Posted by: ayrshirehealth | December 2, 2015

Revalidation .. think I’ll retire by @dtbarron

An overshadowed change

An interesting, dare I say momentous year for nurses and midwives! Revalidation

In March we had the launch of a new Code, a four pillar model one which reflects modern nursing and midwifery practice, one which helps clarify those pillars of practice and defines the standards expected from registrants.

Not content with launching a new Code, the NMC Council signed off the introduction of Revalidation from April of next year.

To be honest, in any one year both would be fairly significant but adding them together makes it quite an important year.

It is unfortunate therefore that these important, and welcome introductions, may have slightly overshadowed another significant development related to our registration.

The system of de-registration of registrants who ‘drop off’ the register (unintentionally) has change as of 30th November 2015; this change could have the most significant personal impact on registrants who don’t take due note of it, a point I will explore further later.

The Code

The Code 2015I, and other nurses in A&A were privileged to play a small part in the development of the Code having taken part in one of the consultation events . The eventual outcome of a four pillar model was therefore something I welcomed.

Having spoken face to face to over 400 nurses and midwives, about Revalidation and the Code, I’m delighted to note that I’m not alone in welcoming the revised Code, the approach within it or it’s more dynamic nature and how it will feature in our Revalidation process.

This picture shows the four pillars of nursing and midwifery practice – standards that are expected of each one of us by patients and members of the public.

The Code - pillars

Revalidation

As with the development of the Code, nurses and midwives from across Scotland and here in NHS A&A had the opportunity to shape the eventual model of Revalidation; not that that means we got everything exactly as we would have liked to see it. However the NMC assure us that the model being introduced next year is only a starting point, the model will continue to develop over time.

And so to the title of this blog

– Revalidation … I think I’ll retire!

Have you heard colleagues say this? I have, and such an unnecessary and wasteful step it is. For those of you who love being a nurse or midwife Revalidation is no reason to give up the career you love. The key to Revalidation is preparation! For those of us who are prepared, Revalidation will not cause any difficulty, and it is only a little more work than the outgoing PREP system. The additional work will in fact support and evidence the fourth pillar of the code – professionalism.

What hasn’t changed?

450 hours of practice over a three-year period hasn’t changed.Revalidation requirements

The need for Indemnity insurance hasn’t changed

Declaration of health and character hasn’t changed

The need to pay our annual fee (£120) hasn’t changed

35 hours of Continuing Professional Development (CPD) over three years hasn’t changed.

What has changed?

20 of our CPD hours have to be participatory i.e. completed with others – hardly a great burden.

We have to get five pieces of practice related feedback (over three years!)

We have to write five pieces of reflection based on our CPD and/or practice feedback – these reflective statements should be framed around the pillars of the Code. Here again, this evidence can be gathered over three years.

Having completed the above activities we have to discuss them with a fellow registrant and have this confirmed as having taken place.

Worries

Confirmation form
Who will be my ‘confirmer’? For most registrants in NHSaaa the Confirmer will be your line manager who is a fellow registrant – this means that a single conversation, which can happen at the same time as your PDR/PDR discussion will suffice. The meeting will need to be structured a little differently and is likely to take a little longer, but it won’t be a difficult task.

For others, e.g me, the registrant reflective conversation and my Confirmer conversation will be with two different people as their line manager isn’t a registrant.

However for me that won’t be problematic either as I meet regularly with Ann Gow, Nurse Director: my professional lead – (registrant reflective conversation) and also with my line manager Iona Colvin, Director NAHSCP, who will fulfil the Confirmer role.Reflective Discussion

“I don’t know how to write a reflective statement related to my learning”. This statement occurs quite often and is causing some people angst – in recognition of this we will be holding training session in the new year: the library already has information packs available for registrants which covers reflection.

Reflective Accounts form

The key thing we have been highlighting is that the reflective account doesn’t need to be War & Peace – it’s the quality of the reflection that matters when you come to having the discussion, not its length.

I’m pleased to say that in the new year we will have a Revalidation Practice Educator working full time with us to continue raising awareness of revalidation requirements, the various resources available and just generally as a source of assistance.

Lapsed registration – my concerns

WorryFor any registrant who fails to pay the annual fee on time, they will be de-registered i.e. come off the register and be unable to work as a nurse or midwife. They will then have to apply for readmission to the register – this process can take between two to six weeks.

RegisterAdditionally, for those due to complete their Notification of Practice paperwork and fail to do so on time, they will also be de-registered and have to apply for readmission to the register.

Remember – during this period you will be unable to work as a nurse or midwife: that for me is pretty scary, I don’t want to see this happen to any colleague.

As with revalidation the key here is preparation.

Action – is there anything we can do?

There are two ‘must do’ things (in my view). Do not ignore any paperwork that comes through your door from the NMC, it’s likely to be pretty important especially at the minute.

The second thing is register with NMC Online. Why? NMC Online

Put simply, this is the best source of up-to-date information, including personal information related to your registration.

Of course, in addition to the ‘must do’ things above there is no reason why you can’t start your preparation for revalidation – I’m impressed with quite a number of our nurses and midwives who have spoken to me, they have embraced the ethos and professionalism underpinning revalidation and have begun there prep, even though they may have a year or two before they are due to revalidate.

Retire because of revalidation? Absolutely not.

The week’s blog was by @dtbarron (Derek T Barron), Associate Nurse Director, NHS Ayrshire & Arran: Lead Nurse, North Ayrshire Health & Social Care Partnership.  Derek is lead for revalidation within NHS Ayrshire & Arran.

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Responses

  1. Your blog, Derek, makes revalidation easy to understand. Unfortunately, with regret, I am one of the nurses who has decided to give up my registration. After taking early retirement to look after my baby grand children 5 days per week, I would find it difficult to reach those standards required especially as I no longer work for NHSA&A. I have just accepted that’s the way life is and hope the process with enable our nurses of the future to value their profession and ensure their practice is up to date.

    • Thanks Irene – of course if you chose to remain in practice working bank shifts you may manage to accumulate 450 hrs over three years – the rest of the requirements are fairly straightforward for you I’m sure, including the CPD elements if you think creatively how to do this.

      But there again, it’s great being a grandparent!!

      DTB

      • Derek,
        After watching these little bundles of fun for 9 hours 5 days per week I dont gave the time or more so the energy to work bank shifts. This is harder work than a CPN!!

  2. Blogs like this help to allay our fears regarding revalidation. It is about nurses being clear on what is expected, and utilising the tools to achieve it. Reflective practice is not something new for nurses but the recording of the reflective conversations and our learning will be something that we need to get into the way of doing and it will become second nature.


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