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Both nurses and employers warned to be ready for revalidation

  • 10 Comments

The Nursing and Midwifery Council has insisted that it will be ready and able to implement revalidation in April 2016.

The NMC’s ruling council is due to make a final decision in the autumn on when it should begin the new system of checks on nurse competence.

As previously reported by Nursing Times, the process has already slipped by three months and concerns have been raised about different levels of readiness among the four UK countries.

Asked by a delegate at a fringe session at the RCN Congress whether the NMC had the capacity to handle the process, chief executive Jackie Smith said: “If you’d have asked me that three years ago, I would have said absolutely not.

“But I wouldn’t be standing here now if I didn’t believe we can,” she told delegates at a fringe event at the conference in Bournemouth.

Ms Smith urged delegates that it would happen and that, therefore, it was the profession’s job to be ready for revalidation but she also highlighted the role of employers in preparing for the new system.

“It’s not just about you as individuals, your employers need to support this,” she added.

In response to this, delegates raised concerns about the fact they did not currently have appraisals or have them very irregularly – one delegate said it had been 10 years since her last appraisal.

“It’s not just about you as individuals, your employers need to support this”

Jackie Smith

Ms Smith said she believed revalidation would go through roughly in the way the regulator was currently proposing, because “it’s reasonable” to suggest you have an appraisal every year.

She was keen to emphasise that revalidation was “not about performance management”, but said it was a positive opportunity for registrants to reflect on the code of conduct and make sure they were upholding its principles and meeting practice standards.

There were questions about the audit part of the process, which NMC director of continued practice Katerina Kolyva said was also not a tool to get rid of people.

The audit will involve the NMC taking a sample of registrants and checking in detail that they have fulfilled the requirements of revalidation. 

She said the audit was now being renamed following feedback from the pilots as “a request for more information”.

There was no commitment to the expected volume of these requests, but Dr Kolyva told delegates that when they went online to revalidate, they would get an automated alert with a request to supply further evidence.

Also speaking at the event, RCN head of policy and international affairs Howard Catton echoed that the process was not about performance management and that the RCN had worked with the NMC to ensure the profession’s voice was heard in shaping the way revalidation was carried out.

Janet Davies, who is soon to take over as chief executive and general secretary of the RCN, said that “there will be many people who haven’t got their portfolios ready”.

“They should but they won’t have, and we must support them and help keep it manageable and simple. We must prevent the panic,” she said.

Revalidation, the process replacing PREP by which nurses will have to prove they have met CPD requirements and practice hours, is due to be introduced in April 2016, pending council approval this autumn.

Visit the Nursing Times website for more on revalidation

  • 10 Comments

Readers' comments (10)

  • Dreading it actually. Ive been nursing 35yrs have taken early retirement and work on the bank. I'm worried I won't be seen as important as regular staff by managers.
    I enjoy the shifts I work but this coupled with increasing NMC fees are making me consider retiring entirely.
    I don't think I am alone in this either.

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  • Looking forward to working at Asda

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  • looking forward to joining you at asda

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  • 23 June 2015

    This Revalidation process affects every nurse and midwife registrant. Why would anybody make it more difficult to renew the professional registration of nurses and midwives?

    Here is the known facts:

    1) NMC will be increasing the professional registration FEES of nurses and midwives because NMC will be funding this semi, quasi government body that will regulate professional bodies like the NMC, GMC, HPC.

    So, you are held hostage to practice your profession by this ever rising professional registration fees.

    2) On top of the ever rising professional registration fees. A registrant is mandated every three years to do Revalidation Activities which is completing CPD- participatory and non participatory learning; Doing Reflections; Collating Feedback.

    What is drive through an inclined plane and wrapped around a double helix? SCREW. We are "screwed". This revalidation activities requires a lot of your personal time. What about family, work-life? Will your employer give you paid time off? Will your employer support your revalidation activities? NMC did not anticipate this situation. It will be very difficult to do this endeavour unless the employer is willing and able to help the registrant employees' revalidation process.

    Suggestion to the NMC and employers:

    1) NMC should make guidelines for employers supporting the revalidation process of the registrant in terms of financing the CPD activities such as seminars, on the job training, webinars, online learning, workshop, course work and other forms of participatory and non participatory learning.

    2) Employers should establish a permanent learning contract for the registrant employee.

    3) Employers should provide paid time off to registrant employees to do their revalidation activities.

    4) NMC should support and train managers, line-mangers, person-in-charge about the revalidation process of the registrant employee.

    The next question is... NMC ready?

    1) Personnel adequate to handle revalidation process and queries?

    2) Infrastructure such as computers, servers, data banks? Or are we going to expect more servers crashing? Which will result a lot of frustration and more delays in renewal of registration.

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  • Well said 9.09 pm. I expect zero% support from my trust and the same from NMC. Am seriously considering early retirement and finding another job out of nursing altogether. I bet I'm not the only one

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  • I agree with all the above comments why make it harder for nurses to update. Surely updating should be an enjoyable process and completed during working hours. I refuse to do anything with work on my days off, they're valuable time with my family and much needed personal time. We're paying more fees to do more work for the NMC....something wrong here? If I had the chance I would retire early....but that's not an option for me. I could work in another field maybe ASDA, John Lewis etc....at least they look after their staff!!

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  • I'm proud of my CPD file. I attend mandatory and optional courses and also do self-directed study. I created for myself a simple system of proving my learning and development that is both comprehensive and not too time consuming.

    It covers almost nothing that the NMC are asking for. Between working full time, teaching an increasing amount and supporting my disabled wife I don't I can take on any more. And why should I when I'm already impressing people with my portfolio? When I interviewed for my current job my manager said she'd never seen such a comprehensive, thorough or logical piece of work.

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  • I'm proud of my CPD file. I attend mandatory and optional courses and also do self-directed study. I created for myself a simple system of proving my learning and development that is both comprehensive and not too time consuming.

    It covers almost nothing that the NMC are asking for. Between working full time, teaching an increasing amount and supporting my disabled wife I don't I can take on any more. And why should I when I'm already impressing people with my portfolio? When I interviewed for my current job my manager said she'd never seen such a comprehensive, thorough or logical piece of work.

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  • Revalidation is about ensuring nurses and midwives are competent in providing care. There are alot of incompetent nurses out there. I want to be proud of my profession and so anything to improve quality must be a good thing. My employer has everything prepared for revalidation and is offering me suport, as they should be, to improve my quality and learning. let's stop the increasing negativity within the profession. Bring it on!

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  • 28 June 2015

    Again, Let me be clear Revalidation is NOT about Fitness to Practice which is evaluating the Competence of the registrant to practice the profession.

    Revalidation is a process of doing -

    1) CPD activities which is 20 hours of participatory learning - seminars, webinars, on the job training, shadowing, mentoring, workshop, classroom style learning and 20 hours of non participatory learning - online learning, reading articles, journals, publications, watching tv documentaries, etc. A total of 40 hours of CPD.

    2) Reflection. You must record a minimum of 5 written reflections on the Code, your CPD and practice-related feedback.

    3) Collating Feedback. You must obtain at least 5 pieces of practice-related feedback.

    In summary, this is a paper and pen exercise for the registrant who is burden with large amount of documentation at the work place, who has to find time to do Revalidation Activities on his/ her personal, family work-life, who has to pay the ever rising cost of professional registration FEES.

    Majority of the registrants does NOT have adequate resources such as funds to pay for the annual professional registration fees, Not have adequate time to do Revalidation activities. This are the Facts that the NMC has Not anticipated -

    1) Family work-life of the registrant.

    2) Compliance - Can it be done?

    3) Resources such as employer's support meaning financial, providing adequate time for the registrant to do Revalidation activities, paid time off, etc.

    4) Preparedness meaning the capability, willingness, able to do, "can do" attitude of the Employer to participate in the Revalidation process of the registant employee.
    Revalidation process can be abuse and serve as a leverage by employers to their registrant employee. NMC should make guidelines on this foreseable situation.

    If We as registrants Do not see the bigger picture and refuse to accept this Facts or Tough Realities of the Revalidation process dictated by the NMC. Refuse to DO something about it. Then, let me be blunt, We are "screwed". Nursing is a caring profession. What about caring for ourselves first? Meaning if we do not look after our professional registration. We cannot look after our patients and practice our profession. This are cause and effects that we are oblige to DO something about it.

    This is Not BEING Negative, this is Accepting reality and Actively participating to do something about it.

    This is not a problem if you have rich mum and dad which can provide for you. If you have a lot of spare time. Unfortunately, majority of the registrants are NOT wealthy, most of us hardly cannot pay rent or mortgage, most of us are on the breadline not able to provide adequate meal for the family. Family Working-life is already a struggle. On top of it the NMC Has Make It More DIFFICULT for The REGISTRANT to RENEW the PROFESSIONAL REGISTRATION.

    THANKS NMC FOR MAKING MY WORK-LIFE MORE, MORE DIFFICULT.

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