Advanced nurse practitioner Julia Nixon was suspended from the Nursing and Midwifery Council register after multiple charges against her were upheld by a fitness to practise panel. The panel found the practice nurse had failed to make home visits that were clinically necessary, had not recognised patient deterioration, had not recorded a patient’s ‘red flags’ or taken appropriate action to safeguard the individual, and had inappropriately delegated a home visit to a healthcare assistant. In sanctioning her, the FtP took into account Ms Nixon’s record of good care over a period of years.