NMC RevalidationAneurin Bevan UHB

Welsh Pilot Site NMC Revalidation ABUHB St ff B i fiStaff Briefing

What is revalidation?The NMC is the largest professional healthcare regulator in the world with 680 000 on the registerregulator in the world with 680,000 on the register.

• Meeting requirements and PDD d

12 months• Application for

renewal ofrequirements and building a portfolio

• PDD and confirmation from a third party

renewal of registration by the 1st of the month

3 years 60 (90) days

Revalidation promotes good practice, it is NOT an p g passessment of fitness to practice.

Revalidation aims to:

Improve public protectionImprove public protection

Improve professional standards by encouraging a culture of reflection & improvement

Improve professional standards by encouraging a culture of reflection & improvement

Ensure that nurses & midwives continue to be fit to practice throughout their careers

Ensure that nurses & midwives continue to be fit to practice throughout their careersp gp g

Give greater confidence to the public, employers and fellow professionals that nurses & midwives are up toGive greater confidence to the public, employers and fellow professionals that nurses & midwives are up tofellow professionals that nurses & midwives are up to

date with their practicefellow professionals that nurses & midwives are up to

date with their practice

Encourage engagement and challenge isolationEncourage engagement and challenge isolation

Revalidation pilotRevalidation pilot ABUHB was the only Welsh pilot site

& h l UK il i i& the largest UK pilot participant

ABUHB Employs over 4000 registrants

1000 Eligible for the pilot

888 Enrolled into the pilot

813 Completed the whole process (& a further 22 who didn’t enrol)further 22 who didn t enrol)

ABUHB = >38% of the entire UK pilot cohort

Includes: General Adult / Paediatrics (hospital & community) / Midwives / LD / Mental Health / Practice Nurses

Revalidation requirements

PracticeHoursHours

450 hours

CPD0/20

PDD & Confirmatio

40/20 hours

n(3rd party)

The CodeHealth and

Feedback5 pieces

character(self-

declaration)

ReflectionProfessional indemnity

5 pieces y

(self-declaration)

Practice HoursThose with dual

registration Those with dual

registration must undertake

900 hoursmust undertake

900 hours

If you practice lessIf you practice lessYou must practice a

minimum of 450 hours over the 3 years

preceding the date of li ti f

You must practice a minimum of 450 hours

over the 3 years preceding the date of

li ti f

If you practice less than 450 hours during

this period you will need to complete a return to practice

If you practice less than 450 hours during

this period you will need to complete a return to practice

your application for revalidation

your application for revalidation

pprogramme

pprogramme

Practice HHours

Practice Hours

Practice includes direct, indirect

patient care & non-

Practice includes direct, indirect

patient care & non-

Only hours that are relevant to practice

contribute to the requirement (You

Only hours that are relevant to practice

contribute to the requirement (You patient care & non

clinical activities patient care & non

clinical activities requirement (You can use voluntary or oversees hours)

requirement (You can use voluntary or oversees hours)

You will be asked to make aYou will be asked to make aYou will be asked to make a declaration & produce a

record of hours, starting with the most recent & work

backwards until 450 hours are

You will be asked to make a declaration & produce a

record of hours, starting with the most recent & work

backwards until 450 hours are

An NMC template is

backwards until 450 hours are achieved

backwards until 450 hours are achieved

An NMC template is Available & evidence is required: E.g. Timesheets / Electronic or paper diaries / Rota / sessional print outs.

Practice hours example

Continuing Professional DevelopmentDevelopment (PDD) At least 20 hours must

be participatory – anAt least 20 hours must be participatory – anbe participatory an

activity where you interact with other healthcare

professionals

be participatory an activity where you interact

with other healthcare professionals

Mandatory training can beMandatory training can beYou must undertake 40

hours of CPD relevant to your scope of practice as a nurse or midwife, over the 3

i h l f

You must undertake 40 hours of CPD relevant to

your scope of practice as a nurse or midwife, over the 3

i h l f

Mandatory training can be used as CPD hours, but

only if it is directly related to practice, e.g. fire training

cannot, but medicines management pump training

Mandatory training can be used as CPD hours, but

only if it is directly related to practice, e.g. fire training

cannot, but medicines management pump trainingyears prior to the renewal of

your registrationyears prior to the renewal of

your registrationmanagement, pump training,

POVA training, manual handling, infection control training etc. can be used

management, pump training, POVA training, manual

handling, infection control training etc. can be used

PDDPDDThe NMC provide a template to record CPD.

Recording CPD exampleRecording CPD example

Evidence of CPD must be provided e g certificate attendance listEvidence of CPD must be provided, e.g. certificate, attendance list, study material, email confirming attendance. Going forward, most sessions will provide evidence of associated CPD time.

You as an individual

Feedback can be about:

Feedback can be about:

Formal

Feedback can be:

Feedback can be:

Patients

Feedback can be from:

Feedback can be from:

individual

You as a team member Informal Relatives /

carers

Practicerelated

Written Team members

related feedbackObtain 5 examples

of practice-related

Verbal (you may wish to

write verbal feedback down)

Other Healthcare

professionals

feedback in the 3 years pre-revalidation. Students

The feedback does nothave to be included in your portfolio but a template has

Complaints / compliments / incidents

portfolio, but a template has been developed locally if you wish to record feedback as it is required to inform your reflections

Audit /Inspection

reports

required to inform your reflections. PADR /Testimony

F db k lFeedback example….

Reflection can be about:

Reflection can be about: Outline what

Reflection must:

Reflection must:

Reflection can be:

Reflection can be:

CPD

F db k

about:about: Outline what you have

learnt

How the l i

Formal / Informal

L /

ReflectionsFeedback on practice

Both CPD

leaning impacted on your practice

How the

Long / Short

Referenced &

Feedback How the learning

relates to the Code

/ Not referenced

Typed / H dHand

written

Academic

You must write a minimum of 5 reflections in the 3 years prior to your

/ Informal

There is NO right oryears prior to your

revalidation date. NO right or

wrong

The NMC provide a template to record reflections.

Reflection exampleReflection example What was the nature of the CPD / feedback activity?yFeedback on practice – compliment from a patient.

What did you learn?The patient reported that she had ‘not been believe’ in previous attendances in The patient reported that she had not been believe in previous attendances in clinics in relation to her health problem. She had felt ‘brushed aside’, but when attending the nurse led clinic, she reported that she felt that during the consultation I had given her time, was empathetic and most of all she reported feeling that she had been believed.

How did it change your practice?I remember a quote that I learnt years ago; ‘Pain is what the patient says it is….’ (McCaffery 1968), The experience reinforced the importance of adopting a truly holistic approach to patient assessment beginning with listening and truly holistic approach to patient assessment, beginning with listening and believing the patient in order to develop an appropriate treatment plan to both the clinician and the patient. I will always endeavor to adhere to this in order to provide the best possible care for patients.

H i thi l t t th d ?How is this relevant to the code?Prioritizing people – treat people with kindness, respect and compassion. Avoid making assumptions and work in partnership with people to make sure you deliver care effectively.

Professional Development DiscussionDiscussion (PDD)

The PDD will assess your knowledge and understanding of the

learning you have

The PDD will assess your knowledge and understanding of the

learning you havelearning you have undertaken, the impact this learning has had on your practice and how it

relates to the Code

learning you have undertaken, the impact this learning has had on your practice and how it

relates to the Code Th i t t ithTh i t t ithYour PDD must be with

another NMC registrant, face to face

Your PDD must be with another NMC

registrant, face to face

relates to the Code relates to the Code The registrant with whom you have the

PDD will complete and sign the template

The registrant with whom you have the

PDD will complete and sign the template g

and will usually be done as part of your PADR

gand will usually be done

as part of your PADR

g pavailable in the NMC template pack. This form MUST be used

g pavailable in the NMC template pack. This form MUST be used

PDDThere are NMC & localmaterials available on the

ABUHB lid ti i t t

PDD There is also a short DVD available outlining the nature of the PDD &ABUHB revalidation intranet

page to support PDD.nature of the PDD &

giving a real life example.

ConfirmationIf you have more thanIf you have more thanIf you have more than one employer / role, you only need one

confirmation. It would usually take place

If you have more than one employer / role, you only need one

confirmation. It would usually take place

The confirmer is usually your line manager ( it

The confirmer is usually your line manager ( it

usually take place where you undertake the majority of your

work

usually take place where you undertake the majority of your

work Confirmation takes place face to face and

Confirmation takes place face to face andy g (

does NOT have to be a registrant) &

confirmation is undertaken after the

y g (does NOT have to be a

registrant) & confirmation is

undertaken after the

place face to face and must be completed

within 12 months of the submission date of your revalidation to the NMC

place face to face and must be completed

within 12 months of the submission date of your revalidation to the NMC

You will need to

PDD & as part of your PADR

PDD & as part of your PADR

revalidation to the NMC online

revalidation to the NMC online

You will need to present evidence of completing the

revalidation requirementsrequirements.

This is the confirmation

There are also support materials to support Confirmation as with PDD.

Linking revalidation & PADRLinking revalidation & PADR

Health and CharacterYou must declare if you

have been (in the 3 years prior to revalidation):

You must declare if you have been (in the 3 years

prior to revalidation):

You do not have todeclare fixed penalty notices unless they

You do not have todeclare fixed penalty notices unless theyp )

Convicted of any criminal offence or issued with a

formal caution

p )Convicted of any criminal offence or issued with a

formal caution

notices unless they lead to disqualification or an appearance in court

notices unless they lead to disqualification or an appearance in court

You must provide a You must provide a Y t b i t t fY t b i t t f

phealth and character

declaration. Good character is based on

conduct, behaviour and attitude You must also

phealth and character

declaration. Good character is based on

conduct, behaviour and attitude You must also

You must be in a state of health that ensures you are capable of safe and effective practice without

supervision, after any

You must be in a state of health that ensures you are capable of safe and effective practice without

supervision, after any

Indemnity insurance

arrangements

attitude. You must also be honest & trustworthyattitude. You must also be honest & trustworthy

p yreasonable adjustment is

made

p yreasonable adjustment is

made

Indemnity Arrangements

You self-declare that you have appropriate indemnityYou self-declare that you

have appropriate indemnityhave appropriate indemnity insurance arrangements in

place & will be asked to confirm if your insurance is

via your employer

have appropriate indemnity insurance arrangements in

place & will be asked to confirm if your insurance is

via your employer

By law you must have indemnity arrangements in

place to practise. If you practise without

By law you must have indemnity arrangements in

place to practise. If you practise without

If the indemnity insurance is not with your employer, it

is your responsibility to

If the indemnity insurance is not with your employer, it

is your responsibility to If you practise without indemnity insurance your

name will be removed from the NMC register

If you practise without indemnity insurance your

name will be removed from the NMC register

organise it with a private provider and supply

evidence

organise it with a private provider and supply

evidence

Indemnity yinsurance

arrangements

Tools to helpTools to helpThere are a number of tools on the NMC site and on the ABUHB lid ti th t t lid tiABUHB revalidation page that can support revalidation.

ABUHBRevalidation

Applying for revalidationpp y gYou MUST submit ON or BEFORE the 1st day of

th M th i hi h lid ti i dthe Month in which your revalidation is dueYou will be given 60 (90) days notice by the NMC

Log ontoLog onto Complete Complete You doYou do

Enter name, contact

Enter name, contact

Enter the name &

Enter the name &Log onto

your NMC online

account

Log onto your NMC

online account

pthe

revalidation application

form

pthe

revalidation application

form

You do NOT

submit your folder

You do NOT

submit your folder

contact details & PIN of person

conducting

contact details & PIN of person

conducting

name & contact

details of your

confirmer

name & contact

details of your

confirmer

Midwifes will need to file their intention to practice

conducting your PDD conducting your PDD

confirmer confirmer

Midwifes will need to file their intention to practice notification. (This is submitted annually).

Your fee will also be paid onlineYour fee will also be paid online.

NMC request for qfurther information

Sample of Sample of Notified by NMCNotified by NMC Upload Upload registrants selected to

provide further

registrants selected to

provide further

Notified by NMC via email

following initial submission

Notified by NMC via email

following initial submission

elements of portfolio onto

your NMC

elements of portfolio onto

your NMC pinformation

pinformation submissionsubmission y

online accounty

online account

You can practice during this process.

The Code of Professional Standards

The code has been updated to reflectThe code has been updated to reflectThe code has been updated to reflect changes in contemporary professional

nursing & midwifery practice & to reflect the public expectations of care

The code has been updated to reflect changes in contemporary professional

nursing & midwifery practice & to reflect the public expectations of care

The Code should be used as a ‘living’ guide at the heart of everyday nursing

& id if ti

The Code should be used as a ‘living’ guide at the heart of everyday nursing

& id if ti& midwifery practice& midwifery practice

The new code became live on March 31st 2015

The new code became live on March 31st 201531st 201531st 2015

The 4 themes of the CodeThe 4 themes of the Code

Prioritise people

Prioritise people

Practise effectivelyPractise

effectivelypeoplepeople effectivelyeffectively

Preserve safety Preserve safety Promote

professionalism & trust

Promote professionalism

& trust& trust& trust

Together they signify good nursing & midwifery practice

What is new in the code?What is new in the code?

• The essential aspects of care i e ensuring adequate accessFundamentals of

care

The essential aspects of care i.e. ensuring adequate access to nutrition & hydration

• Being open & honest with colleagues, patients and regulators The duty of

candour

g g gwhen things go wrong

• Raise concerns of any threat to patient safety or public protectionRaising concerns protection.

Delegation and t bilit

• Ensure delegated tasks are appropriate & completed to the required standardaccountability required standard

The professional duty to take action in an emergency

• Take emergency action, within competency limits, when off-duty.g y

Social media use• Use social media responsibly in line with NMC guidance.

Thank you

Local contact:

carolyn.middleton@wales.nhs.uk

Don’t forget to look at the ABUHB revalidation page on the intranet