Ethics and Ethical Standards for Nurses and Midwives
NMBI code Add to basketHealthcare Ethics Ireland
Nursing and Midwifery Board of Ireland · Preliminary Proceedings Committee · Fitness to Practise Committee · High Court confirmation
For Nurses and Midwives in Ireland
Remediation courses for Nurses and Midwives facing an NMBI complaint, fitness to practise inquiry or allegation of professional misconduct
Self-paced online remediation courses for nurses and midwives registered with the Nursing and Midwifery Board of Ireland who have received a complaint, a Preliminary Proceedings Committee letter or a notice of inquiry, and who need dated evidence of insight, reflection and remediation.
- A complaint to the NMBI about your conduct, your performance or your compliance with the Code
- A letter from a case officer enclosing a complaint made by an employer, a member of the public or the Board
- A Preliminary Proceedings Committee investigation and a request for your written response
- An allegation of professional misconduct or poor professional performance
- A referral to the Fitness to Practise Committee for a sworn oral inquiry
- An undertaking, a consent or mediation proposed to close the complaint
- A sanction the Board will take to the High Court for confirmation
- Any other ethical concern or allegation of unethical conduct
- 24 courses
- 2 CPD hours per course
- Certificate on completion
- Written to the Code of Professional Conduct and Ethics
- From €70 a course (Bulk Buy of 10)
Dr Shehzad IqbalFounder, course author and facilitatorMBBS, MRCS, MRCGP
Dr Mo MirzaCourse facilitatorMedically trained, UCL London
Ludmila UpenieceBusiness development and supportPsychology, UEL London
At a glance
- Who it is for
- Nurses and midwives facing an NMBI complaint, a case officer’s letter, a Preliminary Proceedings Committee investigation, a fitness to practise inquiry or a decision on sanction
- Regulator covered
- The Nursing and Midwifery Board of Ireland (NMBI) under the Nurses and Midwives Act 2011 — its case officers, its Preliminary Proceedings Committee and its Fitness to Practise Committee — and confirmation by the High Court
- CPD
- 2 hours per course
- Access
- Immediate, online, twelve months from purchase
- On completion
- A dated certificate for your response, your reflection or your remediation plan
- Price
- From €70 a course (Bulk Buy of 10)
Certificate issued by Healthcare Ethics CoursesRemediation courses for regulatory processes.
Buying several
A remediation portfolio is better with more courses
Courses are €100 each (€70 with Bulk Buy 10). If you are building a remediation plan you may need several. Bulk Buy is 2 or more courses: two courses are €175, three are €250, five are €400 (20 per cent off) and ten are €700 — ten for the price of seven, a saving of €300. The saving is applied in the basket.
The more courses you choose, the less each one costs
| Courses | Price | You save | Per course |
|---|---|---|---|
| 1 | €100 | No saving | €100 |
| 2 | €175 | €25 | €88 |
| 3 | €250 | €50 | €83 |
| 5 | €400 | €100 | €80 |
| 10 | €700 | €300 | €70 |
If you are responding to a complaint or a fitness to practise inquiry, you can start with the Core Set — the ethics and professionalism pair written for your profession, insight, reflection, remediation, ensuring no repeat, the fitness to practise process, dealing with a complaint, and rebuilding trust — and add courses for the specific concern raised.
Choosing your courses
Which courses should you take?
The Core NMBI Remediation Set applies to every complaint, whatever the concern. Choose the type of concern named in your letter and you will see the courses that address it directly.
Core NMBI Remediation Set
Recommended for every complaint you are currently facing, whatever the concern. These cover insight, reflection, remediation and the risk of repetition — the four things a remediation response has to show before the Preliminary Proceedings Committee, the Fitness to Practise Committee and the Board decide.
Choose the concern raised
Select the type of concern named in your letter. The Core Set above applies to every complaint whatever the concern.
Ethics & Ethical Conduct
If the complaint concerns ethical judgement or behaviour, non-compliance with the Code of Professional Conduct and Ethics, or an allegation of unethical conduct.
Primary recommended courses 15 the 9 Core Set courses apply to every complaint — the rest address this concern directly
Professionalism and Professional Standards for Nurses and Midwives
NMBI code Add to basketPrivacy, Consent and Chaperone in Healthcare Practice
NMBI code Add to basketConfidentiality in Healthcare Practice
NMBI code Add to basketDuty of Candour for Healthcare Professionals
NMBI code Add to basketEffective Communication for Healthcare Professionals
NMBI code Add to basketInsight for Fitness to Practise
NMBI code Add to basketReflection for Fitness to Practise
NMBI code Add to basketRemediation for Fitness to Practise
NMBI code Add to basketEnsuring No Repeat of Misconduct or Mistake in Future Practice
NMBI code Add to basketFitness to Practise for Healthcare Professionals
NMBI code Add to basketDealing with a Complaint or Investigation Professionally
NMBI code Add to basketRebuilding Trust of Patients, Colleagues, the Public and the Regulator
NMBI code Add to basketFurther relevant courses 9 related areas that can arise alongside this concern
Documentation for Healthcare Professionals
NMBI code Add to basketEthical Boundaries with Patients and Colleagues
NMBI code Add to basketProfessional Boundaries Course
NMBI code Add to basketSocial Media Professionalism and Boundaries for Healthcare Professionals
NMBI code Add to basketEnsuring Teamwork and Collaboration
NMBI code Add to basketEnsuring Clinical Competence and Patient Safety
NMBI code Add to basketPrescribing Guidance and Standards for Healthcare Professionals
NMBI code Add to basketProbity and Honesty for Healthcare Professionals
NMBI code Add to basketFinancial Integrity for Healthcare Professionals
NMBI code Add to basketProfessionalism, Conduct & Attitude
If the complaint alleges unprofessional behaviour or conduct, or raises concerns about communication, documentation or attitude towards patients or colleagues.
Primary recommended courses 14 the 9 Core Set courses apply to every complaint — the rest address this concern directly
Professionalism and Professional Standards for Nurses and Midwives
NMBI code Add to basketEthics and Ethical Standards for Nurses and Midwives
NMBI code Add to basketEffective Communication for Healthcare Professionals
NMBI code Add to basketEnsuring Teamwork and Collaboration
NMBI code Add to basketSocial Media Professionalism and Boundaries for Healthcare Professionals
NMBI code Add to basketEthical Boundaries with Patients and Colleagues
NMBI code Add to basketDocumentation for Healthcare Professionals
NMBI code Add to basketInsight for Fitness to Practise
NMBI code Add to basketReflection for Fitness to Practise
NMBI code Add to basketRemediation for Fitness to Practise
NMBI code Add to basketEnsuring No Repeat of Misconduct or Mistake in Future Practice
NMBI code Add to basketFitness to Practise for Healthcare Professionals
NMBI code Add to basketDealing with a Complaint or Investigation Professionally
NMBI code Add to basketRebuilding Trust of Patients, Colleagues, the Public and the Regulator
NMBI code Add to basketFurther relevant courses 10 related areas that can arise alongside this concern
Duty of Candour for Healthcare Professionals
NMBI code Add to basketConfidentiality in Healthcare Practice
NMBI code Add to basketPrivacy, Consent and Chaperone in Healthcare Practice
NMBI code Add to basketProfessional Boundaries Course
NMBI code Add to basketEnsuring Clinical Competence and Patient Safety
NMBI code Add to basketPrescribing Guidance and Standards for Healthcare Professionals
NMBI code Add to basketProbity and Honesty for Healthcare Professionals
NMBI code Add to basketFinancial Integrity for Healthcare Professionals
NMBI code Add to basketProbity, Honesty and Financial Integrity
If the complaint concerns dishonesty, falsified records, misleading claims, fraud, an irregularity with a controlled drug or a conflict of interest.
Primary recommended courses 12 the 9 Core Set courses apply to every complaint — the rest address this concern directly
Probity and Honesty for Healthcare Professionals
NMBI code Add to basketFinancial Integrity for Healthcare Professionals
NMBI code Add to basketEthics and Ethical Standards for Nurses and Midwives
NMBI code Add to basketProfessionalism and Professional Standards for Nurses and Midwives
NMBI code Add to basketDocumentation for Healthcare Professionals
NMBI code Add to basketInsight for Fitness to Practise
NMBI code Add to basketReflection for Fitness to Practise
NMBI code Add to basketRemediation for Fitness to Practise
NMBI code Add to basketEnsuring No Repeat of Misconduct or Mistake in Future Practice
NMBI code Add to basketFitness to Practise for Healthcare Professionals
NMBI code Add to basketDealing with a Complaint or Investigation Professionally
NMBI code Add to basketRebuilding Trust of Patients, Colleagues, the Public and the Regulator
NMBI code Add to basketFurther relevant courses 12 related areas that can arise alongside this concern
Duty of Candour for Healthcare Professionals
NMBI code Add to basketEthical Boundaries with Patients and Colleagues
NMBI code Add to basketProfessional Boundaries Course
NMBI code Add to basketConfidentiality in Healthcare Practice
NMBI code Add to basketPrivacy, Consent and Chaperone in Healthcare Practice
NMBI code Add to basketEffective Communication for Healthcare Professionals
NMBI code Add to basketSocial Media Professionalism and Boundaries for Healthcare Professionals
NMBI code Add to basketEnsuring Teamwork and Collaboration
NMBI code Add to basketEnsuring Clinical Competence and Patient Safety
NMBI code Add to basketPrescribing Guidance and Standards for Healthcare Professionals
NMBI code Add to basketProfessional Boundaries: Patients & Colleagues
If the complaint concerns professional or ethical boundaries with a patient or a colleague, a dual relationship, sexual misconduct, consent or chaperone issues.
Primary recommended courses 13 the 9 Core Set courses apply to every complaint — the rest address this concern directly
Professional Boundaries Course
NMBI code Add to basketEthical Boundaries with Patients and Colleagues
NMBI code Add to basketPrivacy, Consent and Chaperone in Healthcare Practice
NMBI code Add to basketSocial Media Professionalism and Boundaries for Healthcare Professionals
NMBI code Add to basketEthics and Ethical Standards for Nurses and Midwives
NMBI code Add to basketProfessionalism and Professional Standards for Nurses and Midwives
NMBI code Add to basketInsight for Fitness to Practise
NMBI code Add to basketReflection for Fitness to Practise
NMBI code Add to basketRemediation for Fitness to Practise
NMBI code Add to basketEnsuring No Repeat of Misconduct or Mistake in Future Practice
NMBI code Add to basketFitness to Practise for Healthcare Professionals
NMBI code Add to basketDealing with a Complaint or Investigation Professionally
NMBI code Add to basketRebuilding Trust of Patients, Colleagues, the Public and the Regulator
NMBI code Add to basketFurther relevant courses 11 related areas that can arise alongside this concern
Confidentiality in Healthcare Practice
NMBI code Add to basketDuty of Candour for Healthcare Professionals
NMBI code Add to basketEffective Communication for Healthcare Professionals
NMBI code Add to basketEnsuring Teamwork and Collaboration
NMBI code Add to basketDocumentation for Healthcare Professionals
NMBI code Add to basketEnsuring Clinical Competence and Patient Safety
NMBI code Add to basketPrescribing Guidance and Standards for Healthcare Professionals
NMBI code Add to basketProbity and Honesty for Healthcare Professionals
NMBI code Add to basketFinancial Integrity for Healthcare Professionals
NMBI code Add to basketClinical Care, Prescribing and Records
If the complaint is about the care itself: competence, medication management, prescribing, record-keeping or poor professional performance.
Primary recommended courses 14 the 9 Core Set courses apply to every complaint — the rest address this concern directly
Ensuring Clinical Competence and Patient Safety
NMBI code Add to basketEthics and Ethical Standards for Nurses and Midwives
NMBI code Add to basketProfessionalism and Professional Standards for Nurses and Midwives
NMBI code Add to basketPrescribing Guidance and Standards for Healthcare Professionals
NMBI code Add to basketDocumentation for Healthcare Professionals
NMBI code Add to basketEffective Communication for Healthcare Professionals
NMBI code Add to basketEnsuring Teamwork and Collaboration
NMBI code Add to basketInsight for Fitness to Practise
NMBI code Add to basketReflection for Fitness to Practise
NMBI code Add to basketRemediation for Fitness to Practise
NMBI code Add to basketEnsuring No Repeat of Misconduct or Mistake in Future Practice
NMBI code Add to basketFitness to Practise for Healthcare Professionals
NMBI code Add to basketDealing with a Complaint or Investigation Professionally
NMBI code Add to basketRebuilding Trust of Patients, Colleagues, the Public and the Regulator
NMBI code Add to basketFurther relevant courses 10 related areas that can arise alongside this concern
Duty of Candour for Healthcare Professionals
NMBI code Add to basketConfidentiality in Healthcare Practice
NMBI code Add to basketPrivacy, Consent and Chaperone in Healthcare Practice
NMBI code Add to basketEthical Boundaries with Patients and Colleagues
NMBI code Add to basketProfessional Boundaries Course
NMBI code Add to basketSocial Media Professionalism and Boundaries for Healthcare Professionals
NMBI code Add to basketProbity and Honesty for Healthcare Professionals
NMBI code Add to basketFinancial Integrity for Healthcare Professionals
NMBI code Add to basketComplaint, Investigation and Inquiry
If you are dealing with the complaint process itself: a Preliminary Proceedings Committee investigation, a Fitness to Practise Committee inquiry, a sanction or High Court confirmation.
Primary recommended courses 9 the 9 Core Set courses apply to every complaint — the rest address this concern directly
Fitness to Practise for Healthcare Professionals
NMBI code Add to basketDealing with a Complaint or Investigation Professionally
NMBI code Add to basketEthics and Ethical Standards for Nurses and Midwives
NMBI code Add to basketProfessionalism and Professional Standards for Nurses and Midwives
NMBI code Add to basketInsight for Fitness to Practise
NMBI code Add to basketReflection for Fitness to Practise
NMBI code Add to basketRemediation for Fitness to Practise
NMBI code Add to basketEnsuring No Repeat of Misconduct or Mistake in Future Practice
NMBI code Add to basketRebuilding Trust of Patients, Colleagues, the Public and the Regulator
NMBI code Add to basketFurther relevant courses 15 related areas that can arise alongside this concern
Duty of Candour for Healthcare Professionals
NMBI code Add to basketConfidentiality in Healthcare Practice
NMBI code Add to basketPrivacy, Consent and Chaperone in Healthcare Practice
NMBI code Add to basketEffective Communication for Healthcare Professionals
NMBI code Add to basketDocumentation for Healthcare Professionals
NMBI code Add to basketSocial Media Professionalism and Boundaries for Healthcare Professionals
NMBI code Add to basketEnsuring Teamwork and Collaboration
NMBI code Add to basketPrescribing Guidance and Standards for Healthcare Professionals
NMBI code Add to basketEnsuring Clinical Competence and Patient Safety
NMBI code Add to basketProbity and Honesty for Healthcare Professionals
NMBI code Add to basketFinancial Integrity for Healthcare Professionals
NMBI code Add to basketProfessional Boundaries Course
NMBI code Add to basketEthical Boundaries with Patients and Colleagues
NMBI code Add to basketThe full library
All 24 courses for nurses and midwives
Every course is €100 (€70 with Bulk Buy 10), carries 2 CPD hours, and issues a dated certificate on completion. Access is immediate and runs for twelve months from purchase. Each appears under at least one concern above. Bulk Buy is 2 or more courses, from €175 for two to €700 for ten, on the Bulk Buy page.
€100 (€70 with Bulk Buy 10)2 CPD hours
Insight for Fitness to Practise
Insight matters at every stage, whatever the allegation. Helps you understand what the NMBI means by the word, shows you how to demonstrate insight rather than assert it, and supports you in putting it in writing before any committee decides anything.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Reflection for Fitness to Practise
Helps you write a reflection that can be read closely by the NMBI or an inquiry committee, analysing what happened rather than describing it. Takes you through structured models and supports you through the feelings that get in the way of honest writing.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Remediation for Fitness to Practise
Supports you in building a remediation plan around the concerns actually raised, rather than collecting certificates. Shows you how to document what you have changed, and how to avoid the mistakes that make remediation read as compliance rather than change.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Ensuring No Repeat of Misconduct or Mistake in Future Practice
The question your response has to answer is whether this could happen again. Helps you separate a single mistake from a pattern, work out what caused it, and put safeguards in place that someone else can verify.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Fitness to Practise for Healthcare Professionals
Walks you through the process you are in: what a complaint to the NMBI means, what happens at each stage from the first letter to an inquiry and the High Court, and what conditions, suspension or cancellation would involve. A sensible first course if the letter you received is the first you have heard of any of this.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Dealing with a Complaint or Investigation Professionally
Takes you through answering a complaint: what the NMBI and its committees ask of you, in what order, and what is asked of you at each stage. Helps you avoid the defensive responses that make matters worse, and manage the strain while you wait.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Rebuilding Trust of Patients, Colleagues, the Public and the Regulator
For matters where trust has broken down with patients, with colleagues, or with the regulator itself. Covers apology and open disclosure under the Patient Safety (Notifiable Incidents and Open Disclosure) Act 2023, and supports you in demonstrating that trustworthiness has been restored rather than promising it.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Ethics and Ethical Standards for Nurses and Midwives
Helps you understand what the Code of Professional Conduct and Ethics expects of you where the concern is about your judgement, your honesty, or your conduct towards patients. Supports you in handling it openly and writing the reflection the NMBI or an inquiry committee will read.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Professionalism and Professional Standards for Nurses and Midwives
Helps you see where conduct, attitude or behaviour towards patients and colleagues fell short of the Code of Professional Conduct and Ethics, and why that matters to the NMBI. Supports you in building the insight and reflection that go into a remediation response.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Medical Ethics Course
A broader course for matters where several concerns have been raised at once, or where the allegations are serious. Helps you work through difficult decisions in clinical practice and supports you in rebuilding trust with the NMBI.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Professional Ethics Course
For matters where your honesty, integrity or accountability in day-to-day practice has been questioned. Helps you see how these lapses happen and what they mean for patients and colleagues, and supports you in responding credibly while a complaint is open.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Duty of Candour for Healthcare Professionals
Being open after something goes wrong is a duty, not a courtesy, and since 26 September 2024 open disclosure of a notifiable incident is required by law in Ireland. Helps you apologise properly, hold the conversation itself, and record it, and explains why a failure to disclose can become a separate allegation from the error that prompted it.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Confidentiality in Healthcare Practice
A conversation overheard, records accessed, or something shared that should not have been. Helps you understand when disclosure is lawful and when it is required, covers telehealth and digital records, and supports you in remediating a breach.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Privacy, Consent and Chaperone in Healthcare Practice
Reminds you what valid consent requires, how it should be recorded, and when a chaperone should be offered, and helps you reflect on an examination or a procedure that has been questioned in a complaint.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Effective Communication for Healthcare Professionals
For a complaint about how you spoke to a patient, a family or a colleague, or about what was not said. Helps you look again at the conversation, and supports you in showing the NMBI what you would do differently.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Documentation for Healthcare Professionals
A record amended after a complaint is made turns a clinical matter into one of honesty. Reminds you what accurate, timely notes look like, how an error in a record should be corrected, and how records are read at an inquiry.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Social Media Professionalism and Boundaries for Healthcare Professionals
Something posted, shared or messaged online can lead to a complaint as readily as anything in the consulting room. Helps you understand where the boundary is on patient contact, confidentiality and public comment, and supports you in showing your conduct has changed.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Ensuring Teamwork and Collaboration
For concerns that involve colleagues rather than patients: conflict, handover, delegation, or how you behave within a team. Helps you understand what went wrong and supports you in evidencing changed working relationships to the NMBI.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Prescribing Guidance and Standards for Healthcare Professionals
Prescribing matters depend on the detail: high-risk medicines, records, and prescribing for yourself, your family or your friends. Reminds you why each attracts scrutiny and supports you in responding where prescribing forms part of the complaint.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Ensuring Clinical Competence and Patient Safety
For a concern about your clinical judgement, your competence or patient safety, knowledge or performance. Helps you work within the limits of your competence, recognise the early signs of declining performance, and show the NMBI that competence has been restored.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Probity and Honesty for Healthcare Professionals
If your letter questions your honesty, begin here. Helps you understand what honesty and integrity mean in records, declarations, certificates and fees, and supports you in rebuilding trust through a documented remediation plan.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Financial Integrity for Healthcare Professionals
For matters involving money: fees, billing, claims, or an interest you did not declare. Helps you understand how these matters arise and what they mean for your registration, and supports you in responding to a complaint or an audit.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Professional Boundaries Course
A complaint about a boundary with a patient or a colleague is serious wherever it is heard. Helps you see where the boundary is, how they are crossed gradually and without intent, and supports you in putting credible remediation together.
NMBI code Add to basket€100 (€70 with Bulk Buy 10)2 CPD hours
Ethical Boundaries with Patients and Colleagues
For a dual relationship, a relationship that became too close, contact outside work, or gifts, with a patient or a colleague. Reminds you of the warning signs and the power imbalance that makes these matters serious, and helps you show insight and accountability afterwards.
NMBI code Add to basketBefore anything else
Who decides — the Preliminary Proceedings Committee, the Fitness to Practise Committee or the Board?
The Nursing and Midwifery Board of Ireland regulates nurses and midwives under the Nurses and Midwives Act 2011, as amended by the Regulated Professions (Health and Social Care) (Amendment) Act 2020. The NMBI describes four stages: complaint and investigation, inquiry, a decision on the allegations and on sanction, and High Court confirmation where the Act requires it. The Preliminary Proceedings Committee (the PPC) investigates, the Fitness to Practise Committee (the FTPC) holds the inquiry, and the Board decides the sanction.
A case officer’s letter enclosing the complaint is the first stage; a notice of inquiry means the PPC has referred the matter to the FTPC. Before you reply to either, speak to your indemnifier, your union or professional body, or a solicitor; the NMBI itself advises you to “contact your representative body and / or obtain legal advice”.
The complaint arrives
Under section 55 of the Act anyone, including the Board, may make a complaint in writing. In 2024 the NMBI recorded 109 new complaints, 0.12% of the Register: 49 from employers (45%), 44 from the public (40%) and 16 from the Board (15%). A case officer sends you the complaint and any supporting documents. Responding is optional, no fixed deadline is published, and you may ask for an extension of time.
The Preliminary Proceedings Committee
The PPC investigates every complaint, assisted by a case officer. Its four published options: refer the complaint to the Fitness to Practise Committee for a sworn oral inquiry, find insufficient cause, refer it to another body, or suggest mediation or informal resolution. In 2024 the PPC decided 100 complaints and referred 45 to the FTPC; 6 were found frivolous or vexatious. The PPC does not decide whether the allegation is true, only whether there is enough in it for an inquiry.
Undertakings, consents and mediation
A complaint can close without a finding. An undertaking or consent during an inquiry under section 65 is agreed with the registrant and needs the Board’s agreement; the Act also allows a consent before an inquiry under section 57A. In 2024, 12 undertakings or consents concluded matters at PPC stage and the FTPC recommended 32. Mediation needs the consent of the complainant and the registrant and the Board’s agreement with the PPC, and lasts a maximum of one day.
The inquiry
The Fitness to Practise Committee hears the allegations at a sworn oral inquiry, which the NMBI says takes place within six to ten months of the decision to hold one in the normal case. It sits in public unless the FTPC decides that part or all should be private. Allegations “must be proven beyond reasonable doubt at inquiry”, the criminal standard. In 2024, 30 inquiries were held and concluded. The FTPC reports its findings to the Board, which decides the sanction.
The Board’s sanction and the High Court
Section 69 of the Act lists the sanctions: advice, admonishment or censure in writing; censure with a fine not exceeding €2,000; conditions; transfer to another division of the Register; suspension; cancellation; and a prohibition on applying for restoration. In 2024 the Board imposed 8 sanctions (17 in 2023). Since 1 August 2021 the Board must apply to the High Court to confirm any heavier sanction, and the registrant has 21 days to appeal. Advice, admonishment or censure takes effect only when the Court confirms it or the 21 days pass without an appeal.
What does not change
At every stage the same is asked of you: insight, reflection in your own words, and remediation you can evidence with a date. The Core Set above is built around it.
In short
What are NMBI remediation courses for nurses and midwives?
NMBI remediation courses are self-paced online courses taken by a nurse or midwife registered in Ireland to evidence insight, reflection and remediation in response to a complaint to the Nursing and Midwifery Board of Ireland, a Preliminary Proceedings Committee investigation, a Fitness to Practise Committee inquiry, or a sanction the Board is considering. They are not an NMBI product: they give you independent, dated evidence that you identified the concern and acted on it.
This page carries 24 courses for nurses and midwives, €100 each (€70 with Bulk Buy 10), or less as a Bulk Buy of 2 or more (ten for €700), written to the Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives in effect from 14 February 2025 and its six principles: respect, accountability, competence, trust, collaboration and leadership. Nine form a Core Set for any complaint; fifteen are grouped by type of concern. Every course carries 2 CPD hours and issues a dated certificate from Healthcare Ethics Courses recording the course title, the hours and the date.
No course decides a complaint, and no provider can promise an outcome. The PPC decides whether there is sufficient cause for an inquiry, the FTPC finds the facts and the Board decides the sanction; each reads the four things set out below. Remediation started while the matter is open is easier to evidence than material assembled just before a decision.
NMBI complaints
Supporting nurses and midwives through an NMBI complaint or fitness to practise inquiry
- Courses
- 24, written for nurses and midwives in Ireland
- Price
- €100 (€70 with Bulk Buy 10) per course · Bulk Buy: 2 courses €175, 3 €250, 5 €400, 10 €700 (ten for the price of seven)
- CPD per course
- 2 hours
- Core Set
- 9 courses, 18 CPD hours
- Written to
- The Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (in effect from 14 February 2025)
- Certificate
- Issued by Healthcare Ethics Courses on completion
- Bodies covered
- The Nursing and Midwifery Board of Ireland (NMBI), its case officers, the Preliminary Proceedings Committee, the Fitness to Practise Committee and the High Court
- Format
- Online, self-paced, immediate access · face-to-face courses on set dates
- Access
- Twelve months from purchase, with unlimited revisiting
A complaint to the Nursing and Midwifery Board of Ireland is one of the hardest things a nurse or midwife deals with. Whether it came from an employer, a member of the public or the Board, and whether it alleges professional misconduct, poor professional performance, non-compliance with the Code or a relevant medical disability, the response needs the same evidence. Demonstrating active, documented remediation is one of the few parts of the process within your control while everything else waits.
The certificate is not the evidence on its own: attached to your written reflection, it belongs in your response to the PPC, a submission to the FTPC, or the material the Board reads on sanction. Representation is a separate question. The Clinical Indemnity Scheme covers clinical negligence claims for nurses and other clinical staff of public health agencies, but its own guide says it does not provide representation at disciplinary proceedings or before professional regulatory bodies. Speak to your indemnifier, your union or professional body, or a solicitor before you send anything.
Why it matters
What the NMBI is actually assessing
The NMBI’s Guidance on Sanctions (March 2018) says the insight of the nurse or midwife may be a relevant consideration when a sanction is recommended or decided. This is what that asks of your response.
Four things, and the order matters
This is how we structure a response. Whether you understand what went wrong. Whether you accept responsibility for your part in it. Whether you can see the effect it had on the patient, on colleagues and on public confidence in nursing and midwifery. And whether you can show meaningful change as a result. The Guidance on Sanctions adds that acknowledging the findings does not necessarily demonstrate insight, and lists acknowledgement and early admission, remedial action and an apology as mitigating factors.
The duty to report an error
The Code asks a nurse or midwife to act immediately and report any error, unsafe behaviour or unethical conduct, and the Patient Safety (Notifiable Incidents and Open Disclosure) Act 2023 has been in force since 26 September 2024 (apart from section 68). A response that defends the clinical decision but is silent on whether the error was reported, and what has changed since, leaves that duty unaddressed.
Records are judged twice
Once as clinical care and once as evidence. Late entries, gaps and retrospective additions are read closely. Amending a record once you know of a complaint turns a clinical matter into one of honesty, a far harder allegation to answer. Never alter an entry once a complaint exists.
Colleagues are in the Code too
The Code tells a nurse or midwife to treat colleagues with respect and to report unsafe behaviour or unethical conduct. Conduct towards a colleague, or silence when a colleague’s practice put a patient at risk, is measured against the same Code as a complaint from a patient. In 2024, 45% of complaints to the NMBI came from employers.
Starting early costs nothing
Undertaking remediation is not an admission of anything, and it is equally useful at the PPC stage, before the Fitness to Practise Committee, or while the Board considers a sanction. Enrol and start the same day.
Written for the NMBI
Aligned with the 2025 Code and with the complaint process the NMBI publishes under the Act, from the PPC to confirmation by the High Court.
Why these courses
Why a certificated course helps in a response to the NMBI
A response has to show what you understand and what has changed. These are the six things a course can contribute to that, and the limits of each.
Evidence somebody else can verify
Your own account of your own improvement is the weakest evidence available. A dated certificate issued by an external provider is not your account: it is a record that exists independently of you, showing what you studied and when you did it.
Immediate access, when timing is the point
Enrol and start the same day. There is nothing to schedule and no cohort to wait for, which matters when you are asked to show prompt action to the NMBI, to your indemnifier, or to an employer running its own process alongside the complaint.
Written to the Code of Professional Conduct and Ethics
A complaint is measured against the Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (in effect from 14 February 2025), not against general professional-development material. Each course is written to the Code of Professional Conduct and Ethics and to the stages of a complaint to the NMBI, in the words the NMBI itself uses for the process.
Grouped by the concern actually raised
Read the concern in your letter, choose the matching type above, and the page shows the Core Set alongside the courses that address that concern directly. Study that answers the concern reads very differently from a list of everything available.
The certificate is one part
A certificate evidences completion. A certificate together with your own written reflection — what you understood, what you accept, what changed — evidences insight. The courses are built so that the reflection has something specific to attach to.
The kind of study advisers ask for
Your indemnifier, your union or professional body, or a solicitor can advise nurses and midwives facing a complaint on what evidence a response needs, and structured, documented study with a dated certificate is evidence that can be checked. That does not mean any of them, or the NMBI, names a particular course, and we do not claim it.
How it works
From complaint to certificate
A five-step process to build and evidence insight, reflection and remediation.
Take advice first
Contact your indemnifier, your union or professional body, or a solicitor before you respond. These are remediation courses, not advice on your case.
Choose by concern
Take the Core Set, then the courses matching the concern named in the letter from the NMBI.
Complete privately
Online, at your own pace, on any device. Nobody is told you are enrolled.
Write your reflection
A certificate evidences completion. A certificate plus your own written reflection evidences change.
Submit it
Include both in your written response to the case officer or the Preliminary Proceedings Committee, in a discussion of an undertaking, a consent or mediation, in your evidence to the Fitness to Practise Committee, or before the Board when sanction is considered.
Who wrote these courses
Author and course facilitator
Key terms
What the NMBI and the Fitness to Practise Committee mean by insight, reflection and remediation
These three words are not interchangeable, and knowing which one a letter asks for changes how you respond. Insight is understanding what went wrong, why, and the effect it had on the patient, on colleagues and on public confidence in the profession. The Guidance carries a warning every response should be read against: “Mere acknowledgement of the findings does not necessarily demonstrate insight.”
Reflection is that understanding set down honestly in your own words, including what you would do differently and what you have already changed. A reflection that only restates the allegation and promises it will not happen again is the acknowledgement the Guidance describes, not insight.
Remediation is the concrete steps taken so it does not happen again, with evidence that they happened. Among the mitigating factors the Guidance lists is “whether the nurse or midwife has taken remedial action where appropriate”. It also says conditions on registration may require a nurse or midwife to undertake a specific course. Insight without remediation is an account; remediation without insight is a certificate. The courses on insight, reflection and remediation address each in turn.
The words in the letter
- Complaint
- The written allegation that starts the process under section 55 of the Nurses and Midwives Act 2011. Anyone may make one, including the Board. It is the start of a process, not a finding.
- Preliminary Proceedings Committee (PPC)
- The NMBI committee that investigates every complaint first, assisted by a case officer, and decides whether there is sufficient cause to refer it to the Fitness to Practise Committee for an inquiry.
- Fitness to Practise Committee (FTPC)
- The committee that holds the sworn oral inquiry, in public unless it decides otherwise, to the criminal standard of proof. It reports its findings to the Board, which decides the sanction.
- Professional misconduct
- The first ground of complaint in section 55(1) of the Act. The other grounds include poor professional performance, non-compliance with a code of professional conduct, a relevant medical disability, breach of a condition, undertaking or consent, an irregularity with a controlled drug and a conviction on indictment.
- Poor professional performance
- A separate ground of complaint from professional misconduct under section 55(1)(b) of the Act: the concern is the standard of the care or the practice itself rather than the registrant’s conduct or honesty.
- Undertakings and consents
- Agreements between the registrant and the NMBI that can close a complaint without a finding: under section 65 during an inquiry, with the Board’s agreement, or a consent before an inquiry under section 57A.
- Sanctions
- The Board’s powers under section 69 of the Act, from advice, admonishment or censure in writing to suspension, cancellation and a prohibition on applying for restoration.
- High Court confirmation
- Since 1 August 2021 the Board must apply to the High Court to confirm a sanction heavier than advice, admonishment or censure; the registrant has 21 days to appeal.
These descriptions summarise how the terms are used by the NMBI and in the Nurses and Midwives Act 2011, with short quotations from the published pages and guidance listed under Sources below. They are not legal advice. Your indemnifier, your union or professional body, or a solicitor should advise on your own case.
Questions nurses and midwives ask us
Frequently asked questions
Which courses should I take for an NMBI complaint or fitness to practise inquiry?
Start with the Core Set above. Those nine cover the standards you are measured against, in Ethics and Ethical Standards for Nurses and Midwives and Professionalism and Professional Standards for Nurses and Midwives, both written to the 2025 Code, and the four things a remediation response has to show, set out under What the NMBI is actually assessing. Then add the courses that match the concern in your letter, and speak to your adviser before you respond.
Who decides my complaint: the PPC, the Fitness to Practise Committee or the Board?
Three bodies, in order. The Preliminary Proceedings Committee investigates every complaint and decides whether to refer it to the Fitness to Practise Committee for a sworn oral inquiry, close it, refer it elsewhere or suggest mediation. The Fitness to Practise Committee hears the inquiry and reports to the Board. The Board decides the sanction, and since 1 August 2021 the High Court must confirm any sanction heavier than advice, admonishment or censure.
Can my practice be restricted while the complaint is open?
This page does not describe interim measures, because the NMBI complaint pages it relies on do not set them out. If your letter mentions an application to the High Court, a request for an undertaking or any limit on your practice while the complaint is investigated, ask the NMBI what it means in your case and contact your indemnifier, your union or professional body, or a solicitor the same day.
Do I get a certificate, and do the hours count towards the NMBI’s competence scheme?
Yes to the certificate. Healthcare Ethics Courses issues a dated certificate for every course, recording 2 CPD hours, the course title and the date of completion, which makes it usable as evidence in a response to the PPC or a remediation plan. On the hours: the NMBI’s Professional Competence Scheme guideline is published in draft with its start date to be decided, so we make no claim that they count under it.
How long do I have access to a course?
Access runs for twelve months from the date of purchase. You start immediately and work at your own pace, with no schedule to keep. Finishing a course does not end your access: after you complete it and download your certificate you can return to the material whenever you wish for the rest of the twelve months, at no further cost.
Can I get a certificate with a later date?
No. The certificate records the date you completed the course, and that date does not change; revisiting the material does not produce a newly dated one. If the NMBI, the Fitness to Practise Committee or an employer asks for recent evidence, you buy the course again. Within twelve months of your original purchase a repeat is half price; after that it is the full €100.
Will completing courses resolve my complaint?
No. No course, from us or anyone else, determines the outcome of an NMBI complaint, a PPC investigation, a Fitness to Practise Committee inquiry or a Board decision on sanction, and any provider suggesting otherwise should be treated with caution. A course can help you build the insight and reflection your response needs, and give you a dated, verifiable certificate to evidence it.
How do I evidence insight and remediation to the NMBI?
Show the four things set out under What the NMBI is actually assessing, in order, ending with meaningful change you can evidence with a date. The NMBI’s Guidance on Sanctions (2018) says insight may be a relevant consideration on sanction, and lists early admission, remedial action and an apology as mitigating factors. Your written reflection evidences the insight; a dated certificate attached to it evidences the remedial action.
The NMBI has asked me to complete a course, or I am suspended or have conditions: can I take these?
Yes. There is no registration check and no requirement to hold an unrestricted registration. The NMBI’s Guidance on Sanctions says conditions may require a nurse or midwife to undertake a specific course, and our Ethics, Professionalism and Professional Boundaries courses each issue a dated certificate. Whether a course satisfies a particular condition is for the body that set it: read the wording with your adviser before you enrol.
The complaint is about professional boundaries: what applies?
The Code of Professional Conduct and Ethics in effect from 14 February 2025. It tells a nurse or midwife not to use their professional position to form a relationship of a sexual, emotional or exploitative nature, and requires colleagues to be treated with respect. Maintaining the boundary is the registrant’s responsibility, and a dual relationship with a patient or a colleague is a boundaries matter. Speak to your adviser before contacting anyone involved.
The complaint is about my health: is that a disciplinary matter?
It is a ground of complaint: a relevant medical disability is listed in section 55 of the Nurses and Midwives Act 2011, and the NMBI’s 2024 figures list it as a category of alleged conduct. The complaint pages we rely on set out no separate health procedure. Your response can still show how the condition affected your practice and what you have put in place since.
I qualified outside Ireland: are these courses relevant?
Yes. A nurse or midwife who qualified elsewhere can be responding to a complaint and learning an unfamiliar system at the same time: a Preliminary Proceedings Committee, a sworn oral inquiry heard to the criminal standard of proof, undertakings and consents that need the Board’s agreement, and sanctions the High Court confirms. The courses are written to the NMBI’s Code and explain the process in Irish terms.
Is what I do confidential?
Yes. Courses are taken privately online. We never share participant details with the NMBI, the Preliminary Proceedings Committee, the Fitness to Practise Committee, an employer, a union or an indemnifier unless you choose to do so yourself. The certificate is issued to you, and you decide whether and when to include it in a response, a submission or a remediation plan.
Official guidance
Read the NMBI’s own documents
If you are facing a complaint, read the source material directly as well as anything written about it.
Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives
The standard every complaint about a nurse or midwife is measured against, with six principles. The edition in effect from 14 February 2025 replaces those of May 2021 and December 2014.
nmbi.ie ↗ ComplaintsResponding to a complaint
The NMBI’s own account of the case officer’s letter, the optional response, extensions of time, and its advice to contact your representative body or obtain legal advice.
nmbi.ie ↗ SanctionsGuidance on Sanctions (March 2018)
How insight, remedial action, early admission and an apology are weighed when a sanction is recommended or decided, and what conditions on registration may require.
nmbi.ie ↗ The ActNurses and Midwives Act 2011, section 55
The grounds of complaint as the Act states them, as revised by the 2020 Act.
revisedacts.lawreform.ie ↗Other professions
Courses for the other Irish regulators
We publish equivalent remediation courses, written to each regulator’s own code, for every healthcare professional in Ireland.
- Courses for Doctors — Medical Council of Ireland
- Courses for Dentists and Dental Professionals — Dental Council of Ireland
- Courses for Pharmacists — Pharmaceutical Society of Ireland (PSI)
- Courses for All Other Healthcare Professionals (CORU and not yet regulated) — CORU, and everyone not yet regulated
- All online courses — every course, for all five regulators
Start today, finish at your own pace
Our courses support nurses and midwives through NMBI complaints, Preliminary Proceedings Committee investigations, undertakings and consents, fitness to practise inquiries and the Board’s decision on sanction. Immediate access, a dated certificate on completion, and €100 (€70 with Bulk Buy 10) per course — or less as a Bulk Buy of 2 or more, saving up to €300.
Sources
Every source cited on this page
Each fact above comes from one of these pages, Acts and documents.
- Nurses and Midwives Act 2011, section 55 (revised) — grounds of complaint
- NMBI — grounds for complaints
- NMBI — State of Complaints 2024 (complaints, who complained, PPC decisions, referrals, inquiries, sanctions)
- NMBI — the complaints process (the four stages; the case officer)
- NMBI — investigating a complaint (the PPC’s options and the timing of an inquiry)
- NMBI — inquiries (public hearings, the standard of proof, sanctions)
- NMBI — What to do if a complaint is made about you (undertakings and consents, High Court confirmation, 21 days to appeal)
- NMBI — mediation
- Nurses and Midwives Act 2011, section 69 (revised) — sanctions
- Nurses and Midwives Act 2011, section 72 (revised) — confirmation by the High Court
- NMBI — Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (in effect from 14 February 2025)
- NMBI — the Code (overview page)
- NMBI — Professional Competence Scheme guideline (draft; start date to be decided)
- NMBI — responding to a complaint (the case officer’s letter, no fixed deadline, extensions of time, representative body and legal advice)
- NMBI — Guidance on Sanctions (March 2018)
- NMBI — complaints from employers
- Regulated Professions (Health and Social Care) (Amendment) Act 2020 (commenced for sections 55 and 72 to 74 of the Nurses and Midwives Act on 1 August 2021)
- S.I. 482/2024 — commencement of the Patient Safety (Notifiable Incidents and Open Disclosure) Act 2023
- CORU — open disclosure (who the 2023 Act applies to)
- HSE — Clinical Indemnity Scheme questions and answers (no representation before professional regulatory bodies)
