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Further 7% due to revalidate have left register but NMC insists 'no adverse effect'


Around 7% of the nurses who expected to revalidate in the final three months of the first year in which the new system of checks was brought in have failed to renew their Nursing and Midwifery Council registration, a report by the regulator has shown.

However the NMC has again insisted the figures are similar to the number of people who would usually leave the register in that time period and that “there is no sign that revalidation has had an adverse effect on the register” since it was brought in from April 2016.

This echoes previous comments made by the NMC throughout the past year, as it has published reports every three months on the new process that replaced the previous post-registration education and practice (PREP) system.

Between January and March, 48,598 nurses and midwives completed revalidation – meaning they are able to stay on the NMC register and continue practising.

But this was out of a possible 52,243 who were due to renew in that time, indicating 3,645 – or 7% – are now no longer in practise in the UK, according to the report published earlier today.

In England, almost 94% of the 41,241 due to revalidate did so. Meanwhile, in Scotland almost 93% completed the new process out of the 5,385 up for registration renewal.

In Wales, it was 95% out of a possible 2,742 registrants, and in Northern Ireland 94% revalidated out of a group of 1,682.

In contrast, of the 1,193 people not practising in the UK who were due to renew their registration with the NMC, only 58% did so.

“Nurses, midwives and employers continue to praise the programme and are seeing the real benefits that it can bring”

Jackie Smith

Out of the 3,645 on the register who did not revalidate, the majority – 3,214 – saw their registrations lapse.

The remaining few are those who submitted a revalidation application that was not fully processed in time. This could be due to reasons including their application being selected by the NMC for verification, due to their having declared cautions and convictions, or because they are subject to fitness to practise sanctions.

NMC chief executive and registrar Jackie Smith said the first year of revalidation had been a “resounding success”.

“Nurses, midwives and employers continue to praise the programme and are seeing the real benefits that it can bring,” she said.

Nt editorial jackie smith

Nt editorial jackie smith

Jackie Smith

“With two thirds of our register still to go through process we know how important it is that we continue to support nurses and midwives and we are committed to listening and responding to feedback along the way,” said Ms Smith.

She reiterated that the NMC would soon be publishing its first annual report on the initial year of revalidation, which would include more details about its impact.

Nursing Times has previously been told this report will include the number of people who have renewed and lapsed their registration in the years prior to revalidation being introduced.

“In a few months’ time we will be publishing our first revalidation annual report, which will look back on the first year in more detail. We will also be publishing early findings from our three year evaluation of revalidation,” said Ms Smith.


Readers' comments (11)

  • I was forced to retire and leave my job as a result of some serious negative and unprofessional behaviours bordering on criminal,by several members of my old NHSFT. I am now very happy working for a private provider. I had to revalide as I still have a mortgage to pay. Revalidation should not be necessary if employers had robust appraisal and disciplinary policies in place. I very much doubt I will revalidate again. The whole process is simple enough it's just I find doing something like this tedious when it could be covered in appraisal

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  • The Revalidation process is downright patronising bureaucracy by a timid nursing regulator who did not stand up for nurses who were blamed for the Mid Staffs tragedy when they were the ones who were 'culled' in order to achieve 'Foundation Status' for the benefit of the 'board members' & non-clinical Managers who were not brought to account for their depraved indifference to the consequences of their actions of sacking nurses. All nurses must now pay for the 'priviledge' of being in a mere 'job' (Just Over Broke) not a career, in which a Band 6 on the top rate, can be paid more than a Ward Manager. RIP RN's

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  • The NHS as a whole has a history of not allowing nurses to train and update the skill set required, in a changing world where competence is essential in many areas that involve knowledge of legal aspects. I train many nurses who have left the NHS to join the private sector, many as carers, because lack of investment in themselves by the NHS, this is not down to just money at all, it shows an inverted view of the world we live in and leads to the NHS paying so much money in compensation, purely because skill sets do not match the role. Nearly every nurse I train that has left the NHS has only limited knowledge of Care Act(2014), MCA, DoLS, MHA and Caldicott, someone needs to set a national skill set and enforce this, otherwise the Nurse who desperately wants to progress and deliver the best possible treatment and care, is left with a skill set that leaves them wide open, without knowledge competence is undermined. Always remember the old adage "everything you knew 10 years ago, now only half of it is true" this is because we are progressing at such a pace!

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  • Why do some of the above come across as selling working for private. It ain't no better - in fact worse and mercenary at best in regard to management boards not giving too hoots regarding safety. Where do you think the NHS is getting its naff brand false leadership ideas from. Lol - the NMC revalidation proves nothing but a paper exercise and of course we all know nurses that have left because of it. This has but fuelled a further loss of nurses without a doubt. Just keep putting your fingers in your ears Jackie

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  • I have to agree, revalidation is a time wasting exercise that achieves nothing of benefit. For busy nursing and midwifery staff in an extremely demanding job, both mentally and physically, it is a tedious and patronising process. Many staff are already coping with undertaking courses to progress, as well as trying to care for children or elderly relatives, they do not need an unnecessary paper exercise as well !

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  • Absolutely, agree! This is a paper exercise! Waste of time.

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  • The comments themselves just show how ignorant some nurses are , there have recently been incidents where Nurses have been fined £20K and given 9 months suspended jail for pleading guilty to incorrect risk assessments related to fire escapes would you believe? This could be the cost of Professionalism which you have encouraged to pursue.
    Welcome to the modern World of litigation.
    Ignorance of the law and your Nurses badge is no protection.

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  • NMC obviously do not know what is going on in the real world. A lot of Nurses has left the profession due to revalidation. There are ways to ensure nurses are up to date with their knowledge and skills and revalidation is definitely not the tool to use.
    It is a complete waste of time. Whoever sat in his or her office and decided nurses do not have enough to do and cope with already, and therefore need to revalidate to be on the register, I say ''well done''!

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  • Revalidation is a load of nonsense and is insulting to our intelligence
    As for action regarding pay
    1. a mass refusal to pay our NMC fees
    2. a mass refusal to do this revalidation rubbish

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  • Dear NMC,
    Please stop this revalidation because you will be losing more nurses. Is appraisal still not enough to see the performance of a nurses ? In other country they don't do any revalidation. They only go for training and update study days.

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