NMC has no plans to reinstate the nurse struck off in Bawa-Garba case

Ms. Amaro admitted that a sanction should be imposed but implored the panel not to remove her from the register. 

The Nursing and Midwifery Council has revealed it has no plans to review the fitness to practice case of Isabel Amaro.

Ms. Amaro was working as an agency staff nurse within the Children’s Assessment Unit at the Leicester Royal Infirmary at the time of the tragic death of six-year-old Jack Adcock.

Amaro was accused of contributing to the death of the six-year-old by failing to complete basic physiological observations and not recording his fluid balance. But, Amaro claimed her concerns about the child went unheard simply because she was an 'agency nurse' after a senior nurse on the unit said she should not escalate any concerns beyond her.

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Nurse Isabel Amaro and Dr Bawa-Garba were both convicted of manslaughter by gross negligence in 2015 and handed two-year suspended prison sentences.

Others made more serious errors.

During the Fitness to Practise (FtP) hearing in August 2016, Ms. Amaro admitted making mistakes but claimed others had made more serious errors. Ms. Amaro told investigators that she felt the trust was using her as a scapegoat over the death and felt there were systematic failings within the Children’s Assessment Unit at the Leicester Royal Infirmary.

At the time, Ms. Amaro admitted that a sanction should be imposed but implored the panel not to remove her from the register after proving the regulator with references which attested to Amaro's 'high standards of practice'.

The NMC made the decision to remove Ms. Amaro from the register in July 2016.

Earlier this week, following a high court appeal, Lord Chief Justice Lord Burnett, the Master of the Rolls Sir Terence Etherton and Lady Justice Rafferty unanimously reversed the General Medical Council's ruling to remove Dr. Bawa-Garba from the medical register.

A Nursing and Midwifery Council spokesperson told the NursingStandard that Ms Amaro's case would not be reopened; "An independent panel took the decision to strike Ms Amaro from our register after hearing all of the evidence in the case and taking her conviction and suspended custodial sentence into account."

We need the adequate number of staff with the right skills.

The Royal College of Nursing has said that healthcare needs to be viewed as a safety critical industry and we need to focus on preventing future mistakes rather than assigning blame.

Donna Kinnair, Director of Nursing, Policy and Practice at the Royal College of Nursing, said;  “Health care should be viewed as a safety critical industry, with a focus on learning and preventing future mistakes. Continuing down the path we have witnessed in the Bawa-Garba case risks creating an environment in which individuals feel afraid to come forward, or even to work in pressurised, understaffed environments for fear of blame.

“Safe and effective care can only be achieved with an adequate number of staff with the right skills, in the right place at the right time. We urgently need a workforce plan for England that responds to patient need, and prioritises recruitment and retention.”

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