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Demonstrating compliance with the revised NMC code of conduct

Lynne Pacanowski Director of Midwifery and Head of Gynaecology Nursing at Guys & St Thomas NHS Foundation Trust; a NMC Revalidation Pilot Site spoke at today’s Midwife Appraisal and Revalidation conference sharing her experience after taking part in piloting revalidation.  Lynne discussed:
  • demonstrating compliance with the code of conduct 
  • how can we check midwives continue to meet the NMC standards and the revised code in terms of conduct and competence? 
  • developing an appraisal system 
  • our experience and developments as an NMC revalidation pilot site

Lynne Pacanowski's full presentation is available for download at the end of this page.

In her presentation Lynne Stated: 

"You must obtain at least five pieces of practice-related feedback over the three years prior to the renewal of your registration:

  • 8 responses (out of 15) to a Survey Monkey asking specifically about my performance against the 4 domains of the Code.
  • I keep thank you letters - which are great for your portfolio
  • Appraisal - formal feed back
  • Validations - I get these in weekly newsletter
  • Feedback from teaching"

"Under domain one of the NMC Code I am expected to put the interests of people using or needing midwifery services first, making their care and safety my main concern and making sure that their dignity is preserved."

"Domain four requires me to uphold the reputation of the profession at all times and to be a model of integrity and leadership for others to aspire to."

“Health and character declaration Professional indemnity arrangement - You must inform us whether this arrangement is through your employer, a membership with a professional body, or through a private insurance arrangement.”

“Questions that came up during the pilot:

  • How do we account for our hours, particularly if dual qualified?
  • Will the requirement for 450 hours per registration influence midwives’ careers?
  • What is the potential impact on the future of the 18 month midwifery programme?
  • Will senior management roles look different in the future?”

Abstract of Lynne’s talk 

Pilot Site Update:  Demonstrating compliance with the revised NMC code of conduct

Guy’s & St Thomas’ NHS Foundation Trust was one of 19 NMC Revalidation Pilot Sites in the UK. All staff due to renew their 3 yearly registration, as well as senior nurses and midwives, were encouraged to participate in the revalidation exercise.

Piloting the process was challenging, particularly as the entire process had to be completed within 10 weeks!

Re-validation requires evidence of:

  • 450 hours of practice for each part of the register
  • 40 hours of CPD
  • 5 pieces of feedback and 5 reflections covering the 4 areas of the Code.
  • Meeting with your confirmer

In this presentation I will share examples of the evidence I used to demonstrate that I: Prioritise people; Practice effectively; Preserve safety; Promote professionalism and trust.

On the NMC website it is stated that ‘Revalidation is a continuous process that nurses and midwives will engage with throughout their career. It is not a ‘point in time’ activity or assessment.’ 
I would certainly agree that it should be a continuous process, and would advise all nurses and midwives to get into the habit of recording their evidence ‘contemporaneously’. I would also add a note of caution to those who haven’t yet started - get organised now! 

About Lynne
Since undertaking both my nurse and midwifery training at King’s College Hospital (KCH), London, I have had a varied career combining clinical work with teaching and management.

I spent most of my clinical ‘life’ at Guy’s Hospital, initially as a community midwife and then as a labour ward sister. Having qualified as a midwifery teacher, I then taught at King’s College, London, and subsequently took on my first role in management at KCH. In 2001 I moved to St. Mary’s NHS Trust in Paddington, where I was the Head of Midwifery and Gynaecology until April 2008 when I joined Guy’s and St Thomas’ NHS Foundation Trust as Director of Midwifery and Head of Gynaecology Nursing.  

In addition to my teaching qualification, I have a BSc in Health Studies and a Masters degree in educational research. I am also a Supervisor of Midwives and a member of the RCM Board.  

My home life is centred around my three fabulous sons, my lovely daughter-in-law and my delightful grandson, all of whom are a great source of inspiration and entertainment.

Future related events:

Nursing Appraisal & Revalidation & Implementing the New NMC Code of Practice
Monday 19 October 
Hallam Conference Centre, London

Improving the Quality of Perinatal Mental Health Services
Tuesday 1 December 
Hallam Conference Centre, London

Nursing Revalidation for Specialist Practice and Advanced Roles
Wednesday 2 December 
ICO Conference Centre, London

Nursing Appraisal and Revalidation & implementing the New NMC Code of Practice
Wednesday 20 January 
ICO Conference Centre, London

Download: Lynne Pacanowski's full presentation

30 September 2015


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