Medical 24 is committed to revalidation within the healthcare sector and is proud to be a key support for our nurses. Whilst the Nursing and Midwifery Council (NMC) have confirmed that it is the responsibility of the registered nurse to complete their revalidation, Medical 24 believes that we should be supporting you as much as possible. We have updated our appraisal documentation to reflect the revalidation process and created a range of resources, including a Medical 24 Revalidation Pack of Templates, to support you through revalidation.
You will be required to complete your revalidation when you are due to renew your registration with the NMC. This step-by-step guide to Revalidation has been produced to highlight important information as provided by the NMC.
The revalidation model aligns with the four themes of the Code:
The RCNi, provided by the Royal College of Nursing (RCN), offers agency nurses access to online training and training articles, clinical articles, questionnaires, and quizzes to test their knowledge. It also has an online portfolio where nurses can upload documents, evidence of hours worked, and CPD, ready to print and submit for revalidation. Access to the RCNi Portfolio AND interactive learning resources are available outside of an RCNi journal subscription.
For more information on the RCNi Guides to Revalidation, RCNi Portfolio Pack, and RCNi subscription click here.
If you choose not to subscribe to the RCNi account, we strongly recommend that you keep a portfolio with printed copies of documents and written evidence ready to present at annual appraisals, confirmation, and revalidation with the NMC.
If you’re not planning on using the RCNi, we have attached all the Forms and Templates you will need to support you in recording your evidence. To access these documents please click here:
For the NMC How to Revalidate and latest resources click here.
You must be able to evidence that you have worked 450 practice hours over the three years prior to the renewal of your registration.
The NMC has confirmed that if you have practised for less than the required number of hours in the three years prior to the date of your application for renewal of your registration, then you must successfully complete an appropriate return to practice programme approved by the NMC before the date of your application for renewal of registration.
More information on the return to practice programme can be found here:http://www.nmc.org.uk/Registration/Returning-to-the-register/
If you are selected to provide further information to verify your declaration within your application, you will be asked to provide the following:
So please ensure that you record these in preparation.
You must be able to evidence 35 hours of Continuing Professional Development (CPD) which is relevant to your practice as a nurse and over the three years prior to the renewal of your registration. 20 hours must be through participatory learning.
You must maintain accurate records of the CPD you have undertaken. These records must contain:
The NMC does not list a particular type of CPD and it is your responsibility to judge what learning activity would be best suited to your individual practice.
You must present at least five pieces of practice-related feedback. The feedback can be informal/formal, written or verbal, and from a number of sources including patients, service users, students and colleagues.
If you do obtain practice-related feedback from a patient, please remember to get their consent first and anonymise the content.
You can collect feedback based on your individual performance or on your team, unit, ward, or organisation’s performance. However, you will need to be clear on how this has specifically impacted your individual performance.
Feedback can be received verbally or written, formal or informal and it does not need to be from fellow nurses or midwives. It could be from colleagues in management, on reception, office administration, or fellow teachers and academics.
Medical 24 timesheets have been designed specifically to enable you to collect feedback based on your individual performance.
You must record a minimum of five written reflections and discussions relating to the Code, your CPD, and practice-related feedback.
You must have a professional development discussion with another NMC registered nurse and cover your reflections relating to the above. You MUST use either the NMC Reflective accounts form template (available on our website).
The NMC registered nurse is required to record their NMC Pin, e-mail, professional address, and postcode, as well as the date you had the discussion.
While this discussion can form part of your wider confirmation discussion, it is not the same as obtaining confirmation. If you work with Medical 24 on a full-time or regular basis, you will be given access to Medical 24 Reflective Discussion Partner. To book your Reflection Discussion Appointment email us at; email@example.com.
You must provide a Health and Character Declaration and declare if you have been convicted of any criminal offence or issued with a formal caution. When making these declarations, please refer to the following NMC links:
You must declare that you have, or will have when practising, appropriate cover under an indemnity arrangement.
By law, you must have in place an appropriate indemnity arrangement in order to practise and provide care. While the arrangement does not need to be individually held by you, it is your responsibility to ensure that appropriate cover is in force.
Please note: If you do not have the appropriate indemnity cover, you will be removed from the NMC register and will be unable to practice as a nurse.
Your third party confirmer will be someone who is considered to be your line manager and doesn’t need to be NMC registered. However, to provide the best support possible to our Nurses third-party confirmers at Medical 24 will be NMC registered.
Your confirmer will verify the declarations within your application in a face-to-face meeting and you will have to demonstrate that you have met all of the revalidation requirements before they can sign and date the confirmation form.
The NMC recommend that you obtain your confirmation during the final 12 months of the three-year registration period to ensure that it is recent. If your confirmation is produced earlier, you may be asked to explain why.
It’s likely that your confirmer will also conduct your annual appraisals, that way you can keep your confirmer up-to-date with all of your revalidation preparation.
If you work with Medical 24 on a full-time or regular basis, you will be given access to a Medical 24 Confirmer for your third-party confirmation.
To book your Confirmation Appointment email us at; firstname.lastname@example.org.
The NMC will notify you at least 60 days before your application for revalidation is due.
You will then have 60 days to log onto NMC Online and complete the revalidation application form. Please ensure that at this point, you have all of your revalidation evidence collated and ready to submit.
If you don’t submit your revalidation application in time your registration will lapse which means that it will be illegal for you to practice as a nurse.
To return to the register you will have to apply for readmission which could take up to six weeks. If you submit your revalidation application in time but it is refused because you have failed to meet your revalidation requirements, you can appeal this decision within 28 days of the date on your decision letter.
The NMC has special arrangements in place for nurses and midwives who cannot meet the revalidation requirements as a result of exceptional circumstances. By exceptional circumstances they mean that you have not been in practice for sufficient time between October 2015 when the revalidation guidance was published and your revalidation application date(for example, if you have been on maternity leave or sick leave) to meet the additional requirements, or you cannot meet one or more of the requirements at any time because a protected characteristic under the Equality Act may apply.
If you are able to establish that exceptional circumstances apply in your case, you will still need to meet the Prep requirements for renewal. Please see NMC guidance sheet on exceptional circumstances for further information at www.nmc.org.uk/standards/revalidation/revalidation-guidance-and-resources.
The NMC has said they will not usually consider any requests for extensions to submit a revalidation application. You should have met the requirements during the three years prior to the renewal of your registration. However, if you believe that you have a good reason why you cannot submit your revalidation application by the specified date, you must contact the NMC as far in advance of your revalidation application date as possible to discuss your situation.
The NMC state in their guidance that they are only able to grant an extension prior to the date your registration is due to lapse. Any extensions will only be granted for a period of up to six weeks. In granting an extension, the NMC will take into account:
Any extension the NMC agrees with in relation to your revalidation application would not include an extension to the date on which your annual fee is due to be paid.
There is a step-by-step guide to registering online:
As part of your revalidation application, you will need to pay your renewal fee. Here is a guidance document on how to pay your renewal fee:
New Nursing and Midwifery Council (NMC) rules come into force last year – from November 2015 anyone who allows their registration to lapse will be taken off the register immediately.
Please ensure that you know your re-register date and are planning ahead. It is illegal for you to continue working if you are not on the NMC register and it could result in getting suspended from work. Also note that readmission to the register can take a minimum of between two to six weeks, meaning that you will not be paid for this period.
The easiest way to maintain registration is through an NMC Online account. On NMC Online, you can:
View the ‘How to set up your NMC Online account’ document here if you don’t already have an account: NMC - Online guidance (march 2015)
If you do have an NMC account, log-in today to check your registration status and renewal date.
Please email email@example.com if you require any assistance with Revalidation