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.