NMC Where are we now Jackie Smith Chief

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NMC – Where are we now? Jackie Smith Chief Executive and Registrar 23 April

NMC – Where are we now? Jackie Smith Chief Executive and Registrar 23 April 2018

Where are we now? 1. Future Nurse - standards of proficiency 2. Nursing associates

Where are we now? 1. Future Nurse - standards of proficiency 2. Nursing associates – consultation 3. A new strategic direction for fitness to practise

Standards and proficiencies – Future nurse We set out to: • Raise the ambition

Standards and proficiencies – Future nurse We set out to: • Raise the ambition for nursing, for patient benefit • Maximise the quality of education and training for Nurses • Ensure that regulation is fit for purpose, and not a barrier to individual and service development

Consultation process • Were clear that this was an open consultation • Rigorous process

Consultation process • Were clear that this was an open consultation • Rigorous process – 1500 responses, events, twitter chats, webinars… • Responses were largely positive

What’s changed?

What’s changed?

Some mixed responses • Application of all standards and skills annexes across all four

Some mixed responses • Application of all standards and skills annexes across all four fields • Simulation • Concern over the new model for learning and assessment in practice

Supernumerary status They aren’t in the numbers…. They are in the team Redefined: 1.

Supernumerary status They aren’t in the numbers…. They are in the team Redefined: 1. Students must be supported to learn without being counted as part of the staffing 2. Placements should enable students to learn, not merely to observe 3. Once a student has demonstrated that they are proficient, they should be able to fulfil tasks without direct oversight in order to prepare them for practice and build confidence 4. The level of supervision a student needs is based on the professional judgement of their supervisors 5. Students can add real value to care

What now? • Official launches in all four countries • Commence programme approvals September

What now? • Official launches in all four countries • Commence programme approvals September 2018 • NMC to provide ongoing support during implementation phase

Regulation for nursing associates As for nurses, we can’t: • Set out tasks that

Regulation for nursing associates As for nurses, we can’t: • Set out tasks that nursing associates cannot do • Place limits on the development of individuals’ sphere of competence Tools at our disposal: • Proficiencies • Standards for Education • The Code

So, what’s new? • Standards of proficiency • Nursing associate education programme standards What

So, what’s new? • Standards of proficiency • Nursing associate education programme standards What we’re proposing stays the same • The Code (minor amendments) • Education (overarching standards and QA) • Registration • Revalidation • Fitness to Practise

So, where are the differences? Nursing associates: 6 platforms Nurses: 7 platforms • Being

So, where are the differences? Nursing associates: 6 platforms Nurses: 7 platforms • Being an accountable professional • Promoting health • Provide health and preventing ill • Working and monitor care in teams • Improving safety and quality of care • Contributing to integrated care an accountable professional • Promoting health and preventing ill • Assessing needs and planning care health • Providing and evaluating care • Leading and managing nursing care and working in teams • Improving safety and quality of care • Coordinating care

Consultation details Consultation runs from 9 April to 2 July 2018 Workshops • 17

Consultation details Consultation runs from 9 April to 2 July 2018 Workshops • 17 May Manchester • 24 May London • 12 June Birmingham Webinars, twitter chats… Visit our website for further details https: //www. nmc. org. uk/naconsultation

A new strategic direction for fitness to practise • Public protection at the heart

A new strategic direction for fitness to practise • Public protection at the heart of the proposed changes • Move away from a process which is adversarial, cumbersome and distressing • To a process which supports a learning culture where nurses and midwives can be open about what happened • Ambition – fewer hearings with the same public protection outcomes

Protecting the public A professional culture that values equality, diversity and inclusion and prioritizes

Protecting the public A professional culture that values equality, diversity and inclusion and prioritizes openness and learning in the interests of patient safety Prioritizing effective local action by employers Taking account of the safety critical context in which incidents occur Managing public expectations effectively and supporting vulnerable stakeholders better Nurses and midwives who are fit to practise safely and professionally Enabling nurses and midwives to remediate regulatory concerns Working effectively with regulators and other key stakeholders within clearly defined boundaries Holding full hearings only in exceptional circumstances Embedding continuous improvement in our operations

Consultation details Consultation runs from 4 April to 30 May 2018 Webinars and twitter

Consultation details Consultation runs from 4 April to 30 May 2018 Webinars and twitter chats Visit our website for further details https: //www. nmc. org. uk/ftp-consultation