1. NMC – Where are we now? Jackie Smith Chief Executive and Registrar
23 April 2018

2. Where are we now? Future Nurse - standards of proficiency
Nursing associates – consultation
A new strategic direction for fitness to practise

3. Standards and proficiencies – Future nurse
We set out to:
Raise the ambition for nursing, for patient benefit
Maximise the quality of education and training for Nurses
Ensure that regulation is fit for purpose, and not a barrier to individual and service development

4. Consultation process Were clear that this was an open consultation
Rigorous process – 1500 responses, events, twitter chats, webinars…
Responses were largely positive

5. What’s changed?

6. Some mixed responses
Application of all standards and skills annexes across all four fields
Simulation
Concern over the new model for learning and assessment in practice

7. They aren’t in the numbers….
Supernumerary status
They aren’t in the numbers….
They are in the team
Redefined:
Students must be supported to learn without being counted as part of the staffing
Placements should enable students to learn, not merely to observe
Once a student has demonstrated that they are proficient, they should be able to fulfil tasks without direct oversight in order to prepare them for practice and build confidence
The level of supervision a student needs is based on the professional judgement of their supervisors
Students can add real value to care

8. What now? Official launches in all four countries
Commence programme approvals September 2018
NMC to provide ongoing support during implementation phase

9. Regulation for nursing associates
As for nurses, we can’t:
Set out tasks that nursing associates cannot do
Place limits on the development of individuals’ sphere of competence
Tools at our disposal:
Proficiencies
Standards for Education
The Code

10. So, what’s new?
Standards of proficiency
Nursing associate education programme standards
What we’re proposing stays the same
The Code (minor amendments)
Education (overarching standards and QA)
Registration
Revalidation
Fitness to Practise

11. So, where are the differences?
Nursing associates:
6 platforms
Nurses:
7 platforms
Being an accountable professional
Promoting health and preventing ill health
Provide and monitor care
Working in teams
Improving safety and quality of care
Contributing to integrated care
Being an accountable professional
Promoting health and preventing ill health
Assessing needs and planning care
Providing and evaluating care
Leading and managing nursing care and working in teams
Improving safety and quality of care
Coordinating care
Key differences:
No nursing associate proficiencies on primary assessment of patient
No nursing associate proficiencies on prescribing plans of care

12. Consultation details Consultation runs from 9 April to 2 July 2018
Workshops
17 May Manchester
24 May London
12 June Birmingham
Webinars, twitter chats…
Visit our website for further details

13. A new strategic direction for fitness to practise
Public protection at the heart of the proposed changes
Move away from a process which is adversarial, cumbersome and distressing
To a process which supports a learning culture where nurses and midwives can be open about what happened
Ambition – fewer hearings with the same public protection outcomes

14. Protecting the public
A professional culture that values equality, diversity and inclusion and prioritizes openness and learning in the interests of patient safety
Nurses and midwives who are fit to practise safely and professionally
Prioritizing effective local action by employers
Taking account of the safety critical context in which incidents occur
Enabling nurses and midwives to remediate regulatory concerns
Holding full hearings only in exceptional circumstances
Managing public expectations effectively and supporting vulnerable stakeholders better
Working effectively with regulators and other key stakeholders within clearly defined boundaries
Embedding continuous improvement in our operations

15. Consultation details
Consultation runs from 4 April to 30 May 2018 Webinars and twitter chats Visit our website for further details