1. THE ASSOCIATION OF OCCUPATIONAL HEALTH NURSE PRACTITIONERS (UK)
Diane Romano-Woodward
AOHNP Revalidation Pilot 23/4/15

2. 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

3. Registration in the 1980’s was for a lifetime …

4. 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

5. 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
This is the first phase of revalidation and it is being introduced within the NMC’s existing legislative framework.
Revalidation is not a point in time assessment or a test. It is about demonstrating that you (nurses and midwives) are keeping up to date and fit to practice throughout your career. The Code is central to this.
Revalidation should also encourage a range of positive behaviours, for example, it should challenge those who work in professional isolation to engage with peer networks and wider professional development initiatives.
It should encourage employers and organisations to have a greater understanding of the standards set by the NMC. It should also encourage greater access to professional development and appraisals, especially those nurses and midwives who have traditionally struggled to access this kind of support.
It is not an exercise to try and find bad practice. The NMC’s revalidation model is based on positive affirmations of good practice.

6. The revalidation model
3 years
Meeting requirements and building a portfolio
12 months
Confirmation from a third party
45 days
Application for renewal of registration
This is a high-level overview of the model:
Over the three year period, nurses and midwives need to engage in professional development activities and meet the revalidation requirements. They should keep this information in a portfolio (the next slide explains these requirements)
In the final year of their three-year registration period, nurses and midwives need to have a discussion with their line manager about their revalidation. They will need to take along their portfolio and use it to demonstrate to their line manager that they have met the revalidation requirements. NMC guidance will provide other options for registrants that don’t have a line manager.
45 days prior to the end of the date their renewal application is due, nurses and midwives will need to log onto NMC Online and apply to renew their registration. They will be asked to declare that they have complied with all of the revalidation requirements

7. Introducing the new Code
The NMC has updated its Code of professional standards.
It sets out the revised universal standards expected of nurses and midwives, which they must uphold every day in order to be registered to practise in the UK.
The new Code is effective from 31 March 2015.

8. 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 includes
such 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.

9. 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.

10. What changed in the Code?
A greater focus on:
Compassionate care – kindness, respect and compassion
Teamwork – work co-operatively
Record keeping – six clear standards to support all record keeping
Delegation and accountability – delegate responsibly, be accountable
Raising concerns – this aligns the Code with the re-launched Raising Concerns Guidance published in 2013
Cooperating with investigations and audits – includes those against individuals or organisations and acting as a witness at hearings.

11. Provisional revalidation requirements
The Code
Practice Hours
CPD
Feedback
Reflection and discussion
Professional indemnity arrangement
Health and character
Confirmation

12. 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 pieces of feedback
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.

13. Once you get going, it is straightforward …

14. 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.

15. 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.

16. Continuing Professional Development
You may find it useful to note certain aspects of the training, and keep this with the Certificate to reflect your continuing professional development for your NMC portfolio. Event: Immunisation Update Leicester 31/3/15 Your learning objectives in undertaking this update: Key Issues covered: Three specific things learned: Three ways in which practise will change and date by which it will happen: Any additional reading or training needs identified:

17. CPD Record for NMC Portfolio
Date 31/3/15 Immunisation Update Sunny Blue Sky Limited Leicester
9:00 am - Registration, Refreshments and Networking
9:30 am - Introduction and Quiz
10:00 am - Clinical Governance
10:30 am - Vaccine Administration
11:00 am - Coffee break
11:30 am - Disease Awareness
12:30 pm - Assessing Patients
1:00 pm - Lunch and Networking
1:40 pm - Documentation, Legal Issues and Record Keeping
2:10 pm - Vaccine Composition and Immunology
2:30 pm - Vaccines and Vaccine Schedules
3:00 pm - Anaphylaxis
3:30 pm - CPR Refresher (optional)
Participatory hours 4 hours 40 minutes or 5 hours 10 minutes with CPR
Method: Course attendance
Links to code : The Code sections related:
Prioritise People
4.2 make sure that you get properly informed consent and document it before carrying out any action
Practise effectively
6 Always practise in line with the best available evidence
10 Keep clear and accurate records relevant to your practise
Preserve safety
15 always offer help if an emergency arises in your practice setting or anywhere else
18 Advise on, prescribe, supply, dispense or administer medicines within the limits of your training and competence, the
law our guidance and other relevant policies, guidance and regulations
Promote professionalism and trust
20 Act as a role model of professional behaviour for students and newly qualified nurse and midwives to aspire to
22 Fulfil all registration requirements
22.3 Keep your knowledge and skills up to date, taking part in appropriate and regular learning and professional
development activities that aim to maintain and develop your competence and improve your performance

19. Revalidation pilots
19 organisations across the UK piloting revalidation
Aim to test processes and tools of the revalidation model
Finalised guidance to be published autumn 2015
Provisional guidance and material available nmc-uk.org/revalidation
We started piloting revalidation in January 2015.
The aim of the pilot is to test the processes and tools of the revalidation model with nurses and midwives in a variety of settings.
This will help us to refine and improve the revalidation guidance and templates before we introduce revalidation in December 2015.
We want to explore whether:
the requirements for revalidation are understood by nurses and midwives;
the revalidation guidance and templates provide appropriate support for those undertaking the process; and
the online process works well.
19 organisations across the four countries of the UK are involved in the pilots, representing:
NHS and independent organisations;
nurses and midwives working across a variety of settings, including primary care, social care, and mental health, as well as non-patient facing roles in education and policy; and
nurses and midwives who are self-employed, work part-time or work through an agency.

20. Revalidation pilot overview
Feedback and evaluation
Preparing and submitting revalidation applications
A high-level overview of pilot process:
Recruitment
the pilots were launched in January 2015, and pilot organisations are now in the process of recruiting participants
the deadline for participant recruitment is 27 March 2015
Preparing and submitting applications:
participants will prepare their portfolios and use NMC Online to make their revalidation applications
Feedback and evaluation
participants will be invited to share their experiences
over July and August we will review the outcomes and use this learning to review and refine the revalidation tools and processes
Recruitment
Jan
Feb
Mar
Apr
May
June
July
Aug

21. Revalidation of professional practice: The Code is the first step
Find out when you need to revalidate.
This happens every 3 years.
Undertake CPD and reflective practice.
Read and practise according to the Code from 31 March 2015.

23. For more information: www. nmc-uk. org/Code www. nmc-uk
For more information: #newCode #revalidation