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Northumberland, Tyne and Wear NHS Foundation Trust 1 Appendix 2 NTW Professional Nursing Portfolio V01 Issue 1 May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 Staff Appraisal Policy) A Complete NTW Nursing Strategy 2014 - 2019 Delivering Compassion in Practice Professional Nursing Portfolio

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Page 1: A Complete · 2017. 1. 19. · Northumberland, Tyne and Wear NHS Foundation Trust 1 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03

Northumberland, Tyne and Wear NHS Foundation Trust 1 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

A Complete

NTW Nursing Strategy 2014 - 2019 Delivering Compassion in Practice Professional Nursing Portfolio

Page 2: A Complete · 2017. 1. 19. · Northumberland, Tyne and Wear NHS Foundation Trust 1 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03

Northumberland, Tyne and Wear NHS Foundation Trust 2 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Content Page

Description Page No:

Introduction 1

Section One : Personal Information 3

Section Two : Revalidation Checklist of Requirements and Supporting Evidence

4

Section Three : Practice Hours 6

Section Four : CPD 8

Section Five : Practice Related Feedback 10

Section Six : Written Reflective Accounts 11

Section Seven : Reflective Discussion 13

Section Eight : Confirmer Discussion 15

Section Nine : Triennial Review Checklist of Requirements and Supporting Evidence

20

Section Ten : Index of Evidence 25

Section Eleven : Witness Testimony 27

Section 12 : Miscellaneous 28

Section 13 : Annual/Triennial Review of Mentor Qualifications and Performance

29

Page 3: A Complete · 2017. 1. 19. · Northumberland, Tyne and Wear NHS Foundation Trust 1 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03

Northumberland, Tyne and Wear NHS Foundation Trust 1 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Introduction

From April 2016 the requirements for revalidation will become effective and replace the

current requirements for renewal set out in the PREP (Post Registration Education and

Practice Standards) Handbook. This will mean that every three years at the point of

renewal of registration, nurses and midwives will need to show that as a professional

they are living the Code’s standards of practice and behaviour.

Revalidation is about promoting good practice; building on the existing renewal process the focus is 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

In meeting the requirements of revalidation you will need to provide evidence that you have met a range of requirements, designed to show that you are keeping up to date and that your practice is safe and effective in line with the Code. Creating and developing a portfolio The NMC strongly recommend that you keep evidence that you have met the requirements of revalidation in a portfolio and provide a useful definition; A portfolio is a compilation of materials that exemplifies your beliefs, skills, qualifications, education, training and experiences. It provides insight into your personality and work ethic. All in all, it is a representation of your professionalism Clark University Creating a portfolio is the simplest way of keeping everything together. It will;

Help you know what you still need to complete

Bring clarity to both your reflective and confirmer discussions

Help you be prepared if the NMC needs to see your supporting evidence as part of the verification process

It will also be helpful in your appraisal discussions Your portfolio should:

Contain evidence of how you meet the requirements of revalidation

Be a live document developed over the three years before you are required to revalidate

The NMC have also provided a checklist to make sure you have all the information in your portfolio before you have a discussion with your confirmer or submit your application.

Page 4: A Complete · 2017. 1. 19. · Northumberland, Tyne and Wear NHS Foundation Trust 1 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03

Northumberland, Tyne and Wear NHS Foundation Trust 2 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

In the Trust’s Nursing Strategy Delivering Compassion in Practice Strategic Aim 6:

Supporting positive staff experience we committed to implementing a nursing portfolio.

This professional nursing portfolio is designed to enable you to maintain evidence that

you have met NMC revalidation requirements.

We will continue to add sections to this portfolio in line with ongoing development of

core and specialist competency frameworks which will support career and development

pathways. The frameworks are designed to support you in the consistent demonstration

and ongoing development of your knowledge, skill, behaviour and judgement in practice

and will support you in meeting revalidation requirements by enabling you to prepare;

Five pieces of practice related feedback

Five written reflective accounts

Reflective discussion

Confirmation discussion

Page 5: A Complete · 2017. 1. 19. · Northumberland, Tyne and Wear NHS Foundation Trust 1 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03

Northumberland, Tyne and Wear NHS Foundation Trust 3 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Section One: Personal Information

Name

NMC PIN Number

Revalidation Renewal Date

Workplace

Manager

Professional Registrable Qualifications (e.g. RMN; RNLD; RGN)

Initial Qualification

Date Gained

Subsequent Qualification

Date Gained

Recordable Qualifications (e.g. Diploma / Degree/Mentorship)

Qualification Gained

Date Gained

Qualification Gained

Date Gained

Qualification Gained

Date Gained

(Please add rows as necessary)

Page 6: A Complete · 2017. 1. 19. · Northumberland, Tyne and Wear NHS Foundation Trust 1 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03

Northumberland, Tyne and Wear NHS Foundation Trust 4 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Section Two

Revalidation Checklist of Requirements

and Supporting Evidence

It is important that you understand your responsibilities in relation to revalidation and prepare for renewal. Revalidation is the responsibility of nurses and midwives themselves not their employer. You are the owner of your revalidation process.

You should ensure you maintain an up to date knowledge of NMC standards and guidance all of which can be found at www.nmc.org.uk. The NMC have also set up a revalidation microsite which can be found at www.nmc.org.uk/revalidation In meeting the revalidation requirements and keeping your evidence you must not record any information that might identify an individual, whether that individual is alive or deceased. This means that all information recorded must be recorded in a way that no patient, service user, colleague or other individuals can be identified from the information. For example any notes or reflections must not include;

The name of any individual

The date of any incident or event referred to

The particular ward or place where the event occurred or

Descriptions of unique circumstances where an individual could be identified from the circumstances

Any information extracted from employer data (such as complaints logs) must be extracted in a way that no information identifying an individual is obtained, used or recorded. For example you must not forward works emails to your personal account or download and take copies of Trust’s records. The NMC have provided the following forms which you may retain electronically please note we have included them in this portfolio however you should be aware that the templates may be updated by the NMC and you should regularly check via www.nmc.org.uk ;

Practice hours log template (recommended)

CPD Template (recommended)

Reflective Accounts Form ( mandatory )

Reflective Discussion Form (mandatory )

Confirmation Form (mandatory)

Revalidation Checklist of Requirements and

Supporting Evidence

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Northumberland, Tyne and Wear NHS Foundation Trust 5 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Requirement Supporting Evidence You must practise a minimum of 450 hours over the three years prior to renewal of your registration

You need to maintain a record of practice hours you have completed. This will form part of the discussion you have with your confirmer and you will also need to have this information available I the event that the NMC wish to verify your application. Your records should include;

Dates of practice

Number of hours undertaken

Name and address of your organisation

Scope of practice

Work setting

Description of the work you undertook

Evidence of practice hours (such as timesheets, role profiles or job specifications)

You must have undertaken 35 hours of Continuing Professional Development relevant to your scope of practice in the three years since your last renewal or you joined the register Of those 35 hours of CPD at least 20 must have included participatory learning

You must maintain accurate and verifiable records of CPD including;

CPD method ( for example self-learning , course , on line seminar)

Brief description of the topic and how it relates to your practice

Dates the CPD was undertaken

Number of hours and participatory hours

Identification of the part of the Code most relevant to the CPD

Evidence of the CPD activity

You must have obtained five pieces of practice related feedback

Notes of the content of the feedback and how it has been used to improve your practice. This is also helpful when preparing reflective accounts. You must ensure notes do not include any personal data see NMC Guidance How to Revalidate with the NMC

You must have prepared five written reflective accounts.

Five written reflective accounts that explain what you have learnt from your CPD activity and /or feedback and /or an event or experience in your practice, how you changed or improved your work as a result and how this is relevant to the Code. You must use the NMC form and make sure your accounts do not include any personal data see NMC Guidance How to Revalidate with the NMC

You must have had a reflective discussion with another NMC registrant, covering your five written reflective accounts

A reflective discussion form which includes the name and NMC PIN number of the NMC registered nurse that you had the discussion with as well as the date you had the discussion. You must use the NMC form provided. You must ensure the discussion summary section does not contain any personal data.

Health and Character Declaration

Registrants will make these declarations as part of their on line revalidation application. You must use the NMC form provided.

Professional Indemnity; you must declare that you have or will have when practising appropriate cover under an indemnity arrangement

Evidence to demonstrate that you have appropriate indemnity arrangements in place. You must use the NMC form provided.

Demonstrate to an appropriate person that you have met the revalidation requirements

A confirmation form signed by your confirmer. You must use the NMC form provided.

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Northumberland, Tyne and Wear NHS Foundation Trust 6 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Section 3: Practice Hours

Purpose How to meet

requirements

What you need to tell the NMC in your online

application

What your Confirmer will need to see

Practice hours are designed to help registrants maintain safe and effective practice and keep their skills up to date

Registrants;

can only count hours undertaken whilst registered

Must meet practice hours in a role which requires you to rely on your skills knowledge and experience of being a registered nurse. This includes

nurses who rely on their skills knowledge and experience of being a registered nurse but are in roles where their employment contract does not expressly require them to be registered with the NMC.

Practice hours should reflect current scope of practice and do not have to relate to your original field of practice when you first joined the register however you comply with the Code : recognising and working within the limits of competence

Scope of practice can include direct clinical care; commissioning; management ; education ; policy; research consultancy; quality assurance

If you have practised for less than the required number of hours you must successfully complete an NMC approved return to practice programme before the date of your application for renewal

When you apply for revalidation, you need to declare that you have met the practice hour’s requirement. You do not necessarily need to record individual hours of practice you can describe them in terms of standard days or weeks. If you have worked in a range of settings you will need to set them out individually. You only need to inform the NMC about the most recent hours you have undertaken to meet the minimum 450 hours. You will also be asked to;

Whether you are currently practising

Where you undertake practice including details of your scope of practice and work setting

If you are not currently practising where you undertook your most recent practice including scope of practice and work setting

NMC provide a practice hour’s log template

The Confirmer will need to see;

Written evidence that the nurse has practised for the minimum number of hours

Evidence may include a contract of employment; timesheets, job specification and role profiles

Only hours relating to nursing count but this can include non – clinical roles such as management, education and policy

If a nurse has not practised for the required number of hours the confirmer must be satisfied that they successfully

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Northumberland, Tyne and Wear NHS Foundation Trust 7 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Guide to completing practice hours log

To record your hours of practice as a registered nurse

and/or midwife, please fill in a page for each of your

periods of practice. Please enter your most recent

practice first and then any other practice until you reach

450 hours. You do not necessarily need to record

individual practice hours. You can describe your practice

hours in terms of standard working days or weeks. For

example if you work full time, please just make one entry

of hours. If you have worked in a range of settings please

set these out individually. You may need to print

additional pages to add more periods of practice. If you

are both a nurse and midwife you will need to provide

information to cover 450 hours of practice for each of

these registrations.

Work setting

Ambulance service

Care home sector

Community setting (including district nursing and community psychiatric nursing)

Consultancy

Cosmetic or aesthetic sector

Governing body or other leadership

GP practice or other primary care

Hospital or other secondary care

Inspectorate or regulator

Insurance or legal

Maternity unit or birth centre

Military

Occupational health

Police

Policy organisation

Prison

Private domestic setting

Public health organisation

School

Specialist or other tertiary care including hospice

Telephone or e-health advice

Trade union or professional body

University or other research facility

Voluntary or charity sector

Other

Scope of practice

Commissioning

Consultancy

Education

Management

Policy

Direct patient care

Quality assurance or inspection

Registration

Nurse

Midwife

Nurse/SCPHN

Midwife/SCPHN

Nurse and Midwife (including Nurse/SCHPN and Midwife/SCPHN)

Dates: Name and

address of

organisation:

Your work

setting (choose from list above):

Your scope

of practice (choose from list above):

Number

of hours:

Your

registration (choose from list above):

Brief description of your work:

(Please add rows as necessary)

Practice Hours Log Template

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Northumberland, Tyne and Wear NHS Foundation Trust 8 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Section Four: Continuing Professional Development

Purpose

How to meet requirements

What you need to tell the NMC in your online application

What your Confirmer will need to see

As a professional you have a duty to keep your professional knowledge and skills up to date through continuous process of learning and reflection. The CPD requirements are designed to help nurses and midwives to maintain safe and effective practice, to improve practice or develop new skills where a gap has been identified and to respond to changes and advances in nursing. Participatory learning reduces professional isolation through engagement while increasing skills and awareness

The NMC does not prescribe the particular type of CPD activity as they believe registrants are best placed to decide what learning activity is beneficial to their scope of practice. Participatory learning must

be face to face

Types of learning activity

could be;

Structured learning

Accredited higher education or training

Masterclass

Mandatory training

must be relevant to

the individuals

scope of practice

i.e. mental health

act ; safeguarding ;

child protection not

Fire/Health and

Safety

Learning events such as conferences

Reading and reviewing publication

Enquiry based research/clinical audit

Peer review activities

Coaching and

mentoring

You must maintain accurate records of your CPD activities as this will form part of your discussion with your confirmer and you will also need to have this information available should the NMC wish to see it for verification.

You need to declare that you have met the CPD requirement

Suggested evidence to retain

Certificate of completion, notes , learning outcomes

Evidence of application to practice

Copies of publications read, review notes including practice related outcomes

Evidence of peer review including notes, observations and outcomes

Evidence of mentoring /coaching including notes, observations and outcomes

NMC have provided a CPD template

The Confirmer will need to see evidence that you have undertaken at least 35 hrs of CPD including 20 hours of participatory learning All CPD must be relevant to your scope of practice A Confirmer must see accurate records of ;

CPD method

A description of the topic and how it relates to your practice

Number of hours

Which part of the Code it relates to

The Confirmer is not being asked to assess the quality of the CPD undertaken

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Northumberland, Tyne and Wear NHS Foundation Trust 9 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Guide to completing CPD record log

Examples of learning

method

Online learning

Course attendance

Independent learning

What was the topic?

Please give a brief outline of the key points of the

learning activity, how it is linked to your scope of

practice, what you learnt, and how you have applied

what you learnt to your practice. You may wish to

use the reflective accounts format to record as

you go the way in which you have used CPD to

inform and improve your practice

Link to Code

Please identify the part or parts of the Code relevant to the CPD.

Prioritise people

Practise effectively

Preserve safety

Promote professionalism and trust

Please provide the following information for each learning activity, until you reach 35 hours of CPD (of which 20 hours must be participatory). For examples of the types of CPD activities you could

undertake, and the types of evidence you could retain, please refer to Guidance sheet 3 in How to revalidate with the NMC.

Dates:

Method Please describe the methods you used for the activity:

Topic(s):

Link to Code:

Number of hours:

Number of participatory

hours:

Total: Total:

(Please add rows as necessary)

CPD LOG TEMPLATE

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Northumberland, Tyne and Wear NHS Foundation Trust 10 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Section 5: Practice Related Feedback

Purpose

How to meet requirements

What you need to tell the NMC in your online application

What your Confirmer will need to see

Practice related feedback is intended to encourage nurses to be more responsive to the needs of patients and service users, and those who care for them, by seeking feedback from those they work with and care for, and using that feedback to make improvements to their practice

The NMC recommend registrants obtain feedback from a variety of sources for example;

Feedback from service users, carers, or students as part of your day to day practice

Feedback from colleagues

Complaints

Team performance reports

Serious event reviews

Feedback through annual appraisal

Types of feedback

Feedback can be about your individual practice or about team, ward or organisational practice – you need to be clear about the impact the feedback had on your practice

Formal or informal

Written or verbal

Positive or constructive The NMC recognise that organisations already collate feedback in a variety of ways. You must seek consent to access or use employer’s information. If you chose to solicit feedback directly from colleagues; service users or carers you must make clear how you intend to use this information and that no information used will identify individuals

You need to declare that you have met the feedback requirement in your online application You are advised to maintain notes of the content of the feedback and how it has been used to improve practice. This is also helpful when preparing the reflective accounts requirement You may wish to use the reflective accounts format to record as you go the way in which you have used CPD to inform and improve your practice

Evidence that satisfies the Confirmer that you have obtained five pieces of practice related feedback and the way you have used this to improve your practice

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Northumberland, Tyne and Wear NHS Foundation Trust 11 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Section 6: Written Reflective Accounts

Purpose

How to meet requirements

What you need to tell the NMC in your online application

What your Confirmer will need to see

Encourages registrants to engage in reflective practice so that they can identify any changes or improvements they can make to their practice based on what they have learnt. Raises awareness of the Code and encourages nurses to consider the role of the Code in their practice and professional development

The NMC have provided a form which must be used to record your five reflective accounts. You are asked to gather and reflect on feedback from a variety of sources, using it to improve your practice and performance. You must have prepared five written reflective accounts in total, in the three year period since your registration as last renewed or you joined the register They should be based on CPD/feedback/event or experience in practice ( or combination of each) and how they relate to the Code The written reflective account should include;

What did you learn from CPD activity, feedback or experience

How have you changed or improved your practice as a result

How is it relevant to the Code

Please note see Guidance Sheet 1 NMC How to Revalidate for advice on how to ensure notes do not contain any information that might identify individuals (patients or colleagues)

You need to declare that you have met the requirement for written reflective accounts

You are not required to submit a copy to the NMC however you must retain a copy and evidence to inform your reflective discussion and to show your confirmer

Five written accounts as described in requirements recorded on the NMC form

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Northumberland, Tyne and Wear NHS Foundation Trust 12 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Reflective Accounts Form

You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback

and/or an event or experience in your practice and how this relates to the Code. Please fill in a page for each of

your reflective accounts, making sure you do not include any information that might identify a specific patient,

service user or colleague. Please refer to our guidance on preserving anonymity in Guidance sheet 1 in How to

revalidate with the NMC

Reflective account:

What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in your practice?

What did you learn from the CPD activity and/or feedback and/or event or experience in your practice?

How did you change or improve your practice as a result?

How is this relevant to the Code?

Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote professionalism and Trust

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Northumberland, Tyne and Wear NHS Foundation Trust 13 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Section 7: Reflective Discussion

Purpose

How to meet requirements

What you need to tell the NMC in your online application

What your Confirmer will need to see

Cultivates a sharing reflective culture that focuses on improvement by requiring registrants to discuss their professional development and improvement and by ensuring that registrants do not practise in professional isolation

You must discuss your written reflective accounts with an NMC registrant as part of a reflective discussion This should be someone you frequently work with or someone from a professional network or learning group. You do not need to work with them on a daily basis and you do not need to undertake the same type of practice or the same part of the register. It is up to you to decide the most appropriate person. If your confirmer is a NMC registrant your reflective discussion can form part of your confirmation discussion. If your confirmer is not a Registered Nurse you will need to have a reflective discussion with an NMC registrant before your confirmation discussion with your confirmer Discussions should be face to face and you should not discuss patients, service users or colleagues in a way which can identify them without their express consent. Visit www.nmc.org.uk/revalidation for further information of reflective discussions.

You need to declare that you have had a reflective discussion with another NMC registered nurse You must ensure that the nurse with whom you had the reflective discussion signs the NMC form and records their name, PIN number and email, the date the discussion took place and a summary of the discussion.

Your confirmer will need to see a completed and signed NMC form showing that you have discussed your reflective accounts with another NMC registered nurse The Confirmer can be the reflective discussion partner if they are a registered nurse The Confirmer is not making a judgement as to the quality of the reflective discussion they are confirming that they have seen the completed NMC form which demonstrates that this has taken place This completed form must be signed by both yourself and your reflective discussion partner

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Northumberland, Tyne and Wear NHS Foundation Trust 14 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Reflective Discussion Form

You must use this form to record your reflective discussion with another NMC-registered nurse or midwife about your five written reflective accounts. During your discussion you should not discuss patients, service users or colleagues in a way that could identify them unless they expressly agree, and in the discussion summary section below make sure you do not include any information that might identify a specific patient or service user. Please refer to Guidance sheet 1 in How to revalidate with the NMC for further information.

To be completed by the nurse or midwife:

Name:

NMC Pin:

To be completed by the nurse or midwife with whom you had the discussion:

Name

NMC PIN

Email address

Professional address including postcode:

Contact Number

Date of Discussion

Short summary of discussion:

I have discussed five written reflective accounts with the named nurse or midwife as part of a reflective discussions

I agree to be contacted by the NMC to provide further information if necessary for verification purposes

Signature:

Date:

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Northumberland, Tyne and Wear NHS Foundation Trust 15 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Section 8: Confirmation

Purpose

How to meet requirements

What you need to tell the NMC in your online application

What your Confirmer will need to see

Encourages line managers to regularly consider and discuss how their staff are maintaining and developing their competence and improving their practice Increases professionalism by making nurses more accountable for their practice Provides additional assurance that the registrant has met the revalidation requirements Encourages a culture of sharing, reflection and improvement Helps reduce professional isolation

The confirmation process involves having a face to face discussion about your revalidation with an appropriate confirmer. The NMC strongly recommends this is your line manager. If your line manager is not an NMC Registered Nurse you can seek confirmation from another healthcare professional that you work with and who is regulated in the UK i.e. a Doctor; Pharmacist. However the NMC recommend where ever possible registrants should seek to obtain confirmation from another NMC registered nurse. If your confirmer is an NMC registrant your reflective discussion can form part of the confirmation discussion. If they are not you will need to have your reflective discussion with an NMC registered nurse before your confirmation discussion with your confirmer

The NMC have provided a form you must use to record your confirmation. Your confirmer will need to complete and sign this form You are required to keep the completed and signed form. You need to declare that you have obtained confirmation from an appropriate confirmer who has agreed to be contacted by the NMC if necessary for verification purposes. You will be asked to enter the name, NMC PIN number, email, professional address and postcode of your confirmer. You will be asked to confirm you have regular appraisal and whether you have a line manager who is an NMC registered nurse so that the NMC can understand the level of support which was available to you in completing your revalidation application Where the confirmer is not an NMC registrant you will need to provide details of their profession and registration and their regulatory body

You will need to meet with your confirmer and have a face to face discussion about your revalidation. As part of the discussion you will need to provide evidence that you have met the revalidation requirements This can form part of your

annual appraisal

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Northumberland, Tyne and Wear NHS Foundation Trust 16 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Purpose How to meet

requirements

What you need to tell the NMC in your online application

What your Confirmer will need to see

As part of the discussion you will demonstrate to the confirmer that you have complied with all of the revalidation requirements; except professional indemnity arrangement and health and character as set out in the guidance The NMC recommend that registrants obtain their confirmation during the final 12 months of the three year registration period to ensure that it is recent. If your confirmation was obtained earlier the NMC may ask you to explain why The NMC have provided further guidance for confirmers which can be found in the Trust Nursing SharePoint or by going to www.nmc.org.uk

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Northumberland, Tyne and Wear NHS Foundation Trust 17 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SC-PGN-03 - Nursing Revalidation and Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

CONFIRMATION FORM

You must use this form to record your confirmation

To be completed by the nurse or midwife:

Name:

NMC Pin:

Date of last renewal of registration

or joined the register:

I have received confirmation from (select applicable):

A line manager who is also an NMC-registered nurse or midwife

A line manager who is not an NMC-registered nurse or midwife

Another NMC-registered nurse or midwife

A regulated healthcare professional

An overseas regulated healthcare professional

Other professional in accordance with the NMC’s online confirmation tool To be completed by the confirmer:

Name:

Job Title:

Email address:

Professional address

including postcode:

Contact number:

Date of confirmation discussion:

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Northumberland, Tyne and Wear NHS Foundation Trust 18 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SA-PGN-03 (NTW(HR)09) Nursing Revalidation-Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

If you are an NMC-registered nurse or midwife please provide:

NMC Pin:

If you are a regulated healthcare professional please provide:

Profession:

Registration Number for regulatory body:

If you are an overseas regulated healthcare professional please provide:

Country:

Profession:

Registration number for regulatory body:

If you are another professional please provide:

Profession:

Registration Number for regulatory body:

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Northumberland, Tyne and Wear NHS Foundation Trust 19 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SA-PGN-03 (NTW(HR)09) Nursing Revalidation-Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Confirmation Checklist of

Revalidation Requirements

Practice Hours

You have seen written evidence that satisfies you that the nurse or midwife has practised the

minimum number of hours required for their registration

Continuing Professional Development

You have seen written evidence that satisfied you that the nurse or midwife has

undertaken 35 hours of CPD relevant to their practice as a nurse or midwife

You have seen evidence that at least 20 of the 35 hours include participatory learning

relevant to their practice as a nurse or midwife

You have seen accurate records of the CPD undertaken

Practice-Related feedback

You are satisfied that the nurse or midwife has obtained five pieces of practice-

related feedback

Written Reflective Accounts

You have seen five written reflective accounts on the nurses or midwife’s CPD and/or practice-related feedback and/or an event or experience in their practice and how this relates to the Code, recorded on the NMC form

Reflective Discussion

You have seen a completed signed form showing that a completed and signed form showing that the nurse or midwife has discussed their reflective accounts with another NMC-registered nurse or midwife (or you are an NMC-registered nurse or midwife who has discussed these with the nurse or midwife yourself).

I confirm that I have read Information for Confirmers; NMC-registered nurse or midwife has demonstrated to me that they have complied with all of the NMC revalidation requirements listed above over the three years since their registration was last renewed or they joined the register as set out in Information for Confirmers

I agree to be contacted by the NMC to provide further information if necessary for verification purposes. I am aware that if I do not response to a request for verification information I may put the nurse or midwife’s revalidation application at risk

Signature Date

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Northumberland, Tyne and Wear NHS Foundation Trust 20 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SA-PGN-03 (NTW(HR)09) Nursing Revalidation-Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Section Nine

Triennial Review Checklist of

Requirements and Supporting Evidence

The Trust is required by the NMC to meet the Standards to Support Learning and

Assessment in Practice (NMC 2008) which include:

Placement providers are responsible for triennial review of mentors to ensure

that those who continue to meet the NMC’s mentor requirements remain on

the local register (NMC 2008)

To be maintained on the local register the individual must have evidence of having:

Mentored at least two students within the three year period/and or demonstrate equivalent experience with other learners

Participated in annual updating - to include an opportunity to meet and explore issues with other mentors.

Mapped ongoing development in their role against the current NMC mentor/practice teacher standards.

Therefore, to be deemed to have met all requirements needed to be maintained on the local register as a mentor, sign-off mentor or practice teacher, evidence that demonstrates completion of the above is required. In meeting the NMC requirements and keeping your evidence you must not record any information that might identify an individual, whether that individual is alive or deceased. This means that all information recorded must be recorded in a way that no patient, service user, colleague or other individuals can be identified from the information. For example any notes or reflections must not include;

The name of any individual

The date of any incident or event referred to

The particular ward or place where the event occurred or

Descriptions of unique circumstances where an individual could be identified from the circumstances

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Northumberland, Tyne and Wear NHS Foundation Trust 21 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SA-PGN-03 (NTW(HR)09) Nursing Revalidation-Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Triennial Review Checklist of Requirements and Supporting Evidence

Requirement Supporting Evidence

Mentored at least two students within the three year period.

Completion of mentor activity record or equivalent. Evidence of summative or formative assessment, in a mentor or co mentor capacity with a variety of students/staff including:

Nursing students from all fields (specific placements or supervised visits)

Allied health students including Occupational Therapists, physiotherapists etc.

Foundation degree students, preceptee’s medical students, paramedic students, appraisals etc.

Participated in annual updating Dashboard evidence/ certificate of attendance. CPD hours

Mapped ongoing development in their role against the current NMC mentor/practice teacher standards

As outlined in the mentor /practice teachers standards – please see below which includes examples of appropriate evidence

Mentor/Practice Teacher Standards

Competency Domain Examples of evidence

Establishing effective working relationships

a) Demonstrate an understanding of factors that influence how students integrate into practice settings

b) Provide ongoing and constructive support to facilitate transition from one learning environment to another

c) Have effective professional and inter-professional working relationships to support learning for entry to the register

Written evaluation of involvement of PLT. Attendance at mentor development sessions

Witness testimony that confirms team working and relationship building skills

Preparation of students experience on placement

Induction/ Orientation within 1st week

Working groups or meetings eg practice learning team

Student evaluations of mentor

Facilitation of learning

a) Use knowledge of the student’s stage of learning to select appropriate learning opportunities to meet their individual needs

b) Facilitate the selection of appropriate learning strategies to integrate learning from practice and academic experiences

c) Support students in critically reflecting upon their learning experiences in order to enhance future learning

Strategy for achievement in different stages of students mentored

Implementation of timetables/pathways to maximise the amount of students within the placement

Enhancing the quality of the learning available.

Witness testimony/mentor reflective accounts re progression of student. Schedule for reviewing progress

Evidence on assisting with critical reflection

Inductions

Anonymised learning contracts and timetables Account of how mentor encouraged the learner to manage their own learning, incorporating different learning styles at different stages

Details of learning outcomes

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Northumberland, Tyne and Wear NHS Foundation Trust 22 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SA-PGN-03 (NTW(HR)09) Nursing Revalidation-Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Mentor/Practice Teacher Standards …continued

Competency Domain Examples of evidence

Assessment and accountability a) Foster professional growth, personal development and accountability through support of students in practice

b) Demonstrate a breadth of understanding of assessment strategies and the ability to contribute to the total assessment process as part of the teaching team

c) Provide constructive feedback to students and assist them in identifying future learning needs and actions. Manage failing students so that they may enhance their performance and capabilities for safe and effective practice or be able to understand their failure and the implications of this for their future

d) Be accountable for confirming that students have met, or not met, the NMC competencies in practice. As a sign-off mentor confirm that students have met, or not met, the NMC standards of proficiency in practice and are capable of safe and effective practice

Examples of action plans which address particular learning needs

Reflective account of dealing with a challenging learner or one with additional support needs

Witness Testimony from colleague or student

Record of discussion with students to achieve evidence of their learning through use of simulation/examples

Attendance at and reflection on mentor related activities that focus on assessment

Range of evidence produced by student

Anonymised assessment documentation demonstrating feedback

Witness testimony of meetings with learners, other mentors

Anonymised assessment tools, e.g. T.C.C. L.M.C., DOPS etc

Record of observation of clinical skills practice

Records of assessment of the underpinning knowledge of the competencies

Support and WT from PPF re action plans

Other:

Evaluation of learning

a) Contribute to evaluation of student learning and assessment experiences - proposing aspects for change resulting from such evaluation

b) Participate in self and peer evaluation to facilitate personal development, and contribute to the development of others

Through 1:1discussion demonstrates knowledge of the course requirements and assessment strategies

Review of their role for a particular student Involvement in developing and using local evaluation tools relating to the placement

Reviewing evaluation data and, where required, implementing changes

Action plans to address concerns re the quality of placement/learning opportunities

Action plan review

Application of quality standards to the placement

Involvement with E.A.P. placement

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Northumberland, Tyne and Wear NHS Foundation Trust 23 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SA-PGN-03 (NTW(HR)09) Nursing Revalidation-Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Mentor/Practice Teacher Standards …continued

Competency Domain Examples of evidence

Create an environment for learning

a) a) Support students to identify both learning needs and experiences that are appropriate to their level of learning

b) Use a range of learning experiences involving patients, clients, carers and the professional team, to meet defined learning needs

c) Identify aspects of the learning environment which could be enhanced - negotiating with others to make appropriate changes

d) Act as a resource to facilitate personal and professional development of others

A WT from manager, student or colleague

Student evaluations – how could future learning be enhanced

Teaching – formal or informal (PLT). Inductions

Development and examples of teaching/ learning resources

Facilitation of inter-disciplinary learning

Involvement in Educational audits

Context of practice

a) Contribute to the development of an environment in which effective practice is fostered, implemented, evaluated and disseminated

b) Set and maintain professional boundaries that are sufficiently flexible for providing inter-professional car

c) Initiate and respond to practice developments to ensure safe and effective care is achieved and an effective learning environment is maintained

Attendance at and reflection on mentor related activities, e.g. Mentor development sessions, link mentor meetings, mentor updates

Attendance at and reflection on study days, training events, conferences or seminars that focus on learning and development or are pertinent to the role of the mentor

Written report, reflective account or witness testimony of involvement in the management of change within the placement area, particularly in relation to learning

Discussion or reflective account demonstrating knowledge and understanding of current healthcare and educational policies e.g. ‘Standards to support learning and assessment in practice’ (2010), Mentor Policy etc

Involvement with practice/ learning development

Reading newsletters or e-bulletins from NMC or NTWFT

Annotated documents related to learning and development

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Northumberland, Tyne and Wear NHS Foundation Trust 24 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SA-PGN-03 (NTW(HR)09) Nursing Revalidation-Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Competency Domain Examples of evidence

Evidence-based practice

a) Identify and apply research and evidence-based practice to their area of practice

b) Contribute to strategies to increase or review the evidence-base used to support practice

c) Support students in applying an evidence base to their own practice

Witness testimony of application of EBP

Membership of clinical groups

Participation in research and/or audit

Literature search and review, relevant to area

Presentation or attendance and reflection on study days, conferences or seminars/Journal Club

Demonstration of use of web-based learning resources

Leadership a) Plan a series of learning experiences that will meet students defined learning needs

b) Be an advocate for students to support them accessing learning opportunities that meet their individual needs - involving a range of other professionals, patients, clients and carers

c) Prioritise work to accommodate support of students within their practice roles

d) Provide feedback about the effectiveness of learning and assessment in practice

Clinical/Education meetings etc.

Evidence of cascading information related to learning and development within or across departments

Evidence of planning/organisation student placement

Witness testimony of mentor acting as an advocate for learners

Critical Incident related to learning and development

Organisation of training events to meet the needs of students and other mentors

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Northumberland, Tyne and Wear NHS Foundation Trust 25 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SA-PGN-03 (NTW(HR)09) Nursing Revalidation-Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Section 10

Index of Evidence

Please use to identify individual pieces of evidence you wish to use to demonstrate

achievement of mentor/practice teachers standards. The evidence can be cross referenced

to demonstrate achievement of both revalidation and triennial review. It is helpful to order

evidence chronologically to aid cross referencing. For example if using witness testimony

number 7 in index it may look like WT.

Revalidation

Requirements

Evidence location

Evidence location

Evidence location

Evidence location

Evidence location

Confirmer Signature

Practice hours

CPD–35hrs Total

Practice related Feedback

Written reflective accounts

Reflective discussion

Mentor standards

Evidence location

Evidence location

Evidence location

Evidence location

Evidence location

Peer mentor Signature

1 a)

b)

c)

2 a)

b)

c)

3 a)

b)

c)

d)

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Mentor standards

Evidence location

Evidence location

Evidence location

Evidence location

Evidence location

Peer mentor Signature

4 a)

b)

c)

d)

5 a)

b)

c)

d)

6 a)

b)

c)

7 a)

b)

c)

8 a)

b)

c)

d)

Appraiser/Line Manager Signature

Date

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Northumberland, Tyne and Wear NHS Foundation Trust 27 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SA-PGN-03 (NTW(HR)09) Nursing Revalidation-Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Section Eleven

Witness Testimony

Witness testimony can be used to demonstrate achievement of requirements

Date Location

Testimony/Evidence gathered Related Competencies

Witness Name

Signature

Mentor Name

Signature

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Section Twelve Miscellaneous

Please place other evidence collected for Revalidation or triennial review in this section in,

chronological order and numbered; for example - attendance at or minutes of meetings etc.

In meeting the NMC requirements and keeping your evidence you must not record any

information that might identify an individual, whether that individual is alive or deceased. This

means that all information recorded must be recorded in a way that no patient, service user,

colleague or other individuals can be identified from the information. For example any notes

or reflections must not include;

The name of any individual

The date of any incident or event referred to

The particular ward or place where the event occurred or

Descriptions of unique circumstances where an individual could be identified

from the circumstances

Any information extracted from employer data (such as complaints logs) must be extracted in

a way that no information identifying an individual is obtained, used or recorded. For example

you must not forward works emails to your personal account or download and take copies of

Trust’s records.

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Northumberland, Tyne and Wear NHS Foundation Trust 29 Appendix 2 – NTW Professional Nursing Portfolio – V01 – Issue 1 – May 16 Part of SA-PGN-03 (NTW(HR)09) Nursing Revalidation-Triennial Review (NMC)-(NTW(HR)09 – Staff Appraisal Policy)

Section Thirteen

Annual/Triennial Review of Mentor Qualifications and Performance

Name Mentor Sign-off Mentor

Review Date

Requirement

The mentor:

Suggested Evidence of Achievement

Achieved?

Yes No

1. Can demonstrate development mapped against current NMC mentor standards

Record of mapping exercise self-assessment documentation peer review documentation personal development plan

2. Has attended an annual update which Included: - discussion of assessment and supervision issues - validity and reliability of judgements made in challenging circumstances - programme requirements - NMC registration requirements - mentor accountability

Mentor passport attendance record mentor update attendance at moderation peer review

3. Has mentored a minimum of two students in preceding three years

Peer review documentation record of mentor activity reflective diary

Action Plan (if required):

Detail of action(s) to be taken (to include completion dates):

Reviewed on (date)

Review result

Example: mentor had not attended an update within the previous twelve months action: attend annual update within two months. To be reviewed 20.06.07.

20.06.07

Attended on 30.05.07, evidence available. PPF informed -to reinstate on database. Reviewer signature

Mentor Name

Mentor Signature

Reviewer Name

Reviewer Signature

Designation