Q- What is Revalidation?
Revalidation is a process that you will need to engage with to demonstrate that you practice safely and effectively throughout your career.
It is important to recognise that renewing your registration is not a new requirement to remain on the NMC register. As nurses and as midwives, we previously declared that we have met the previous NMC Prep standards every three years. Revalidation builds on the PREP standards and will also be a process which takes place every three years.
Q - Why now?
The NMC wants to improve public protection by bringing in a more robust process to make sure all registrants continue to be fit to practice throughout their career.
Q - What does it mean for you (as an NMC registered professional)?
From April 2016, all nurses and midwives will need to comply with the NMC Revalidation requirements in order to renew their registration with the NMC. PREP has been replaced by NMC Revalidation. Applications for Revalidation must be completed through your NMC online account. We recommend that you open an NMC online account via their website, find out your renewal date, familiarise yourself with the new Code and start thinking about the Revalidation requirements.
Q- What are the key changes and what evidence is required?
The NMC Council has approved the model. The first registrants were revalidate under the new model in April 2016 and then on a monthly basis according to each individual registrant’s renewal date. It is important that you begin to familiarise yourself with the requirements to revalidate and develop your portfolio of evidence, which will include 5 pieces of CPD (of which 20 hours must be participatory) 5 pieces of practice – related feedback and 5 written reflective accounts.
All registrants need to be familiar with the requirements and set up an NMC online account. This is because Revalidation applications will be submitted online. More information can be found at: www.nmc.org.uk/registration/nmc-online/
Q- How can I prepare for Revalidation?
- Look at the information and resources the NMC has provided so far on the NMC website at: www.nmc.org.uk/standards/Revalidation
- Join NMC online.
- Ensure you know when your renewal date is.
- Ensure the NMC has your most up-to-date contact details as they may need to contact you.
- Ensure you are familiar with the NMC Code.
- Register to the Trust’s online e-portfolio toolkit (Clarity Appraisal & Revalidation system)
- Start collecting your evidence now
Q - 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.
Q - 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 Trust has provided an online e-portfolio system, Clarity, for the nurses and midwives to use to store their evidence on which is free for you to use.
Q - Is there a template for reflective account? Should we use a specific model?
The NMC have provided a reflective account template which they have piloted. You must use this to record your reflections. It can be found at: www.nmc.org.uk/standards/Revalidation/Revalidation-guidance-and-resources/
Your reflective account should detail the following:
- What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in your practice?
- What you learnt from your CPD activity and/or practice-related feedback and/or event or experience in your practice?
- how you changed or improved your work as a result of this
- how it is relevant to the Code
Q - 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.
Q – Who will be my confirmer?
Nurses and midwives must demonstrate to an appropriate person that they have complied with the Revalidation requirements. This is called confirmation.
Your confirmer will normally be your Appraiser or line manager. In situations where this is not possible you will need to use your judgment to choose who should provide confirmation. The confirmer does not need to be an NMC registered nurse or midwife.
Q - I am a bit concerned as to how I will achieve Revalidation as I have been out of clinical practice for some time. I certainly do not want to lose my registration.
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.
Q - What are the implications for registrants who are not practicing?
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 was a requirement of PREP and has continued 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 contact the NMC’s directly.
Q – As a Ward Manager how can I prepare my team 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 are due their Revalidation to ensure that they are aware of the support that is available from the Revalidation Team to help them complete their 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.
- Encourage your staff to register to the e-portfolio system (Clarity) which the Trust has provided
- Remind you team that they can do the Revalidation 12 months before it is due and complete on NMC online 60 days before renewal date
- Encourage your staff to register to the e-portfolio system (Clarity), which the trust has provided.
Q - What is the Trust doing to help me?
The process for Revalidation is your responsibility. PAHT believes the Revalidation process will drive up the professional standards in nursing and midwifery and allow nurses and midwives to become more accountable to their patients. We will be supporting you through this process as much as possible with regular reminders, information, tools and resources. This includes:
- You will receive a reminder from the Trust that your Revalidation is due and what you need to provide to meet the requirements.
- An intranet resource page
- Revalidation recording system (Clarity toolkit)
- Checklist and discussion tool for your appraisal
- Email address for you to ask questions – email@example.com
- Staff training taking place throughout 2016 for you to find out more
- A dedicated Revalidation team
Q - What happens if I do not revalidate?
Unless you meet the range of NMC Revalidation requirements to prove that you are keeping up to date and actively maintaining your fitness to practice, you will not be able to remain on the NMC register. Some of the requirements for Revalidation, such as recording and reflecting on CPD and completing the correct number of practice hours, are similar to the PREP standards.
If you do not meet the Revalidation requirements by your Revalidation date, you will be removed from the NMC register. You will then have to wait for your information to be reviewed before the NMC will add you to the register.
During this period you will be unable to work for the Trust as a registered nurse or midwife.
Q - Does the Trust provide my professional indemnity?
The Trust will supply professional indemnity for all registered nurses and midwives for the care you provide under our employment. It will not cover you for any work you carry-out, outside your PAHT employment. If you are a member of RCN or Unison and you need professional indemnity these organisations provide some free cover but you need to contact them directly to ensure that you have enough cover.
Q – What do I need to do if I am on Sick leave or Maternity leave when my Revalidation date is due?
The NMC have special arrangements in place for nurses and midwives who cannot meet the Revalidation requirements as a result of exceptional circumstances. By exceptional circumstances we mean that you:
Have not been in practice for sufficient time between October 2015 when the Revalidation guidance was published and your Revalidation application date (for example, if you have been on maternity leave or sick leave) to meet the additional requirements, or you cannot meet one or more of the requirements at any time because a protected characteristic under the Equality Act may apply.
If you are able to establish that exceptional circumstances apply in your case, you will still need to meet the existing PREP requirements. Please see the Guidance sheet on adjustments for exceptional circumstances for further information www.nmc.org.uk/Revalidation
If you are due to go on maternity, sick leave or a career breaks it is recommended that you complete all of your Revalidation documentation ready for your submission. You can have the Reflective discussion and Confirmation meeting up to 12 months before your Revalidation date.
Q – Where can I get information on what to submit if I am a dual registrant?
In order to meet the practice hours requirement to maintain both of their registrations, dual registrants must have undertaken a minimum of 900 hours over the three year period since their registration was last renewed or they joined the register. This includes at least 450 hours for nursing and 450 hours for midwifery. Further information can be found at http://nmc-news.org/t/129A-45UJK-64QYVV-22BVHG-1/c.aspx
Q – What is the Clarity system?
The Clarity system is an electronic portfolio system which can help our nursing and midwifery staff with the new Revalidation process. This system is free to use and once you have registered you can upload all of your portfolio documents to it. If you are a registered nurse or midwife you should all have received an email from appraisals@clarity with an invitation to register to the system. You must follow the instructions on the email to register. You can access the system at work and at home so you can use Clarity at your convenience. Once you have entered the system with your information it can also produce an on-line CV that you can use. Watch our video where staff who have used the clarity system share their experience of this - watch the video. If you have any questions or queries related to this or any other areas of Revalidation, please contact our Trust Revalidation team on – 0161 918 4244 (internal 44244) or email at firstname.lastname@example.org.
- – If I do not have access to a scanner, how can I scan and upload my documents on to the e-portfolio system?
We will shortly be receiving new printers that have the option to scan you can then send this directly to your email address and upload the item, alternatively, if you have a smartphone you can access free scanners through your applications, these free scanners are extremely accurate and will centre and you can then once again email these to yourself and then add the document.
Q - What happens next?
Once you complete the Revalidation process successfully, you will receive an email to confirm that your registration has been renewed. You should receive this within two days of submitting your application. You can then log back onto your NMC Online account to see your confirmed registration status.
Please note you will not receive confirmation that your registration has been renewed until we receive both your Revalidation application and your fee.
If you have a direct debit set up, you should allow five days after payment has been collected to receive your confirmation email.
You should keep your Revalidation evidence and the contact details of the people you had your reflective and confirmation discussions with safely filed, as you may need to refer to them again.
Each year we select a sample of nurses and midwives to provide more information. This process is known as verification.
We will notify you within 24 hours of submitting your Revalidation application and paying your fee if you have been selected to verify your application. It’s important to know that if you are selected for verification this does not necessarily mean that we have any concerns about your application.