Presentation on theme: "THE ASSOCIATION OF OCCUPATIONAL HEALTH NURSE PRACTITIONERS (UK)"— Presentation transcript:
1 THE ASSOCIATION OF OCCUPATIONAL HEALTH NURSE PRACTITIONERS (UK) Diane Romano-WoodwardAOHNP Revalidation Pilot 23/4/15
2 About the NMCThe NMC is the largest professional healthcare regulator in the world – 680,000 on the registerIts primary function is patient and public protectionIt sets standards of education, conduct and performance for nurses and midwives
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 practice35 hours continuing professional development
5 Revalidation Built on existing 3-year renewal (Prep) cycle Ongoing demonstration of continued fitness to practice throughout careerPromotion of the Code as part of day to day practice and personal developmentEncouraging positive behavioursA positive affirmation – not about searching for ‘bad’ practiceThis 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 yearsMeeting requirements and building a portfolio12 monthsConfirmation from a third party45 daysApplication for renewal of registrationThis 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 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.
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 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 – includes those against individuals or organisations and acting as a witness at hearings.
11 Provisional revalidation requirements The CodePractice HoursCPDFeedbackReflection and discussionProfessional indemnity arrangementHealth and characterConfirmation
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 undertakenFive pieces of feedbackFive reflective accounts on feedback on their practice and their CPD activities and linking this to Code requirementsCPD related evidenceProfessional indemnity arrangement informationConfirmation-related documentsNMC guidance will set out detailed records that should be kept in the portfolio.
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 CodeMost 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 Leicester9:00 am - Registration, Refreshments and Networking9:30 am - Introduction and Quiz10:00 am - Clinical Governance10:30 am - Vaccine Administration11:00 am - Coffee break11:30 am - Disease Awareness12:30 pm - Assessing Patients1:00 pm - Lunch and Networking1:40 pm - Documentation, Legal Issues and Record Keeping2:10 pm - Vaccine Composition and Immunology2:30 pm - Vaccines and Vaccine Schedules3:00 pm - Anaphylaxis3:30 pm - CPR Refresher (optional)Participatory hours 4 hours 40 minutes or 5 hours 10 minutes with CPRMethod: Course attendanceLinks to code : The Code sections related:Prioritise People4.2 make sure that you get properly informed consent and document it before carrying out any actionPractise effectively6 Always practise in line with the best available evidence10 Keep clear and accurate records relevant to your practisePreserve safety15 always offer help if an emergency arises in your practice setting or anywhere else18 Advise on, prescribe, supply, dispense or administer medicines within the limits of your training and competence, thelaw our guidance and other relevant policies, guidance and regulationsPromote professionalism and trust20 Act as a role model of professional behaviour for students and newly qualified nurse and midwives to aspire to22 Fulfil all registration requirements22.3 Keep your knowledge and skills up to date, taking part in appropriate and regular learning and professionaldevelopment activities that aim to maintain and develop your competence and improve your performance
19 Revalidation pilots19 organisations across the UK piloting revalidationAim to test processes and tools of the revalidation modelFinalised guidance to be published autumn 2015Provisional guidance and material available nmc-uk.org/revalidationWe 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; andthe 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; andnurses and midwives who are self-employed, work part-time or work through an agency.
20 Revalidation pilot overview Feedback and evaluationPreparing and submitting revalidation applicationsA high-level overview of pilot process:Recruitmentthe pilots were launched in January 2015, and pilot organisations are now in the process of recruiting participantsthe deadline for participant recruitment is 27 March 2015Preparing and submitting applications:participants will prepare their portfolios and use NMC Online to make their revalidation applicationsFeedback and evaluationparticipants will be invited to share their experiencesover July and August we will review the outcomes and use this learning to review and refine the revalidation tools and processesRecruitmentJanFebMarAprMayJuneJulyAug
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.