PSA review of Nursing and Midwifery Council

Performance/Legislative,

The Professional Standards Authority (PSA) in the UK has raised serious concerns about the Nursing and Midwifery Council’s (NMC) performance, particularly its persistent delays in resolving fitness‑to‑practise (FtP) cases. Following a challenging period marked by whistleblowing and independent reviews that uncovered a toxic internal culture, the PSA’s latest appraisal highlights that the NMC continues to fall short on mandated timelines for FtP processes. Despite substantial investment and reform efforts—including a £30 million improvement programme, strengthened oversight mechanisms, and the establishment of a safeguarding hub—the PSA emphasizes that timely resolution of cases remains a critical unresolved issue. The NMC has acknowledged these challenges and committed to further action, while the PSA continues to monitor progress closely.

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