Unite in Health Professional Officer

NMC Revalidation Roadshow

www.unitetheunion.org/health www.facebook.com/UniteInHealth www.twitter.com/UniteInHealth

Obi AmadiJane Beach

Gavin FergieRos Godson

Dave MundayEthel Rodrigues

The new NMC Code

• Became effective on 31st March 2015 and details the required standards of practice and behaviour• Centred around four

themes, with public protection at its core, and builds on the existing foundation of good nursing and midwifery practice• The intention is for the

Code to be a ‘living’ guide at the heart of everyday practice

NMC Code – 4 themesTogether they signify good nursing and midwifery practice.

• Every 3 years, at the point of renewal of registration, nurses, midwives and SCPHNs will need to show they are practicing in line with the Code’s standards of practice and behaviour• Mandatory process that replaces PREP from 2016• Participation is on an on-going basis rather than a point in time

assessment• A range of requirements designed to show nurses & midwives

remain up to date and fit to practise will need to be met • It is about promoting good practice, not assessing fitness to

practise

What is revalidation?

The NMC say revalidation aims to…• Improve public protection and professional standards

by encouraging a culture of reflection and improvement• Ensure that nurses and midwives continue to be fit to

practise throughout their career• Strengthen professionalism through ongoing reflection• Give greater confidence to the public, employers &

professionals that nurses and midwives are up to date• Encourage engagement and challenge isolation

Revalidation requirements

The NMC strongly recommend that you keep evidence that you have met the requirements.

Can be a paper or electronic portfolio.

However there are elements of the revalidation process that must be stored in a paper format only.

Your portfolio should be a live document and maintained until subsequent revalidations.

Keeping a Portfolio

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You must have practised for a minimum number of hours over the three year period since your registration was last renewed or you joined the register.

Recording hours

• These hours must be carried out in your role as a registered nurse, midwife or SCPHN and can include:• Clinical care, in acute or community (includes public

health/prevention roles)• Education and research• Policy advisory roles• Management and leadership roles • This is not an exhaustive list; what matters is it must

relate to your registration as a nurse, midwife or SCPHN.

Supporting evidence of hoursTo evidence your practice hours, you should record the following:• Dates of practice• Hours undertaken• Details of the organisation• Scope of practice• Work setting• Description of work• Evidence e.g. Time sheets/contract of employment

• Participatory:• Professional conferences• Unite in Health professional regional training• Unite in Health representative training• CPHVA Twitter Tuesday (you will need to

complete the CPD questions following the chat)

• Any other professional or organisational learning with others.

Continuing Professional Development

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Continuing ProfessionalDevelopment• Non-participatory’ • Reading professional journals (Community Practitioner)

and reflecting on the content • Unite in Health Thinking Time

• Any other professional or organisational learning not involving others and relevant to your scope of practice

Types of learning

• Case studies• Discussions with

colleagues• Analysis of significant

events• Involvement in a

professional body• Organising seminars• Coaching and

mentoring

• Being an expert witness• Preparing lectures or

e-learning• Giving presentations

at conferences• Supervising research• Writing articles• Work shadowing

Evidence of participation

Maintain accurate and verifiable records of your CPD activities, including: •the CPD method (Examples of ‘CPD method’ are self-learning, online learning, course); •a brief description of the topic and how it relates to your practice; •dates the CPD activity was undertaken; •the number of hours and participatory hours; •identification of the part of the Code most relevant to the CPD; and •evidence of the CPD activity

• Be aware of and record occasions when patients/clients/colleagues comment on your practice• Attempt to obtain meaningful feedback that you

can use to improve your practice in line with Code• Feedback can come from a variety of sources• Ensure anonymity in recording and reflecting!

• Feedback can come from many sources• Patients/service users/Carers• Students• Colleagues• Teachers• Complaints • Team performance• Serious events• Appraisal

• Feedback can be formal or informal, written, verbal, positive or negative• Be clear about the impact on your practice

5 pieces of practice related feedback

• You must have 5 written accounts in 3 years since last renewal• The NMC have mandated the reflective model and

form• What was the nature of the CPD

activity/practice/practice- related feedback?• What did you learn from the CPD activity and/or

feedback?• How did you change or improve your practice as a

result?• How is this relevant to the Code (reference relevant

theme/s)?

Reflections

• Ideally aim to have at least one reflection related to each theme • Reflection is a skill which you may need to revise; it

is not just a description, but an in-depth examination of your actual experience. If you can, you should try to relate this to theory• The purpose is to learn from your achievements

and mistakes in order to become a better practitioner. You do not have to write an essay!

• Where your line manager is an NMC registrant, they can conduct your RD and provide your confirmation

• Your RD should not be used to raise concerns about your fitness to practise

• Contact your Unite Rep if you are concerned about this or any other aspect of your revalidation.

Tips for an effective reflective discussion• Undertake your discussion with a fellow registrant who can

support and value your professional development• Be clear about and articulate your own professional

developmental needs versus organisational needs • Be prepared - write and share your reflections in good time

so the discussion can be prepared for by both parties.• Ensure that you have allowed plenty of time for the

discussion • Take your reflections from across the range of your practice.

This is your opportunity to consider your professional practice in the round. The broader the scope of your reflections, the more wide ranging your discussion can be.

Tips for an effective reflective discussion• Keep a copy of the Code to hand so

that you can refer to it during your discussion

• Agree the bounds of confidentiality and what action will be taken where concerns about patient safety, risk or confidentiality are identified

• Be prepared to challenge and be challenged, about the content and style of your reflections, as well as about your interpretation of the Code

• Seek constructive feedback about your reflections. Does your fellow registrant have an alternative perspective to the one you have presented?

• It is a legal requirement for all Nurses, midwives and SCPHNS to be covered by professional indemnity/liability insurance

• If you are working in the NHS you will be covered by your employers vicarious liability

• If not you will need to check that your employer has a policy which covers your work

• Those working independently are responsible for their obtaining their own Professional Liability Insurance.

• If you are aware of anything impacting on your health that is affecting your ability to do your job, you have a responsibility to seek support

• Under the Code (23.2 -4) you are required to inform the NMC immediately if you receive a caution or conviction in the UK or elsewhere if it would count as offence in UK (not minor driving)

• Disclosure and Barring Service good source of info!

• NMC recommends your confirmer is your line manager & it takes place as part of an appraisal

• Your confirmer can be, but does not need to be an NMC registrant• If your confirmer is an NMC registrant they can have a reflective

discussion with you• If your confirmer is not an NMC registrant you will need a reflective

discussion with an NMC registrant as well

• NMC will notify you 60 days before your revalidation application date• Revalidation application date is the 1st day of

month in which registration due for renewal• You must submit application by this date!

• Renewal date is the last day of the month in which registration expires• Your registration will be renewed from this date if

revalidation successful

Preparing for revalidation• Sign up with NMC On Line• Get familiar with the Code• Start compiling evidence in your

portfolio• Record your hours• Keep records of CPD• Collect feedback• Write reflections

• Read your professional Journal/UiH website for updates from PO team

• Spread the word!

Keep in touch!

http://www.unitetheunion.org/health/nmcrevalidation

Thanks for listening!Any questions?