Nursing appraisal and revalidation

1. Nursing appraisal and revalidation Jackie SmithChief Executive and Registrar29April 2014

2. Context • NMC is the largestprofessional 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. Part one Jan 2014 – Mar 2014 onlinesurvey – 9,000 responses focus on: - revalidation model code and guidance outcomes to inform implementing revalidation, draft versions of code and revalidation guidance Part two range of methods focus on: - draft code and draft guidance - revalidation model outcomes to inform implementing revalidation, code and revalidation guidance Consultation – six months

9. 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

10. 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

11. 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

12. 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

13. Thank yourevalidation@nmc-uk.org @jackiesmith_nmc www.nmc-uk.org/Nurses-and-midwives/Revalidation