About the NMC The NMC is the largest professional healthcare regulator in the world – 680,000 on the register Its primary function is patient and public protection It sets standards of education, conduct and performance for nurses and midwives
Existing 3 yearly renewal requirements - Prep Nurses and midwives currently renew their registration every three years and declare that they’ve done: 450 hours of practice 35 hours continuing professional development
Revalidation Built on existing 3-year renewal (Prep) cycle Ongoing demonstration of continued fitness to practice throughout career Promotion of the Code as part of day to day practice and personal development Encouraging positive behaviours A positive affirmation – not about searching for ‘bad’ practice
The revalidation model Meeting requirements and building a portfolio 3 years Confirmation from a third party 12 months Application for renewal of registration 45 days
Revalidation requirements The Code Practice Hours CPD Feedback Reflection and discussion Professional indemnity arrangement Health and character Confirmation
About the pilot Purpose To allow for the processes and tools for implementation of the agreed revalidation model to be tested with registrants. Outcomes The outcomes of the pilots will help ensure the practicality of the guidance, process and forms before going live at the end of 2015.
What this means for… Nurses and midwives Participants sought from across the organisation Recruitment focused on registrants renewing between January and September 2015 as this group will be included in the independent evaluation of the pilot. Participants will: o Build a portfolio of evidence including five reflective accounts relating their CPD and feedback on their practice to the Code o Discuss their portfolio with their 3 rd party confirmer o Meet the hours and professional indemnity requirements o Submit their self-declarations online Those taking part will not be revalidating for real
Portfolios Participants will compile a portfolio to include: A record of the practice hours completed and the context and settings of practice in which it was undertaken Five reflective accounts on feedback on their practice and their CPD activities and linking this to Code requirements CPD related evidence Professional indemnity arrangement information Confirmation-related documents NMC guidance will set out detailed records that should be kept in the portfolio.
Reflective accounts – what nurses and midwives need to do Participants will produce 5 reflective accounts to show how their CPD activity and feedback from patients and others affirms or improves their practice in relation to the Code Most registrants already receive feedback without asking for it or through their existing employer feedback systems. Further information on this will be provided in the ‘How to Revalidate’ document.
CPD – what nurses and midwives need to do 40 hours of CPD required - at least 20 hours must be participatory learning (learning with others, not alone) NMC guidance will help you to understand how to meet this requirement.
What this means for… Managers Confirmation is a discussion between registrant and confirmer that all revalidation requirements are being met Confirmation can be linked to appraisal or be a separate conversation This will include assessing the quality of the portfolio evidence Where the line manager is not a registrant, the applicant will discuss their reflections with another NMC registrant Evidence of this will be included in their portfolio
Appraisal and confirmation The revalidation model is designed to build on existing employment processes of which appraisal is an important and preferred vehicle. The NMC expects that a part of the appraisal is spent reviewing a nurse or midwife’s performance in relation to the Code and reviewing their revalidation portfolio. This will enable the appraiser to make the confirmation. It will be up to employers to decide how to build confirmation into their appraisals. We will accept a confirmation conversation outside appraisal for those who have not had an appraisal
Revalidation process overview Recruitment Familiarisation and meeting requirements Conversations and confirmation MarchJan June May April Feb
Participants invited by their employer / membership organisation to opt-in by completing Ipsos Mori survey Participants receive NMC online joining details after completing online survey Those undergoing their 3-yearly renewal between Jan- Sept 2015 will be included in the formal evaluation Participants register with NMC online – familiarise with requirements/process, build portfolio Approach confirmer and organise confirmation conversation Confirmation and make online submission key stages for pilot participants
Revalidation is a positive affirmation – it is not about searching for ‘bad’ practice It is part of the NMC’s regulatory toolkit but it does not replace or supersede our fitness to practise function. All registered nurses and midwives already have a professional duty to raise concerns about the practise of another registrant with their employer or with the NMC. As currently applies, if any serious concerns arise during the course of a nurse or midwife’s three year renewal cycle related to public protection these concerns must be raised with the NMC immediately. Revalidation and fitness to practice
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