Facilitators: Susi Caesar, Pippa Stupple Organiser: Louise Greenwood Appraisal and Revalidation for Nurses 1 st July 2015 Hamworthy Club

Housekeeping 2

General Practice Nursing A hidden jewel!!

When did you enter Primary Care?

What is your job title?

How long have you been a Registered Nurse ?

You are extremely valuable!!

Why do we need to revalidate?

Nurse Appraisal and Revalidation Pippa Stupple January 2015

Nurse Appraisal and Revalidation Pippa Stupple January 2015

Information we know so far from the NMC

The Nursing and Midwifery Council We exist to safeguard the health and wellbeing of the public. We set standards of education, training, conduct and performance so that nurses and midwives can deliver high quality healthcare consistently throughout their careers. We ensure that nurses and midwives keep their skills and knowledge up to date and uphold our professional standards. We have clear and transparent processes to investigate nurses and midwives who fall short of our standards.

Timescale for Revalidation Pilots for revalidation from all areas of Nursing will be completed by May & evaluated in July 2015 Update on current guidelines will be released in October 2015 First Nurses to go through the new revalidation process will be those whose registration is due for renewal in April 2016 All nurses whose registration is due for renewal after this date will need to revalidated under the new system to remain on the NMC register as a registered nurse.

Revalidation & the New Code of Practice Revalidation will be directly linked to the New Code of Practice Four areas of the Code will be looked at and mapped to the evidence you submit for the evidence for revalidation Revalidation is a way of reinforcing the New Code of Conduct Gives reassurance to Public and Employers & Colleagues that a Nurse is fit to Practice

New Code Four themes: Prioritise people Practice effectively Preserve safety Promote professionalism and trust

The requirements for revalidation The proposed requirements include: practising a minimum number of hours undertaking continuing professional development (CPD) obtaining feedback about the nurse’s clinical practice reflecting on the Code, CPD and feedback about the nurse’s practice and discussing these with another NMC registrant providing a health and character declaration & having appropriate cover under an indemnity arrangement

Practice Hour requirements Registration Minimum total practice hours required Nurse 450 Midwife 450 Nurse and SCHPN Midwife and SCHPN 450 Nurse and midwife 900 (to include 450 hours for nursing, 450 hours for midwifery (including Nurse/SCHPN and Midwife/SCHPN)

Additional ways to meet your Practice hours Voluntary work You can meet the practice hours requirement doing unpaid or voluntary work in a role that requires registration. For example, when you are working on a voluntary basis for an established healthcare charity. Work Overseas You can also meet the practice hours requirement if you are working overseas (or have worked overseas for part of the registration period) on the basis of your registration with the NMC. We recommend that you always register with the appropriate regulator in the country in which you are practising. Please refer to our guidance on working outside the UK. Career break If you have had a career break, you will still be able to meet the practice hours requirement if you have completed the required hours of practice as a registered nurse or midwife at some point earlier in your three-year registration period

Continuing Professional Development You must undertake 40 hours of continuing professional development (CPD) relevant to your scope of practice as a nurse or midwife, over the three years prior to the renewal of your registration. Of those 40 hours of CPD, 20 must include participatory learning. You must maintain accurate records of the CPD you have undertaken. These records must contain: the CPD method a description of the topic and how it related to your practice; the dates on which the activity was undertaken; the number of hours (including the number of participatory hours); the identification of the part of the Code most relevant to the activity; and evidence that you undertook the CPD activity.

How to record CPD in your portfolio If you are selected to provide further information to verify your application, you will need to provide the following information and evidence: Whether this is participatory learning or not a brief description of the topic and how it relates to your practice; dates the CPD activity was undertaken; the number of hours and participatory hours; identification of the part of the Code most relevant to the CPD evidence of the CPD activity

Practice related feedback You must obtain at least five pieces of practice-related feedback over the three years prior to the renewal of your registration For example, you might receive feedback directly from : patients Service users Carers Students colleagues You may also have received feedback through your annual appraisal. You can also obtain feedback through reviewing complaints, team performance reports and serious event reviews.

Health & Character The requirements: You must provide a health and character declaration. You must declare if you have been convicted of any criminal offence or issued with a formal caution over the three years prior to the renewal of your registration.

Indemnity Insurance You will need to complete this declaration as part of your revalidation application. By law, you must have in place an appropriate indemnity arrangement in order to practise and provide care. While the arrangement does not need to be individually held by you, it is your responsibility to ensure that appropriate cover is in force. If it is discovered that you are practising as a nurse or midwife without an appropriate indemnity arrangement in place, you will be removed from the NMC register. Removal from the register means that you will no longer be able to practise as a nurse or midwife.

Reflection and Discussion You must record a minimum of five written reflections on the Code, your CPD, and practice-related feedback over the three years prior to the renewal of your registration. You must have a professional development discussion with another NMC registrant, covering your reflections on the Code, your CPD, and practice-related feedback. You must ensure that the NMC registrant with whom you had your professional development discussion signs a form recording their name, NMC Pin, , professional address and postcode, as well as the date you had the discussion. This person could ideally be your appraiser too!

Reflector This will include evaluating the portfolio of evidence which must include: 450hrs of Practice hours (900hrs if a midwife) This is the person who you will reflect all the evidence for revalidation who will sign to say that you have met the guidelines for revalidation in line with the New Code of practice and must be an NMC registrant. 40hrs CPD 5 pieces reflective practice Indemnity Insurance Health and Character declaration

Confirmer Have a face-to-face discussion with the registrant about their portfolio, where the registrant can explain how they have met the requirements. In most cases, this is likely to form part of the registrant’s annual appraisal. Review the registrant’s portfolio to make sure that they have met the revalidation requirements. The confirmer might want to see the portfolio before the discussion. Question the registrant where they are not sure if they have met a requirement. Use their professional judgment in deciding whether they think that the registrant has met the revalidation requirements.

Confirmation from a third party -Confirmer The NMC will ask you for information for the purpose of verifying the declarations you have made in your application. This will be a declaration that you have demonstrated to an appropriate third party that you have complied with the revalidation requirements. The NMC will ask you to provide the name, NMC Pin or other professional identification number (where relevant), , professional address and postcode of the appropriate third party who is your line manager. If this is not an NMC registrant it could be a GP who uses his GMC number. A line manager or confirmer does not have to be an NMC registrant.

Application for Revalidation The NMC will notify you at least 60 days before your application for revalidation is due. Please make sure that we have your most up-to- date contact details. You will then have 60 days to log into NMC Online and complete the revalidation application form. Additionally, if you are a registered midwife practising in the UK, you will need to file your intention to practise notification form. This should be submitted annually to your named supervisor of midwives. You will need to have all the supporting evidence from your revalidation portfolio to hand when you start your online application. You must submit your application on or before the date we specify. Failure to submit your application on time will put your registration at risk. Paying your fee As part of your revalidation application, you will need to pay your renewal fee.We will inform you of the latest date you can pay this fee.

What am I worried about?

Supporting and challenging nurses 33

Any questions?

Pippa Stupple Acting Programme Director GPN Nurse Education Health Education Wessex

for nurses Leading the way in Wessex New Appraisal Project

Aims and objectives By engaging with this conference, you will become: familiar with the principles and processes underpinning medical appraisal and how they relate to the proposal for nurse revalidation aware of how the direction of travel for nurse appraisal might apply to you confident about your own role in collecting a portfolio of supporting information for nurse revalidation that is reasonable and proportionate 37

Your aims and objectives 38

about revalidation? What are your concerns

What do nurses fear from revalidation? 40

We need a level playing field for appraisal and revalidation 41

You work in teams

Good Medical Practice: mapping to Nursing Code Knowledge, skills and performance – Practise effectively Safety and quality – Preserve safety Communication, partnership and teamwork Prioritise people Maintaining trust – Promote professionalism and trust 44

So what....?

What supporting information could you collect? (1) Write one piece of supporting information on a post it note Write another piece of supporting information on a separate post it note Continue until you cannot think of any more different options Stick your post-its in the middle of the table to share and group your ideas as a table

Coffee 47

GMC supporting information principles General information – providing context about what you do in all aspects of your work Keeping up to date – maintaining and enhancing the quality of your professional work Review of your practice – evaluating the quality of your professional work Feedback on your practice – how others perceive the quality of your professional work 48

GMC supporting information requirements There are six types of supporting information: 1.Continuing professional development 2.Quality improvement activity 3.Significant events 4.Feedback from colleagues 5.Feedback from patients (where applicable) 6.Review of complaints and compliments 49

Spread of Supporting Information FOLIAGE, FLOWERS AND FRUIT: Personal aspirations; how a nurse aims to blossom BRANCHES: professional development; how a nurse aims or needs to branch out Selected for the appraisal portfolio by the nurse. Likely to be of high importance in driving quality improvements in patient care _______________________________________________________ The information below the line represents the minimum that must be included within the appraisal portfolio TRUNK: Royal College/Faculty or employing organisation-defined fitness for purpose criteria, including mandatory training ROOTS: NMC–defined fitness to practise criteria

Continuing professional development (CPD) How do you keep up to date? How do you identify what you need to learn? What have you REFLECTED on in your learning this year? What are the main things you have learned this year? What changes have you made as a result of what you have learned? What IMPACT has it had? How have you shared your learning with others? How do you keep the recording of learning and reflection proportionate? 51

Think about the impact… …of what you learn on what you do 52 Patients Nurse Service

What supporting information could you collect? (2) Look back at the ideas you generated before Can you think of any more supporting information that you could use? Write any new ideas down, one per post it note Add them to the ideas on the table

Next steps – making it personal

What supporting information could you collect? (3) Look at all the ideas on the table Now relate this to yourself as an individual What will you be able to collect that is simple and proportionate? Where can you get information about your work from? How will you record your reflection? Write your answers down

Personal Development Plan (PDP) 56

Poster at RCGP conference 2014

Questions and answers 58

Delivering a supportive and challenging medical appraisal is worth the effort Thank you for your hard work 59