20 May 2025

NMC launches £30 million culture reform and CEO recruitment to tackle bullying and racism

The Nursing and Midwifery Council begins a high-profile search for a permanent chief executive to lead a £30 million cultural transformation programme addressing bullying, racism, and safeguarding failures revealed in a critical review.

The Nursing and Midwifery Council (NMC) has initiated a significant recruiting campaign for a permanent chief executive and registrar, aiming to appoint a leader who can continue the drive towards cultural reform and enhanced accountability within the organisation. This search for a new chief executive comes as interim leader Paul Rees prepares to transition out of his role, having committed to fostering a new era of integrity within the NMC since his appointment in January.

Ron Barclay-Smith, chair of the NMC council, spoke about the importance of this role, emphasising that it presents an “important opportunity to shape the future of nursing and midwifery regulation in the UK.” He underscored that the incoming leader would be tasked with steering the agency through ongoing cultural transformations, as identified in a critical review commissioned last year, which exposed alarming issues such as bullying, racism, and toxic workplace behaviours.

The independent review, headed by Nazir Afzal OBE, was not just a routine assessment; it provided stark findings that categorically identified a "hotbed" of detrimental practices within the NMC. This inquiry revealed a dysfunctional environment that significantly hampered operational efficacy and culminated in emotional distress among staff. Concerningly, it also noted failures in safeguarding decisions, with implications for public trust in nursing and midwifery standards.

In response to the review's grim conclusions, the NMC has launched a comprehensive culture transformation programme backed by a substantial financial commitment of £30 million over three years. This initiative aims to address deeper-rooted issues within the organisation—a commitment to establishing an inclusive environment that embraces diversity and promotes psychological safety for staff at all levels.

The regulator’s focus on equality and diversity will be integral to the search process for the new chief executive. The NMC has engaged executive search specialists, Audeliss, to ensure that these values remain central as they scout for an exceptional leader. This approach not only reflects a strategic pivot but also signifies a commitment to actively involving diverse voices in the recruitment process, including engaging with stakeholders and a dedicated staff panel prior to final interviews.

While the appointment is projected for July, the ongoing reforms and the NMC's response to the review's recommendations will be under rigorous scrutiny. As part of its cultural overhaul, the organisation must eliminate a backlog of fitness to practice cases by 2025 and publish an action plan that transparently addresses anti-racism initiatives to rebuild trust with minority ethnic staff.

Industry observers have noted that the challenges faced by the NMC are emblematic of broader issues within regulatory bodies. The need for transparency and a robust response to internal reviews is paramount not only to rebuild organisational integrity but also to protect the professions and ensure fair treatment of those within nursing and midwifery.

As the NMC embarks on this pivotal recruitment drive, it seeks an individual who can not only supervise the implementation of these significant reforms but also inspire a renewed sense of purpose and ethical practice throughout the organisation. The successful candidate will carry the weight of expectations from both the public and the thousands of professionals regulated by the NMC, tasked with leading a charge towards a more equitable and effective environment in nursing and midwifery.

With this search, the NMC stands at a critical crossroads, where the right leadership could define the future of the nursing profession in the UK, steering it towards a more compassionate and just regulatory framework.