ECCFellows Masterclass 3.03.15 Keeping up with the NMC Jane Harris, Programme Director, NES Marianne Murdoch, NES Practice Educator, NHS Fife

Aims of the session Discuss current professional regulatory changes and requirements relating to the revised NMC code and revalidation Explore in depth an aspect of the revised code Discuss the implications of the revised Code and revalidation from the perspective of the registrant/ECCF

The Nursing and Midwifery Council Regulator for England, Wales, Scotland and Northern Ireland. Exists to protect the health and wellbeing of the public. Maintains the largest register of healthcare professionals in the world (680K)- ensuring they are properly qualified and competent to work in the UK.

Core Function of NMC Integrity of the Register Registration Standards Education Fitness to Practise Revalidation Standards Core Function of NMC Integrity of the Register

The NMC Code… The 2015 revision reflects changes in healthcare and expectations of society since 2008 and places more specific requirements on registrants. The Code sets the principles of what the public should expect from nurses and midwives, and defines what it means to be a regulated professional. The Code was last revised in 2008, as a response to the Francis report.

Significant changes in the revised code Best practice behaviours as well as standards for practise Fundamentals of care Responsible use of all forms of communications e.g. social media Professional duty to take action in an emergency Duty of Candour Prescribing and medicines management Conscientious objection End of Life Care Significant changes in the revised code Greater focus on: Teamwork Compassionate care Co-operation with investigations and reviews. Standards for record keeping Raising concerns Delegation and accountability 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. 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.

Regulation in action 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

How can the public and the profession be assured that the registrants are upholding the Code? Revalidation will be the process by which registered nurses and midwives will demonstrate to the NMC that they continue to remain fit to practise. Revalidation aims to protect the public, increase public confidence in nurses and midwives and helps those on the NMC’s register to meet the standards required of them

Maintain a professional profile Post Registration Education and Practice (PREP) Current arrangements for 3 yearly renewal of registration 450 hours practice 35 hours learning Maintain a professional profile Submit Notification of Practice form Revalidation from January 2016 NMC proposals for revalidation at point of renewal every 3 years 450 hours related to your scope of practice 40 hours CPD – at least 20 hours in participatory learning Maintain a professional profile Confirmation via third party (MUST be a NMC registrant) Minimum of five reflective accounts based on feedback All nurses and midwives on our register will be revalidated every three years at the point of their renewal. Each nurse and midwife will take ownership of their revalidation. Those who do not revalidate will lapse from the register. Those who wish to revalidate will be required to continually gather evidence for their revalidation based on criteria in the revised Code, standards and guidance, which are due to be published in December 2014. Every nurse and midwife will be required to confirm that they: • Continue to remain fit to practise. • Have met the requirements for practice and continuing professional development. • Have sought and received third party feedback which has informed their reflection on their practice. This feedback could be from patients, carers, students (for educators) or peers. • Have sought and received third party confirmation that they are fit to practise. A third party (likely to be a manager, another registrant or a supervisor) will need to confirm that the nurse or midwife is adhering to the Code and standards, and is fit to practise.

Revalidation Pilots –NHS Tayside/Islands A copy of the revised Code – ‘one off’ will be sent to all registrants before 31.03 Leaflet on Code for patients/public 31.03 Guidance on revalidation for N&Ms, confirmers and information for patients and the public.

Changes to guidance under the Code New guidance due: Social networking Duty of candour Revalidation Raising Concerns guidance (2013) will remain Guidance that will be withdrawn: Record keeping Care of older people Professional conduct for nursing and midwifery students There will be no immediate changes to the standards which sit under the Code.

Raising concerns about care Activity 1: Watch the Short video NMC Safeguarding adults 1: An Introduction https://www.youtube.com/user/NMCvideos?feature=watch Pick one of the 3 scenarios. What would you do? Activity 2: Listen to Helene Donnelly, ambassador for cultural change at Staffordshire and Stoke-On-Trent Partnership NHS talking about her experiences of raising concerns about care at Mid-Staffordshire NHS Foundation Trust Also at Activity 3: Read and familiarise yourself with Raising Concerns Guidance NMC (2013) and reflect on your responses in Activity one and Helene Donnelly’s experience. http://www.nmc-uk.org/Documents/NMC-Publications/NMC-Raising-and-escalating-concerns.pdf

Revalidation A positive opportunity for CPD? A one off event every three years? Where does the responsibility for revalidation lie?

The benefits of revalidation To patients and the public? To nurses and midwives? To employers? Others?

Revalidation Effective Practitioner The Knowledge Network ePortfolio

Revalidation Learning Activities Reflective Templates Revalidation

What do nurses and midwives need to do next? Familiarise yourself with the Code for practice now and in preparation for revalidation Discuss the Code with peers, managers and students Learn more from the NMC website, Royal Colleges, representative organisations and professional journals Register with the NMC online