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National update from the Nursing Midwifery Council

Kate Lettin Revalidation Officer at the Nursing and Midwifery Council spoke at today’s Nursing Appraisal and Revalidation conference on:

  • learning from the revalidation pilot sites

  • how will an organisation ensure that the nurse or midwife who is revalidating is complying with the revised code?

  • requirements for those undertaking the third party confirmer role: who can act as a confirmer?

  • moving forward

Abstract of Kate’s presentation:

Revalidation is the new process by which nurses and midwives will renew their registration with the NMC. Designed to allow nurses and midwives to demonstrate that they are capable of safe and effective practice, it builds on the former Prep processes and includes new requirements on feedback, reflection and engagement. This presentation explains the aims of revalidation, provides an overview of the requirements and guides you through the process itself. It will show how straightforward and beneficial revalidation is, and will hopefully also dispel some myths about revalidation.

Kate Lettin’s full presentation is available for download at the end of this page.

In her presentation Kate Lettin stated: 

The following are new to the Code:

Duty of Candour - Every healthcare professional must be open and honest with patients when something goes wrong with their treatment or care which causes, or has the potential to cause harm or distress.

Social media - The Code recognises the changing nature of communications and sets standards for acting responsibly, including the use of social media.

Fundamentals of care - The Code sets standards of fundamental care and provides examples of what this includes, such as nutrition, hydration and environmental cleanliness

Medicines management and prescribing - Standards that clearly set the context for prescribing, supply, dispensing and administering medications.

Conscientious objection - Nurses and midwives must act in the best interests of people at all times and can only make conscientious objections to a particular procedure in limited circumstances.

End of life care - Specific reference is made to the needs of those in the last days and hours of life.

There is a greater focus on:

Compassionate care – kindness, respect and compassion

Teamwork – work co-operatively

Record keeping – six clear standards to support all record keeping

Delegation and accountability – delegate responsibly, be accountable

Raising concerns – this aligns the Code with the re-launched Raising Concerns Guidance published in 2013

Cooperating with investigations and audits – including those against individuals or organisations, and cooperating with requests to act as a witness at hearings.

“Revalidation for nurses and midwives is about a change in behaviours and culture. It is designed to emphasise continuous learning and development rather than an exercise to complete once every 3 years.”

“Revalidation is not an assessment of a nurse or midwife’s fitness to practise or a new way to raise fitness to practise concerns (any concerns about a nurse or midwife’s practice will continue to be raised through the existing fitness to practise processes)”

“Nurses and midwives wishing to retain both registrations will need to evidence a minimum of 450 hours in each area of practice.  - Start recording the most recent hours and work backwards until 450 hours have been documented.”

“Hours must reflect scope of practice. You must meet your practice hours in a role where you rely on your skills, knowledge and experience of being a registered nurse or midwife. This includes nurses and midwives working in non-clinical roles, and roles where their employment contract does not expressly require them to be registered with the NMC, for example in public health or nursing or midwifery management, commissioning, policy and education. Hours worked in any healthcare, nursing or midwifery assistant or support worker roles cannot be counted towards practice hours as a registered nurse or midwife”

“You must have had a reflective discussion with another NMC-registered nurse or midwife, covering your five written reflective accounts and how they relate to the Code”

“You will need to demonstrate to an appropriate person that you have met some of the revalidation requirements. A confirmer is being asked to assess whether you have demonstrated that you have met the requirements for revalidation, not whether you are fit to practise. A confirmer will not need to check the health and character or professional indemnity insurance requirements – you will make this declaration as part of your application to the NMC”

“Nurse or midwife will not be required to submit their documentation on CPD, reflective accounts or feedback to the NMC with their application but they will need to show this to the confirmer.”

“In order to ensure the process of revalidation is working effectively, each year the NMC will request to see further evidence from a small sample of nurses and midwives that they meet the requirements of the revalidation process”

“The NMC strongly recommends that you keep a portfolio – this does not have to be an e-portfolio. Registrants with existing paper or electronic portfolios do not need to replace them. Your portfolio should include the following elements:

  • Practice hours - a record of practice hours
  • Continuing Professional Development (CPD) – accurate and verifiable records of your CPD activities
  • Practice-related feedback – notes on the content of the feedback and how you used it to improve your practice
  • Reflective accounts– five reflective accounts that explain what you have learnt from the CPD activity, feedback and/or event or experience from your practice. You must use the NMC’s form for this.
  • Reflective discussion – A completed NMC form used to record your reflective discussion
  • Confirmation – a completed NMC confirmation form

It can also contain anything else you feel is relevant. It is your portfolio.”

“Making your application:

  • You need to make your application via NMC Online
  • You will need to complete an online form and declare that you have met the revalidation requirements
  • You will not need to upload evidence from your portfolio to the NMC. Your confirmer will confirm that they have seen this evidence
  • You can print a summary of your application to keep in your portfolio.”

“Revalidation is an ongoing process and nurses and midwives should think about meeting the revalidation requirements across the full three year renewal cycle. In the 12 months before your renewal is due they should arrange their confirmation discussion, and demonstrate that you have met the revalidation requirements. 60 days before their revalidation application date nurses and midwives will receive a notice from the NMC that their revalidation application and annual fee payment is due. From this date you will be able to apply for revalidation using NMC Online.

If you use NMC Online you will get this notice by email. If you do not use NMC Online you will get this notice by letter, which will also tell you how to set up an NMC Online account. Following submission of your application your registration will be renewed. A sample of nurses and midwives will be selected each year to provide further information to verify their declarations. If you are selected your registration will not be renewed until this process is complete.”

“Your revalidation application date is the first day of the month in which your registration expires. This is different to your renewal date. Your renewal date is the last day of the month in which your registration expires. For example, if your renewal date is 30 April, your revalidation application date will be 1 April.”

Kate Lettin’s Biography:

Kate Lettin has been working in policy and communications at the Nursing and Midwifery Council for two years. She supported the successful revalidation pilot programme, and was closely involved in the subsequent development of the revalidation guidance and supporting resources. In the build up to the first nurses and midwives revalidating in April, Kate’s work is now focussed on delivering a comprehensive communications programme to support the implementation of revalidation. Before she started working in healthcare regulation, Kate trained as a midwife.

Future conferences of interest:

Masterclass: Nursing Revalidation
Thursday 10 March 2016, Hallam Conference Centre, London

Demonstrating and Expanding Nursing Competence
Friday 11 March 2016, Hallam Conference Centre, London

In-depth legal masterclass: Informed Consent After Lanarkshire
Tuesday 12 April 2016, Hallam Conference Centre, London

Safe Staffing Summit: Nursing Staffing Levels and Skillmix
Tuesday 12 April 2016, Hallam Conference Centre, London

Advancing IV Therapy
Thursday 14 April 2016 , Hallam Conference Centre, London

Effective Non-Medical Prescribing in End of Life Care
Friday 15 April 2016, Hallam Conference Centre, London

Effective Nurse Prescribing in End of Life Care
Friday 15 April 2016, Hallam Conference Centre, London

Download: kate-lettin_1315.pdf

2 February 2016


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