The Nursing Times Revalidation Conference gave delegates the chance to find out more about the upcoming changes to nurse registration, find out what was asked and the responses here
Nurses that don’t directly work hands-on providing clinical care to patients have to do 450 hours of “practice” or work that is relevant to nursing, midwifery or practice. This can include work in commissioning, consultancy, education, management, policy, quality assurance or inspection, research or other roles that aren’t in direct clinical care, as long as the type of work you are undertaking relies on your skills, experience and knowledge as a nurse or midwife.
It may even be that your employment contract does not require you to be registered with the NMC but that you are using your skills, experience and knowledge as a nurse or midwife to carry out your job.
The hours do not have to be related to the original field of practice you went into when you joined the register.
Confirmation is not about judging whether a nurse or midwife is fit to practise but whether the revalidation requirements have been met. If the confirmer does not think the nurse or midwife has met the requirements, they should suggest where the registrant needs to improve. In the revalidation pilot sites several confirmers asked registrants to rewrite their reflective discussions or relate them more to the code. The NMC advice is to make sure the appraisal or time when confirmation happens is well in advance of the revalidation date to ensure any request to provide more evidence has time to happen.
Confirmation encompasses several benefits for nurses and midwives. It will provide assurance, increase support and engagement between nurses and midwives and their confirmers, and make nurses and midwives more accountable for their own practice and improvement. It should also reduce professional isolation and encourage a culture of sharing, reflection and improvement.
Currently the reflective discussion and the confirmer form must be “completed, stored and shared in manual paper form, as opposed to electronically”. This is because the data about the confirmer and the person who signs your reflective discussion cannot currently be stored online. The NMC is still seeking clarification from the Information Commissioner but this is the current situation.
The NMC does not stipulate how you store your remaining evidence for revalidation but does recommend you keep some form of portfolio. However it makes sense for larger organisations to provide their staff with an electronic means of storing CPD, practice hours, feedback and reflective accounts. Nursing Times offers its own electronic portfolio – a “passport” where you can store certificates of CPD, hold reflective accounts and feedback and record practice hours. This system also gives managers a dashboard to monitor staff progress through revalidation.
If a nurse or midwife is suspended from the register, they are not able to revalidate until they are reinstated on the register. Following cessation of a suspension, if your registration is effective you will need to comply with the revalidation requirements at the time that your registration is due to be renewed. If your registration is not effective following the cessation of your suspension, you will need to follow the readmission process.
However if you are suspended from your job by your employer for any issueincluding going through fitness to practise processes with the NMC, you will still be able to revalidate during your suspension from work, providing you can still meet the revalidation requirements.
Your online application opens 60 days before your revalidation application date. Please note that your revalidation application date is the first day of the month that your renewal occurs – your renewal date is always the last day of the month. So if your renewal date is May 31, your application will be due on May 1.
During this 60-day period you will need to make your application via NMC Online. The NMC recommends that you register with NMC Online as soon as possible (www.nmc.org.uk/registration/nmc-online/) so that you receive a step-by-step guide to the process and are sent reminders.
However many hours you spend at a conference is the number of hours you can use to count towards your CPD hours.
Yes it is the role of the confirmer to ensure that the revalidation requirements have been met. If the confirmer does not consider that the reflective accounts fulfill the requirement stated in the guidance, then they can ask the registrant to develop them further and then resubmit them.
Each reflective account can be about an instance of CPD, feedback, an event or experience in your practice as a nurse or midwife, or a combination of these.
Employers have a responsibility to facilitate an environment where the registrant can submit reflective accounts, and if they need additional help with writing and developing reflective accounts to support that process.
No not if the confirmer can show that they have taken reasonable checks to ensure that the information provided met the revalidation requirements. However, if the NMC identifies that a registrant has not complied with the revalidation requirements, or has submitted fraudulent information, their registration might be at risk.
No. However they must ensure that registrants working in higher education are able to revalidate, for example that they have access to another registrant to have a reflective discussion with. The NMC recommends that the process of revalidation/reflective discussion/confirmation occurs during the regular appraisal, so staff at HEI establishments should have regular appraisals if they are not having these already. As mentioned previously, the 450 practice hours can be in education, as long as the registrant is using their skills, knowledge and experience as a nurse or midwife.
There are special arrangements in place for exceptional circumstances which are detailed in the guidance sheet.
Guidance sheets, forms and templates and other resources can all be found under within the NMC’s “Resources area”: