Victor M Nugent
Introduction
Victor M Nugent is a paramedic whose name stood on the Health and Care Professions Council (HCPC) register under number PA07397. On 13 August 2026, at the close of a substantive hearing that had started on 3 August 2026 and ended on 13 August, a Health and Care Professions Tribunal Service (HCPTS) panel found his fitness to practise impaired and ordered him struck off the register. The allegations concerned “assessment, treatment, escalation and record-keeping failures involving three patients attended in February 2021, April 2021 and July 2022, alleged to amount to misconduct and/or lack of competence”. The panel found serious misconduct in the proved clinical failures and ordered striking off, with a separate interim suspension of up to 18 months covering the appeal period. It is worth stating plainly at the outset: the decision does not establish that his failings caused the patients’ deaths.
Background Information
The published record identifies Nugent only as a paramedic; it does not name his ambulance service or employer, the towns where the three patients were attended, or the patients’ outcomes. The case history is longer than the substantive hearing: an interim suspension was made on 27 November 2023, confirmed at an interim order review on 18 December 2025 before the Investigating Committee, and interim conditions of practice were confirmed at a further review on 23 April 2026 — so restrictions had been in place for well over two years before the panel convened in August 2026. The published record does not explain what triggered the original 2023 interim suspension. Aggravating factors cited by the panel included that he “had not complied with the duty of candour – he has a professional responsibility to be open, honest, and candid when things go wrong with the care, treatment, or service that he has provided, as set out in the Standards of Conduct, Performance and Ethics (2016)”.
The Controversy or Incident That Led to Their Cancellation
Adjudicated vs. alleged. The findings below come from an HCPTS panel determination, which decides allegations on the balance of probabilities. They are regulatory findings, not criminal convictions. Three allegations were not proved and the panel expressly declined to found impairment on lack of competence.
The panel found serious misconduct in the proved clinical failures, “considering conscious decisions and attitude the appropriate basis rather than lack of competence”. The proved failures “included delayed assessments and oxygen, inadequate escalation, bleeding management, history-taking, recognition of red flags, records and handover”.
It rejected three allegations: that Patient A was not rolled onto her back, that he failed to administer blood products to Patient B — the allegation framed as going outside his scope of practice — and that he failed to record worsening-care advice for Patient C, on which “no evidence was offered”.
On impairment it found “impairment on both personal and public grounds, no demonstrated insight, remorse or remediation, and a high repetition risk”. The aggravating factors listed the repeated nature of the misconduct, with the registrant apparently taking no action to address the clinical concerns identified when obliged to do so by the standards; lack of insight, because he gave no indication of understanding or taking responsibility for the proved concerns, “particularly in his email of 9 April 2025”; lack of remorse; and lack of remediation, with no indication he had taken any steps to address the concerns. The record contains no evidence that he acknowledged the panel’s findings.
Public Reaction and Consequences
The published record contains no press coverage of the hearing and no public statements from Nugent, the patients’ families or any employer — the email of 9 April 2025 is mentioned only as evidence in the panel’s insight findings, not reproduced. The concrete consequences are the striking-off order itself and the separate interim suspension covering the appeal period. MedicWatch, which maintains the practitioner-facing record of the decision, aggregates regulator outcomes and states it does not editorialise the regulator’s findings; its summary of the case notes that “Three allegations were not proved, including a claim about administering blood products that were outside his scope of practice”.
Current Status
Nugent is struck off the HCPC register, the erasure having been decided on 13 August 2026. A separate interim suspension of up to 18 months covers the appeal period and, if appealed, the appeal’s determination — the record presents this as distinct from the striking-off order, which takes effect under the applicable appeal arrangements. His interim regulatory history spans three published steps: the suspension made on 27 November 2023 and confirmed on 18 December 2025, and the interim conditions of practice confirmed on 23 April 2026. His MedicWatch profile records his registration status as not yet verified and directs readers to the official HCPC register for current status. The published record shows no appeal.
Impact on Their Career/Life
Striking off ends Nugent’s ability to practise as an HCPC-registered paramedic in the UK unless a future restoration application succeeds. The panel’s findings — repeated clinical failures across three emergency attendances, treated as conscious decisions and attitude rather than lack of competence, with the duty-of-candour breach and an email the panel read as showing no insight — record why it considered the risk of repetition high. The case is a reminder that the decision adjudicates his conduct, not the patients’ outcomes: the published record contains no finding about what caused the patients’ deaths, and nothing on this page should be read as going beyond it.
Sources
- *MedicWatch, “Paramedic struck off after serious failures in care of three patients”, 13 August 2026 — source
- *MedicWatch, “Victor M Nugent — Interim restrictions imposed · 18 December 2025” — source
- *MedicWatch, “Victor M Nugent — Struck off the register | Health and Care Professions Council PA07397” — source