Nursing appraisal and
revalidation
Jackie Smith
Chief Executive and Registrar
29 April 2014
Context
•
NMC is the largest professional healthcare
regulator in the world
•
circa 670,000 registered nurses and midwives
•
currently three year renewal period – prep
- 450 hours of practice
- 35 hours continuing professional development
NMC revalidation timeline
•
Council commitment re-stated Feb 2013
•
NMC response to the Francis report – Jul 2013
“We are currently developing proposals for a
proportionate revalidation process for all the nurses
and midwives on our register in all four UK
countries.”
•
development of and consultation on revalidation
(and the Code) – 2014
•
launch of revalidation – end 2015
Revalidation principles
•
benefits to reflect public protection
•
aligned to current legislation and renewal process
•
self-declaration with potential for third party
confirmation
•
can be a by-product of an existing employer
process aligned to appraisals
•
phased approach and proportionate model
integrating political context on four country level
•
audit and evaluation at each phase
Council decision (September 2013)
•
self confirmation from the individual registrant
- reflection on the revised code, CPD, hours of
practice, GHGC, fitness to practise, PII
- informed by third party input:
- confirmation
- feedback
- compliance audit (random and risk-based)
- risk intelligence triangulation
Ongoing engagement
•
60 engagement events between Sept 2013
and Dec 2013 alone
•
input from employers, professional bodies
and the public
•
revalidation strategic advisory group
•
task and finish group
•
employer reference group
•
communication reference group
Challenges
•
potential impact on the system
•
transition from Prep standards to revalidation
(first three years)
•
differing or no appraisal systems in place
•
varied employment settings and scope of practice
•
flexibility of third party confirmation
Consultation – six months
Part one
Part two
•
Jan 2014 – Mar 2014
•
range of methods
•
online survey – 9,000
responses
•
focus on:
•
focus on:
- draft code and draft
guidance
- revalidation model
- revalidation model
-
•
code and guidance
outcomes to inform
implementing revalidation,
draft versions of code and
revalidation guidance
•
outcomes to inform
implementing revalidation,
code and revalidation
guidance
The code revision
•
professional accountability and using social media
responsibly
•
multidisciplinary teams, communication and
language proficiency
•
involving patients, families and carers in care and
treatment decisions
•
confidentiality and sharing information
•
record keeping, prescribing, managing medicines
and minimising risk
Revalidation : emerging themes
•
third party confirmation and practice related
feedback – sources and mechanism
•
implementing revalidation in a variety of settings
and scopes of practice
•
auditing – process and outcome
•
sharing of information between the regulators
•
other standards, guidance and support related to
revalidation
NMC fee consultation
•
reminder of NMC 2012 fee decision
•
sustainability of NMC’s financial model – 80
percent of the NMC’s budget is spent on FtP
•
achieving efficiencies within our current legislation
•
reforming our ‘outdated and inflexible legal
framework’ – Law Commission
•
NMC Council reviewed fee level – Mar 2014
Fee consultation timetable
•
consultation period – May 2014 – Jul 2014
•
Council considers consultation report – Oct 2014
•
fee rules laid in parliament – Jan 2015
•
any fee rise effective – Feb 2015
Thank you
revalidation@nmc-uk.org
@jackiesmith_nmc
www.nmc-uk.org/Nurses-and-midwives/Revalidation