Jane Harris, Programme Director, NES Marianne Murdoch, NES Practice Educator, NHS Fife

ECCFellows Masterclass 3.03.15

Keeping up with the NMC

Aims of the session

• Discuss current professional regulatory changes and requirements relating to the revised NMC code and revalidation

• Explore in depth an aspect of the revised code• Discuss the implications of the revised Code

and revalidation from the perspective of the registrant/ECCF

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.

Core Function of NMC

Registration

Education

Fitness to Practise

Revalidation

Standards

Integrity of the Register

The NMC Code…

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.

The 2015 revision reflects changes in healthcare and expectations of society since 2008 and places more specific requirements on registrants.

Significant changes in the revised code

1. Best practice behaviours as well as standards for practise

2. Fundamentals of care 3. Responsible use of all forms

of communications e.g. social media

4. Professional duty to take action in an emergency

5. Duty of Candour6. Prescribing and medicines

management7. Conscientious objection8. End of Life Care

Greater focus on: • Teamwork• Compassionate care• Co-operation with investigations

and reviews. • Standards for record keeping• Raising concerns• Delegation and accountability

Regulation in action

Educators can use the Code to help students understand what it means to be a registered professional

Employers can use it to support their staff in upholding standards as part of providing quality and safety

Nurses and midwives can use it as a way of reinforcing their professionalism

Patients and service users and those who care for them can use it to provide feedback about they care they receive

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

Post Registration Education and Practice (PREP)Current arrangements for 3 yearly renewal of registration

• 450 hours practice

• 35 hours learning

• Maintain a professional profile

• Submit Notification of Practice form

Revalidation from January 2016

NMC proposals for revalidation at point of renewal every 3 years

• 450 hours related to your scope of practice

• 40 hours CPD – at least 20 hours in participatory learning

• Maintain a professional profile

• Confirmation via third party (MUST be a NMC registrant)

• Minimum of five reflective accounts based on feedback

• Revalidation Pilots –NHS Tayside/Islands• A copy of the revised Code – ‘one off’ will

be sent to all registrants before 31.03• Leaflet on Code for patients/public 31.03• Guidance on revalidation for N&Ms,

confirmers and information for patients and the public.

Changes to guidance under the Code

• New guidance due: – Social networking – Duty of candour– Revalidation

• Raising Concerns guidance (2013) will remain• Guidance that will be withdrawn:

– Record keeping– Care of older people – Professional conduct for nursing and midwifery students

• There will be no immediate changes to the standards which sit under the Code.

Raising concerns about care

Activity 1: Watch the Short videoNMC Safeguarding adults 1: An Introductionhttps://www.youtube.com/user/NMCvideos?feature=watch 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 TrustAlso at https://www.youtube.com/user/NMCvideos?feature=watch

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.http://www.nmc-uk.org/Documents/NMC-Publications/NMC-Raising-and-escalating-concerns.pdf

Revalidation

• A positive opportunity for CPD?• A one off event every three years?• Where does the responsibility for revalidation lie?

The benefits of revalidation

• To patients and the public?• To nurses and midwives?• To employers?• Others?

Revalidation

• Effective Practitioner• The Knowledge Network• ePortfolio

Revalidation

Learning Activities Reflective Templates

Revalidation

What do nurses and midwives need to do next?

• Familiarise yourself with the Code for practice now and in preparation for revalidation

• Discuss the Code with peers, managers and students

• Learn more from the NMC website, Royal Colleges, representative organisations and professional journals

•Register with the NMC online