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

Denise Llewellyn Nurse Director and Dr Carolyn Middleton Project Manager from Aneurin Bevan University Health Board discussed demonstrating compliance with the revised NMC code of conduct a pilot site update at today’s conference. 

Denise Llewellyn and Dr Carolyn Middleton full presentation is available for download at the end of this page

Denise Llewellyn and Dr Carolyn Middleton discussed in depth the purpose of revalidation and their organisations experiences as a Pilot Site

The purpose of revalidation is to improve public and patient protection and this is to be achieved by ensuring that registrants continue to update and therefore remain fit to practise throughout their entire career.

Aneurin Bevan University Health Board (ABUHB) was one of the UK NMC revalidation pilot sites and the only pilot organisation in Wales.  The HB is situated in South East Wales; it comprises of five Local Health Boards in rural, city and typical Welsh Valley locations and serves a population of 650,000 people. It employs over 4000 registrants and almost 1000 were eligible for the revalidation pilot project (Due to complete their 3 yearly self-declaration of fitness to practice with the NMC between January 1st and September 30th 2015). The pilot was a voluntary participatory project and 888 registrants from the HB enrolled and 91% (n=809) of the cohort continuing to complete the entire revalidation process. This equated to just over 38% of the entire UK (four countries) revalidation pilot, ensuring that Wales, and specifically ABUHB, have had a huge impact on shaping the Revalidaiton process. The cohort included nurses from a wide range of settings including general adult, paediatrics (both hospital and community) learning disabilities, mental health and practice nurses as well as midwives and supervisors of midwives.

The Code and revalidation: The revised code is central to the revalidation process and underpins practice. The code has four pillars:

  • Prioritising People - actively reflecting on feedback received from patients to ensure their needs are met.
  • Practicing Effectively – undertaking and reflecting on professional development activities and identifying areas for improvement in practice.
  • Preserving Safety – practising within competency limits for at least 450 hours, reflecting on feedback and addressing gaps in your practice through continuing professional development.
  • Promoting Professionalism and Trust - providing feedback and helping other registrants reflect on their professional development leading to revalidation.

The revalidation portfolio and the Code: The key messages are: ‘Keep it simple and Person focused’.

  • CPD – registrants have a duty to keep their professional knowledge and skills up to date through a continuous process of learning and reflection. Registrants must demonstrate that they have participated in at least 40 hours of CPD, (of which at least 20 must be participatory), outline the nature of the learning, how it relates to practice and to the Code.
  • Feedback on practice – registrants must obtain at least five examples of feedback on their practice from a variety of sources such as patients, colleagues, students, performance or inspection reports, audits or reviews.
  • Reflection – registrants must record at least five written reflections on CPD or feedback, outlining the learning that has taken place, how their practice has changed as a result of the learning and how this learning relates to the code.
  • Professional Development Discussion – this provides a means of assessing knowledge and understanding of learning that a registrant has undertaken. It also allows the impact the learning has had on the registrants practice to be quantified, specifically relating to the delivery of patient care. Finally the PDD enables the link between learning and the Code to be established.

Organizational culture: This relates to the way that people within an organisation think, act and interact. Revalidation and the Personal Annual Development Review within ABUHB are being aligned in order to encourage a culture of continuous updating, working towards continuous portfolio development, more meaningful annual appraisal and ensuring the registrant workforce is ready in a timely manner to meet the requirements of the NMC Revalidaiton process.

The ABUHB pilot experience:

  • Keep it Simple

‘The Code is so easy to use, the way the chapters are set out, it makes it so easy to link theory to practice’.

‘Thank you very much for the road show – I came away feeling that this was not as daunting a prospect as I’d initially thought!! Very useful session and the examples that followed were very helpful!’

‘Can I just say how very helpful I found your revalidation session! Shortly after arrival I felt a significant reduction in my stress levels. The templates you provided and the instruction on how to use them was excellent. All this with the added bonus of getting CPD hours!!  This resulted in me leaving your study session completely chilled out.’

I have just submitted my revalidation online with the NMC. I was so excited that it is finally done the very next thing I did was to email you to let you know!!! Thanks very much for all of your guidance and support for making it so much easier than anticipated.’

  • Person Focused

‘It was lovely to let my manager see how I had learnt something that REALLY had an impact on my practice and the way I deliver care to my patients. I felt that in the past the PADR was a tick box exercise, this time it was great I felt a real sense of achievement coming away’.

  • Organisational Culture

‘I found the revalidation drop in session very useful and I found it excellent and put me at ease in attending the session. After the session I completed my revalidation folder within three days. Due to the support guidance provided by the Revalidation team I was able to complete feeling confident and this provided me with the information in order for myself as a band six to provide reassurance to my members of the team. I was so lucky to be chosen for the pilot because I felt prepared and supported’

Key learning

Revalidation Demonstrating Compliance with the Code, Welsh Pilot Site Experience

  1. The purpose of revalidation is to improve public and patient protection achieved through continuous updating.
  2. Aneurin Bevan University Health Board was the only pilot site in Wales and equated to 38% of the entire UK revalidation cohort.
  3. The revised code is central to the revalidation process and underpins practice.
  4. The code has four pillars: Prioritising People / Practicing Effectively / Preserving Safety / Promoting Professionalism and Trust.
  5. The key messages for portfolio development are: ‘Keep it simple and Person focused’ to include: CPD 40 hours (20 participatory), outlining the nature of learning undertaken, how it relates to practice and the Code. Five examples of feedback on practice. Five written reflections outlining learning, its impact on practice and how it relates to the code.
  6. Professional Development Discussion: An assessment of knowledge and understanding of learning, the impact of learning on practice and the link between learning and the Code.
  7. Organisational culture: Aligning revalidation and annual performance review to prepare the workforce for meeting the requirements of the NMC Revalidaiton process.

Future events of interest:

Effective Ward Manager
Monday 14 September 2015, London


Nurse Prescribing for Pain
Tuesday 22 September 2015, London


Nursing Appraisal & Revalidation & Implementing the New NMC Code of Practice
Monday 19 October 2015, London


Nursing Staffing Levels and Skill Mix In Accident and Emergency Departments
Monday 9 November 2015, London


Safe Staffing for Nursing in Mental Health Inpatient Units
Monday 16 November 2015, London


Nurse Clinics 2015
Thursday 19 November 2015, London


Masterclass: Nursing Revalidation
Tuesday 24 November 2015, London


Masterclass: Nurse Led Discharge
Wednesday 25 November 2015, London


Nursing Revalidation for Specialist Practice and Advanced Roles
Wednesday 2 December 2015, London


Nurse Prescribing
Thursday 3 December 2015, Manchester


Download: Denise Llewellyn and Dr Carolyn Middleton full presentation

2 July 2015


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