An update on revalidation for Nurses and Midwives in NHS Fife Revalidation and you.............. An update on revalidation for Nurses and Midwives in NHS Fife This presentation aims to give nurses and midwives across Fife, information regarding the implementation of the Nursing and Midwifery Council model for revalidation and work being progressed in NHS Fife. v0.4 MFM 12th June 2015

The Code (paragraph 22) requires you to: Fulfil all registration requirements To achieve this, you must: 22.1 meet any reasonable requests so we can oversee the registration process 22.2 keep to our prescribed hours of practice and carry out continuing professional development activities, and 22.3 keep your knowledge and skills up to date, taking part in appropriate and regular learning and professional development activities that aim to maintain and develop your competence and improve your performance.

The final revalidation arrangements will not be confirmed by the NMC until October 2015

Revalidation and you.............. NHS Fife Board Lead Morag Gardner Risk & Governance Strategy Communication Strategy Revalidation Steering Group Revalidation Working Group Quarterly Newsletter NHS Fife Revalidation Launch Awareness Sessions Supporting Materials Intranet Site

Practice-Related Feedback (Including 20hrs participatory) During the 3 years prior to Revalidation 450 Practice Hours 5 Practice-Related Feedback 40 hrs CPD (Including 20hrs participatory) 5 Reflective Accounts Reflective Discussion with a Registrant* Confirmation Discussion Up to 1 year before renewal expiry Health & Character Indemnity Submit Declaration to NMC 1 month before renewal expiry +

Revalidation and you.............. .............Practice Hours How to meet the requirements You will be asked to declare that you have worked a minimum of 450 hours whilst practising as a registered nurse or midwife. Your practice hours will relate to your own specific scope of practice and are not limited to direct patient care. Some roles will include non-clinical practice, however you must be in a role based on your professional capacity, using your nursing/midwifery knowledge, skills & experience. It is recommended that you keep a record of the hours worked in your portfolio, as you may be asked to provide evidence of this to the NMC. This is the equivalent of 12 weeks working 37.5 hours/week. The NMC currently have a Practice Hours Record Log as part of the pilot. If you are selected to provide further information to verify the declaration you made in your application, you will be asked to provide a range of information about your practice hours, including: • dates of practice • the number of hours you undertook • name, address and postcode of the organisations • scope of practice • work setting • a description of the work you undertook; and • evidence of those practice hours, such as timesheets, job specifications and role profiles. You will be asked to provide this information starting from your most recent practice, and continuing until you meet the practice hours requirement. More information is coming from NMC on practice hours.

............Continuing Professional Development Revalidation and you.............. ............Continuing Professional Development How to meet the requirements You will be asked to declare that you have undertaken a minimum of 40 hours of Continuing Professional Development (CPD) relevant to your scope of practice as a registered nurse or midwife. At least 20 of these hours must be ‘participatory’ this means you have interacted with others to learn, either physically or virtually. You must collect evidence and keep records that you have met these requirements, you will need to show this to your confirmer. The NMC may also ask to see this. Any learning activity you participate in should be relevant to your scope of practice as a nurse or a midwife. Therefore, you should not include mandatory training that is not directly related to your practice (for example, fire training or health and safety training) as part of your 40 hours of CPD. However, if you undertake any mandatory training that is necessary to your scope of practice and professional development (for example, mandatory training on equality legislation if you are in a policy role), you could include these. Participatory learning includes any learning activity in which you personally interacted with other people. It is an activity undertaken with one or more professionals or in a larger group setting. The group does not always need to be in a common physical environment, such as a study tour or conference. It could be a group in a virtual environment (such as an online discussion group). 'The professionals that you engage with through participatory learning do not have to be healthcare professionals. at in your portfolio.

............Continuing Professional Development Revalidation and you.............. ............Continuing Professional Development You must keep a record of: Dates on which the CPD was undertaken CPD method e.g. Online learning, study day Description of the learning activity, how it linked to your scope of practice, what you learnt and how you have applied this learning to your practice Links between the CPD activity and the most relevant part of the Code Number of CPD hours (including the number of participatory hours) This can be kept as part of a portfolio. Provisional templates are available on the NMC website.

............Practice Related Feedback Revalidation and you.............. ............Practice Related Feedback How to meet the requirements You must obtain at least 5 pieces of practice-related feedback over the three years prior to the renewal of your registration. Try to obtain feedback from a variety of sources. For example you might receive feedback from patients, carers, students, service users or colleagues. You can also obtain feedback through reviewing complaints, team performance reports and serious event reviews. You may also have received feedback through your annual appraisal. Feedback can be formal or informal. Written or verbal. You do not need to include the actual instances of feedback in your portfolio. However, we recommend that you keep a note of the content of the feedback and how you used it to improve your practice. This will be helpful for you to use when you are preparing your reflective accounts. You may not always need to seek feedback. It’s likely that you will already receive a range of feedback. Feedback from colleagues does not need to be limited to colleagues who are nurses or midwives. They could be other healthcare professionals you work with. They might also include colleagues in management, on reception, or assistant positions. They may be fellow teachers, academics, researchers or policy colleagues. If directly asking colleagues or patients for feedback, we recommend that you inform them how you intend to use their feedback and whether it will remain confidential.

............Reflection and Discussion Revalidation and you.............. ............Reflection and Discussion How to meet the requirements You must record a minimum of 5 written reflections on the Code, your CPD and practice-related feedback over the three years prior to the renewal of your registration. Each reflection can be about CPD or feedback, or a combination of both. For example, you could create a reflective account on a particular topic which may have arisen through some feedback your team received, such as consent and confidentiality and identify how that relates to the Code. The nmc have a template to record this information but this in a draft format, you can use any method of recording this however it must meet the minimum requirements explaining what you learnt from the CPD activities and/or feedback. Including how you have changed or improved your practice as a result, and how this is relevant to the Code.

............Reflection and Discussion Revalidation and you.............. ............Reflection and Discussion How to meet the requirements You must have a professional development discussion with another NMC registrant, covering your reflections on the Code, your CPD and practice-related feedback prior to confirmation. You must ensure that the NMC registrant with whom you had your professional development discussion signs a form recording their name, NMC Pin, email, professional address and postcode, as well as the date you had the discussion. In most instances this will take place at the same time as confirmation. You must discuss your reflective accounts with an NMC registrant as part of a professional development discussion. They could be someone you frequently work with or someone from a professional network or learning group. You do not need to work with them on a daily basis and you do not need to undertake the same type of practice. It is for you to decide who is the most appropriate person to have this conversation with, including whether they are more senior or junior to you You must ensure that the NMC registrant with whom you had your professional development discussion signs a form recording their name, NMC Pin, email, professional address and postcode, as well as the date you had the discussion.

............Confirmation from a Third Party Revalidation and you.............. ............Confirmation from a Third Party How to meet the requirements The NMC will ask you to provide the name, NMC Pin or other professional identification number (where relevant), email, professional address and postcode of the ‘appropriate third party confirmer’. The ‘appropriate third party confirmer’ is your line manager. We strongly recommend that you obtain confirmation from your line manager wherever possible. Your line manager does not have to be an NMC registrant to ‘confirm’ you. Wherever possible we recommend that the third party you obtain confirmation from is an NMC registrant. It is helpful if they have worked with you or have a similar scope of practice, but this is not essential. If that is not possible, you can seek confirmation from another healthcare professional that you work with and who is regulated in the UK. For example, you could ask a doctor, dentist or a pharmacist. You will need to record their professional Pin or registration number and the name of their professional regulator.

Declare you are of good health/character – unchanged These declarations will be made as part of your revalidation application. You do not need to keep anything in your portfolio as part of this requirement.

As an NHS employee you have indemnity through vicarious liability As an NHS employee you have indemnity through vicarious liability. If you are a member of a union you should also have personal indemnity – check with provider. Your declaration will be made as part of your revalidation application. You will be asked to inform the NMC whether your indemnity arrangement is through your employer, a membership with a professional body, or through a private insurance arrangement. Alternatively, you will be able to inform us that you are not practising at this time but that you intend to have appropriate cover in place before you practise.

Revalidation and you.............. ............Keeping a Portfolio Your portfolio should contain evidence of: The feedback you have received and how you have used these to improve your practice. (Minimum of 5 instances) The CPD activities and hours you have undertaken. (Minimum of 40 hours, 20 hours must be participatory learning) The reflective accounts you have completed explaining what you learnt from the CPD activities and/or feedback. Including how you have changed or improved your practice as a result, and how this is relevant to the Code. (Minimum of 5 written reflective accounts) The reflective discussion and confirmation (Usually both of these will be carried out by your line manager) NMC have provided a template that you can use to record your reflections. Recording this in an electronic portfolio may support revalidation, NHS Education for Scotland have a free ePortfolio

............Finding out your revalidation date Revalidation and you.............. ............Finding out your revalidation date Register with NMC online http://www.nmc.org.uk/registration/nmc-online/ Log in to NMC online and find out the date of your renewal expiry – this is your revalidation date Let your line manager know when you are due to revalidate

............Preparing to meet the requirements Revalidation and you.............. ............Preparing to meet the requirements Start collecting your evidence based on the draft NMC revalidation guidance. Consider keeping a portfolio with evidence of your CPD, reflections and feedback covering your 3 year renewal period. NHS Education for Scotland have produced a free online ePortfolio http://www.nes.scot.nhs.uk/education-and-training/by-discipline/nursing-and-midwifery/careers-and-recruitment/nursing-midwifery-career-long-eportfolio.aspx Attend NHS Fife awareness/education sessions and disseminate any information to other colleagues who are registrants.

............Finding out more information Revalidation and you.............. ............Finding out more information Ensure you are up to date on revalidation developments and tools by checking regularly on the NMC Website http://www.nmc.org.uk/standards/revalidation/ The NHS Fife revalidation group will continue to produce a quarterly newsletter to update staff. Regularly check the NHS Fife Revalidation intranet page www.nhsfife.org/nursingandmidwifery