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NMC reveals updated draft guidance for revalidation


Revamped draft guidelines on revalidation have been released, which include additional information about how the Nursing and Midwifery Council will verify registrants’ portfolios of evidence.

The draft guidance – expected to be approved at an NMC council meeting next week – has been revised following feedback from employers, including organisations that have piloted the new system of competency checks.

It includes new sections around the verification of portfolios by the NMC and how nurses awaiting fitness to practise procedures will still able to revalidate.

Mandatory forms for recording some elements of revalidation – such as the reflective discussion with another NMC registrant – have also been added to the guidance.

Revalidation requirements have largely remained the same as those in the initial draft guidance – apart from a proposed reduction in the number of continuing professional development hours from 40 to 35, as reported by Nursing Times earlier this week.

As per the initial draft guidance, registrants will still have to obtain five pieces of practice-related feedback, compile five written reflections, have a reflective discussion and also be “signed off” – preferably by a line manager who confirms they have met all requirements.

An evaluation of the pilot sites found some organisations had noted that under the current PREP system – which will be replaced by revalidation – a “very limited” number of portfolios were requested by the NMC for review.

They said they wanted the NMC to have “a more visible and extensive” process for checking revalidation portfolios. If not, the audit process risked becoming a “tick box exercise”, they warned.

“Some stakeholders indicated that it would be important to understand how the NMC planned to implement the requests for further information to ensure the process will be more robust than PREP,” said independent audit firm KPMG in its evaluation report on the pilots.

“This includes clarity on the number of registrants from whom more information will be requested and [the NMC’s] risk-based approach to selecting them,” it added.

Nursing and Midwifery Council

The NMC’s headquarters in Portland Place

In the new draft guidance published today, the NMC stated that it will let registrants’ know within 24 hours of them submitting their revalidation documentation whether they have been selected for verification.

The regulator said the verification process would take up to three months to complete, but that registrants would be able to continue to practise during that time.

It said it will select a “sample” of nurses and midwives every year to provide further information or evidence to verify their application.

NMC council papers also published today confirm that registrants will be selected “at random” for verification, but taking into account those nurses and midwives who are more “at risk”.

It defined those “at risk” as people who do not have an NMC registrant line manager or those who do not have a regular appraisal, because it may indicate either professional isolation or lack of organisational infrastructure.

“The confirmation stage of revalidation does not involve making a judgment as to whether a nurse or midwife is fit to practise”

NMC guidance

Meanwhile, the revised draft guidance stated that if a registrant was subject to fitness to practise procedures, they will still be able to revalidate and renew their registration if they meet the requirements.

Previous feedback from the pilots indicated there was some confusion around whether the revalidation process should be suspended until fitness to practise proceedings had concluded.

“Revalidation does not create a new way of raising such a fitness to practise concern about a nurse or a midwife, and the confirmation stage of revalidation does not involve making a judgment as to whether a nurse or midwife is fit to practise,” the guidance stated.

The NMC council will meet next week to decide whether to approve the revised guidance, and to finalise the launch date of revalidation – expected to be April.


Readers' comments (6)

  • 'Revalidation likely to take nurses much longer than PREP'
    I will not be wasting my precious off duty time doing this publicity stunt to make the NMC look as if it is a professional body. Revalidation proves absolutely nothing, that means I have 18 months to find another career / retrain / win the lottery! before I am expected to participate in the farce that undoubtedly will be agreed next week.

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  • How I agree with the above letter. As with PREP I didnt know 1 nurse who had a 'portfolio'.
    As for CPD points Why bother wasting presious time with family just do a literature review.
    Also the 'stakeholders' involvement. Either its an NMC exercise or a corporate exercise with the NMC rubber stamping it
    Rubber stamping the NMC is very good at that

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  • How can patients and public be satisfied nurses are up to date and fit to practice, up to date with their studies and provide quality care when they do not have to show evidence. Revalidation is paramount to drive standards higher and nurses should be proud of their profession and want to show how good they are! Sadly not all nurses feel that way and that is why revalidation is required.

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  • Yes revalidation is important. Written evidence from a trainer who has witnessed the nurse performing safe procedures, good bedside manner, empathy, etc. Anyone can write a reflective piece of waffle. I will quantify this, the young nurses of today who go to uni have learnt how to waffle but have failed to realise that nursing is about looking after human beings who are at their most vulnerable. I write this as a retired nurse who has seen first hand some so called trained nurses who I would not wish to nurse me.

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  • 2-Oct-2015 5.59pm
    I have been nursing 30 years and I can honestly say that there have always been qualified nurses that I would not like to nurse me but there have always been mostly good nurses too. The young nurses of today that I have worked with are well educated and professional and I fear the critism that they receive is often because we forget. It is often not the nurses but the system that cause the many issues of today. Re-validation is a good thing and the young nurses of today will not have the fear that us older nurses have.

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  • I am tired at the end of my 48 hr week ... I give my all and it's still not enough! I applaud the first of the comments above. I have been offered a job outside of Nursing and ,although sad to be leaving ...I am no longer able to do my job without feeling that the past thirty three years have been a total waste ! Revalidation , won't change the system or get rid of bad managers who are only out for themselves !!!!!

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