Transcript here - NIPEC

What it means for you.
Aim of the Information Session
• Provide an overview of the revised NMC Code
and proposed Revalidation model
• Increase awareness of the requirements for
Revalidation
• Identify how you might begin to prepare for
Revalidation
• Share learning from the local Revalidation pilot
project
• Provide information on how to get further
information
.
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The Code and
Revalidation
For everyone’s protection
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What is the Code?
The Nursing and Midwifery Council
(NMC) has updated its Code of
professional standards.
It sets out the revised universal standards
expected of nurses and midwives, which
they must uphold every day in order to be
registered to practise in the UK.
The revised Code became effective on
31 March 2015.
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What changed in the Code?
A greater focus on:
Compassionate care – kindness, respect and compassion
Teamwork – work co-operatively
Record keeping – six clear standards to support all record keeping
Delegation and accountability – delegate responsibly, be accountable
Raising concerns – this aligns the Code with the re-launched Raising
Concerns Guidance published in 2013
Cooperating with investigations and audits – includes those against
individuals or organisations and acting as a witness at hearings.
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Four themes brought together
in one Code
Together they signify good nursing and midwifery practice.
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Prioritise People
You put the interests of people using or needing nursing
or midwifery services first. You make their care and safety
your main concern and make sure that their dignity is
preserved and their needs are recognised, assessed and
responded to. You make sure that those receiving care are
treated with respect, that their rights are upheld and that
any discriminatory attitudes and behaviours towards those
receiving care are challenged
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Practise Effectively
You assess need and deliver or advise on treatment,
or give help (including preventative or rehabilitative
care) without too much delay and to the best of your
abilities, on the basis of the best evidence available
and best practice. You communicate effectively,
keeping clear and accurate records and sharing skills,
knowledge and experience where appropriate. You
reflect and act on any feedback you receive to improve
your practice.
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Preserve Safety
You make sure that patient and public safety is
protected. You work within the limits of your
competence, exercising your professional
‘duty of candour’ and raising concerns
immediately whenever you come across
situations that put patients or public safety at
risk. You take necessary action to deal with
any concerns where appropriate.
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Promote Professionalism and Trust
You uphold the reputation of your profession at
all times. You should display a personal
commitment to the standards of practice and
behaviour set out in the Code. You should be a
model of integrity and leadership for others to
aspire to. This should lead to trust and
confidence in the profession from patients,
people receiving care, other healthcare
professionals and the public.
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What’s new in the Code?
Duty of Candour
Every healthcare professional must
be open and honest with patients
when something goes wrong with
their treatment or care which
causes, or has the potential to
cause harm or distress.
Fundamentals of care
The Code sets standards of
fundamental care and provides
examples of what this includes
such as nutrition, hydration and
environmental cleanliness.
Social media
The Code recognises the changing
nature of communications and sets
standards for acting responsibly
including the use of social media.
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What’s new in the Code?
Medicines management and
prescribing
Standards that clearly set the
context for prescribing, supply,
dispensing and administering
medications.
Conscientious objection
Nurses and midwives must act in
the best interests of people at all
times and can only make
conscientious objections to a
particular procedure in limited
circumstances.
End of life care
Specific reference is made to the
needs of those in the last days and
hours of life.
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Why are we introducing
revalidation?
The public expect all nurses and midwives to remain up to date and
fit to practise throughout their careers
Revalidation strengthens professionalism through ongoing reflection
on the Code
Revalidation encourages engagement and challenges isolation
A positive affirmation – not about searching for “bad” practice
Positive impact on public protection: 680,000 nurses and midwives
engaging with their professional standards and reflecting on their
practice on an ongoing basis.
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What is Revalidation?
Every three years, you will need to show that, as a professional, you are
living by the Code’s standards of practice and behaviour. You will need to
meet a range of requirements, designed to show that you are keeping up to
date and actively maintaining your fitness to practise.
This process will be called revalidation and will replace the current PREP
requirements and Notification of Practice form.
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Revalidation process
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Practice
hours
Confirmation
Continuing
professional
development
Professional
indemnity
arrangement
Practice
related
feedback
Health
and
character
Reflection
and
discussion
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Practice hours
You must practise a minimum number of hours over the three
years preceding the date of your application for renewal of your
registration.
450
HOURS
Minimum total practice hours
required **Those with dual
registration must undertake 900 hours
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Continuing professional development
You must undertake continuing professional development (CPD),
relevant to your scope of practice as a nurse or midwife, over the three
years prior to the renewal of your registration.
35
HOURS
Of these 35 hours of CPD, 20 must
include participatory learning
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Practice-related feedback
You must obtain practice-related feedback over the three years prior to
the renewal of your registration.
5
PIECES
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Reflection and discussion
You must record written reflections on the Code, your CPD and
practice-related feedback over the three years prior to the renewal of
your registration using the NMC template. You must discuss these
reflections with another NMC-registered nurse or midwife.
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REFLECTIONS
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Reflection and discussion
•
•
•
•
What was the nature of the CPD activity/ practice-related feedback?
What did you learn from the CPD activity and/or feedback?
How did you change or improve your work as a result?
How is this relevant to the Code?
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REFLECTIONS
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Health and character
You must provide a health and character declaration, including
if you have received any cautions or convictions.
HEALTH AND
CHARACTER
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Professional indemnity arrangement
You must declare that you have, or will have when practising,
appropriate cover under an indemnity arrangement.
INDEMNITY
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Confirmation
You will need to demonstrate to a confirmer that you have met the
revalidation requirements.
NB: A ‘confirmer’ is being asked to judge whether you have demonstrated that you
have met the requirements for revalidation, not whether you are fit to practice.
CONFIRMATION
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How does this work in practice?
When the ‘confirmer’ is a registered
nurse or midwife:
When the ‘confirmer’ is not a registered
nurse or midwife:
•
The reflective discussion and
confirmation discussion can happen
with the same person
•
The reflective discussion with another
NMC-registered nurse or midwife must
happen first
•
It is recommended that this process
happens at one meeting, for example,
at an annual appraisal.
•
The confirmation discussion will need
to happen after all other requirements
are met.
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Revalidation
Proposed Requirements (currently being piloted)
Practice hours
You must practise a minimum of 450 hours (900 hours for those with dual
registration) over the three years prior to the renewal of your registration.
Continuing
professional
development
You must undertake 40 hours of continuing professional development (CPD)
relevant to your scope of practice as a nurse or midwife, over the three years prior
to the renewal of your registration. Of these hours, 20 must be through participatory
learning.
Practice-related
feedback
You must obtain at least 5 pieces of practice-related feedback over the three years
prior to the renewal of your registration.
Reflection and
discussion
You must record a minimum of 5 written reflections on the Code, your CPD and
practice-related feedback over the three years prior to the renewal of your
registration. You must discuss these reflections with another NMC registered nurse
or midwife.
Health and
character
You must provide a health and character declaration. You must declare if you have
been convicted of any criminal offence or issued with a formal caution over the
three years prior to the renewal of your registration.
Professional
indemnity
arrangement
You must declare that you have, or will have when practising, appropriate cover
under an indemnity arrangement.
Confirmation
from a third party
You will need to demonstrate to a third party that you have met the revalidation
requirements.
Keeping
a portfolio
We strongly recommend that you keep evidence that you have met these
requirements in a portfolio (this is, however, optional).
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When will revalidation start?
In October 2015 the NMC Council gave the go ahead to launch
revalidation. From this point, you will need to familiarise yourself with
the revalidation requirements and start to develop your portfolio.
It has been proposed that the first nurses and midwives to revalidate
will be those with a renewal date in April 2016. This will give everyone
time to prepare and familiarise themselves with the requirements.
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Revalidation pilots
•
The Revalidation model was piloted in 19 organisations
across the four countries of the UK. The pilots were
completed at the end of May 2015.
•
Pilot organisations were selected to cover a variety of
settings and employment circumstances for nurses and
midwives.
•
Nurses and midwives taking part used the provisional
revalidation guidance to compile a portfolio of evidence that
meets the requirements.
•
Learning from the pilots have been used to refine the
revalidation model . The finalised guidance is now
published.
What should you do now?
1 Register at NMC online, where you can also find out
your renewal date
2 Read the new Code and practise according to its
principals
3 Ensure you are up-to-date on revalidation
developments and tools by checking regularly on
our website www.nmc.org.uk/revalidation
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NIPEC’s Online portfolio can help YOU with revalidation
Create YOUR revalidation
period and ..............
Record YOUR Hours of Practice
Practice
Hours
CPD
Confirmation
Health and
character
Record, reflect & upload
CPD & calculate total
including participatory
The
Code
Professional
indemnity
arrangement
Feedback
Reflection
and
discussion
Record feedback
in Reflective diary
Record YOUR reflections on
The Code, practice related
feedback/CPD
NIPEC’s online portfolio - updated
https://nipecportfolio.hscni.net
11th May
For more information:
www.nmc-uk.org/Code
#newCode
#revalidation
NIPEC website
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