What happened
A registered learning disabilities nurse worked on an inpatient mental health ward for Aneurin Bevan University Health Board in Gwent. He was referred to the Nursing and Midwifery Council on 7 December 2023 over events in 2021 and 2022, and was removed from clinical duties on 28 July 2022 and dismissed on 9 November 2023.
The referral alleged a great deal. That in June 2021 he was hostile and confrontational towards a patient, used intimidating body language, conducted a one-to-one observation without clinical justification, and pushed her into a doorframe. That in July 2022 he failed to assist colleagues with a patient’s restraint, failed to respond to an alarm, never assessed the patient after prolonged restraint, and delayed an as-required prescription. It also alleged an incorrect dose of oramorph, which was corrected before it reached the patient, a failure to act when told a third patient was self-harming, pre-potting medication contrary to policy, and a series of abusive exchanges with colleagues.
The outcome
The panel sat over five days in November 2025 and gave its decision on 25 November 2025.
It found proved the shouting at a patient across the dayroom, the incorrect oramorph dose, the failure to intervene when told a patient was self-harming, the pre-potting of medication, and the conduct towards patients and colleagues.
It found not proved the intimidation and doorframe particulars, and all five particulars concerning the restraint: that he failed to assist, failed to respond to an alarm, never assessed the patient after prolonged restraint, and delayed the prescription.
Fitness to practise was found impaired and a striking-off order was made. No criminal proceedings are recorded.
What went wrong
The proved findings are not a restraint story: a nurse hostile to patients, a medication error, a self-harm report not acted on, medication prepared in advance against policy, and abuse of colleagues. He was struck off for that.
Why the restraint allegations failed is not explained in the record held here, and this page will not guess. A panel heard detailed allegations about a restraint, found none proved, and found the surrounding conduct proved.
What it teaches
Two things, and the first is about evidence.
A restraint allegation is not a finding. Five particulars about how this nurse behaved during and after a restraint were tested and failed, while he was removed from the register for how he treated patients otherwise. A casebook quoting the referral would have published a restraint failure a panel explicitly rejected.
The second is that what got him struck off was not dramatic: shouting across a dayroom, medication prepared early, a self-harm report ignored. These everyday failures make a ward unsafe, and they are tolerated because each looks small on its own.
Questions for the room
- When a colleague is told a patient is self-harming and does not act, what does your service do that day?
- Which of your staff behaviours are tolerated because they are not restraint? Hostility, dismissiveness, pre-preparing medication?
Evidence and limits
Confidence: confirmed on the outcome. The Nursing and Midwifery Council’s decision of 25 November 2025 was read, and the division between proved and not-proved particulars above is taken from it.
One limit matters more than usual here. The record does not say why the restraint particulars failed, and this page therefore makes no finding about the restraint at all: not that it was safe, not that it was unsafe, only that the allegations were not proved.
The nurse is not named. He was not convicted of an offence, and the standing rule for this casebook is that staff are named only where a conviction exists.
Sources
Our physical interventions training includes how to review a restraint after the event, which means separating what was alleged from what can be evidenced.
Reviewed 20 October 2026.