1 NMC revalidation Frances Cannon SPO NIPEC – NI Project Lead Revalidation Working Group
2 NI Planning for Revalidation NI Revalidation Programme Board convened Nov 2014 – bimonthly meetingsRepresentatives nominated by CNONI Revalidation Working group has been set up reporting to the Programme Board - monthly meetingsNIPEC is supporting DHSSPS in its oversight of the work to introduce revalidation
3 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 = Public Protection Built on existing arrangements, revalidation focuses on: feedback from patients/women and colleagues, reflection on The Code engagement in a professional discussion with another nurse/midwife and confirmation by a manager and/or fellow registrant The NMC believes that this will give even greater confidence to the public, employers and fellow professionals that nurses and midwives are up to date with their practice.
6 The NMC CodeThe Code Professional Standards for Practice and behaviour for Nurses and midwives4 PsPrioritise PeoplePractice effectivelyPreserve safetyPromote professionalism and TrustThe Code [PDF] has been updated to reflect changes in contemporary professional nursing and midwifery practice and to reflect the public expectations of care.All nurses and midwives will be sent a copy of the Code before it becomes effective on 31 March 2015Until then, the current Code remains in place. There are also changes to the guidance which sits under the Code.
7 The revalidation model Meeting requirements and building a portfolio3 yearsConfirmation from a third party12 monthsApplication for renewal of registration45 daysThis 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
8 Revalidation requirements The CodePractice HoursCPDFeedbackReflection and discussionProfessional indemnity arrangementHealth and characterConfirmationTotal practice hours required:Nurse - 450Midwife - 450Nurse and SCHPN - 450Midwife and SCHPN - 450Nurse/SCHPN and Midwife Or Midwife/SCHPN and Nurse – 900Only hours that are relevant to nursing or midwifery practice can be counted.CPDAll registrants are required to undertake a minimum of 40 hours of CPD in each three year renewal period. Of those 40 hours, at least 20 hours must be participatory learning.All CPD included in these hours must be relevant to your scope of practice as a nurse or midwife. This means that some mandatory training should not be included if it does not direct;y relate to your practice as a nurse or midwife.NMC guidance on how to revalidate will provide a list of examples of CPD, including examples that are participatory CPD.Requirement: Feedback on their practiceAll registrants must obtain at least five instances of feedback about their practiceFeedback can come from a range of sources and does not have to be formal feedback.As well as collecting feedback directly from service users and colleagues, you can think about the feedback you get through reviewing complaints, team performance reports and serious event reviews. You are encouraged to think broadly about where to seek feedback.Requirement: reflections on CPD, feedback and the CodeYou will need to record at least five written reflections on CPD, feedback and the Code.Each reflective account could be about a specific instance of feedback or CPD, or could reflect a broader theme across your CPD and feedback.Each reflection should:Explain what you learntHow you changed or improved your practice; andHow it is relevant to the CodeYou will need to discuss your reflections with another NMC registrant. If your line manager is an NMC registrant, you can have this conversation as part of your confirmation discussion.The NMC will provide a template that you can use if you find it helpful.Professional indemnity arrangementsYou will need to declare that you have in place (or will have when necessary) an appropriate indemnity arrangement as part of your online application.Information on the provenance of the arrangement will be requested as part of the declaration (i.e. through your employer, professional body or private insurance provider).Declaration of health and characterAll registrants must provide a health and character declaration as part of their online application.Any registrant who has been convicted of any criminal offence or been issued with a formal caution, over the three years prior to the renewal of their registration, must provide details as part of their renewal application.Third party confirmationAll registrants will be asked to declare that they have demonstrated to an appropriate third party that they have complied with the revalidation requirements. We will provide a form to obtain this confirmation.An appropriate third party confirmer is your line manager. If you do not have a line manager, wherever possible we recommend that the third party you use is an NMC registrant.There is flexibility in the revalidation model to take into account those who:do not have a line managerwork wholly overseasHave not practised through the whole three-year periodGuidance will be provided by the NMC to cover these situations.
9 Portfolios Participants will: A portfolio to include:A record of the practice hours completed and the context and settings of practice in which it was undertakenFive reflective accounts on feedback on their practice and their CPD activities and linking this to Code requirementsCPD related evidenceProfessional indemnity arrangement informationConfirmation-related documentsEach year the NMC will select a sample of nurses and midwives to provide further information to verify the declarations that they have madeDoes not mean there are any concernsNMC Strongly recommend that registrants use a portfolio to keep evidence of how you have nmet requirementHelpfu to develop a PortfolioNurses and midwivesParticipants will:Build a portfolio of evidence including five reflective accounts relating their CPD and feedback on their practice to the CodeDiscuss their portfolio with their 3rd party confirmerMeet the hours and professional indemnity requirementsSubmit their self-declarations onlinel to structure under themes in the code
10 Revalidation PilotPurpose To allow for the processes and tools for implementation of the agreed revalidation model to be tested with registrants “How to revalidate with NMC” WHSCT is the Northern Ireland Pilot site Outcomes The outcomes of the pilots will help ensure the practicality of the guidance, process and forms before going live at the end of 2015.For pilot participants that the:guidance and templates provide appropriate supportrequirements, as articulated, are perceived to be achievableonline process is usable
11 Revalidation process overview Conversations and confirmationFamiliarisation and meeting requirementsRecruitmentThe main aim of the pilot from the NMC perspective is to learn as much as possible around the processes that support the revalidation model. To meet this aim, we have identified a research sample defined as those renewing between January and September This will be the group that will be included in the independent evaluation of the pilot.We understand that organisations also have aims from the pilot, particularly taking it as an opportunity to familiarise and prepare more widely for revalidation, and for this reason we are proposing that registrants who are not eligible for the formal evaluation are invited to take part in the pilot and provide feedback via more informal mechanisms. It will be up to organisation to define these groups but we ask that this happens in consultation with the NMC.Recruitment: mid-January to end of FebruaryAll registrants will be invited to join the pilot and take part in a initial online survey run by Ipsos Mori - those whose 3-yearly renewal falls within the January-September 2015 period will become part of the formal, independent evaluation.Ipsos Mori will invite all this group of participants to take part in further surveys and individual participants will be invited to take part in focus groups and interviews to gather in-depth views and opinions on the guidance, process and forms.Those joining up, but who are not renewing their registration during January and September 2015, will not be part of the formal research but will have a more informal opportunity to provide feedback.Following completion of the initial Ipsos Mori survey, all participants, regardless of whether they are in or not in the formal evaluation, will be sent details on how to set up their NMC online account and next stepsFamiliarisation/meeting requirements (building portfolio): mid-January to end of MarchAfter participants have completed the initial online survey they will be sent information to set up their NMC Online account.They will also have access to NMC guidance and forms to start meeting the requirements:By the end of this period all participants should have activated their online account and:built their portfolioidentified and approached their confirmer,arranged their confirmation conversationscheduled when they will make their online application submission (declarations of meeting revalidation requirements) and upload their portfolio.Conversations and confirmation: April to end of MayThis is the period in which the confirmation conversations should take place, confirmation should be granted and the registrant would complete the online elements of the revalidation process.JanFebMarchAprilMayJune
12 Evaluation of pilotsindependent agency to evaluate the participant experience of the process independent consultancy to explore impact on the system outputs from both independent reviews to inform refinements to the model, guidance and process
13 Research, policy, standards and guidance 201420152016Pilot phasePreparation for go-liveRevalidation launchedDecJanFebMarAprMayJuneJulyAugSeptOctNovImpact on the systemImpact on system tenderSupplier appointed4 country go/no goImpact on system work underwayFinal report dueCouncil go/no goResearch, policy, standards and guidanceResearch designPilot participant recruitmentParticipant online submission periodFinal report dueUnderstanding nurses and midwives experience of revalidation through pilotEvidencereport dueOngoing analysis of pilot findingsOngoing analysis of pilot findingsInterim findingsPolicy review of analysis outputsOngoing legal reviewStandardsdevelopmentCouncil approval of provisional revalidation standardsGuidance developmentExec approval of guidance, guidance distributed to pilotsRevalidation launchedSupporting materials developedRefinements to policy, standards and guidance based on findings from pilotCouncil approval of final policy and standardsExec approval of final how to guidance‘How to revalidate’ guidance publishedComms & SH liaisonComms activitiesStakeholder liaison external engagementNMC business readinessDesign, development, test of online systemSystem ready for pilot submissionsProvisional full requirementsFinal full requirementsDevelopment of requirements for full systemFull system build & UATWorkable system readyFinal amendmentsDevelopment of full requirements, back end processes, business rules & test cases and scriptsBusiness readinessRevalidation reminder sent to registrants
14 NI Planning for Revalidation NI Revalidation Programme Board convened Nov 2014 – bimonthly meetingsRepresentatives nominated by CNONI Revalidation Working group has been set up reporting to the Programme Board - monthly meetingsNIPEC is supporting DHSSPS in its oversight of the work to introduce revalidation
15 Preparing for revalidation start thinking about revalidation now – individually and corporately encourage your colleagues to think about it communicate – 2016 is not far away! appreciate the benefits – revalidation will increase professionalism
16 Opportunities for employers – readiness assessment key areas of focus:assigning and tasking senior leaders as agents of strategic changeidentifying existing employer systems and processes which already align to revalidation requirementsspecifying changes needed to ensure any gaps are filledsteps needed to identify, assign, brief and train confirmersensuring appropriate and timely wider staff engagement
17 Appraisal and confirmation The revalidation model is designed to build on existing employment processes of which appraisal is an important and preferred vehicle.The NMC expects that a part of the appraisal is spent reviewing a nurse or midwife’s performance in relation to the Code and reviewing their revalidation portfolio.This will enable the appraiser to make the confirmation.It will be up to employers to decide how to build confirmation into their appraisals.We will accept a confirmation conversation outside appraisal for those who have not had an appraisal
18 What this means for… Managers Confirmation is a discussion between registrant and confirmer that all revalidation requirements are being metConfirmation can be linked to appraisal or be a separate conversationThis will include assessing the quality of the portfolio evidenceWhere the line manager is not a registrant, the applicant will discuss their reflections with another NMC registrantEvidence of this will be included in their portfolio
19 Revalidation and fitness to practice Revalidation is a positive affirmation – it is not about searching for ‘bad’ practiceIt is part of the NMC’s regulatory toolkit but it does not replace or supersede our fitness to practise function.All registered nurses and midwives already have a professional duty to raise concerns about the practise of another registrant with their employer or with the NMC.As currently applies, if any serious concerns arise during the course of a nurse or midwife’s three year renewal cycle related to public protection these concerns must be raised with the NMC immediately.
20 Thank you email@example.com Twitter #revalidation Twitter #revalidation