1. Notes for facilitators
This module should take 40 minutes
General note: Facilitators should be aware of the changes to the NMC Code. The Code has been in place since March 2015 and registrants should be familiar with the changes.
The following are new to the Code:
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.
There is 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 – including those against individuals or organisations, and cooperating with requests to act as a witness at hearings.

3. Notes for facilitators
State that revalidation for nurses and midwives is about a change in behaviours and culture. It is designed to emphasise continuous learning and development rather than an exercise to complete once every 3 years.
Re-enforce continuity of process – must not be a last minute rush to get the required evidence.

4. Notes for facilitators
Remind participants that the Code was published in March 2015.

5. Notes for facilitators
This needs to be emphasised and participants reminded the process by which to raise fitness to practise concerns remains the same and that employers, managers or Confirmers should not wait until a nurse or midwife’s revalidation is due to deal with concerns about their practice.

7. Notes for facilitators
For example, if your renewal date is 30 April, your revalidation application date will be 1 April.
Guidance on paying fees can be found on our website.
Revalidation takes place every 3 years at the point of renewal but nurses and midwives still need to pay their retention fee every year.
Nurses and midwives can find their renewal date by going to NMC Online.

8. Notes for facilitators
Explain that the Code is central to revalidation. Throughout the process of revalidation nurses and midwives will be required to link back to the Code.

10. Activity – 10 minutes
What do these 4 themes mean to you personally within your scope of practice?
Facilitator to break participants into 4 groups (no more than 7 per group) each taking a theme – nominate a feedback lead – 5 minute discussion within group on what the Code means to individuals.
Facilitator to get examples from each group to share with the wider group – 5 mins
If the group is larger than 28 participants – repeat the theme allocation.

12. Notes for facilitators
Work through the circle starting at 12 o’clock with Practice hours and work round the circle headings – details are on the next slides.
Participants may have hand out with graphic and table of requirements.

13. Notes for facilitators
Explain that those registrants who are both nurses and midwives wishing to retain both registrations will need to evidence a minimum of 450 hours in each area of practice.
Start recording the most recent hours and work backwards until 450 hours have been documented.
Explain that there are templates available on the NMC website for recording practice hours, but if registrants already have a system of recording that covers the requirement then there is no need to change. Examples of the templates are given during the presentation.

14. Notes for facilitators
Hours must reflect scope of practice. 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. This includes nurses and midwives working in non-clinical roles, and roles where their employment contract does not expressly require them to be registered with the NMC, for example in public health or nursing or midwifery management, commissioning, policy and education.
Hours worked in any healthcare, nursing or midwifery assistant or support worker roles cannot be counted towards practice hours as a registered nurse or midwife
Examples of evidence to demonstrate your practice hours are: job description / employment contract, off duty rota
Midwife SCPHNs will need to demonstrate that they have met the requirement for 450 hours practice inline with nurse SCPHN.
Midwife SCPHNs who undertake any work as a midwife will need to submit an Intention to Practise (ItP) form every year to their supervisor of midwives.
Midwife SCPHNs who are only practising in a SCPHN role and do not undertake any work as a practising midwife do not need to submit an ItP and do not need to be supervised by a supervisor of midwives. Their register entry will record that they are not entitled to practise as a midwife in the UK. They would then need to complete an approved return to midwifery practice programme before they are entitled to submit an ItP and become a practising midwife again.
Midwife SCPHNs should refer to Guidance Sheet 2 in the How to Revalidate guidance for more information and examples of how this will apply to them.

15. Notes for facilitators
Discuss again the importance of evidence of continuous learning and development over the three year period.
Detail covered in module 2 but introduce the concept of evidencing 20 hours of participatory learning versus individual learning.
Participatory learning is any learning where a nurse or midwife personally interacts with other people.

16. Notes for facilitators
Again emphasise the three year period.
Remind participants of the importance of confidentiality at all times i.e. patients, staff and organisations/locations should not be included in any documented feedback. Confidentiality and data protection need to be constant themes running through all of the modules.
Nurses and midwives should refer to the Guidance for more details on how to meet this requirement.
Detailed coverage in feedback module.

17. Notes for facilitators
Make it clear that these written accounts can be on your CPD, and/or feedback, and/or an event or experience in practice, or a combination of all three.
Reminder of confidentiality – do not record identifiable information of any individual whether alive or deceased. Refer to Guidance for further information around this.
Written reflective accounts must be recorded on NMC form.
Detailed coverage in reflective accounts module.

18. Notes for facilitators
Reflective discussions must be recorded on NMC form
Detailed coverage in reflective discussion module.

19. Notes for facilitators
This is part of the online application process for revalidation and evidence does not need to be retained in the portfolio. Nurses and midwives will need to tick a box to declare that meet the requirement.
Nurses and midwives may be required to provide evidence in relation to any charges, cautions and convictions declared if this is requested by the NMC.
Explain that it is not necessary to declare points on driving licence.

20. Notes for facilitators
This is part of the on line application process for revalidation and evidence does not need to be retained in the portfolio. Nurses and midwives will need to tick a box to declare that meet the requirement.
Guidance about professional indemnity arrangements can be found on the NMC website.

21. Notes for facilitators
Explain on-line application process. Emphasise that a nurse or midwife will not be required to submit their documentation on CPD, reflective accounts or feedback to the NMC with their application but they will need to show this to the confirmer.
Detailed coverage in confirmation module.

22. Notes for facilitators
Verification will also be an online process.
Nurses and midwives will not be required to upload any evidence to the NMC.
Further details around what you will need to provide for verification is available in the How to Revalidate Guidance.

23. Notes for facilitators
The NMC strongly recommends that you keep a portfolio – this does not have to be an e-portfolio
Registrants with existing paper or electronic portfolios do not need to replace them.

24. Notes for facilitators
Explain that a portfolio should be a live document reflecting your learning and development as a professional nurse or midwife.
You will not need to upload your portfolio or any evidence as part of the application process.
Maintaining an e-portfolio is not a requirement of revalidation though you may use one if you want to. Refer to guidance for information on maintaining a portfolio.

25. Notes for facilitators
Remind the audience that evidence of indemnity arrangements and health and character will be made as part of the online declaration to the NMC and are not required to be shown to the confirmer.
Remind participants that it is advisable to have their portfolio up to date prior to completing their online declaration.
Advise that throughout the following modules there will be tips on how to record evidence for each requirement.

26. Notes for facilitators
Refer to How to Revalidate guidance and give examples of how avoid recording identifiable information.

28. Notes for facilitators
Revalidation is an ongoing process and nurses and midwives should think about meeting the revalidation requirements across the full three year renewal cycle.
In the 12 months before their renewal is due they should arrange their confirmation discussion, and demonstrate that they have met the revalidation requirements.
60 days before their revalidation application date nurses and midwives will receive a notice from the NMC that their revalidation application and annual fee payment is due. From this date they will be able to apply for revalidation using NMC Online.
If they use NMC Online they will get this notice by . If they do not use NMC Online they will get this notice by letter, which will also tell them how to set up an NMC Online account.
Following submission of their application their registration will be renewed.
As discussed, a sample of nurses and midwives will be selected each year to provide further information to verify their declarations. If you are selected your registration will not be renewed until this process is complete.

29. Notes for facilitators
Your revalidation application date is the first day of the month in which your registration expires. This is different to your renewal date.
Your renewal date is the last day of the month in which your registration expires.
For example, if your renewal date is 30 April, your revalidation application date will be 1 April.