“That you, while working as nurse at Cardiff and Vale NHS Trust, failed to provide adequate care to patient A in that you: Failed to create a care plan even after identifying a re-occurring pressure sore, between the dates of March 2004 and June 2004. Over 12 days following9 June 2004 there were no recordings made of turning or monitoring [the] patient.”
“The panel reviewed all the information before it including the on-table papers provided by the RCN. The panel agreed that these allegations appear to relate to failures of the Home in question to provide a good standard of care to its service users. The panel agreed that other nursing staff would have been involved in this patient’s care and according to the report written by the consultant physician, all qualified nursing staff provided severely sub-standard general nursing care. The panel therefore concluded that there was evidence of system failures and insufficient information to suggest that this registrant was solely responsible for the inadequate care of the service user in question. The panel therefore agreed that there was no realistic prospect of a finding of impairment of fitness to practice.”
“if the NMC are final in their decisions and do not wish to consider any further available documentation then I will endorse our records accordingly.”
“Panel decision The panel also decided to set aside the decision made by the previous panel of the Investigating Committee. Reasons for decision The panel considered the submissions from the NMC’s Regulatory Legal Team and those from the Royal College of Nursing related to the power to set aside a decision of the Investigating Committee under R (on the application of Jenkinson) v. The Nursing and Midwifery Council[2009] EWHC 1111 (Admin) . The panel note that the legal authorities cited in Jenkinson indicate that a Committee may have a limited power to set aside previous decisions where there has been a slip or an accidental error. The panel notes that ordinarily decisions about overturning an announced decision would be made by a higher authority e.g. the High Court. The panel carefully considered whether the original decision had been a slip or an accidental error. The panel considers that the definition of a slip is a ‘faulty action’ and that the application of the case to answer test by a previous panel represented a faulty action insomuch as: a) The panel appeared to consider the allegations against the individual registrant in the context of systems failures within the home. The panel believes that this was an error as such considerations may be relevant at the sanction stage of a substantive hearing but play no part in considering whether there is a case for an individual registrant to answer. b) The panel did not apply the guidance provided by the NMC on the case to answer test when considering the medical expert reports commissioned by another public body (in this case Gwent Police) in that they failed to offer any specific reason for making a finding which was inconsistent with the expert’s findings. Taking this into account the panel have concluded that the original decision should be set aside in order to correct the slip made by the previous panel.”
“Reconsideration of allegation after a finding of no case to answer 7(1) This rule applies where – (a) the Investigating Committee has considered an allegation that the registrant’s fitness to practise is impaired and decided that there is no case to answer in respect of that allegation; and (b) at any time within three years from service of the notice of decision, the Council receives a fresh allegation about the registrant. (2) Where this rule applies, the Investigating Committee may – (a) when considering whether or not there is a case to answer in respect of a fresh allegation, take account of the original allegation; and (b) may refer both the original allegation and the new allegation to the Conduct and Competence Committee or Health Committee.” (a) the Investigating Committee has considered an allegation that the registrant’s fitness to practise is impaired and decided that there is no case to answer in respect of that allegation; and (b) at any time within three years from service of the notice of decision, the Council receives a fresh allegation about the registrant. (a) when considering whether or not there is a case to answer in respect of a fresh allegation, take account of the original allegation; and (b) may refer both the original allegation and the new allegation to the Conduct and Competence Committee or Health Committee.”
“But there is a larger issue: can even a full tribunal rescind its own or another tribunal’s decision? I can find no explicit power to do so in the Rules, and I see a number of reasons why no such power should be inferred or implied. Rule 38 provides: “Any irregularity resulting from failure to comply with these Rules before an appellate authority has reached its decision shall not by itself render the proceedings void, but the appellate authority may, and shall if it considers that any person may have been prejudiced, take such steps as it thinks fit before reaching its decision to cure the irregularity, whether by amendment of any document, the giving of notice or otherwise.”
“Even where such powers are not conferred, it is possible that statutory tribunals would have power, as has the High Court, to correct accidental mistakes; to set aside judgments obtained by fraud; and to review a decision where facts subsequently discovered have revealed a miscarriage of injustice.”
“…a public body’s promise or practice as to future conduct may only be denied…in circumstances where to do so is the public body’s legal duty or is otherwise, to use a now familiar vocabulary, a proportionate response (of which the court is the judge, or the last judge) having regard to the legitimate aim pursued by the public body in the public interest.”
“…the court will (subject to the overriding public interest) insist on such a requirement, and enforce such an obligation, where the decision-maker's proposed action would otherwise be so unfair as to amount to an abuse of power, by reason of the way in which it has earlier conducted itself. In the paradigm case of procedural expectations it will generally be unfair and abusive for the decision-maker to break its express promise or established practice of notice or consultation. In such a case the decision-maker's right and duty to formulate and re-formulate policy for itself and by its chosen procedures is not affronted, for it must itself have concluded that that interest is consistent with its proffered promise or practice. In other situations the two kinds of legitimate expectation we are now considering something no less concrete must be found. The cases demonstrate as much. What is fair or unfair is of course notoriously sensitive to factual nuance. In applying the discipline of authority, therefore, it is as well to bear in mind the observation of Sir Thomas Bingham MR as he then was in Ex p Unilever at 690f, that ‘[t]he categories of unfairness are not closed, and precedent should act as a guide not a cage’.”