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NMC checks model is 'achievable' and a 'positive experience'

  • 12 Comments

Feedback from the revalidation pilots showed the Nursing and Midwifery Council needs to simplify its guidance for nurses and midwives and raise awareness of revalidation within primary care, social care and the independent sector.

The major new system of checks for nurses has received largely positive feedback from those piloting it, but “there is still work to do” to reduce confusion in some areas, according to the chief executive of the Nursing and Midwifery Council.

Early results from an independent evaluation of the new revalidation system suggested the process was “achievable” for nurses and midwives, but that registrants wanted clearer guidance on how the future model of checks would work in practice.

“What’s being said is that revalidation is achievable, desirable, and realistic”

Jackie Smith

In particular, nurses who trialled the system said more information was needed on the role of the confirmer – the person who will sign off the documentation showing that a registrant has met all the requirements to be revalidated and, therefore, can continue to practice for a further three years.

“Individuals have fed back that they enjoyed it, it’s achievable, it’s realistic, and they can see the value added from the professional conversation on practice,” said NMC chief executive and registrar Jackie Smith.

“But there are clearly some actions for the NMC that need to be addressed, which is clarifying precisely what the model is and being absolutely clear about the guidance supporting revalidation,” she told Nursing Times.

Jackie Smith

Jackie Smith

“The other issue of course is the status of the confirmer and what they are actually doing,” Ms Smith said.

The NMC’s official early findings follow an investigation by Nursing Times on the experiences of those involved in the pilots and a recent report on the subject by the Royal College of Nursing.

Both identified a range of issues that needed to be resolved – some also identified by the research for the NMC – such as the need for more clarity in guidelines and on the role of the confirmer, and on how the system would work for some groups of nurse outside of traditional hospital settings.

According to NMC council papers due to be considered at a meeting next week, the independent research by Ipsos Mori and KPMG found there was a “spectrum of support” across the 2,100 nurses and midwives who trialled the proposed model.

Many were pleased with the introduction of revalidation, while a small number “retained a degree of scepticism that revalidation will fully deliver its intended aims”, said the papers.

Revalidation – which will replace PREP next year – includes new requirements such as confirmation, reflection on the code of conduct and obtaining feedback.

These were also “experienced positively by many” in the pilots, according to the NMC council papers. However, they added, that on many occasions the new requirements were interpreted differently by registrants.

The pilot evaluation across 19 organisations also showed awareness of revalidation may be more limited among registrants in non-NHS or small organisations, with social care requiring particular attention.

In response, the NMC said it would redraft guidance to simplify the language and reduce varied interpretations, and also set up specific campaigns to raise awareness in primary care, social care and the independent sector.

Meanwhile, the cost to pilot organisations was analysed. But because estimates “vary widely”, the NMC said there was no clear indication of how much financial investment was required for revalidation.

However, it noted that among the pilot organisations, the highest reported areas of cost were supporting continuing professional development, preparing for and managing revalidation and feedback, reflection and professional development.

student nurse observing

Full findings from the evaluation of the pilots will be published in September.

In October, the NMC council will make its final decision on whether revalidation can be launched as planned in April 2016.

  • 12 Comments

Readers' comments (12)

  • michael stone

    '“But there are clearly some actions for the NMC that need to be addressed, which is clarifying precisely what the model is and being absolutely clear about the guidance supporting revalidation,” she told Nursing Times.

    “The other issue of course is the status of the confirmer and what they are actually doing,” Ms Smith said.'

    Perhaps I'm being picky - but wouldn't you have expected the NMC to have made 'the status of the confirmer and what they are actually doing' very clear, in it original version of the guidance for revalidation?

    Possibly 'I'm expecting too much' from the NMC ?

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  • Peter Goble

    You're not being picky, Michael, trenchant is the word I'd use. And I'd say your expectations of the NMC are spot on, you are expecting too much of them, and it's expecting too much of them to have an inkling of why your're right on the button in everything you say.......

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  • I would have thought that 'clarifying precisely what the model is and being absolutely clear about the guidance supporting revalidation' and ' the status of the confirmer and what they are actually doing' is pretty fundamental stuff myself.....

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  • I completed the pilot study. I was clear from the start that my confirmer should be a fellow registrant, someone who understands my area of nursing practice. It made sense to me that my confirmer and PDD person were the same. I didn't have any difficulty understanding what I was being asked to do and found the information I was sent by the NMC prior to completing it easy to understand.

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  • michael stone

    Jeremy Smith | 23-Jul-2015 8:19 pm

    So the guidance was clear, but you are saying a lot of nurses apparently cannot read it and properly understand it ?

    Don't get me started, on the problems of 'guidance' which is 100% clear to its author, and 50% baffling to the people who need to actually read it !

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  • michael stone | 24-Jul-2015 9:47 am

    You misunderstand me, I didn't write the guidance, neither was I saying that a lot of nurses apparently cannot read it and properly understand it - I just read it and completed the revalidation. I guess I must have been in the 50% of people who didn't find it baffling then....

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  • michael stone

    Jeremy, there wouldn't be this fuss over the guidance, if it was clear (as you said you found it clear) and almost all of the nurses reading it, also find it clear.

    There must be a 'problem' somewhere !

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  • michael stone | 25-Jul-2015 9:58 am


    here's a nice little one for you to mull over.



    Discussion on Telegraph • 302 comments

    Scottish independence is not inevitable


    jimpj
    jimpj > crankybleeder • 2 days ago


    Aren't there clockwise and anticlockwise haggis depending on the length of the legs on each side?

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  • michael stone

    Anonymous | 25-Jul-2015 12:13 pm

    I'm currently pretty-much occupied in 'mulling over' terms - the Law Commission DoLS Consultation, is resulting in me doing quite a lot of 'mulling over', for example:

    http://www.dignityincare.org.uk/Discuss_and_debate/Discussion_forum/?obj=viewThread&threadID=793&forumID=45


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  • michael stone | 25-Jul-2015 1:36 pm

    rubbish, you know nothing about the subject. stop trying to pretend you are a professional and hindering them in their work.

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