The New NMC Code and Revalidation For all

The New NMC Code and Revalidation For all Registrants

The new Code The 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 new Code is effective from 31 March 2015. 2

Professional/Organisational priorities of safety and care through the new Code – One Code, Four Themes Together they signify good nursing and midwifery practice Personalisation Access Involvement Rights Clinical guidelines Learning Innovation Quality control Safety systems Safety culture Monitoring Transparency Leadership Governance Care Compassion Listening Dignity Evidence-based practice CPD Technical skills Experimentation Safety behaviours Human factors Team orientation Reporting Honesty Probity Professionalism 3

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. Social media The Code recognises the changing nature of communications and sets standards for acting responsibly including the use of social media. Fundamentals of care The Code sets standards of fundamental care and provides examples of what this includes such as nutrition, hydration and environmental cleanliness. 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. 4

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. 5

Regulation in action The Code is useful for everyone who cares about nursing and midwifery. Nurses and midwives Employers Educators Students Patients and service users General public Unions and professional groups Other regulators and policy makers Educators can use the Code to help students understand what it means to be a registered professional Employers can use it to support their staff in upholding standards as part of providing quality and safety Nurses and midwives can use it as a way of reinforcing their professionalism Patients and service users and those who care for them can use it to provide feedback about they care they receive 6

The Code and revalidation: Developed in collaboration 7

Revalidation of professional practice The purpose of revalidation is to; improve public protection by ensuring nurses and midwives remain fit to practice throughout their careers. 8

Revalidation Proposed Requirements (currently being piloted) Practice hours Registrants must practise a minimum of 450 hours (900 hours for those with dual registration) over the three years prior to the renewal of their registration. Continuing professional development Registrants must undertake 35 hours of continuing professional development (CPD) relevant to their scope of practice as a nurse or midwife, over the three years prior to the renewal of their registration. Of these hours, at least 20 must be through participatory learning and 15 hr self directed learning. Practicerelated feedback Registrants must obtain at least 5 pieces of practice-related feedback over the three years prior to the renewal of their registration and relate this to the Code. Reflection and Reflective discussion Registrants must record a minimum of 5 written reflections on their CPD and practice-related feedback and relate it to the Code over the three years prior to the renewal of their registration. Registrants must discuss these reflections with another NMC registered nurse or midwife. Health and character Registrants must provide a health and character declaration. They must declare if they have been convicted of any criminal offence or issued with a formal caution over the three years prior to the renewal of their registration. Professional indemnity arrangement Registrants must declare that they have, or will have when practicing, appropriate cover under an indemnity arrangement. Confirmation from a third party Registrants will need to demonstrate to a third party that they have met the revalidation requirements. Keeping a portfolio We strongly recommend that registrants keep evidence that they have met these requirements in a portfolio (this is, however, optional). 16

Revalidation vs PREP 2001 Revalidation 2016 Every 3 year registrants complete a notification of practice to the NMC which declares they comply with PREP requirements Every 3 years registrants will complete the revalidation declaring they are fit to practice, evidence is confirmed by line manager Practice hours 450 hr for nurses in each 3 yr period 450 hrs for midwives in each 3 yr period 900 hrs for both parts of the register in each 3 yr period Continuing Professional Development 35 hrs in each 3 yr period relevant to your practice Record the learning in your profile Comply with NMC request to audit Continuing Professional Development 35 hrs in each 3 yr period, relevant to your sphere of practice, 20 hrs at least must be participatory learning Maintain a record of all learning activities Comply with NMC request to audit Practice Related Feedback – 5 pieces of practice related feedback from a range of sources i. e. patients, colleagues, managers, complaints, incidents Reflection and Reflective Discussion Minimum of 5 written reflections on the Code, your CPD and practice related feedback Evidence of reflective discussion with a NMC registrant covering these aspects of your practice Self declaration of good health and good character Declaration of Professional Indemnity Only applies to independent practice as NHS provides indemnity Confirmation Demonstrate third party confirmation that you have met the Revalidation requirements Usually done by line manager through PADR Submit your Notification of Practice and Pay your annual fee Confirm Revalidation via NMC on line and Pay your annual fee

Why are the NMC 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 11

Revalidation pilots • 19 organisations across the UK have piloted revalidation • Wales was ABHB who contributed 40% of the participants - Wales will have a strong voice in shaping revalidation • Aim to test processes and tools of the revalidation model • Finalised guidance being published autumn 2015 • Final guidance and material available nmc-uk. org/revalidation

What do nurses and midwives need to do next? • Learn more from the NMC website, Royal Colleges, representative organisations, professional journals, Powys HB website • Start using the Code in daily practice • Register with the NMC online NOW • Confirmers may have bespoke training sessions on confirming the evidence based on feedback – to review Jan 2016 • Be ready to revalidate form April 2016 onwards 13

Revalidation Requirements • Any questions - GOOD LUCK • Thank you • Diolch yn Fawr • vinny. ness@wales. nhs. uk 14