NMC’s New Approach to First Contact for Nurses Referred to the Fitness to Practise Process

Facing a Fitness to Practise (FtP) referral can feel overwhelming. For years, the process began with a stark email that often left nurses and midwives anxious and isolated. The Nursing and Midwifery Council’s new pilot, and registrant centred approach changes that and as a defence lawyer I welcome that. 

1. A Kinder First Step

Instead of an email out of the blue notifying a registrant of concerns raised against them, the NMC now sends a neutral email and offers a scheduled phone call. This simple change matters: it gives you time to prepare emotionally and practically, rather than being blindsided.

2. You’re Not Alone

During that call, the NMC asks about your wellbeing, communication needs, and any adjustments you might require. This is your chance to say what support you need – whether that’s flexible deadlines, mental health resources, or help with accessibility. It’s a more person-centred approach that recognises you as more than just a case number.

3. Early Signposting to Support

The NMC will check if you have union or legal representation and point you toward help if you don’t. This is crucial. Getting advice early can make the difference between a smoother process and unnecessary stress. Don’t wait – take advantage of this signposting and secure representation as soon as possible.

4. Clear Communication

After the call, you’ll receive a summary email outlining what was discussed and what happens next. You’ll know where you stand and what steps to take.

5. Wellbeing Comes First

You’ll be given details of support services right away. This isn’t just lip service – emotional resilience is key to engaging effectively with the process. Use these resources. They exist to help you cope and stay focused.

6. A Fairer, More Respectful Process

This approach doesn’t change the legal standards, but it changes the tone.  The process starts with more dignity and fairness.

What Should You Do Next?

• Engage with the call: Be honest about your needs.
• Get representation early: Contact your union or a specialist lawyer immediately.
• Use the support offered: Emotional wellbeing is as important as legal defence.

Act Now – Protect Your Career

If you’ve received contact from the NMC relating to a Fitness to Practise referral, do not delay. The earlier you seek help from your union or involve a specialist FtP defence lawyer, the stronger your position will be. Early advice can help you:

• Avoid procedural mistakes that could harm your case.
• Prepare a clear, strategic response to allegations.
• Access the right support and adjustments from day one.

If you need  assistance with a NMC referral contact Emma Davies on 01392 477983 or email [email protected].  With over 15 years of experience representing nurses subject to FtP proceedings, Emma is an expert in this field who can compassionately guide you through the FtP process.