be a legal assessor if he is—
(a)a member of the Council;
(b)a member of a Practice Committee;
(c)a Screener, visitor or medical or registrant assessor; or
(d)employed by the Council.
(7) The Council may make such provision in respect of legal assessors as it may determine—
(a)for the payment of fees and allowances, including the payment of allowances to employers of legal assessors for the purposes of enabling legal assessors to perform functions under this article;
(b)for the reimbursement of such expenses as the legal assessors may reasonably have incurred in the course of carrying out their functions under this Order.
Commencement Information
I59Art. 34(4) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
Medical assessorsU.K.
35.—(1) The Council may appoint registered medical practitioners to be medical assessors.
(2) They shall have the general function of giving advice to—
(a)Screeners;
(b)the Practice Committees;
(c)the Registrar; or
(d)the Council,
on matters within their professional competence in connection with any matter which any of those persons is considering.
(3) They shall also have such other functions as may be conferred on them by rules made by the Council.
(4) No person shall be a medical assessor if he is—
(a)a member of the Council;
(b)a member of a Practice Committee;
(c)a Screener, visitor or legal or registrant assessor; or
(d)employed by the Council.
(5) The Council may make such provision in respect of medical assessors as it may determine—
(a)for the payment of fees and allowances, including the payment of allowances to employers of medical assessors for the purposes of enabling medical assessors to perform functions under this article;
(b)for the reimbursement of such expenses as the medical assessors may reasonably have incurred in the course of carrying out their functions under this Order.
Commencement Information
I61Art. 35(3) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
Registrant assessorsU.K.
36.—(1) The Council may appoint registered professionals as registrant assessors.
(2) They shall have the general function of giving advice to—
(a)the Council;
(b)the committees of the Council;
(c)Screeners; or
(d)the Registrar,
on matters of professional practice arising in connection with any matter which any of those persons is considering.
(3) The assessors shall also have such other functions as may be conferred on them by rules made by the Council.
(4) No person shall be a registrant assessor if he is—
(a)a member of the Council;
(b)a member of a Practice Committee;
(c)a Screener, visitor or legal or medical assessor; or
(d)employed by the Council.
(5) The Council may make such provision in respect of registrant assessors as it may determine—
(a)for the payment of fees and allowances, including the payment of allowances to employers of registrant assessors for the purposes of enabling registrant assessors to perform functions under this article;
(b)for the reimbursement of such expenses as the registrant assessors may reasonably have incurred in the course of carrying out their functions under this Order.
Commencement Information
I63Art. 36(3) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
PART VIU.K.APPEALS
Appeals against Registrar’s decisionsU.K.
37.—(1) Where the Registrar under this Order—
[F77(za)requires a person to undergo an examination or other assessment under article 5A(6)(a) because the Registrar is not satisfied that the person has the necessary knowledge of English;
(zb)makes a decision for the purposes of article 9(3B)(a) that the Registrar is not satisfied that a person falls within article 13(1)(b), (c) or (e), and does not fall within article 13(1A);]
(a)refuses an application for registration, readmission or renewal or for the inclusion of an additional entry;
[F78(aa)refuses to register a person under article 39A (visiting general systems nurses from relevant European States) or Schedule 2A (visiting midwives, and certain visiting nurses, from relevant European States);]
[F79(ab)removes the name of a registrant from the register on the grounds that the registrant has failed to satisfy the Registrar that there is in force in relation to the registrant appropriate cover under an indemnity arrangement;]
(b)in determining an application under article 9 or 10, imposes additional conditions which must be satisfied before the applicant may be admitted to, readmitted to or retained on the register;
(c)removes the name of a registrant from the register on the ground that he has breached a condition in respect of continuing professional development or such additional education, training or experience as is mentioned in article 19(3) subject to which his registration has effect; or
(d)fails, within the terms of article 9(6), to issue a decision,
the person aggrieved may appeal to the Council within the prescribed period.
[F80(1A) Paragraph (1)(ab) does not apply where the removal is in consequence of a refusal of an application for renewal (including an application for readmission or restoration where registration has lapsed).]
(2) No appeal lies to the Council where the person aggrieved has been refused registration solely because he has failed to pay the prescribed fee for registration or has failed to apply in the prescribed form and manner in accordance with article 9 or 10.
[F81(2A) No appeal lies to the Council where the Registrar has refused to make, or has removed, an annotation under article 6A.]
[F82(2B) No appeal lies to the Council if the complaint of the person aggrieved is, in effect, that a provision of rules under article 7, 9, 10 or 12A is invalid.]
(3) No decision removing a registrant from the register against which an appeal to the Council may be made under paragraph (1) shall have effect before—
(a)the expiry of the period within which such an appeal may be made; or
(b)if an appeal is made, the appeal is withdrawn or otherwise finally disposed of.
(4) Any appeal shall be subject to such rules as the Council shall make for the purpose of regulating appeals under this article.
(5) The rules shall in particular provide—
(a)for the quorum of the Council considering such an appeal;
(b)that the members considering the appeal are to include registrants and lay members and that the number of members who are registrants may exceed the number of lay members but may not exceed them by more than one;
(c)for a panel considering an appeal to consist of no fewer than three members who are to be selected with due regard to the matter under consideration and to include—
(i)one registrant registered in the same part of the register as the one in which the person concerned is, or is applying to be, registered; [F83and]
[F84(ii)a person who—
(aa)is not and never has been a registered nurse or midwife (and article 5(5) does not apply for these purposes),
(bb)is not and never has been a registered medical practitioner, and
(cc)does not hold qualifications which would entitle them to apply for registration as a registered nurse, a registered midwife or a registered medical practitioner; F85...]
F86(iii). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F87(d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(e)that no one who has been involved in any other capacity in the case to be considered is to be a member of the panel;
(f)for the decision to be made by a majority vote of the persons present;
(g)in the event of a tie, for the [F88chair] to have an additional casting vote which he shall exercise in the favour of the person concerned;
(h)for the Registrar to be made a party to the proceedings;
(i)for similar provision to be made to that in article 32(2)(b), (f), (g), (i), (j), (k), (m), (n) and (o).
(6) Article 32(3) shall apply to appeals under this article as if a reference to the Committee concerned were to the Council.
(7) Article 25, with the exception of paragraph (2), shall apply to appeals under this article as if a reference to a Practice Committee were to the Council.
(8) A hearing provided for by the rules made under paragraph (4) is to be held—
(a)in the United Kingdom country in which the registered address of the person concerned is situated;
(b)if he is not registered and resides in the United Kingdom, in the country in which he resides; or
(c)in any other case, in England.
(9) Having considered the appeal under this article, the Council may—
(a)dismiss the appeal;
(b)allow the appeal and quash the decision appealed against;
(c)substitute for the decision appealed against any other decision that the Registrar could have made; or
(d)remit the case to the Registrar to be disposed of in accordance with its directions.
(10) The person concerned may appeal to a county court or, in Scotland, a sheriff against an unfavourable decision made under paragraph (9)(a), (c) or (d) and article 38 shall apply to that appeal.
(11) Subject to paragraph 12, the Council shall publish as soon as reasonably practicable a decision of the Council made under this article together with the reasons for it.
(12) If the decision is favourable to the person concerned, the Council is not required to publish it unless the person concerned so requests but it may do so with the consent of the person concerned.
Textual Amendments
F77Art. 37(1)(za)(zb) inserted (18.1.2016) by The Health Care and Associated Professions (Knowledge of English) Order 2015 (S.I. 2015/806), arts. 1(3), 41; S.I. 2015/1451, art. 4
F78Art. 37(1)(aa) inserted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 166
F79Art. 37(1)(ab) inserted (17.7.2014) by The Health Care and Associated Professions (Indemnity Arrangements) Order 2014 (S.I. 2014/1887), art. 1(2), Sch. 1 para. 28(a)
F80Art. 37(1A) inserted (17.7.2014) by The Health Care and Associated Professions (Indemnity Arrangements) Order 2014 (S.I. 2014/1887), art. 1(2), Sch. 1 para. 28(b)
F81Art. 37(2A) inserted (12.6.2008) by The Nursing and Midwifery (Amendment) Order 2008 (S.I. 2008/1485), art. 1(2)(b), Sch. 1 para. 6(a)
F82Art. 37(2B) inserted (17.7.2014) by The Health Care and Associated Professions (Indemnity Arrangements) Order 2014 (S.I. 2014/1887), art. 1(2), Sch. 1 para. 28(c)
F83Word in art. 37(5)(c)(i) inserted (11.12.2014) by The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 9(a)
F84Art. 37(5)(c)(ii) substituted (14.5.2009) by The Health Care and Associated Professions (Miscellaneous Amendments and Practitioner Psychologists) Order 2009 (S.I. 2009/1182), art. 1(2)(e), Sch. 4 para. 38(f)
F85Word in art. 37(5)(c)(ii)(cc) omitted (11.12.2014) by virtue of The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 9(b)
F86Art. 37(5)(c)(iii) omitted (11.12.2014) by virtue of The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 9(c)
F87Art. 37(5)(d) omitted (11.12.2014) by virtue of The Nursing and Midwifery (Amendment) Order 2014 (S.I. 2014/3272), arts. 1, 9(c)
F88Word in art. 37(5)(g) substituted (1.1.2009 as notified in the London Gazette (Issue 58904, published 5.12.2008)) by The Nursing and Midwifery (Amendment) Order 2008 (S.I. 2008/1485), Sch. 1 para. 6(b)
Commencement Information
I65Art. 37(1)(4)(5) in force at 5.3.2004 for specified purposes as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
AppealsU.K.
38.—(1) An appeal from—
(a)any order or decision of the Health Committee or the Conduct and Competence Committee other than an interim order made under article 31, shall lie to the appropriate court; and
(b)[F89a decision of the Council mentioned in paragraph (1A)] or of the Investigating Committee under article 26(7) or (12) shall lie to a county court or, in Scotland, to a sheriff.
[F90(1A) The decisions referred to in paragraph (1)(b) are—
(a)any decision of the Council under article 37;
(b)a decision of the Council under Part 3 of the General Systems Regulations requiring an exempt person to complete an adaptation period, or pass an aptitude test, in connection with becoming entitled by virtue of that Part of those Regulations to have access to, and to pursue, the profession of nurse or midwife in the United Kingdom.]
(2) In any appeal under this article the Council shall be the respondent.
(3) The Court or sheriff may—
(a)dismiss the appeal;
(b)allow the appeal and quash the decision appealed against;
(c)substitute for the decision appealed against any other decision the Practice Committee concerned or the Council, as the case may be, could have made; or
(d)remit the case to the Practice Committee concerned or Council, as the case may be, to be disposed of in accordance with the directions of the court or sheriff,
and may make such order as to costs (or, in Scotland, expenses) as it, or he, as the case may be, thinks fit.
(4) In this article “the appropriate court” means—
(a)in the case of a person whose registered address is (or, if he were registered, would be) in Scotland, the Court of Session;
(b)in the case of a person whose registered address is (or, if he were registered, would be) in Northern Ireland, the High Court of Justice in Northern Ireland; and
(c)F91... in any other case, the High Court of Justice in England and Wales.
Textual Amendments
F89Words in art. 38(1)(b) substituted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 167(a)
F90Art. 38(1A) inserted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 167(b)
F91Words in art. 38(4)(c) omitted (3.12.2007) by virtue of The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 167(c)
Modifications etc. (not altering text)
C9Art. 38 applied (with modifications) (1.8.2004) by The Nursing and Midwifery Order 2001 (Transitional Provisions) Order of Council 2004 (S.I. 2004/1762), arts. 1(1), 7(4)(b)
C10Art. 38 applied (with modifications) (1.8.2004) by The Nursing and Midwifery Order 2001 (Transitional Provisions) Order of Council 2004 (S.I. 2004/1762), arts. 1(1), 6(b)
Commencement Information
PART VIIU.K.EEA PROVISIONS
[F92Visiting midwives, and certain visiting nurses, from relevant European StatesU.K.
39. Schedule 2A (visiting midwives, and certain visiting nurses, from relevant European States) shall have effect.]
Textual Amendments
F92Art. 39 substituted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 168
Commencement Information
[F93Visiting general systems nurses from relevant European StatesU.K.
39A.—(1) This article applies to an exempt person (“V”)—
(a)who is lawfully established as a nurse in a relevant European State other than the United Kingdom (“State A”); and
(b)who seeks to provide, or is providing, nursing services in the United Kingdom of a kind which are provided, in the United Kingdom, by nurses admitted to—
(i)sub-part 1 of the nurses' part of the register whose field of practice is mental health nursing, learning disabilities nursing or children's nursing, or
(ii)sub-part 2 of the nurses' part of the register.
(2) Paragraph (3) applies if V has the benefit of regulation 8 of the General Systems Regulations in connection with the provision by V of nursing services in the United Kingdom on a temporary and occasional basis (V having complied with any requirements imposed under Part 2 of those Regulations in connection with the provision by V of nursing services).
(3) V is entitled to be registered in the appropriate part of the register; and the Registrar shall give effect to the entitlement.
(4) If V is entitled under paragraph (3) to be registered, but is not registered in the appropriate part of the register, V shall be treated as being registered in that part.
(5) V's entitlement under paragraph (3) ceases if V ceases, whether as a result of the operation of regulation 17 of the General Systems Regulations or otherwise, to have the benefit of regulation 8 of those Regulations in connection with the provision by V of nursing services in the United Kingdom on a temporary and occasional basis.
(6) If—
(a)V's entitlement under paragraph (3) ceases by reason of the operation of paragraph (5), and
(b)V is registered,
the Registrar may remove V's name from the register.
(7) Paragraph (8) applies if—
(a)V's establishment in State A is subject to a condition relating to V's practice as a nurse,
(b)V's name is registered in the appropriate part of the register, and
(c)for any of the purposes of this Order it falls to be decided whether V's fitness to practise is or may be impaired on the ground of misconduct.
(8) The matters that may be counted as misconduct include (in particular) any act or omission by V during the course of the provision by V of nursing services in the United Kingdom on a temporary and occasional basis that is, or would be if the condition applied in relation to practice as a nurse outside State A, a breach of the condition.
(9) In paragraphs (7) and (8) “condition” includes limitation.
(10) Paragraphs (1) to (6) are not to be taken to prejudice the application, in relation to registrants, of any other provision of this Order under which a registered nurse's name may be removed from the register or under which a registered nurse's registration may be suspended.]
Textual Amendments
[F94The Directive: designation of competent authority etc.U.K.
40.—(1) The Council is designated as the competent authority in the United Kingdom for the purposes of the Directive so far as relating to the professions of nurse responsible for general care and midwife.
(2) Accordingly, the Council shall in the United Kingdom carry out (in particular) the functions specified in Schedule 3.
(3) The Council is designated as the competent authority in the United Kingdom for the award of—
(a)evidence of formal qualifications of nurses responsible for general care listed in relation to the United Kingdom in Annex V, point 5.2.2 of the Directive; and
(b)evidence of formal qualifications of midwives listed in relation to the United Kingdom in Annex V, point 5.5.2 of the Directive.
(4) Subject to paragraph (5), the Secretary of State may give directions to the Council in connection with its functions specified in Schedule 3, and it shall be the duty of the Council to comply with any such directions.
(5) Directions given under paragraph (4) may be as to matters of administration only.
(6) In Schedule 3—
“non-UK nursing qualification” means a nursing qualification that—
attests to satisfaction of the training conditions specified in article 31 of the Directive (training of nurses responsible for general care), and
is awarded to a person by a competent authority of a relevant European State other than the United Kingdom;
“non-UK midwifery qualification” means a midwifery qualification that is awarded to a person by a competent authority of a relevant European State other than the United Kingdom;
“UK nursing qualification” means a nursing qualification that—
attests to satisfaction of the training conditions specified in article 31 of the Directive, and
is awarded to a person by a competent authority in the United Kingdom;
“UK midwifery qualification” means a qualification that is awarded to a person by a competent authority in the United Kingdom.]
Textual Amendments
F94Art. 40 substituted (3.12.2007) by The European Qualifications (Health and Social Care Professions) Regulations 2007 (S.I. 2007/3101), regs. 1(2), 170
Commencement Information
PART VIIIU.K.MIDWIFERY
The Midwifery CommitteeU.K.
41.—(1) The role of the Midwifery Committee shall be to advise the Council, at the Council’s request or otherwise, on any matters affecting midwifery.
(2) The Council shall consult the Midwifery Committee on the exercise of its functions in so far as it affects midwifery including any proposal to make rules under article 42.
Commencement Information
Rules as to midwifery practiceU.K.
42.—(1) In addition to its functions under other provisions in this Order, the Council shall by rules regulate the practice of midwifery and the rules may in particular—
(a)determine the circumstances in which and the procedure by means of which a midwife may be suspended from practice;
(b)require midwives to give notice of their intention to practise to the local supervising authority (referred to in this Part as “the LSA”) for the area in which they intend to practise;
(c)require midwives to attend courses of instruction in accordance with the rules.
(2) If rules are made requiring midwives to give the notice referred to in paragraph (1)(b), the LSA shall inform the Council of any notice given to it under those rules.
Commencement Information
Local supervision of midwivesU.K.
43.—(1) Each LSA shall—
(a)exercise general supervision in accordance with the rules made under article 42 over all midwives practising in its area;
(b)where it appears to it that the fitness to practise of a midwife in its area is impaired, report it to the Council; and
(c)have power in accordance with the rules made under article 42 to suspend a midwife from practice.
(2) The Council may prescribe the qualifications of persons who may be appointed by the LSA to exercise supervision over midwives in its area, and no one shall be so appointed who is not so qualified.
(3) The Council shall by rules from time to time establish standards for the exercise by LSAs of their functions and may give guidance to LSAs on these matters.
Commencement Information
PART IXU.K.OFFENCES
OffencesU.K.
44.—(1) A person commits an offence if with intent to deceive (whether expressly or by implication)—
(a)he falsely represents himself to be registered in the register, or a particular part of it or to be the subject of any entry in the register;
(b)he uses a title referred to in article 6(2) to which he is not entitled;
(c)he falsely represents himself to possess qualifications in nursing or midwifery.
(2) A person commits an offence if—
(a)with intent that any person shall be deceived (whether expressly or by implication) he causes or permits another person to make any representation about himself which, if made by himself with intent to deceive, would be an offence under paragraph (1); or
(b)with intent to deceive, he makes with regard to another person any representation which—
(i)is false to his own knowledge, and
(ii)if made by the other person with that intent would be an offence by him under paragraph (1).
(3) A person who fraudulently procures, or tries to procure, the making, amendment, removal or restoration of an entry in the register, is guilty of an offence.
(4) A person who, without reasonable excuse, fails to comply with any requirement imposed by—
(a)the Council, or
(b)a Practice Committee
under article 25(1) or (2) or rules made by virtue of article 32(2)(m) or under any corresponding rule made by virtue of article 26, 33 or 37 is guilty of an offence.
(5) A person guilty of an offence under this article shall be liable on summary conviction to a fine not exceeding level 5 on the standard scale.
Commencement Information
Attendance by unqualified persons at childbirthU.K.
45.—(1) A person other than a registered midwife or a registered medical practitioner shall not attend a woman in childbirth.
(2) Paragraph (1) does not apply—
(a)where the attention is given in a case of sudden or urgent necessity; or
(b)in the case of a person who, while undergoing training with a view to becoming a medical practitioner or to becoming a midwife, attends a woman in childbirth as part of a course of practical instruction in midwifery recognised by the Council or by the General Medical Council.
(3) A person who contravenes paragraph (1) shall be liable on summary conviction to a fine not exceeding level 5 on the standard scale.
Commencement Information
PART XU.K.MISCELLANEOUS
Further provisionsU.K.
46.—(1) The Privy Council may make provision by order with regard to the functions of legal assessors and in particular provision may be made—
(a)requiring legal assessors, when advising the Council or any of its committees, to do so in the presence of the parties or their representatives or, where advice is given in private, requiring the parties to be notified of the advice tendered by the legal assessors;
(b)requiring the parties to be notified in any case where the legal assessor’s advice is not accepted.
(2) Paragraph (1)(a) and (b) shall not apply to advice given by a legal assessor in respect of the drafting of a decision mentioned in article 34(3).
Commencement Information
I77Art. 46(1) in force at 5.3.2004 as notified in the London Gazette (Issue 57218, published 27.2.2004), see art. 1(2)(3)
Rules and ordersU.K.
47.—(1) No rules made under this Order shall come into force until approved by order of the Privy Council.
(2) Any rules made by the Council and any order of the Privy Council made under this Order may make different provision with respect to different cases or classes of case.
(3) Before making any rules under this Order, the Council shall consult representatives of any group of persons who appear likely to be affected by the proposed rules and these may include such persons as appear to it to be representative of—
(a)registrants or classes of registrant;
(b)employers of registrants;
(c)users of the services of registrants; or
(d)persons providing, assessing or funding education and training for registrants and prospective registrants.
Commencement Information
Exercise of powers by the Privy CouncilU.K.
48.—(1) Where the approval of the Privy Council is required by this Order in respect of the making of any rules by the Council, it shall be given by an order made by the Privy Council.
(2) Any power of the Privy Council under this Order to make an order shall be exercisable by statutory instrument.
[F95(2A) For the purposes of section 1 of the Statutory Instruments Act 1946 (definition of “Statutory Instrument”), paragraph (2) shall have effect as if contained in an Act of Parliament.]
(3) Any order under this Order shall be subject to annulment in pursuance of a resolution of either House of Parliament but this does not apply to an order made under article 54(2) or Schedule 2, paragraph 19, 20, 21 or 25.
(4) For the purpose of exercising any powers conferred by this Order the quorum of the Privy Council shall be two.
(5) Any act of the Privy Council under this Order shall be sufficiently signified by an instrument signed by the Clerk of the Privy Council.
(6) Any document purporting to be—
(a)an instrument made by the Privy Council under this Order, and
(b)signed by the Clerk of the Privy Council, shall be evidence (and in Scotland sufficient evidence) of the fact that the instrument was so made and of its terms.
Textual Amendments
F95Art. 48(2A) inserted (12.6.2008) by The Nursing and Midwifery (Amendment) Order 2008 (S.I. 2008/1485), art. 1(2)(b), Sch. 1 para. 7
Commencement Information
Default powers of the Privy CouncilU.K.
49.—(1) If it appears to the Privy Council that the Council has failed to perform any functions which, in the opinion of the Privy Council, should have been performed, the Privy Council may notify the Council of its opinion and require the Council to make representations to it.
(2) The Privy Council may, having considered the representations of the Council, give such directions (if any) to the Council as it considers appropriate.
(3) If the Council fails to comply with any directions given under this article, the Privy Council may give effect to the direction.
(4) Subject to paragraph (5), for the purpose of giving effect to a direction under paragraph (3), the Privy Council may—
(a)exercise any power of the Council or do any act or other thing authorised to be done by the Council; and
(b)do, of its own motion, any act or other thing which it is otherwise authorised to do under this Order at the instigation of the Council.
(5) The Privy Council shall not exercise the power in paragraph (4) to make, amend, remove or restore an entry in the register in respect of an individual, nor to refuse to do so.
(6) The powers under paragraphs (1) and (2) may be exercised by a person authorised or designated by the Privy Council for that purpose.
Commencement Information
[F96Annual reports, statistical reports and strategic plansU.K.
50.—(1) The Council shall publish, by such date in each year as the Privy Council shall specify—
(a)a report on the exercise of its functions which includes a description of the arrangements that the Council has put in place to ensure that it adheres to good practice in relation to equality and diversity (and for these purposes “equality” and “diversity” have the meanings given in section 8(2) of the Equality Act 2006 (equality and diversity));
(b)a statistical report which indicates the efficiency and effectiveness of, and which includes a description of, the arrangements which the Council has put in place under article 21(1)(b) to protect members of the public from registrants whose fitness to practise is impaired, together with the Council’s observations on the report; and
(c)a strategic plan for the Council in respect of such number of years as the Council shall determine.
(2) The Council shall submit copies of the reports and the plan published under paragraph (1) to the Privy Council and the Privy Council shall lay copies of the reports and the plan before each House of Parliament.]
Textual Amendments
F96Art. 50 substituted (1.1.2009 as notified in the London Gazette (Issue 58904, published 5.12.2008)) by The Nursing and Midwifery (Amendment) Order 2008 (S.I. 2008/1485), Sch. 1 para. 8
Commencement Information
Finances of the CouncilU.K.
51.—(1) The Council may charge such fees in connection with the exercise of its functions as it may, with the approval of the Privy Council, determine.
(2) Subject to this article, the expenses of the Council are to be met out of fees received by the Council and other sums paid to it in connection with the exercise of its functions.
(3) The Secretary of State or an appropriate authority may make grants or loans to the Council towards expenses incurred, or to be incurred by it—
(a)in connection with the process of the implementation of this Order, or
(b)for such other purposes in connection with the professions regulated by this Order as may be approved by the Secretary of State or the appropriate authority and agreed with the Council.
(4) In this paragraph, “appropriate authority” means the National Assembly for Wales, the Scottish Ministers or the Department of Health, Social Services and Public Safety in Northern Ireland.
Commencement Information
Accounts of the CouncilU.K.
52.—(1) The Council shall—
(a)keep accounts in such form as the Privy Council may determine;
(b)prepare annual accounts in respect of each financial year, in such form as the Privy Council may determine.
(2) The annual accounts shall be audited by persons the Council appoints.
[F97(3) The Council shall ensure that the persons it appoints are eligible for appointment as statutory auditors under Part 42 of the Companies Act 2006 (statutory auditors).]
(4) As soon as is reasonably practicable after the end of the financial year to which the annual accounts relate, the Council shall—
(a)cause them to be published together with any report on them made by the auditors; and
(b)send a copy of the annual accounts and of any such report to the Privy Council and to the Comptroller and Auditor General.
(5) The Comptroller and Auditor General shall examine, certify and report on the annual accounts.
(6) For the purposes of his examination, the Comptroller and Auditor General may inspect the accounts of the Council and any records relating to them.
(7) The Privy Council shall lay before each House of Parliament a copy of the annual accounts certified by the Comptroller and Auditor General, any report of the auditors and the report of the Comptroller and Auditor General prepared under paragraph (5).
(8) In this article, “financial year” means—
(a)the period beginning with the date on which the Council is established and ending with the next 31st March following that date, and
(b)each successive period of 12 months ending with 31st March.
Textual Amendments
F97Art. 52(3) substituted (12.6.2008) by The Nursing and Midwifery (Amendment) Order 2008 (S.I. 2008/1485), art. 1(2)(b), Sch. 1 para. 9
Commencement Information
Inquiry by the Privy CouncilU.K.
53.—(1) The Privy Council may cause an inquiry to be held into any matter connected with the exercise by the Council of its functions.
(2) Before an inquiry is begun, the Privy Council may direct that it shall be held in public.
(3) Where no direction has been given, the person holding the inquiry may if he thinks fit hold it, or any part of it, in private.
(4) For the purpose of any such inquiry (but subject to paragraph (5)) the person appointed to hold the inquiry—
(a)may by summons require any person to attend, at a time and place stated in the summons, to give evidence or to produce any documents in his custody or under his control which relate to any matter in question at the inquiry; and
(b)may take evidence on oath, and for that purpose administer oaths, or may, instead of administering an oath, require the person examined to make a solemn affirmation.
(5) Nothing in this article requires a person, in obedience to a summons under the article, to attend to give evidence or to produce any documents unless the necessary expenses of his attendance are paid or tendered to him.
(6) Any person who refuses or deliberately fails to attend in obedience to a summons under this article, or to give evidence, or who deliberately alters, suppresses, conceals, destroys, or refuses to produce any book or other document which he is required or is liable to be required to produce for the purposes of this article, shall be liable on summary conviction to a fine not exceeding level 5 on the standard scale.
(7) Where the Privy Council causes an inquiry to be held under this article—
(a)the costs incurred by it in relation to the inquiry (including such reasonable sum as it may determine for the services of any officer engaged in the inquiry) shall be paid by such party to the inquiry as it may direct; and
(b)it may cause the amount of the costs so incurred to be certified, and any amount so certified and directed to be paid by any person shall be recoverable from that person by the Privy Council summarily as a civil debt.
(8) Where the Privy Council causes an inquiry to be held under this article it may make orders—
(a)as to the costs of the parties at the inquiry; and
(b)as to the parties by whom costs are to be paid,
and every such order may be made a rule of the appropriate court on the application of any party named in the order.
(9) “Appropriate court” has the same meaning as in article 38(5).
Commencement Information
Supplementary and transitional provisions and extentU.K.
54.—(1) The transitional provisions contained in Schedule 2 to this Order shall apply.
(2) The Privy Council may by order make such further transitional provisions as it considers appropriate.
(3) The consequential amendments contained in Schedule 5 to this Order shall apply.
(4) This Order extends to the whole of the United Kingdom.
Commencement Information
I85Art. 54(4) in force at made date, see art. 1(2)(3)
I86Art. 54(1)(2) in force at 22.3.2002 for specified purposes as notified in the London Gazette (Issue 56510, published 15.3.2002), see art. 1(2)(3)
I87Art. 54(1)(3) in force at 1.4.2002 for specified purposes as notified in the London Gazette (Issue 56517, published 25.3.2002), see art. 1(2)(3)
I88Art. 54(2) in force at 1.4.2002 in so far as not already in force as notified in the London Gazette (Issue 56517, published 25.3.2002), see art. 1(2)(3)
I89Art. 54(3) in force at 1.8.2004 for specified purposes as notified in the London Gazette (Issue 57361, published 21.7.2004), see art. 1(2)(3)
I90Art. 54(1) in force at 31.7.2006 for specified purposes as notified in the London Gazette (Issue 58044, published 14.7.2006), see art. 1(2)(3)
A. K. Galloway
Clerk of the Privy Council