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NMC releases draft guidance and standards for revalidation


Provisional standards for the forthcoming system of competency checks that will allow nurses and midwives to renew their registration every three years have been released by the Nursing and Midwifery Council.

The new system of revalidation replaces the current process of post registration education and practice (PREP) and comes into effect on 31 December.

It introduces additional standards that state registrants must gain feedback on their practice, reflect upon the code of conduct, and obtain confirmation from a third party that they have met all requirements.

According to NMC council papers containing draft proposals on how revalidation will work, nurses and midwives will have to obtain “at least five pieces of practice-related feedback”, which it advises are from a variety of sources.

This feedback can be directly related to individual performance or it can be about a registrant’s team, unit, ward or organisation, state the proposals.

“Wherever possible we recommend that the third party you obtain confirmation from is an NMC registrant. It is helpful if they have worked with you… but this is not essential”

Draft revalidation guidance

Meanwhile, registrants must also record a minimum of five written reflections on the code of conduct – which has recently been updated – on their continuing professional development and on practice-related feedback.

This should be accompanied by evidence that the nurse or midwife has had a discussion with another NMC registrant about their reflections and wider professional development.

Registrants must also provide evidence of third party confirmation that they have met all revalidation standards. The guidance states the person providing this does not have to be an NMC registrant and suggests this would usually be a line manager.

“Wherever possible we recommend that the third party you obtain confirmation from is an NMC registrant,” states the guidance.

“It is helpful if they have worked with you or have a similar scope of practice, but this is not essential,” it adds.

As part of revalidation, nurses and midwives will continue to have to complete at least 450 hours of practice in the three years prior to renewing their registration.

They will also continue to maintain a portfolio of work showing evidence of continuing professional development. However, the minimum number of CPD hours has been increased from 35 to 40.

Registrants will also have to show they have indemnity insurance and provide a health and character declaration, state the proposals.

The draft guidance will be used by a series of pilot organisations – including employers, a school of nursing and a trade union - that are testing the new system this spring. It will then be evaluated before a final decision on the system and guidance is made by the NMC.


Readers' comments (41)

  • And you get peanuts for pay!!! It's great to be a nurse.

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  • Thank goodness retirement looms, how many more hoops for nurses? This idea could be a nightmare depending on your role, not everyone has a traditional hands on nursing post.

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  • Anonymous | 24-Jan-2015 1:46 pm

    quite agree - and fortunately retirement has already loomed. agree with a post from a mid-50 GP I just read in the telegraph who says many older GPs won't accept it and will just retire early. it may be easier and make more sense for younger members of staff who grow up with the system. good luck to them as long as patients continue to get the highest standards of care that we were once expected to and did deliver.

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  • Are we going to get paid or get time off to do all this reflection?

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  • Here is an opportunity for the entrepreneur and the Nurse... buy your reflections on line - from someone who can just churn them out all day!

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  • It has always amazed me how hard it is for the nurse to revalidate and pay for the privilege. It has only just become common practice for Doctors. I have to agree that to be a nurse is a hard enough job without having to continually jump through hoops to continue to practice. There are not enough of us to go round and this will just make the situation worse.
    Oh and by the way why can't we pay monthly registration fees by direct debit, it would make life so much easier than paying a big chunk once every three years. Don't you know our salaries are still not that good!!!!!

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  • Well, I can see why this is a good idea but what other profession has to do this? Do Senior Dr's, Dietitians, SALT, Physiotherapists have to justify themselves to this extent? If so then yes we must follow suit. At the moment, CPD has to be done in our own time/ done online and sometimes paid by ourselves as study leave and money for study is not available. This should be considered a mandatory thing that hospitals must allow in work time. When are nurses going to be given some help and good news? Sadly, the NMC is in such a state of poor management and inefficiency that I doubt any of this will be checked and validated there so it will be a chaotic system for ages. They can't keep up with Fitness to practise rulings at the moment and it is being run by the very person who messed these hearings up in the first place. I agree that good practice needs to be upheld and in fact demanded but please help us to do this. A decent pay incentive and the TIME to do not OOH's.

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  • Not all of us can achieve 450 hrs of clinical nursing within a non clinical role. Will we not be regarded a capable, competent nurses - reflect on that!!

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  • OMG...thank the lord i have 16 months to go till 55......feel sorry for my son who starts UNI in sept.....once again as long as someone can spout rubbish they will be ok to re-reg....will not make them a better nurse...or even worse will still allow the poor one,s to carry on,because they normally have all the awnsers...just no idea what to do with them.

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  • why will this not apply to politicians, why will this only apply to nurses and gps? oh let me see mr hunt despises nurses. more nurses will walk thinking it isn't worth the stress

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