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Nursing Regulation and Revalidation: National update

Theresa Shaw Chief Executive The Foundation of Nursing Studies in place of Yasmin Becker Assistant Director of Revalidation and Standards The Nursing and Midwifery Council opened today’s Nurse Clinics 2014 conference with a national update on nursing revalidation.

In her presentation Theresa said:

"Quite a small number of people participated in the consultation, only 6,000, but that highlights for me, that from a nursing perspective we're not always good at responding to these sorts of opportunities.

I would encourage you and colleagues to start looking at the requirements for revalidation.

Appraisal, Professional Development and Supervision and how they link in to the revalidation process."

Theresa talked about the impact of the health reforms, and the likelihood of more hitting nursing practice in the lead up to the election in 2015.

"We know our workforce is changing significantly and we are also look at changes in training."

She talked about an ageing nursing workforce and the challenge of losing their skills when they retired and the ageing population and the challenges that brought about.

"We keep hearing the more care needs to take place in the community and technologies that will help us with that.

One of the challenges we need to take on board is the increasing reporting of poor practice. What we are seeing now is much more harsh reporting of the things that go wrong. What we see splashed across the newspapers are often the very worst examples of what happens."

She said the Francis Report highlighted that aspects of poor care were being overlooked and that people felt unable to speak out about those issues.

She said the Francis Report highlighted the future or regulation and revalidation.

"Undoubted nursing took quite a hit in that report but I think there was a recognition that if we were to step forward we needed to embrace cultures that were more caring and could respect everyone. That is just as important for us as staff as it is for patients. I do believe one of the reasons things went wrong was because we did take our eyes off the ball in terms of staff as well as in terms of patients.

One of the things that came across very strongly when the NMC started talking about revalidation was the need to create more learning opportunities through practice.

How can we be more proactive in thinking about regular opportunities for clinical supervision to take place. That is going to be one of those things that is really important for preparing around what you have to do for revalidation.

The opportunity for joint, participatory learning as the NMC describes it, is one of those opportunities to help people who are potentially falling off the radar and are at a risk of becoming poor practitioners.

My sense is that people that are more experienced are less worried about revalidation, and there is a lot of them. The sorts of things people are worried about is is it going to be effective, take more time and cost money. People are worried about getting feedback from the right type of people."

She urged the audience to look at the pilots and start thinking about how revalidation would affect them and how they could get ready for the future of registration and revalidation.

"It is ultimately about making sure patients are safe and I'm sure that's something that we all want as professionals."

Revalidation will take place every three years at the point of renewal of registration. Nurses or midwives will declare they have:
•    practised for 450 hours during the last three years
•    met the requirements for continuing professional development (CPD)
•    obtained confirmation from a third party on their continuing fitness to practise
•    reflected on practice related feedback, the Code and are fit to practise
•    have a professional indemnity arrangement in place

The general feeling towards nursing revalidation and the proposed model following Part 2 of the Consultation:
•    Revalidation broadly welcomed as a way of improving the regulation of nurses and midwives and enhancing patient care.
•    Most felt they could access appropriate confirmer and appraisal.
•    Majority agreed with requirement of 40 hours CPD (20 hours participatory over 3 years) – feeling that CPD could have a positive impact on their patient care
•    Most already reflect on feedback – some keep a formal account others do so informally

Revalidation pilots will begin in early 2015 to test the process, tools and model.  The outcomes will inform how the model, guidance, supporting information and NMC/employer systems and processes can be refined. Nursing and midwifery revalidation will be launched by the end of 2015.

The NMC full presentation is available for download at the end of this page.

Future events of interest:

Nursing Appraisal and Revalidation
Tuesday 9 December 2014 
Manchester Conference Centre, Manchester

Nurse Appraisal and Revalidation in Mental Health
Wednesday 14 January 2015 
Hallam Conference Centre, London

Safe Staffing: Nursing Staffing Levels and Skillmix
Tuesday 27 January 2015 
Hallam Conference Centre, London

Masterclass: Nursing Revalidation
Tuesday 10 February 2015 
Hallam Conference Centre, London

Masterclass: Nurses, Midwives and the Law
Thursday 5 March 2015 
BPP University, Waterloo, London

Nursing Appraisal and Revalidation
Thursday 26 March 2015 
ICO Conference Centre, London

Masterclass: Workforce Planning
Thursday 23 April 2015 
BPP University, Waterloo, London

Effective Clinical Supervision Skills
Thursday 14 May 2015 
BPP University, Waterloo, London

Download: NMC full presentation

19 November 2014


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