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
3 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
4 Revalidation Built on existing 3-year renewal (Prep) cycle Will improve public protection by making sure that you continue to be fit to practise throughout your careerEncourages you to use the Code in your day to day practice and personal development.Encourages you to engage in professional networks and discussions, and reduce professional isolation.A 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 builds on your existing Prep cycle but adds new requirements for nurses and midwives to positively engage with the Code, seek feedback from patients and colleagues, reflect on this with their peers, and obtain confirmation that they have met these requirements from a third partyRevalidation is not a point in time assessment or a test. It is about demonstrating that 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.
5 Developing revalidation February reinstatementSeptember 2013 – Council decisionJan to Aug 2014 – consultationJanuary to June 2015 – pilotsAutumn 2015 – finalised guidance
6 Key changes: post-consultation Role of the NMC registrantReflection and discussionConfirmation model
7 The provisional revalidation model 3 yearsMeeting requirements and building a portfolio12 monthsConfirmation from a third party60 daysApplication for revalidation
8 Provisional revalidation requirements The CodePractice HoursCPDFeedbackReflection and discussionProfessional indemnity arrangementHealth and characterConfirmation
9 Revalidation pilotsNurses and midwives are piloting revalidation now across the UK so we can fully test the system before it starts from end of 2015Between January to June 2015 the NMC is working is working with a range of employers across the four countriesUsing the learning from the pilots, finalised guidance and forms will be published in autumn 2015
10 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.
11 One Code, four themesTogether they signify good nursing and midwifery practice.
12 NMC professionals mirror organisational priorities of safety and care through the new Code PersonalisationAccessInvolvementRightsCareCompassionListeningDignityClinical guidelinesLearningInnovationQuality controlEvidence-based practiceCPDTechnical skillsExperimentationSafety behavioursHuman factorsTeam orientationReportingSafety systemsSafety cultureMonitoringTransparencyLeadershipGovernanceHonestyProbityProfessionalism
14 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 includese.g. 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.
15 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.
16 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.
17 The Code: Where next? Looking towards revalidation
18 What’s next?The Code is available on the NMC website from 29 January 2015.Each registered nurse and midwife will receive a printed copy of the Code before it becomes effective on 31 March 2015.A patient and public leaflet about the Code will be available 31 March 2015.
19 Revalidation of professional practice The purpose of revalidation is to improve public protection ensuring nurses and midwives remain fit to practise throughout their careers.
20 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.
21 What do nurses and midwives need to do next? Familiarise themselves with the Code for current practice and in preparation for revalidation requirements, which will apply from the end of 2015Discuss the Code with peers, managers and studentsLearn more from the NMC website, Royal Colleges, representative organisations, professional journalsRegister with the NMC on-line
22 Thank you firstname.lastname@example.org Twitter #revalidation Twitter #revalidation