A Pan Midlands Yorkshire and East of England

A Pan Midlands, Yorkshire and East of England Practice Learning Approach to the NMC (2018) Part 2: Standards for Student Supervision and Assessment Student preparation for SSSA during the Covid 19 emergency Compiled by Abbie Fordham-Barnes of behalf of MYE PLG Developed by PAN Midlands Yorkshire and East Practice Learning Group for use and amendments under the Creative Commons licence. Details at https: //creativecommons. org/licenses/by-nc-nd/3. 0/

How to Navigate through the video • If you look at the bottom of the screen your will see some white dots. These are called chapters • Hover these and it will tell you what is coming up to the next chapter (set of slides)

Aims and Learning Outcomes To prepare you for the new SSSA standards • Demonstrate knowledge related to the role of Practice Supervisor (PS) Role in supporting, coaching and teaching students in practice • Demonstrate knowledge relating to the Practice Assessor (PA) role to supervise and assess students • Demonstrate knowledge relating to the Academic Assessor (AA) role in supporting and assessing students. • Be able to describe the communication and collaborative processes between PA, PS and AA

Background and NMC (2018) Standards of student supervision and assessment • NMC (2018) Realising Professionalism: Standards for education and training; Part 2: Standards for student supervision and assessment (SSSA) • NMC (2018) Future Nurse: Standards of proficiency for registered nurses • Pan Midlands, Yorkshire and East of England Practice Assessment Document has been developed for approval at validation for implementation September 2019 (with any new curriculum) • Practice partners want unified approach to implementation to SSSA

Context • Background Pan Midlands, Yorkshire and East of England approach • NMC Emergency standards (2020) – stated ALL students must move onto the SSSA process • Roles and responsibilities of Practice Supervisor (PS), Practice Assessor (PA), Academic Assessor (AA) • Roles and responsibilities of roles in new PAD/OAR • Tripartite approach to progression and failure to achieve decision • Own goals and action plan for transfer

Standards for education and training

Principles of our new standards for student supervision and assessment Benefits • Separate supervision and assessment roles to: • Increase consistency in assessment judgments • Avoid ‘failing to fail’ situations • Improve interprofessional working • Open the circuit to different learning opportunities not currently available under the mentor system. • Enhance joint working between AEIs and practice placement partners • Supporting students becomes every NMC registrant’s responsibility (it is in the Code) • Everyone will have an input to assessment

Assessment of students and confirmation of proficiency • all students on an NMC approved programme are assigned to a different nominated academic assessor for each part of the education programme • all students on an NMC approved programme are assigned to a nominated practice assessor for a practice placement • practice and academic assessors receive ongoing support to fulfil their roles • practice and academic assessors are expected to appropriately raise and respond to concerns regarding student conduct, competence and achievement and are supported in doing so • Role of nominated person

NEW Roles for student supervision and assessment Practice Supervisor Any registered healthcare professional after preparation Continuity needed to measure student progress Can assess some skills / outcomes and will feedback to Practice Assessor on the student • • • Expectation that all RNs and MWs in Leeds will take on this role following preceptorship • • Practice Assessor • • • Academic Assessor NMC registered (not field specific): RN for nursing student, RM for midwifery student, can be RN or Reg NA for TNA Current, suitably prepared and supported Must observe student in practice Assess and confirm achievement Do not supervise and assess the same student Expectation that current up to date mentors in Leeds will take on this role once prepared • Academic staff, NMC Registered, not field specific • Current, suitably prepared, supported • Collate and confirm achievement in practice in conjunction with PA to enable student to progress to next stage of the programme • University lecturers in Leeds

Roles and responsibilities of the practice supervisor Contribute to assessment and progression by; Safe and Effective Support and Supervise Feedback Raise Concern • practice supervision ensures safe and effective learning experiences that uphold public protection and the safety of people • all students on an NMC approved programme are supervised in practice by NMC registered nurses and midwives and other registered health and social care professionals • there is sufficient coordination and continuity of support and supervision of students to ensure safe and effective learning experiences • the level of supervision provided to students reflects their learning needs and stage of learning and to meet their proficiencies/standards • Serve as role models for safe and effective practice • support and supervise students, providing feedback on their progress towards, and achievement of, proficiencies and skills • Appropriately raise and respond to student conduct and competence concerns and are supported in doing so

Roles and responsibilities of the practice assessor Conduct Make and record Maintain Do not act as Practice Supervisor and Practice Assessor for the same student Work in Opportunities • Schedule communication and collaboration between practice and academic assessors at relevant points in the programme • Conduct assessments and ensure assessment decisions are informed by feedback from practice supervisors • Make and record objective, evidence based assessments on conduct, proficiency and achievement, drawing on records, observations, student reflection and other resources • Maintain current knowledge and expertise relevant for proficiencies and programme outcomes • Work in partnership with academic assessors to evaluate and recommend progression • Have sufficient opportunities to periodically observe the student across environments, to gather and coordinate feedback from PS(s) and other relevant people to be assured about decisions for assessment and progression

Roles and responsibilities of the Academic assessor Collate and Confirm Make and record • Collate and confirm student achievement of proficiencies and programme outcomes in the academic environment • Has understanding of the student’s learning and achievement in practice • Make and record objective evidence based decisions on conduct, proficiency and achievements and makes recommendations for progression Work in • Work in partnership with a practice assessor to evaluate and recommend the student for progression for each part of the programme Communication • Enables scheduled communication and collaboration between academic and practice assessors

example model Example Placement • Students will work with multiple Practice Supervisors. • Practice Supervisors will feedback to students Practice Assessor who will make assessment decision. • Practice Assessors will liaise with Academic Assessors to make decision on students progression to the next stage.

Standards for student supervision and assessment Three headings • Effective practice learning • Supervision of students • Assessment of students and confirmation of proficiency

Effective practice learning Learning Environment • The student level • The programme • The route Delegation Supervision • Learning opportunities • New models of supervision & assessment • Empower and meet student expectations • Delegation of care interventions • Learn in a safe & effective way New roles: • Practice supervisor • Practice assessor Public safety

Supervision and assessment of students; the process Roles and responsibilities of Practice Supervisor, Practice Assessor and Academic Assessor

Supervision of students • all students on an NMC approved programme are supervised while learning in practice • the level of supervision provided to students reflects their learning needs and stage of learning • there is sufficient coordination and continuity of support and supervision of students to ensure safe and effective learning experiences • all students on an NMC approved programme are supervised in practice by NMC registered nurses and midwives and other registered health and social care professionals

PAD and OAR (year 3) MYEPAD /OAR (Year 2): documentation and assessment Practice Supervisor Practice Assessor Completes: • Can complete initial interview per placement • Mid-point professional values • Contributes to assessment of proficiencies based on scope of practice in liaison with the Practice Assessor • Signs off Service User Feedback • Signs off NMC Essential Skills • Provides feedback interprofessional working page Completes: • Can conduct/ confirm initial interview per placement • Mid-point and final interview per placement • Assessment and confirmation of proficiencies • Final professional values per placement • Medicines Management • Completes OAR at end of each placement & progression point Academic Assessor Completes: Action Plan (if required and with Practice Assessor) Signs off Final Interview if required Signs off OAR at end of each placement and progression point

MYEPAD /OAR: documentation and assessment Practice Supervisor Practice Assessor Completes: • Initial interview per placement • Mid-point professional values • Contributes to assessment of proficiencies based on scope of practice in liaison with the Practice Assessor • Signs off Service User Feedback • Signs off NMC Essential Skills • Provides feedback interprofessional working page Completes: • Confirm initial interview per placement • Mid-point and final interview per placement • Assessment and confirmation of proficiencies and NMC Essential skills • Final professional values per placement • Medicines Management • Completes OAR at end of each placement & progression point

MYE PAD/OAR: documentation and assessment Academic Assessor Completes: • Action Plan (if required and with Practice Assessor) • Signs off Final Interview • Signs off OAR at end of each placement and progression point

Pan Midlands, Yorkshire and East of England Approach to PS/PA/AA Relationship to PAD/OAR

Pan Midlands, Yorkshire and East - Student responsibilities Students must take a key role in their supervision and assessment in practice and must be: • Prepared for and have a sound understanding of the proficiencies they need to achieve • Aware of the person they should to speak to in the practice area if they have concerns • Actively encouraged to seek out practice supervisors to support their learning and encourage feedback to be recorded in their PADs • Made aware of their nominated PA and AA from the beginning of the placement

Pan Midlands, Yorkshire and East - Practice Supervisor responsibilities • There can be multiple supervisors in a specific placement who can support the student in achieving a range of learning outcomes • When identifying a PS or PSs to support the student their scope of practice needs to be considered. For example a newly registered nurse will be a valuable PS in supporting achievement of some proficiencies but will not always have the required knowledge and skills

Pan Midlands, Yorkshire and East - Practice Assessor responsibilities • A nominated PA is to assigned for a placement and must be on the same part of the register as the student. • The role of nominated PA to be clearly defined and students aware of who their nominated PA is at the beginning of the placement • The process of communication and liaison between the nominated PA and nominated AA will need to be articulated by the local AEI • The decisions regarding confirmation of achievement of proficiencies may be informed by feedback from PSs although the PA should consider the feedback in terms of the scope of practice of the PS and the length of time the student and PS had been working together

Additional support and Further information Additional Support • epad@leeds. ac. uk • PA and PS can email sss-a@leeds. ac. uk Further Information • Pan Midlands Yorkshire and East Practice Learning group website www. myeplg. ac. uk NMC SSSA Supporting Information on their website https: //www. nmc. org. uk/supporting-information-on-standards-for-student-supervision-and -assessment/ HEI Contact Practice Placement Unit https: //practiceplacements. leeds. ac. uk/