Naomi Kathlynne Amanda Butcher
Introduction
Naomi Kathlynne Amanda Butcher was a registered nurse with the Nursing and Midwifery Council (NMC), registration number 83Y1881E, and a Band 6 Team Leader at St Peter and St James Hospice when a fitness-to-practise panel found she had made multiple medication errors, recorded a dose she had not given, and made discriminatory remarks about a patient’s family. In a decision dated 13 April 2026, the NMC’s Fitness to Practise Committee directed her erasure — commonly described as being struck off the register — and imposed an 18-month interim suspension order . The panel concluded that vulnerable hospice patients had been placed at unwarranted risk of harm and that actual harm was caused to two of them .
Background Information
Butcher was registered with the NMC as a nurse under PIN 83Y1881E, with adult nursing recorded as her specialty . At the material time she was employed as a Band 6 Team Leader at St Peter and St James Hospice . Beyond her name, registration number, role and the outcome of her case, the public pages published by MedicWatch contain little biographical detail: they record no date of birth, no training history and no earlier regulatory findings . Her profile page carried a “registration status not yet verified” notice and directed readers to the official NMC register for current registration details .
The Controversy or Incident That Led to Their Cancellation
Adjudicated vs. alleged. The findings in this section come from a Nursing and Midwifery Council fitness-to-practise panel determination, which decided the charges on the balance of probabilities. Charges found proved are regulatory findings, not criminal convictions; Naomi Kathlynne Amanda Butcher had no charges found NOT proved — every charge was found proved, the majority by her own admission and one (charge 11b(iii)) on the evidence. Nothing here is a criminal record unless the determination itself states one; this determination records no conviction.
The charges concerned her work as a Band 6 Team Leader at St Peter and St James Hospice. On the medication management side, she was charged with failing to check 10mg morphine sulphate tablets into the controlled drugs cupboard, failing to administer paracetamol to Patient D, and twice — on different occasions — programming an incorrect syringe model on a syringe driver pump. Further charges alleged that she failed to give Patient D his full dose of oxycodone, failed to give him his promethazine, and failed to check a syringe driver at 18:00 .
The administration charges were more serious. The panel found she administered 80mg of oxycodone to Patient B instead of the 80mg of morphine sulphate that had been prescribed, and that she administered 50mg of midazolam to Patient A over 24 hours instead of the prescribed 5mg — ten times the prescribed dose — while recording that she had administered 5mg . She was also found to have said about Patient E, a dying patient, words to the effect that ‘I make a bet with all of you that he will die on Christmas day’ .
The final charge concerned Patient X’s family. The panel found that Butcher refused the family’s request to visit the sanctuary and made discriminatory comments about them being ‘gypsies’ who ‘burn their bodies in caravans when they die’; it concluded that her conduct towards the family was discriminatory by reason of ethnicity .
The panel found the charges proved and amounted to misconduct: multiple medication administration and management errors, inaccurate record-keeping, an unprofessional comment about a dying patient, and discriminatory conduct towards a patient’s family. It concluded that patients were placed at unwarranted risk of harm and that actual harm was caused to Patients A and D. It found she had shown limited insight, had not strengthened her practice and had deep-seated attitudinal concerns regarding discrimination, and decided her fitness to practise was currently impaired on both public protection and public interest grounds . In mitigation it weighed her admissions to the majority of the charges, some remorse and her apology, her statement that she had not been in clinical practice for many years, her view that the level of support at the Hospice was questionable, and personal difficult circumstances she said she was facing at the time. Aggravating features included the pattern of misconduct over a period of time and the discriminatory behaviour towards a patient’s family .
Public Reaction and Consequences
The immediate consequence was regulatory: erasure from the register and an 18-month interim suspension order . Neither the determination page nor the practitioner profile records any press coverage, public statements or online campaigns connected with the case; both confine themselves to the regulator’s findings and links to the underlying decision . MedicWatch’s plain-English summary of the determination reads: “The NMC’s Fitness to Practise Committee found that Naomi Butcher, a hospice nurse, made multiple medication errors over a six-month period, including giving a terminally ill patient ten times the prescribed dose of midazolam and falsely recording the correct dose.” MedicWatch, which describes itself as an independent record service aggregating publicly published decisions of UK healthcare regulators, added the case to its record on 26 April 2026 .
Current Status
Butcher’s most recent recorded outcome is erasure — struck off the register — decided on 13 April 2026 by the NMC . The substantive hearing began on 10 April 2026 and ended on the decision date, a span of four days . MedicWatch’s explainer notes that the regulator directed removal from the register in this decision, that the decision sets out when the direction takes effect and any appeal provisions, and that readers should check the official NMC register for the practitioner’s current registration status . Her profile page carried the “not yet verified” registration notice rather than a live confirmation of her position on the register .
Impact on Their Career/Life
The erasure removed Butcher from the register on which her status as a registered nurse depended, and the panel’s finding of deep-seated attitudinal concerns regarding discrimination sat at the centre of its conclusion that her fitness to practise remained impaired . The determination page gives no information about her subsequent employment or personal circumstances, and the profile page records no later regulatory decisions . Her case remains part of MedicWatch’s browsable record of nurse erasures, listed under the outcome “struck off the register” with the decision date of 13 April 2026 .