Grace Mutambara
Registered nurse, adult · W-04182 · healthcare desk · on the register since March 2022
Placeable until 3 Sep
3 SEP 2026
One date governs everything. Grace has eleven documents on file and ten of them are fine. Her professional registration expires on 3 September, and from that morning she cannot be placed on any shift, for any client, at any rate — however good the rest of the file is.
Shifts worked
1,184
Since March 2022 · no concerns raised
Margin generated
£48.5k
Lifetime
Shifts booked past 3 Sep
14
£2,772
Renewal
Not started
2 reminders sent, no reply
Eleven documents, eleven separate dates
The earliest live expiry is the one that decides whether she works
Professional registration
Expires 3 Sep 2026 · register checked 06:00 today
9 days
Mandatory training
Expires 28 Sep 2026
34 days
Enhanced DBS
Update Service · status checked 2 Aug
Next check 31 Oct
Right to work
Settled status · share code verified
No expiry
Occupational health
Cleared 11 Mar 2026
198 days
Immunisation record
Reviewed 11 Mar 2026
198 days
References ×2
Covering Mar 2019 – Mar 2022
Complete
Identity & address
Certified digital ID, 2 Mar 2022
Complete
Employment gap — 2021
4 months · over the 3-month threshold, explained in writing
Accepted
Fit-to-work declaration
Signed 11 Mar 2026
198 days
Indemnity insurance
Not required for this role
n/a
This is why a spreadsheet cannot do this job. A spreadsheet holds eleven dates. What it cannot do is take the earliest one, compare it against every shift already booked, and stop a consultant booking a twelfth. The date is not the hard part — the consequence is.
Renewal lead times differ enormously. Mandatory training is a same-week fix. A DBS can take eight weeks. Registration is entirely in the worker's hands and cannot be chased by anyone but her.
Booked shifts
The next ten in the diary, with the 3 September line drawn through it
| Date | Client | Ward / site | Shift | Charge | Margin | Status |
|---|---|---|---|---|---|---|
| 27 Aug | Ravensworth NHS Trust | Ward 14, acute | Long day | £198 | £41 | Confirmed |
| 28 Aug | Ravensworth NHS Trust | Ward 14, acute | Long day | £198 | £41 | Confirmed |
| 30 Aug | St Editha's Hospital | Surgical | Night | £232 | £52 | Confirmed |
| 2 Sep | Ravensworth NHS Trust | Ward 9 | Long day | £198 | £41 | Confirmed |
| 8 Sep | Ravensworth NHS Trust | Ward 14, acute | Long day | £198 | £41 | Not placeable |
| 9 Sep | Ravensworth NHS Trust | Ward 14, acute | Long day | £198 | £41 | Not placeable |
| 11 Sep | Larkhill Care Group | Oakwood House | Night | £186 | £38 | Not placeable |
| 15 Sep | Ravensworth NHS Trust | Ward 9 | Long day | £198 | £41 | Not placeable |
| 16 Sep | Ravensworth NHS Trust | Ward 9 | Long day | £198 | £41 | Not placeable |
| 18 Sep | St Editha's Hospital | Surgical | Night | £232 | £52 | Not placeable |
Six of these are inside the client's cancellation window. Pulling a nurse out of a booked shift late is how an agency loses a ward, and wards remember.
Cover, prepared before anyone asks for it
Fourteen shifts sit past the line. These six are inside the client's cancellation window and cannot wait
| Shift | Client | Eligible | First three offered | State |
|---|---|---|---|---|
| 8 Sep | Ravensworth · Ward 14 | 6 | A. Rahman, D. Okonkwo, M. Kowalczyk | Ready |
| 9 Sep | Ravensworth · Ward 14 | 6 | A. Rahman, D. Okonkwo, S. Beattie | Ready |
| 11 Sep | Larkhill · Oakwood House | 9 | P. Nair, N. Charles, T. Wojcik | Ready |
| 15 Sep | Ravensworth · Ward 9 | 4 | D. Okonkwo, M. Kowalczyk, S. Beattie | Ready |
| 16 Sep | Ravensworth · Ward 9 | 4 | D. Okonkwo, M. Kowalczyk, S. Beattie | Ready |
| 18 Sep | St Editha's · Surgical | 2 | S. Beattie, A. Rahman | Thin |
Wrenmark does not have to wait for Ravensworth to notice. Substitutes are filtered against each client's own standard rather than a general one, and the offer goes out before the cancellation window closes. The other eight shifts have more time and are queued behind these. St Editha's is thin because the theatre competency sign-off cuts the pool to two — which is a recruitment brief, not a Tuesday-afternoon panic.
Every client has its own compliance standard. Grace is fully compliant for one and short for another, on exactly the same file — because the framework asks for things the care home does not, and the private hospital asks for something neither of them do.
Where Grace can work today
Same worker, same documents, four different answers
| Client | Standard applied | Requires | Grace has | Missing | Today |
|---|---|---|---|---|---|
| Ravensworth NHS Trust | Framework standard | 11 | 11 | — | Placeable |
| St Editha's Hospital | Own policy | 12 | 11 | Theatre competency sign-off | Theatre only |
| Larkhill Care Group | Care sector minimum | 8 | 11 | — | Placeable |
| Ashfield Community Trust | Framework standard + lone working | 13 | 11 | Lone working, driving licence check | Not placeable |
Two documents stand between Grace and a fourth client that is currently paying a competitor for community nurses. Nobody has ever run that comparison, because it means reading a framework schedule against a worker file by hand.
Renewal chase
What the system did, and where it stopped
- First reminder — 30 days out
- Second reminder — 16 days out
- Consultant call — 9 days out
- Escalate to the desk manager
- Pull the booked shifts
Two automated reminders and nothing since. The reminders were sent by a system that could not tell whether they worked. A worker who has not replied to two messages needs a phone call, and the system should be saying that rather than sending a third.
What it costs to lose her
Shifts booked past expiry14
Charge value£2,772
Margin at risk£578
Cost to replace her£1,840
Her margin last year£12,400
A lapsed registration is not just a gap in a file. It is a good worker who stops earning, gets a call from another agency during the gap, and does not come back.