Offering a flexible solution to Nurse & Midwife Revalidation

Background

Revalidation is a new process that all individual nurses and midwives will need to engage with to demonstrate that they are fit to practice. The NMC approved their revalidation process on the 8th October 2015 and it took affect from April 2016.

All nurses and midwives are currently required to renew their registration every three years. Revalidation is designed to strengthen the renewal process by introducing new requirements that focus on: 

  • Up-to-date practice and professional development;
  • Reflection on the professional standards of practice and behaviour as set out in the Code; and
  • Engagement in professional discussions with other registered nurses or midwives. 

'You are not obliged to provide specific support to the nurses and midwives you employ. However, as an employer of regulated professionals, good practice requires you to support the nurses and midwives you employ in providing safe and effective care' - Reference; NMC Information for Employers

 

 

As the workforce solution for the NHS in England and Wales, ESR is already ideally placed to support the Revalidation process. This includes the well-established professional bodies interface, whereby an employee’s Revalidation date is populated in ESR directly from the NMC.

ESR has been further enhanced to support Revalidation using Self-Service, without the need for a separate solution.  This approach also adds to the wider benefits that a deployment of ESR Self-Service can bring.

Recognising the overriding principle that the nurse or midwife takes responsibility for their own successful Revalidation, ESR has a range of options available to support the process;     

  • Ability to create an NMC Revalidation Review;
  • Employee or Line Manager can initiate the process in Self-Service. It is beneficial but not mandatory to have deployed Employee Self-Service;
  • Ability to create local questionnaires to replicate the national questionnaire (see images above) to support aspects of the NMCs Revalidation templates;
  • Employee can add participants to the review process if their line manager is not the same person as who is providing their reflective discussion;
  • Attach documents to objectives within a Revalidation review in ESR;
  • Create Revalidation Learning Path to support continuing professional development plans;
  • A comprehensive suite of Business Intelligence reports to track progress against Revalidation components, offering Board Level assurance.

At the end of March 2016 a number of enhancements were made to ESR which support the NMC Revalidation process.  These enhancements were made following a period of engagement undertaken by the NHS ESR Programme with a wide range of stakeholders, including both senior nurses and HR professionals.  These discussions focused on the NMC nurse and midwife Revalidation, with the aim of understanding  how NHS Organisations will form their approach to recording and tracking the key requirements outlined by the NMC. 

From the outset, it quickly became evident that NHS Organisations require a flexible solution to support both the employee in their individual process, but would also welcome the availability of tools to provide Board Level assurance that the nursing and midwifery workforce are on track for successful Revalidation year on year without incurring additional costs.

These enhancements include:

  • Dedicated NMC Revalidation template and associated review type and participants;
  • Bespoke NMC questionnaires for all involved in the process (see above);
  • A series of new revalidation reminder notifications to the NMC registrant,  the manager/supervisor and the NMC Role Holder when the revalidation date is due. These will be sent 12, 6 and 4 months before the revalidation date, and a short notice notification if a change results in the revalidation date being less than 4 months from the current date;
  • The ability to record whether a course attracts NMC CPD professional credits, including details of whether the learning was individual and or participatory;
  • A new NMC Supplementary role to identify Confirmers and or NMC participants;

New national BI reports to support organisational KPI’s for NMC revalidation.

"This added functionality to a system we already have in use is excellent. I am looking forward to working with our local ESR team to pilot and deploy this functionality. Our nurses will benefit from the simple add on."

Pauleen Pratt Acting Chief Nurse at ULHT. 

 

For more information and guidance on how your ESR solution can support you in the Revalidation process – both today and in the future - please contact your Regional ESR Account Manager.

NMC Related

If a registrant is selected to provide further information as part of their application verification sample, will they need to upload the evidence for each declaration made, including signed copies of the reflective discussion and confirmation forms?

If a registrant is selected to provide further information as part of their application verification sample, will they need to upload the evidence for each declaration made, including signed copies of the reflective discussion and confirmation forms?

The NMC Guidance states "If you are selected to provide further information, you will need to complete an online form where you will be asked to provide further information. We may also request further evidence. We will ask you to provide this information within a reasonable time".  The online form will request you input futher information relating to your practice hours and CPD.  You will not need to upload signed copies of the confirmation or reflective discussion however the NMC will contact your Confirmer.  They may also contact your employer and/or reflective discussion partner.

Can a line manager provide Confirmation if they are not NMC Registered?

Can a line manager provide Confirmation if they are not NMC Registered?

If your Confirmation is being provided by your line manager then they do not have to be NMC Registered.  If your Line Manager cannot provide Confirmation then the NMC recommend that you exercise judgement to determine who is best placed to provide your Confirmation. Wherever possible, they recommend that your non-line Manager Confirmer is NMC Registered, or another regulated healthcare professional e.g. GMC.

Is an NMC Registrant required to keep an Electronic Portfolio for their revalidation?

Is an NMC Registrant required to keep an Electronic Portfolio for their revalidation?

The NMC Registrant can chose how they wish to store their portfolio. The NMC mandates that you use their templates to record the reflective account log, reflective discussion and Confirmation.  They mandate that the signed reflective discussion and confirmation are kept in paper format but, if you wish, you may store the reflective log in an electronic format. 

The registrant will need to demonstrate they have met the requirements to their Confirmer but the NMC does not require registrants to submit their portfolio electronically when they apply for revalidation. They do strongly recommend that registrants keep some form of evidence, demonstrating how they have met their requirements, should they be selected as part of the application verification sample.  Each year they will select a sample of nurses and midwives to provide further information or evidence to verify their application.  A sample of nurses from each monthly cohort will be selected, there will be some random and some more purposive sampling that takes place. 

Can an NMC Registrant have their Reflective discussion and Confirmation discussion with the same person?

Can an NMC Registrant have their Reflective discussion and Confirmation discussion with the same person?

If your Confirmer is NMC Registered, then the NMC strongly recommends that you have the reflective discussion at the same time as your Confirmation discussion.  If the person providing Confirmation isn't NMC Registered then you will need to discuss your reflections with another person who is an NMC registrant before you obtain Confirmation.

Are employers of NMC registrants expected to provide a portfolio system to their employees?

Are employers of NMC registrants expected to provide a portfolio system to their employees?

Revalidation is a requirement for individual nurses and midwives. The NMC states that employers "are not obliged to provide specific support to the nurses and midwives you employ".  However, providing support for revalidation could be considered as a key part of your quality and assurance systems. Good employment practice requires employers to have support in place so that the nurses and midwives you employ are competent to provide safe and effective care.

Must an NMC Registrant undertake the revalidation process with each employer they have and obtain Confirmation from each line manager?

Must an NMC Registrant undertake the revalidation process with each employer they have and obtain Confirmation from each line manager?

NMC guidance states that If you have more than one employer/line manager or undertake more than one role, you only need to obtain one Confirmation. You will need to exercise judgement and decide which line manager is most appropriate to provide Confirmation that you have met all of the revalidation requirements.
The NMC recommend that you have your revalidation discussion and obtain Confirmation through the line manager where you undertake the majority of your work. You may choose to have a revalidation discussion with each of your line managers, and bring the outputs of those discussions to the line manager you think is most appropriate to be your confirmer.

Should the NMC Revalidation process be part of the annual appraisal process?

Should the NMC Revalidation process be part of the annual appraisal process?

The NMC "strongly recommend that you obtain confirmation from your line manager wherever possible" and suggest that where possible you should "use your annual appraisal to have your revalidation discussion and obtain confirmation".

How do we deal with the revalidation of a registered nurse or midwife, who is currently seconded / working in a non clinical role. Can they/should they revalidate?

How do we deal with the revalidation of a registered nurse or midwife, who is currently seconded / working in a non clinical role. Can they/should they revalidate?

All registrants are currently required under the existing post registration education and practice standards to complete 450 hours of practice in the field of each of their registrations. Practitioners can continue to use their existing arrangements for practice hours that they can demonstrate apply the Code. The focus is that the registrant must demonstrate application of the NMC code to their practice, whether that be in a clinical or non-clinical role.
The NMC states that "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 also includes nurses and midwives who rely on their skills, knowledge and experience of being a registered nurse or midwife, but are in roles where their employment contract does not expressly require them to be registered with us. For example, this could include roles in public health or nursing or midwifery management, commissioning, policy and education".

What happens if the NMC contact the confirmer and the person who originally provided confirmation is unable to be contacted?

What happens if the NMC contact the confirmer and the person who originally provided confirmation is unable to be contacted?

If the confirmer is uncontactable then the NMC would request that a second confirmation takes place.

ESR Related

Who do I speak to in my Region for more information and help?

Who do I speak to in my Region for more information and help?

Please contact your Regional Account Manager for further information and support. 

To email a request for further information please select your region from below:

Full Contact details including telephone numbers can be found here.

Where can I find more inforformation on using ESR to support NMC Revalidation?

Where can I find more inforformation on using ESR to support NMC Revalidation?

Please access the NMC Revalidation webpage on KBase that includes user guides, captivates and FAQs by clicking here.

Supporting Organisational Requirements

NMC – Employers Guide to RevalidationHow ESR supports organisations to meet the NMCs recommendations
 Minimum SupportReasonably Expected
Awareness & culture
  • Raise awareness of revalidation with your nurses & midwives 
  •  Understand the proposed changes to current requirements under revalidation
  • Communicate to your nurses and midwives the changes/new revalidation requirements
  • Put basic plans in place to support revalidation and present to organisation’s senior leadership
 
  • National Questionnaire reflects the revalidation requirements and includes guidance for the registrant
  • ESR Notifications are triggered and sent to NMC Registrants and managers reminding them when their revalidation is due

 

Resources: Capacity & capability

  • Ensure nurses and midwives are able to revalidate and there are no significant obstacles to this from the organisational perspective
  • Assess what is needed to support revalidation in your organisation, including the level of support staff may require, along with plans to address this
  • Where appropriate, ensure line managers (or other individuals) are available to act as confirmers and reflective discussion partners
  • Provide space and time for your nurses and midwives to hold their reflective discussions and confirmation discussions (if separate from an appraisal process)
 
  • NMC supplementary role can be assigned to designated people within the organisation to identify those assigned to the Reflective Discussion and or confirmer roles as appropriate
  • Self Service functionality supports the recording of the people involved in the revalidation process

 

Systems and Processes
  • Ensure all employees are on the Register
  • Identify revalidation application and renewal dates for all of your nurses and midwives
  • Encourage nurses and midwives to register for NMC Online
  • Where appropriate, put plans in place for nurses and midwives to receive confirmation as part of their appraisal process, or an alternative process
  • Allow access to feedback where it already exists (including audits, satisfaction surveys, complaints and the nurse or midwife’s individual appraisal)
  • Ensure all staff have access to the necessary IT equipment
 
  • ESR interfaces directly with the NMC and records are updated daily with revalidation dates and other key registration data.
  • All ESR Revalidation notifications include a reminder to register for NMC Online
  • The ESR Approach utilises the appraisal functionality, allowing Managers to run the appraisal and revalidation process in tandem
  • The revalidation date is used within new NMC BI dashboards that will allow Organisations to report on revalidation progress
 
Guidance, tools and support
  • Signpost nurses and midwives to the NMC's website, where they will find all of the guidance, information and materials they need about revalidation
 
  • Provide further information about who in your organisation can act as a confirmer and/or reflective discussion partner as detailed in the NMC's requirements
  • Review whether informal organisational systems could be implemented to allow for participatory CPD learning
  • Incorporate communication about the requirements for the online revalidation process and timings into your local communication systems
  • Remind nurses and midwives of their obligations of confidentiality under the Code and Data Protection legislation
  • ESR Questionnaire signposts nurses and midwives to the NMCs website and the mandatory templates
  • Courses can identify NMC CPD credit, which can be reported upon
  • Available ESR functionality includes forums which can be used to support CPD discussions