Nurse Revalidation

What is revalidation?
Revalidation is the process by which registered nurses and midwives demonstrate to the Nursing & Midwifery Council (NMC) that they continue to remain fit to practice safely and effectively.

The NMC is in the process of piloting a proposed revalidation model – this will be finalised in October 2015.

The first registrants to revalidate under the new model will be those due to renew their registration in April 2016. So the current Prep requirements remain in effect until then. Revalidation builds on the Prep standards and will also be a process which takes place every three years.

Revalidation is based on a local evaluation of nurses’ practice through appraisal. Following submission of revalidation via NMC Online – the decision to revalidate rests with the NMC.

All nurses who wish to practice must participate in revalidation and must register with NMC online to do so. This is because revalidation applications will be submitted online. Register with NMC Online here.


Getting started
Find out when your renewal date is due. In October 2015 the NMC will launch the new revalidation process – you need to familiarise yourself with the requirements and start to develop a portfolio of evidence. First to revalidate will be those with a renewal date in April 2016.

Ensure the NMC has your most up to date details as they may need to contact you.

Familiarise yourself with the new NMC Code and practice according to its principles.

Start collecting your information and evidence.

Look at the information and resources the NMC has provided at: www.nmc.org.uk/standards/revalidation

 

Revalidation requirements
Nurses and midwives need to meet a range of revalidation requirements to demonstrate compliance with the NMC Code (2015) these are:

Practice hours
You must practice for a minimum of 450 hours over the three years preceding the date of your application for renewal of your registration (900 hours if you are a nurse and a midwife).

Continuing Professional Development (CPD)
You must undertake 35 hours of CPD relevant to your scope of practice as a nurse or a midwife. Of these, 20 hours must be through participatory learning. Participatory learning includes any learning activity in which you personally interacted with other people. You must maintain accurate records of the CPD you have undertaken.

Practice-related feedback
You must obtain at least five pieces of practice-related feedback. This could be feedback from patients, service users, carers, students or colleagues.

Reflection and discussion
You must record a minimum of five written reflections on the NMC Code, your CPD and practice-related feedback. You must have a professional development discussion about these reflections with another nurse or midwife who is NMC-registered. You must ensure this other NMC registrant signs a form recording their name, NMC Pin, email, professional address and postcode, as well as the date you had the discussion.

Health and character
You must provide a health and character declaration and you must declare if you have been convicted of any criminal offence or issued with a formal caution over three years prior to the renewal of your registration.

Professional indemnity
You must declare that you have appropriate cover under an indemnity arrangement (or will have when practising).

Confirmation from a third party
You will need to demonstrate to a third party that you have met the revalidation requirements. Usually this person will be your line manager and does not have to be an NMC registrant. If you do not have a line manager there are other ways to get this confirmation.

Portfolio
The NMC strongly recommends keeping evidence you have met these requirements in a portfolio. NB: The Trust is working with LDZone developers to produce an e-portfolio for CNWL staff to use.

Every three years all nurses and midwives will apply for revalidation. You will declare to the NMC (via NMC Online) that you have met the requirements and obtained confirmation. The NMC will undertake verification checks.

The Code
The Code is the first step. You must familiarise yourself with the Code and practice according to its principles.

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.

These are the standards that patients, service users and the public expect and that nurses are proud to uphold.

The new Code is effective from 31 March 2015.

NMC The Code (for Employers)

NMC The Code (for Patients & Public)

NMC The Code (Easy Read version)

For any comments or queries regarding revalidation, please contact the NMC: revalidation@nmc-uk.org

 

Frequently Asked Questions

Who will need to revalidate?
All nurses and midwives will need to revalidate at the point of the renewal of their registration in order to remain on the NMC register.


When will revalidation start?
In October 2015, the NMC is expected to give the go-ahead to launch revalidation. From this point, nurses and midwives will need to familiarise themselves with the revalidation requirements and start to develop their portfolio.
Revalidation will build on the requirements that nurses and midwives already need to meet. However, the NMC want to provide a fair and reasonable amount of time for nurses and midwives to familiarise themselves with the revalidation requirements and prepare for their revalidation.
The NMC are proposing that the first nurses and midwives to revalidate will be those with a renewal date in April 2016.

How do I find out my renewal date?
You can find your renewal date on your NMC Online account.
Please note that your revalidation application will be due 30 days before your renewal date. This is to make sure that we have enough time to consider your application.
For example, if your renewal date is 30 April 2015, then your application will be due on 31 March 2015.

How should I and the rest of my nursing team prepare for revalidation?
These are some suggestions:
Make sure all the team, where relevant, are familiar with the new NMC Code of conduct, which was launched on the 31 March 2015, as this is key to revalidation

Establish when individuals within your team will be completing their notification of practice form next, and who they might need to share this information with, to ensure they are supported to complete the revalidation process. (You can find out your renewal date by checking your NMC online account.)

Explore how you might use team meetings, appraisals and 1-2-1s to facilitate reflection on practice and provide feedback and identify developmental needs

Identify the range of different learning opportunities that are available to your team – remember this can be through both formal activities, such as a taught course or informal opportunities, such as reading about issues relevant to practice or engaging in a relevant social media discussion

Encourage the team to reflect on their practice so that they are continuing to build skills around reflective practice which will stand them in good stead for the revalidation process

Start to gather feedback from activities with your client group. Remember, feedback may not always be positive – less positive feedback can often trigger us to reflect and adjust our practice appropriately

Begin to explore and identify who will be able to take on the role of confirmer.

What is third party confirmation?
Third party confirmation is where a third party can confirm that they have discussed your revalidation portfolio with you and, in their judgement, you have met the revalidation requirements.
Confirmation from a third party adds credibility to revalidation. It gives the NMC extra assurance that you have met the revalidation requirements.
Confirmation increases professionalism by making you more accountable for your performance and improvement. It also encourages those registrants who work in isolation from other colleagues to discuss their professional development and revalidation with a third party.

Can mandatory training form part of my CPD requirements?
The NMC has outlined in its guidance its position on mandatory training that is not directly related to
your practice. For example, fire training or health and safety training cannot be included as part of
your 35 hours of CPD.
However, if you undertake any mandatory training that supports and enables you to develop your practice this can count towards the required CPD hours. For example, mandatory training on equality legislation if you are in a policy role, or safeguarding when working with vulnerable groups.

Reflective feedback – is there any guidance on this?
Reflection is about the individual and his or her experience which leads to a new understanding. In other words, reflection is a process which allows you to stop and think about your practice and consciously analyse it. There are several frameworks for reflection to help you structure your approach – more information can be found on the RCN revalidation website and on the RCN Learning Zone website.
The NMC have provided a provisional template which they are currently piloting. You can use this to record your reflections. It can be found at:
www.nmc.org.uk/standards/revalidation/revalidation-guidance-and-resources/
However, you do not have to use the suggested template. You can use a reflective model that is suitable for you. Your reflective account should detail what you have:
• learnt from your CPD activity, feedback or a combination of both
• how you changed or improved your work as a result of this
• how it is relevant to the Code.

How long and in what format must the feedback be?
The actual evidence of feedback does not need to be submitted to the NMC, however it is recommended that you keep a note of the content of any feedback you receive in anonymised form, including how you used it to improve your practice. This will be helpful for you to use when you are preparing your reflective accounts.
You must keep details of the name of the NMC registrant you have your professional development discussion with, their Pin number and professional contact details, the date of discussion and the number of reflections discussed.

Where should I store my evidence for revalidation?
The NMC are emphasising that the information you collect as part of the revalidation will need to be portable. You can decide where to store your evidence – you may wish to store it digitally, online or in a portfolio.
The NMC has produced provisional templates which are currently being piloted. You can use these to record your CPD, reflections and professional discussions. These can be found at:
www.nmc.org.uk/standards/revalidation/revalidation-guidance-and-resources/
The RCN has produced a free on-line portfolio to store evidence and demonstrate compliance
http://rcni.com/content/your-guide-rcni-portfolio
NB: The Trust is working with LDZone developers to produce an e-portfolio for CNWL staff to use – watch this space.

What are the implications for registrants who are not practising?
The activities you undertake to meet the revalidation requirements will reflect your individual scope of practice as a nurse or midwife. All nurses and midwives are required to declare that they have undertaken the required amount of practice hours in the last three years. This is an existing requirement and will continue under revalidation.
You must meet your practice hours in a role where you rely on your skills, knowledge and experience of being a registered nurse or midwife. Nurses and midwives work across a wide range of roles, functions and settings. For example, these include roles in frontline clinical care both in acute and community settings, roles in nursing and midwifery education and research, policy advisory roles and management and leadership roles specific to nursing or midwifery.
If you do not undertake any type of work where you rely on your skills, knowledge or experience as a registered nurse or midwife, you will need to cancel your registration. You will not be able to meet the practice hours requirements, as well as other revalidation requirements. You can apply for readmission to the register in future if you wish to practice as a nurse or midwife.
If you are concerned that you may not meet this requirement, you should review the NMC’s guidance.

How will I achieve revalidation if I have been out of or have limited clinical practice?
Your practice hours will relate to your own specific field of practice and are not limited to direct patient care. For some roles, practice will include non-clinical practice, such as those working in research, policy, education or management. All of these important roles ultimately contribute to provision of excellent patient care and map against the four broad areas of the Code. Therefore, this will not prevent you from meeting the requirements of revalidation

What is the Trust doing to support you with revalidation?
A Nurse Revalidation Project and Working Group has been established to look at systems and processes to support you with revalidation.
Staff will be kept informed via the usual media (Weekly Newsletter, Trustnet) and special revalidation information workshops.
The Trust is working with LDZone developers to produce an e-portfolio for CNWL staff to use.