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Revalidation will 'go further' in future to raise standards


The new system of revalidation introduced this month will in the future “go further” to raise professional practice, the head of the Nursing and Midwifery Council has said.

Jackie Smith, chief executive and registrar of the NMC, said the system of checks – which must be completed every three years by nurses to renew their registration and allow them to practice – was only in its first phase and would be developed again.

“[Revalidation] is about quality and learning and reflecting”

Jackie Smith

This would happen in three years’ time after all nurses on the register had gone through the system once, she told an audience of senior nurses at Nursing Times Deputies’ Congress event earlier this week.

By that time, the NMC would have been able to demonstrate the benefits it had brought to the profession, she said.

However, she noted the regulator had “already started thinking” about how to improve revalidation and that future developments were likely to be around the requirements for reflecting on practice.

Revalidation replaced the previous post-registration education and practice (PREP) system on 1 April.

It features a number of new requirements from the old system, including compiling five pieces of practice-related feedback and preparing five written reflective accounts that relate to the nursing code of conduct.

Registrants will also have to complete a minimum of 35 hours of continuing professional development in the three years prior to registration renewal, with 20 of these hours being participatory.

“[Reflection] is the area where I think we need to develop revalidation”

Jackie Smith

A reflective discussion with another registrant must also take place, and all requirements must be signed off – or “confirmed” – preferably by a line manager.

“It [revalidation] was never about counting numbers, it’s never about whether you’ve done 35 hours or 40 hours [of CPD]. It’s about quality and learning and reflecting,” Ms Smith told the audience of deputy chief nurses.

When challenged by a delegate about whether the revalidation system would be enough to improve the competence of nurses, she said it was designed to raise the standards of professional practice, which should in turn improve safety.

NT Deputies 2016

Revalidation will ‘go further’ in future to up standards

Source: Andy Paraskos

Jackie Smith at NT Deputies 2016

But Ms Smith said she was “absolutely with you on going further, because this is just the start”.

“What we’ve done is work within a framework that you and your colleagues are used to, and that used to be called PREP,” she said.

“Revalidation is not a whole lot different,” she said. “The bit that makes a difference to you as individuals is you reflecting on your practice. That’s the area where I think we need to develop revalidation.”



Readers' comments (5)

  • Pompous and out of touch.

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  • Having revalidated recently I feel that it is a positive step forward to ensure safe, competent practice. My clinical practice has certainly benefitted through revalidation. I am more conscious of what the code advises an excellent nurse should be.
    However, I still feel that more than 10% of nurses should be required to submit more information to the NMC. The online submission criteria could potentially be open to complacency if the nurse is not required to submit the reflective accounts, patient feedback or proof of CPD.
    Revalidation could be even more robust and I welcome the NMC's future developments in the process.

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  • If revalidation is as important as the NMC make out they should ensure nurses are paid for the time spent attending courses , on line learning and preparing the portfolios.

    It is all very well for a senior manager to talk about the many meetings they attend as a source for their reflective practice. Some of us on the shop floor doing the real job of looking after our patients often don't get the chance to take a break.

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  • I do so hope that all these foreign nurses have to go through revalidation. I suspect when their time comes for revalidation they will hop and skip back to their own countries.

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  • This comment is offensive and uncalled for.

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