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Nurse Appraisal and Revalidation Update from Jackie Smith, Chief Executive at the NMC

Jackie Smith, Chief Executive of the Nursing and Midwifery Council today updated delegates on the progress and developments in Nursing Revalidation. Scroll to end of page for presentation.

JACKIE Smith, Chief Executive of the Nursing and Midwifery Council opened the conference by asking the audience how many people were familiar with what was being proposed with revalidation.

"There is a degree of misunderstanding around revalidation so it is worth being clear about why we are doing this. There are two reasons. The first is that there is a public expectation that we are doing this anyway. That there is some sort of check and balance that you are demonstrating to your regulator that you are keeping yourself up to date and fit to practice," she said. "The second reason, on the back of the Francis Enquiry report is that there should be a model that mirrors the medical model for revalidation. It absolutely should not mirror the medical model and there are a number of reasons for that. We are the largest regulator in the world. The GMC has more money at its disposal thereby it an accommodate a model where it has a responsible officer. Responsible officers would also require a change to our legislation."

"This is the most significant strategic development in the history of nursing and midwives."

"To deliver Revalidation, it needs to be linked to Appraisal. Most nurses and midwifes I come into contact with, particularly in the NHS, have had an appraisal in the last year.

"Secondly, Revalidation is that annual opportunity to reflect on the standards set out in the code," she said. "It's about demonstrating that you are practising in accordance with those standards."

"We've just finished a year-long consultation on the code, and last week our council approved the new code which comes into effect next March.

"Feedback is the area that has caused some concern and is controversial for those nurses and midwifes who are not in a position where feedback is obtained easily. Feedback is not new, for most of you delivering care, feedback is a daily, if not hourly event, its about how it fits into Revalidation.

"Revalidation should not be confused with performance management.

"Revalidation is coming in in December 2015, we've got exactly a year to get ready for it now and that is not that long.

"What you as individuals need to be making yourself aware of is the requirements for Revalidation."

"We expect organisations to have a system in place that allows you to have an appraisal."

"We think what we are proposing will work, but really we will only know when we have tested it."

"We could probably roll out Revalidation tomorrow in Scotland, because it is smaller. It is much more challenging in England, which is larger and more complex. So the evaluation of the pilots is important for understanding the model itself, but also for readiness.

"We are not going to switch Revalidation on unless we are sure the system can cope with it. It is going to be rolled in in 2016, but we might do it in certain parts of the country first that are more ready for it.

"The NMC is in a much better place than it was and we certainly wouldn't be proposing Revalidation if we didn't think we could cope with it."

"We aren't saying everyone needs to revalidate on the first of January 2016, so we aren't saying all 680,000 nurses and midwifes needs to revalidate straight away."

Please scroll to bottom of page for full presentation

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Download: Jackie Smith Presentation Dec 2014

9 December 2014

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