Presentation on theme: "ECCFellows Masterclass Keeping up with the NMC"— Presentation transcript:
1 ECCFellows Masterclass 3.03.15 Keeping up with the NMC Jane Harris, Programme Director, NES Marianne Murdoch, NES Practice Educator, NHS Fife
2 Aims of the sessionDiscuss current professional regulatory changes and requirements relating to the revised NMC code and revalidationExplore in depth an aspect of the revised codeDiscuss the implications of the revised Code and revalidation from the perspective of the registrant/ECCF
3 The Nursing and Midwifery Council Regulator for England, Wales, Scotland and Northern Ireland.Exists to protect the health and wellbeing of the public.Maintains the largest register of healthcare professionals in the world (680K)- ensuring they are properly qualified and competent to work in the UK.
4 Core Function of NMC Integrity of the Register Registration Standards EducationFitness to PractiseRevalidationStandardsCore Function of NMCIntegrityof the Register
5 The NMC Code…The 2015 revision reflects changes in healthcare and expectations of society since 2008 and places more specific requirements on registrants.The Code sets the principles of what the public should expect from nurses and midwives, and defines what it means to be a regulated professional.The Code was last revised in 2008, as a response to the Francis report.
7 Significant changes in the revised code Best practice behaviours as well as standards for practiseFundamentals of careResponsible use of all forms of communications e.g. social mediaProfessional duty to take action in an emergencyDuty of CandourPrescribing and medicines managementConscientious objectionEnd of Life CareSignificant changes in the revised codeGreater focus on:TeamworkCompassionate careCo-operation with investigations and reviews.Standards for record keepingRaising concernsDelegation and accountabilityA 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.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.Social media The Code recognises the changing nature of communications and sets standards for acting responsibly including the use of social media.Fundamentals of care The Code sets standards of fundamental care and provides examples of what this includessuch as nutrition, hydration and environmental cleanliness.Medicines management and prescribing Standards that clearly set the context for prescribing, supply, dispensing and administering medications.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.End of life care Specific reference is made to the needs of those in the last days and hours of life.
8 Regulation in actionEducators can use the Code to help students understand what it means to be a registered professionalEmployers 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
9 How can the public and the profession be assured that the registrants are upholding the Code? Revalidation will be the process by which registered nurses and midwives will demonstrate to the NMC that they continue to remain fit to practise.Revalidation aims to protect the public, increase public confidence in nurses and midwives and helps those on the NMC’s register to meet the standards required of them
10 Maintain a professional profile Post Registration Education and Practice (PREP)Current arrangements for 3 yearly renewal of registration450 hours practice35 hours learningMaintain a professional profileSubmit Notification of Practice formRevalidation from January 2016NMC proposals for revalidation at point of renewal every 3 years450 hours related to your scope of practice40 hours CPD – at least 20 hours in participatory learningMaintain a professional profileConfirmation via third party (MUST be a NMC registrant)Minimum of five reflective accounts based on feedbackAll nurses and midwives on our register will be revalidated every three years at the point of their renewal. Each nurse and midwife will take ownership of their revalidation. Those who do not revalidate will lapse from the register. Those who wish to revalidate will be required to continually gather evidence for their revalidation based on criteria in the revised Code, standards and guidance, which are due to be published in December 2014.Every nurse and midwife will be required to confirm that they:• Continue to remain fit to practise.• Have met the requirements for practice and continuing professional development.• Have sought and received third party feedback which has informed their reflection on their practice. This feedback could be from patients, carers, students (for educators) or peers.• Have sought and received third party confirmation that they are fit to practise. A third party (likely to be a manager, another registrant or a supervisor) will need to confirm that the nurse or midwife is adhering to the Code and standards, and is fit to practise.
11 Revalidation Pilots –NHS Tayside/Islands A copy of the revised Code – ‘one off’ will be sent to all registrants before 31.03Leaflet on Code for patients/public 31.03Guidance on revalidation for N&Ms, confirmers and information for patients and the public.
12 Changes to guidance under the Code New guidance due:Social networkingDuty of candourRevalidationRaising Concerns guidance (2013) will remainGuidance that will be withdrawn:Record keepingCare of older peopleProfessional conduct for nursing and midwifery studentsThere will be no immediate changes to the standards which sit under the Code.
13 Raising concerns about care Activity 1: Watch the Short video NMC Safeguarding adults 1: An Introduction Pick one of the 3 scenarios. What would you do? Activity 2: Listen to Helene Donnelly, ambassador for cultural change at Staffordshire and Stoke-On-Trent Partnership NHS talking about her experiences of raising concerns about care at Mid-Staffordshire NHS Foundation Trust Also at Activity 3: Read and familiarise yourself with Raising Concerns Guidance NMC (2013) and reflect on your responses in Activity one and Helene Donnelly’s experience.
14 Revalidation A positive opportunity for CPD? A one off event every three years?Where does the responsibility for revalidation lie?
15 The benefits of revalidation To patients and the public?To nurses and midwives?To employers?Others?
18 What do nurses and midwives need to do next? Familiarise yourself with the Code for practice now and in preparation for revalidationDiscuss the Code with peers, managers and studentsLearn more from the NMC website, Royal Colleges, representative organisations and professional journalsRegister with the NMC online