NRPSI INDICATIVE SANCTIONS GUIDANCE

Similar documents
SANCTION GUIDANCE DOCUMENT

Guide to sanctioning

Guidance for the Practice Committees including Indicative Sanctions Guidance

Notice of Decision of the Northern Ireland Social Care Council s Conduct Committee

Good decision making: Fitness to practise hearings and sanctions guidance

Teacher misconduct - the prohibition of teachers

INDICATIVE SANCTIONS GUIDANCE DRAFT

Conduct and Competence Committee Substantive Hearing

HEARING HEARD IN PUBLIC

HEARING HEARD IN PUBLIC

HEARING PARTLY HEARD IN PRIVATE*

Nursing and Midwifery Council:

Conduct and Competence Committee Substantive Meeting 23 December 2015 at 2 Stratford Place, Montfichet Road, London, E20 1EJ

[2015] EWHC 854 (QB) 2015 WL

Indicative Sanctions Guidance

In accordance with Rule 41 of the General Medical Council (Fitness to Practise) Rules 2004 the hearing was held in public.

Nursing and Midwifery Council:

Conduct and Competence Committee Substantive Meeting Monday 17 October 2016 Nursing and Midwifery Council, 61 Aldwych, London WC2B 4AE

Indicative Sanctions Guidance Note

Good decision making: Investigating committee meetings and outcomes guidance

Indicative Sanctions Guidance

Nursing and Midwifery Council: Fitness to Practise Committee. Substantive Hearing 17 December 2018

HEARING HEARD IN PUBLIC

Health and Care Professions Tribunal Service PRACTICE NOTE. Finding that Fitness to Practise is Impaired

PUBLIC RECORD. Record of Determinations Medical Practitioners Tribunal. Dates: 16/10/ /10/2017

Non-compliance hearings guidance for medical practitioners tribunals

Accountancy Scheme Sanctions Guidance

Universiteto. That being registered under the Medical Act 1983, as amended:

Conduct and Competence Committee Substantive Meeting

Part(s) of the register: Registered Nurse Sub Part 1. Eileen Skinner (Chair Lay member) Colin Kennedy (Lay member) Catherine Gale (Registrant member)

Nursing and Midwifery Council: Fitness to Practise Committee

Administrative Sanctions: imposing warnings and fines

Nursing and Midwifery Council:

Nursing and Midwifery Council: Fitness to Practise Committee Substantive Hearing


PUBLIC RECORD. Record of Determinations Medical Practitioners Tribunal. Dates: 13/11/ /11/2017 Medical Practitioner s name: Dr Katy MCALLISTER

PUBLIC RECORD. Record of Determinations. Medical Practitioner: Dates: 26/07/ /07/2018. GMC reference number: Tyne

Nursing and Midwifery Council:

3.2 The Code to maintain patient safety and public confidence in the profession.

PUBLIC RECORD. Record of Determinations. Medical Practitioner: Date: 22/10/2018. GMC reference number: Medyczny. Review - Misconduct

HEARING HEARD IN PUBLIC

PUBLIC RECORD. Record of Determinations Medical Practitioners Tribunal

PUBLIC RECORD. Record of Determinations. Medical Practitioner: Date: 03/12/2018. GMC reference number: Review - Misconduct

October Guideline to Disciplinary Committee for Determining Disciplinary Orders

HEARING HEARD IN PUBLIC

HEARING HEARD IN PUBLIC

Guidance for decision makers on the impact of criminal convictions and cautions

DETERMINATION ON THE FACTS AND IMPAIRMENT - 25/10/2017

STUDENT DISCIPLINARY PROCEDURE: NON-ACADEMIC MISCONDUCT

Notice of Decision of the Northern Ireland Social Care Council s Conduct Committee

THERE IS AN ORDER MADE PURSUANT TO S 240 LAWYERS AND CONVEYANCERS ACT 2006 FOR THE SUPPRESSION OF MEDICAL DETAILS.

Conduct & Competence Committee. Substantive Meeting. 20 October Nursing and Midwifery Council, 2 Stratford Place, London E20 1EJ

Guidelines Fit and Proper Person Assessments

Fitness to Practise. > Criminal convictions and fitness to practise

Delegated powers policy

PUBLIC RECORD. Record of Determinations. Medical Practitioner: Dates: 15/08/ /08/2018. GMC reference number:

Reinstatement and Supervision of Lawyers on Probation

Re: Dr Jonathan Richard Ashton v GMC [2013] EWHC 943 Admin

Nursing and Midwifery Council:

Independent review of the Financial Reporting Council s enforcement procedures sanctions

HEARING HEARD IN PUBLIC

Guidance on Undertakings

4. This guidance is a public document and is available from the GOC s website at:

assist do not programme; is also Determination GSCC means [1]

Part(s) of the register: RNHM, Registered nurse sub part 1 Mental health Sept 2011 Area of Registered Address: England

Conduct and Competence Committee Substantive Hearing Date: Thursday 4 July 2013 to Friday 5 July 2013

That being registered under the Medical Act 1983 (as amended):

Sanctions Policy (Audit Enforcement Procedure)

SRA Assessment of Character and Suitability Rules

Guide to Managing Breaches of the Code of Conduct

PUBLIC RECORD. Record of Determinations Medical Practitioners Tribunal. Dates: 20/04/ /04/2017 (Adjourned Part Heard) 02/10/2017 (Reconvened)

HEARING HEARD IN PUBLIC

Conduct and Competence Committee Substantive Hearing 31 October 2016 Nursing and Midwifery Council (NMC), Regus, Cromac Square, Belfast BT2 8LA

Disciplinary Panel Hearing. Case of. Mr Jason Barkworth MRICS [ ] London SE7. On Wednesday 21 November At RICS 55 Colmore Row, Birmingham

Council meeting 15 September 2011

Minutes of Investigation Committee (Oral) hearing

HEARING HEARD IN PUBLIC

HEARING HEARD IN PUBLIC BAPU, Raisha Registration No: PROFESSIONAL CONDUCT COMMITTEE MAY 2015 Outcome: Erasure and immediate suspension

PUBLIC RECORD. Record of Determinations Medical Practitioners Tribunal. Dates: 15/01/ /01/2018 Medical Practitioner s name: Dr Baldeep AUJLA

SOLICITORS DISCIPLINARY TRIBUNAL. IN THE MATTER OF THE SOLICITORS ACT 1974 Case No and. Before:

DISCIPLINARY COMMITTEE OF THE ASSOCIATION OF CHARTERED CERTIFIED ACCOUNTANTS

This case was reviewed on the papers, with the agreement of both parties, by a Legally Qualified Chair.

Declarations guidance for fullyqualified

Universities Psychotherapy and Counselling Association. Fitness to Practise Procedures

CONTENTS PAGE NUMBER. INTRODUCTION 3 A. PRINCIPLES AND PROCEDURE 4-7 SANCTIONS AND ORDERS AVAILABLE TO THE TRIBUNAL Solicitors Solicitors employees

Declarations guidance for student registrants

Enforcement and prosecution policy

Disciplinary Procedure

DISCIPLINARY POLICY AND PROCEDURE

THE REAL ESTATE COUNCIL OF ALBERTA. AB, for executive director of the Real Estate Council of Alberta Michael Eurchuk, in person

Guidance on making referrals to Disclosure Scotland

HEARING PARTLY HEARD IN PRIVATE

Education Workforce Council

B e f o r e: MR JUSTICE GARNHAM. PROFESSIONAL STANDARDS AUTHORITY FOR HEALTH AND SOCIAL CARE Appellant v NURSING AND MIDWIFERY COUNCIL PHILOMENA JUDGE

Disciplinary Procedures. Publication and Disclosure Policy

Code of Complaints & Disciplinary Procedures

1. Miss Musaji had not responded at all to the Notice of Hearing. The Panel therefore proceeded on the basis that the above charge was not admitted.

PUBLIC RECORD. Record of Determinations Medical Practitioners Tribunal

Registrar: Jacinta Shadforth. Adviser: THE NAME AND ANY INFORMATION IDENTIFYING THE COMPLAINANT IS NOT TO BE PUBLISHED INTERIM DECISION (SANCTIONS)

This code is applicable to all employees of Finbond Mutual Bank, including temporary employees.

Transcription:

NRPSI INDICATIVE SANCTIONS GUIDANCE Introduction Purpose of sanctions Warnings What sanctions are available Questions for the Panel to consider Mitigation and aggravating factors Guidance on considering Conviction Cases References Introduction This guidance has been developed by NRPSI for use by its Disciplinary Panels when considering what sanction, if any, to impose on a Registrant following a finding of: Unacceptable Professional Conduct Serious Professional Incompetence, or Conviction of a relevant criminal offence It outlines the decision-making process and factors to be considered in order to make fair, consistent and transparent decisions. Since 1 st July 2014 all decisions of Panels have been made publicly available by NRPSI. Panel members are obliged to exercise their own judgement in making decisions since they are acting in an independent judicial capacity, within the framework set out by NRPSI. NRPSI Indicative Sanctions Guidance 1

Purpose of sanctions Where a Panel finds that a Registrant has breached the NRPSI Code of Conduct the Panel must decide if it is appropriate for a sanction to be applied. The interests of the public, the profession and the Registrant need to be weighed in this decision. NRPSI s Disciplinary Rules do not require the Panel to impose a sanction in every case. It is thus open to a Panel to conclude a case without an Admonishment, the lowest level of sanction. As with their other decisions the Panel would need to be satisfied that it is sufficient and in the public interest to do so and to make clear their reasons. No sanction may be appropriate, for example, where: the breach was of a very minor nature there was no 'guilty mind' on the part of the Registrant the breach arose from an honest mistake the breach was very technical in nature the standing of the profession in the eyes of the public was not compromised The primary purpose of sanctions is not to be punitive, but to protect the interests of the public and, where possible, return the Registrant to good practice, although in doing this the application of a sanction may have a punitive effect. Sanctions may have a deterrent effect on other Registrants, in effect providing guidance on what is accepted as good practice and what is not. Definition of the Public Interest There is clear judicial authority that the public interest includes: The protection of the public The maintenance of public confidence in the profession 1 Declaring and upholding proper standards of conduct and competence 2 The public interest may also be served by applying conditions relating to the Registrant s return to work if he/she lacks certain skills, competencies or knowledge. Standard of Proof The Standard of Proof Test that is applied is the civil standard, the 'Balance of Probability.' This is the standard commonly used by regulatory bodies in disciplinary matters. NRPSI Indicative Sanctions Guidance 2

Proportionality In deciding what sanctions to impose the Panel should apply the principle of proportionality, weighing the interests of the public (as above) against those of the Registrant. In addition, the Panel will need to consider any mitigating and aggravating factors in relation to the seriousness of the behaviour in question. The extent to which mitigation should influence judgement on a finding requiring a sanction is dependent on the individual circumstances in the case and is at the discretion of the Panel. The paragraphs below outline the sanctions available, stating the philosophy behind them, and give guidance as to the appropriateness of their application. Panels must give clear reasons for their decisions, making it clear why a particular sanction was applied and why the remaining sanctions were not. It is also desirable for the Panel to express an opinion about the Registrant s behaviour as part of their decision. Warnings Warnings are not considered to be a sanction, but provide specific advice and guidance to the Registrant on their future behaviour. A warning can be issued by the Professional Conduct Committee if they determine that there has been a probable breach of the NRPSI Code of Conduct, but that this would be unlikely to result in a sanction if heard by the Disciplinary Committee. If a Registrant receives a warning and is subsequently referred again to a NRPSI Disciplinary Panel, the previous warning may be taken into account in the Panel s deliberations. Warnings issued by the PCC should be specific and where possible include guidance on the improvements required by the Registrant to return to good practice. What sanctions are available Where a disciplinary sanction is appropriate, a number of options are available to the Panels. Only one sanction can be applied in any particular case. Sanctions should be considered in the following order: Professional Conduct Committee a. Admonishment b. Admonishment Disciplinary Committee c. Interim or conditional suspension d. Suspension e. Expulsion NRPSI Indicative Sanctions Guidance 3

Admonishment allows continuing registration. An Exclusion Order (suspension or expulsion) may specify any conditions with which the Registrant must comply before he/she becomes eligible again for registration. General considerations relating to Admonishment Where the Panel decide that it is not sufficient to conclude a case without applying a sanction, an Admonishment is the lowest sanction that can be applied. An Admonishment may be appropriate where the offence is at the lower end of the spectrum in order to mark the fact that the behaviour was unacceptable and must not happen again. General considerations relating to Suspension Suspension can be used to send a signal to the Registrant, the profession and the public about what is regarded as unacceptable behaviour or serious incompetence. Suspension from the Register has a punitive effect, in that it may prevent the Registrant from practising (and therefore from earning a living) during the period of suspension. Suspension is likely to be appropriate for misconduct or incompetence that is serious, but not so serious as to justify exclusion. The length of the suspension is a matter for the Panel s discretion, depending on the gravity of the particular case. Where a Panel considers that the matters are serious but there are clear indications that specific actions would most effectively bring a Registrant back to good practice an Interim or conditional suspension may be applied. This would have conditions specified by the Panel to be carried out by the Registrant within a set period, such as mentoring or training, while the Registrant remains on the Register. If satisfactory evidence is not provided that the conditions have been complied with by the set date, the stated suspension would automatically commence. There may be cases where suspension alone is not sufficient to serve the public interest, but where there is evidence that the Registrant has the potential to be rehabilitated if prepared to undergo retraining/development in addition. In such cases the Panel may wish to impose both an immediate period of suspension, and to add conditions in terms of retraining or other action. The Panel must be satisfied that the problem is capable of improvement. Suspended Registrants whose suspension is subject to conditions remain ineligible for registration where they fail to comply with those conditions. General considerations relating to Expulsion Exclusion from the Register is appropriate where this is the only means of protecting the public and maintaining public confidence in the profession. The NRPSI Indicative Sanctions Guidance 4

Panel, however, should not feel it necessary to exclude a Registrant in order to satisfy public demand for blame and punishment. The minimum period of exclusion shall normally be two years. A Registrant who has been excluded may be subject to conditions determined by the Panel. An application from the Registrant for restoration of their eligibility to register will be considered by the Disciplinary Committee. The Committee will need to be satisfied that the Registrant s character, competence and other relevant factors are now sufficiently acceptable to restore the Registrant s eligibility to register. Questions for the Panel to consider When determining the appropriate sanction, Panels may consider continuing patterns of unacceptable behaviour to be as serious as individual more serious acts. In particular, aggravating factors such as previous findings against the Registrant will be taken into account. Admonishment relevant factors in applying this sanction This sanction may be considered where most of the following factors are present (the list is not exhaustive): Evidence that behaviour would not have seriously affected the public or the employing organisation Insight into failings Isolated incident which was not deliberate Genuine expression of regret/apologies Acting under duress Previous good history No repetition of behaviour since incident Rehabilitative/corrective steps taken Any relevant and appropriate references and testimonials The offence is at the lower end of the spectrum The Panel should consider whether it is sufficient to conclude the case with the reasons for the finding of Admonishment. Interim or Conditional Suspension relevant factors in applying this sanction This sanction is likely to be appropriate when there are clear corrective actions the Registrant can take to address their shortcomings and they are receptive to the NRPSI Indicative Sanctions Guidance 5

corrective action. Some or all of the following factors may be involved (the list is not exhaustive): Insight into failings Clear willingness on part of Registrant to take corrective action No immediate or obvious danger to the public Not fundamentally incompatible with continuing on the Register No evidence of harmful deep-seated personality or attitudinal problems The Panel should consider whether it is sufficient to conclude the case with the reasons for Interim or Conditional Suspension. The Panel should state the required conditions including deadline for satisfactory completion, and the period of suspension should the conditions not be met. Suspension relevant factors in applying this sanction This sanction may be appropriate when some or all of the following factors are apparent (the list is not exhaustive): A serious instance of unacceptable conduct where a lesser sanction is not sufficient Not fundamentally incompatible with continuing on the Register No evidence of harmful deep-seated personality or attitudinal problems Panel satisfied Registrant has insight and does not pose a significant risk of repeating behaviour The Panel should consider whether it is sufficient to conclude the case with the reasons for Suspension. Expulsion Order - relevant factors in applying this sanction This sanction is likely to be appropriate when the behaviour is fundamentally incompatible with being a Registrant and involves any of the following (the list is not exhaustive): Serious departure from the Code of Professional Conduct Serious failures, either deliberately or through incompetence and particularly where there is a continuing risk Abuse of position/trust (particularly involving vulnerable children or adults) or violation of others rights NRPSI Indicative Sanctions Guidance 6

Dishonesty (especially where persistent and covered up) Persistent lack of insight into seriousness of actions or consequences Evidence of harmful deep-seated personality or attitudinal problems It is the ONLY way to protect the public and maintain confidence in the profession A Registrant who has been excluded may be subject to conditions determined by the Panel. The minimum period of exclusion shall normally be two years. Mitigation Before determining which, if any, sanction to apply in a particular case, the Panel should offer the Registrant, or others on his/her behalf, the opportunity to submit mitigation. This could include evidence of a previously unblemished career, time elapsed since the incident(s), any apologies to the complainant or efforts to avoid such behaviour re-occurring. Mitigation could also relate to the circumstances leading up to the incident(s) in question as well as the character and previous history of the Registrant. References and Testimonials The Registrant may present references and testimonials as to his/her standing in the community or profession. As with other mitigating or aggravating factors these will need to be weighed appropriately against the nature of the incident. The quantity, quality and spread of references and testimonials will vary from case to case and this will not necessarily depend on the standing of the Registrant. There may be cultural reasons for not requesting them and the Panel should be aware of this. In addition, acquiring references and testimonials may pose a difficulty for newly arrived overseas qualified Registrants. Finally, references and testimonials may not stand as an accurate portrait in light of the facts found proven. The Panel will need to consider all such factors when looking at references and testimonials. Expressions of regret and apology The expectation that a Registrant will be able to stand back and accept that with hindsight, they should have behaved differently and that it is expected that the Registrant will take steps to prevent a re-occurrence is an important factor in a hearing. The Panel should, however, be aware that there may be cultural differences in the way that insight is expressed, for example, how an apology or expression of regret is framed and delivered and the process of communication. Aggravating factors Before determining which, if any, sanction to apply in a particular case, the Panel should offer the Registrar the opportunity to submit any aggravating factors. In NRPSI Indicative Sanctions Guidance 7

particular, the Registrar will inform the Panel at this stage if the Registrant has previously had any warnings or sanctions applied to them as the outcome of previous NRPSI disciplinary hearings. Guidance on considering Conviction Cases Convictions refer to a determination by a criminal court in the United Kingdom, or a finding by an overseas court of an offence which, if committed in the United Kingdom, would constitute a criminal offence. A formal police caution in the UK is also a conviction. A conviction itself gives the Panel jurisdiction even if the criminal offence did not involve misconduct in the course of employment. In a conviction-related hearing the Panel will hear evidence as to the circumstances leading up to the conviction, character and previous history of the Registrant. The Registrant will then have the opportunity to address the Panel by way of mitigation and present any evidence in respect of this. The purpose of a hearing in relation to a conviction is not to punish the Registrant a second time, but to protect the public and to maintain the high standards and good reputation of the profession. It should be borne in mind that the public who use the National Register, for example the police, have different requirements in terms of not engaging those with criminal records than employers in society more generally. In determining IF the offence is a 'relevant offence' in this regard the panel must be satisfied that it is one that puts into doubt the Registrant s fitness to practice. References 1 Raschid v GMC and Fatnani v GMC [2007] EWCA Civ 46 2 Bolton v Law Society [1994] 1 All ER 512 Approved at NRPSI Board 10 th June 2014 Approved for publication at NRPSI Board 1 st December 2015 NRPSI Indicative Sanctions Guidance 8