4 A word from Jackie Smith “The Code will strike a chord with the nurses and midwives who already demonstrate these principles in their practice. It will put patients and service users at the heart of practice, and will help us to protect the public better.Public expectations of care have changedsince the Code was last reviewed in It is essential that the Code reflects patients’ and service users’ needs, modern healthcare practice and the recommendations of reviews such as the Francis Inquiry.”Jackie SmithChief Executive and Registrar, NMC
5 Introducing the revised Code We have updated the Code of professional standards.It sets out the universal standards expected of nurses and midwives that they must uphold in order to be registered to practise in the UK.Effective from 31 March 2015.
6 One Code, four themesTogether they signify good nursing and midwifery practice with the ultimate aim of public protection.
7 One Code: reflecting both organisational priorities and professional practice PersonalisationAccessInvolvementRightsCareCompassionListeningDignityOrganisational prioritiesIndividual professional practiceClinical guidelinesLearningInnovationQuality controlEvidence-based practiceCPDTechnical skillsExperimentationSafety behavioursHuman factorsTeam orientationReportingSafety systemsSafety cultureMonitoringTransparencyLeadershipGovernanceHonestyProbityProfessionalism
9 Regulation in action Our role is to set the standards in the Code. Educators can use the Code to help students understand what it means to be a registered professionalOur role is to set the standards in the Code.These are the standards that patients, service users and the public tell us they expect.Across the UK, nurses and midwives are proud to uphold these standards every day.The Code is of benefit to everyone who cares about nursing and midwifery.Employers can use it to support their staff in upholding standards as part of providing quality and safetyNurses and midwives can use it as a way of reinforcing their professionalismPatients and service users and those who care for them can use it to provide feedback about they care they receive
10 Who needs to know about the revised Code? Every one of the 680,000 plus nurses and midwives registered with the NMC is required to uphold the new Code. In addition, the Code is relevant to a range of other groups who have day to day contact with nurses and midwives, including:EmployersGeneral publicEducatorsUnions and professional bodiesStudentsOther regulators and policyPatients and service usersmakers
12 Why did we revise the Code? The Code was last updated in As a responsible regulator we must ensure our Code remains relevant.It is important that the Code reflects the world in which we live and work today, and changing roles and expectations of nurses and midwives. It needs to:Align with other health regulatory processes across the UK.Respond to high profile reports on the state of health and social care provision in the UK.Acknowledge and regulate the changing and wider role of nurses and midwives in the UK.
13 The Code Developed in collaboration Review of 2008 CodeConsultationPhase 1New elementsFour themesFocus on key areasDraftrevised CodeConsultationphase 2OnlineSocial mediaDiscussion groupsPatient and public engagement forumGap analysisFocus on needsRegulatory codes for other healthcare professionalsHealthcare reviewsAdvisory groups200 organisations and 6,000 individualsNurses and midwivesNHSEmployersNursing and midwifery educational organisations
15 What’s new in the Code?Duty of Candour Every healthcare professional must be open and honest with patients when something goes wrong with their treatment or care which causes, or has the potential to cause harm or distress.Fundamentals of care The Code sets standards of fundamental care and provides examples of what this includessuch as nutrition, hydration and environmental cleanliness.Social media The Code recognises the changing nature of communications and sets standards for acting responsibly, including the use of social media.
16 What’s new in the Code?Medicines management and prescribing Standards that clearly set the context for prescribing, supply, dispensing and administering medications.End of life care Specific reference is made to the needs of those in the last days and hours of life.Conscientious objection Nurses and midwives must act in the best interests of people at all times and can only make conscientious objections to a particular procedure in limited circumstances.
17 What’s changed in the Code? A greater focus on:Compassionate care – kindness, respect and compassionTeamwork – work co-operativelyRecord keeping – six clear standards to support all record keepingDelegation and accountability – delegate responsibly, be accountableRaising concerns – this aligns the Code with the re-launched Raising Concerns Guidance published in 2013Cooperating with investigations and audits – including those against individuals or organisations, and cooperating with requests to act as a witness at hearings.
19 What’s next?Every registered nurse and midwife will receive a printed copy of the Code before it becomes effective on 31 March 2015.A leaflet about the Code for patients and the public will be available on our website from 31 March 2015.
20 Revalidation of professional practice Revalidation will come in to effect from 2016.Every nurse and midwife will need to revalidate every three years in order to maintain their registration and eligibility to practise. The approach is being trialled by pilot sites across the UK and more information will be available on our website throughout the year.Revalidation aims to improve public protection by ensuring nurses and midwives remain fit to practise throughout their careers.
21 Revalidation of professional practice: The Code is the first step Find out when you need to revalidate.This happens every three years.Undertake CPD and reflective practice.Read and practise according to the Code from 31 March 2015.The aim is for this to be what professionals do every day as part of their roles, not just for the purpose of revalidation
22 What should nurses and midwives do next? Familiarise themselves with the CodeDiscuss the Code with peers, managers and students – what does it mean for your professional practice, what does it mean for your organisation – culture and practices?Share your thoughts online on Facebook and on twitter #newCodeLearn more from the NMC website, Royal Colleges, representative organisations and professional journalsRegister with the NMC online
23 For more information www.nmc-uk.org/Code Questions on revalidation: