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Contents
The forms and templates attached are examples of how a nurse or
midwife may record how they meet the requirements of revalidation.
Mandatory forms which must be used are marked below (M).
These include real life examples taken from nurses or midwives who
went through the revalidation pilot process. This pack includes a
variety of reflective accounts designed to reflect multiple practice
settings.
1. Practice hours log
Independent sector - Senior nurse manager
2. CPD log
Independent sector - Senior nurse manager
3. Practice-related feedback log
4. Reflective accounts form (M)
- Independent sector – senior nurse manager x2
- Secondary care – NHS hospital nurse
- Occupational health nurse
5. Reflective discussion form (M)
Independent sector - Senior nurse manager
6. Confirmation form (M)
Independent sector - Senior nurse manager
3
5
10
11
15
17
19
20
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Guide to completing
To record your hours o
and/or midwife, please
periods of practice. Pl
practice first and then
450 hours. You do not
individual practice hou
practice hours in term
weeks. For example if
make one entry of hou
of settings please set
need to print additiona
practice. If you are bo
need to provide inform
practice for each of th
Dates:
N
a
o
1.1.15 –
current
g practice hours log
of practice as a registered nurse
e fill in a page for each of your
lease enter your most recent
any other practice until you reach
t necessarily need to record
urs. You can describe your
ms of standard working days or
f you work full time, please just
urs. If you have worked in a range
these out individually. You may
al pages to add more periods of
oth a nurse and midwife you will
mation to cover 450 hours of
hese registrations.
Work settings
Select appropriate setting:
• Ambulance service
• Care home sector
• Care inspectorate
• Cosmetic/aesthetic sector
• District nursing
• Education
• Governing body or leadership role
• GP practice or other primary care
• Health visiting
• Hospital or other secondary care
•
Insurance/legal
• Military
• Occupational health
Name and
address of
organisation:
Your work
setting
(choose from list above):
Your scope
of practice
(choose from list above):
Independe
nt
healthcare
provider
Management
Policy
Number
of hours:
Your
registratio
n
(choose from list above):
FT 37.5 pw
= approx
1725.per
annum
Nurse
Brief description of your work:
• Other community services
• Overseas
• Policy
• Prison
• Private domestic setting
• Private health care
• Public health
• Research
• School
• Specialist (tertiary) care
• Telephone or e-health advice
• Trade union or professional body
• Voluntary sector
• Other
Your scope of practice:
• Commissioning
• Consultancy
• Education
• Management
• Policy
• Direct patient care
• Quality assurance or inspection
Registration:
• Nurse
• Midwife
• Nurse/SCPHN
• Midwife/SCPHN
Group Director of Nursing
• The development of nursing
practice through competency
programmes.
• Identify and implement
appropriate CPD training for
nurses to develop their skills.
• Develop a corporate Nursing
strategy.
• Implementation of the 7Cs
across the Group.
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1.7.96 –
current
District
nursing
1.04.1131.12.1
4
Independe
nt
healthcare
provider
Direct
patient
care
Management
Policy
Education
FT
17
an
FT
= a
17
an
(Please add rows as necessary)
• Implementation and
management of nurse revalidation.
•
Implementation of an
improved clinical supervision
programme for nurses.
T 37.5 pw
725.per
nnum
T 37.5 pw
approx
725.per
nnum
NURSE
Service Line Operations Director
• To ensure consistency of safe
nursing practice through
effective Governance,
Safeguarding, Risk
Management (clinical and
environmental), Audit and
adapting service delivery to
published NICE guidelines,
DoH statutory notices and
changes in legislation.
• To ensure service users have
a positive experience of care
by involving them fully in all
aspects of service provision.
Nurse
• Community nursing
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Please provide the following information for each learning activity, until you reach 35 hours of CPD
could undertake, and the types of evidence you could retain, please refer to Guidance sheet 3 in H
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.
Link to
Please
• Pr
• Pr
• Pr
• Pr
Dates:
Method
Please describe the methods you used for the activity:
Topic(s):
27.1.15
Safe Staffing / Nursing Skill Mix
conference
Course attendance
Safe Staffing, Nu
Looked at tools a
setting safe staffi
mainly general ad
translate to menta
presentation on k
delivered to the C
Committee (evid
Main learning – a
staffing is irreleva
is correct and inc
dependence not j
users
D (of which 20 hours must be participatory). For examples of the types of CPD activities you
How to revalidate with the NMC.
o Code
e identify the part or parts of the Code relevant to the CPD.
rioritise people
ractise effectively
reserve safety
romote professionalism and trust
Link to Code:
Number
of
hours:
ursing Skill Mix.
and concepts for
ing levels. Though
dult acute, concepts
al health. Generated a
key points and
Corporate Assurance
dence in online folder)
actual versus planned
ant unless the planned
cludes acuity and
just number of service
Preserve safety
Promote
professionalism and
trust
6
Number of
participator
y hours:
3
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21.1.15
Corporate Leadership Conference
Conference attendance
4.2.15
Developing Leadership and
Facilitation Capacity of the Nursing
Workforce
Conference and workshop attendance
Leadership acros
people developm
direction, develop
including 1 hour l
Covered number
& afternoon 2x w
innovative practic
developing leade
19.2.15
Corporate Healthcare Conference
Conference attendance
4.3.15
Department of Health Independent
Advisory Forum
Workshop attendance
1 hour presentati
Shape of the DoH
independent sect
Presentation on R
15.1.14
Police Training and Conference
Centre
Course attendance
Review on multi a
county boundarie
organisational res
accountability, co
ss the organisation,
ment, strategic
pments,
lecture from psychologist
of regional guest speakers
workshops looking at
ces in the region related to
ers on the frontline.
Prioritise people
Preserve safety
7
2
Prioritise people
Practise
effectively
Preserve safety
Promote
professionalism and
trust
ion on people skills
H and impact on
tor
Revalidation
Prioritise people
Prioritise people
Practise
effectively
Preserve safety
Promote
professionalism
and trust
agency working, cross
es, individual and
sponsibility and
ommunication.
Prioritise people
Practise
effectively
Preserve safety
1
0
6
3
2
2
2
2
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3.6.14
meeting with CQC
Meeting attendance
Presentation by C
regulating and ins
Group breakouts
specific issues, p
areas specific to
8.7.14
Managing risk in mental health units
in relation to building design
Conference attendance
16.9.14
Focused upon the
mental health uni
and why. Insights
we can do to redu
work can and sho
risk of harm.
Dashboard Pilot Training
Course attendance
Using key metrics
better assess and
quality services a
and site level. En
Promote
professionalism
and trust
CQC on new ways of
specting.
s with CQC to tackle
problem solve and
CQC
he nature of incidents in
its, where they occur
s into the type of work
uce risk and where
ould be done to reduce
s around quality to
d support delivery of
at a divisional, regional
nables triangulation.
Preserve safety
3
3
Prioritise people
Practise
effectively
Preserve safety
Promote
professional ism
and trust
Preserve safety
3
3
1
0
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30.10.1
4
NHS Benchmarking - Learning
Disabilities conference - Key findings
and good practice event
Course attendance
Strategic direct
home not hosp
Using informati
Care
Results of the le
NHS Benchmark
Discussion of Ke
practice
Leadership in l
Using informati
of people with l
13.11.1
4
Nurse Revalidation Workshop
Workshop attendance
Understanding ba
across the organi
differences. Agre
pilot with NMC
Introduction to
learning disabil
Benchmarking
14.4.15
Regional Directors of Nursing
Conference
The theme was ‘I
Workforce Race E
the network and to
lities
Projects
tion: Transforming care –
pitals
ion to drive quality inpatient
earning disability
king Project
ey findings and good
learning disability nursing
ion to improve the health
learning disabilities
aseline processes
nisation and divisional
eeing to participate in
Prioritise people
Practise
effectively
Preserve safety
Promote
professionalism
and trust
Inclusion’. The
Equality Standard
Prioritise people
Practise
2
2
Practise
effectively
Promote
professionalism
and trust
2
0
6
6
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Conference attendance
(WRES) has bee
contract for 2015
one of the speake
update on the late
issues including a
other topics inclu
Transforming Car
en included in the
5/16 & the author was
ers on the day. Also
est nursing policy
amongst a number of
uding Revalidation and
re.
Total:
41
Total: 26
effectively
Preserve safety
Promote
professional ism
and trust
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Guide to completing feedback log
Examples of sources of feedback
Patients or service users
Colleagues – nurses midwives, other
healthcare professionals
Students
Annual appraisal
Team performance reports
Serious event reviews
Examples of types of feedback
Verbal
Letter or card
Survey
Report
Please provide the following information for each of your five pieces of fe
might identify an individual, whether that individual is alive or deceased. G
provides guidance on how to make sure that your notes do not contain an
You might want to think about how your feedback relates to the Code, an
Date
Source of
feedback
Where did this
feedback come
from?
1/7/2015
Student
Type of feedback
How was the feedback
received?
Verbal, in a meeting to
review her placement
documentation
Woman I looked
after on PN ward
10/8/2015
Thank you letter
eedback. You should not record any information that
Guidance Sheet 1 in How to revalidate with the NMC
ny information that might identify an individual.
nd how it could be used in your reflective accounts.
Content of feedback
What was the feedback about and how has it influenced your practice?
She found it valuable when I let her take the lead in a
postnatal baby check. I will encourage my students to take
the lead more often and try to only provide direction when
they need it.
Linked to ‘promote professionalism and trust’ in the Code.
Thanking me for supporting her and her partner throughout
the discharge process. Highlighted the importance of
taking time to make sure women feel confident and
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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: Independent Healthcare Provider – Senior Nurse
Manager
What was the nature of the CPD activity and/or practice-related feedback and/or
event or experience in your practice?
Safe Staffing, Nursing Skill Mix 2015. Looked at tools and concepts for setting safe staffing
levels. Though mainly general adult acute concepts translate to mental health. Series of
presentations as well as group discussion Q & A .
Main learning – actual versus planned staffing is irrelevant unless the plan is correct and
includes acuity and dependence, not just number of service users. How do we apply to
multiple/diverse service being delivered in environments that are not purpose built?
What did you learn from the CPD activity and/or feedback and/or event or experience
in your practice?
How safe staffing happens which is
• Establishment setting / staffing review
• Systematic, consistent approach
• Triangulate
• Reviewed regularly
• Follow best practice guidelines with staff input
• Policy and procedure on rostering
• Judgement as well as training
• If you don’t know what you’ve got, you can’t use it
How did you change or improve your practice as a result?
Developed an action plan as follows
• Rota management - E Rostering
• Review of staffing establishment by ward from safe perspective
• Annually and on any change in service or configuration
• Ward manager training
• Define organisational red flags / threshold
• Tools & technology
• Escalation process
• Review process
• Asked Board Sign off
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SAMPLE
How is this relevant to the Code?
Select one or more themes: Prioritise people – Practise effectively – Preserve safety –
Promote professionalism and trust
Promote professionalism and trust
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SAMPLE
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?
CPD on 30.7.14. Systematic Investigation training.
What did you learn from the CPD activity and/or feedback and/or event or experience
in your practice?
I had not previously undertaken any investigation training and over time have been
investigating increasingly serious and complex situations involving both staff and service
users.
I developed a greater understanding of the systematic investigative process and its
practical application to investigate a wide range of incidents, including patient-safety
breaches, complaints, non-clinical events and professional misconduct or capability
concerns. Also to understand how an investigation can be used to discover why an incident
occurred and identify solutions to prevent similar incidents happening again.
How did you change or improve your practice as a result?
Shortly after completing the training I had to lead an investigation panel into the suicide of a
service user within 48 hours of discharge. I was able to use the new skills and tools to
better organise the information available. This was particularly beneficial in organising the
chronology. I was able to put into practice interviewing skills with the nursing staff who
stated they could not recall the service user. As a consequence the investigation and
subsequent report felt more competed and detailed that previous investigations and the
recommendations were more comprehensive. I had increased confidence in leading the
panel. Below are the aspects of the training that I was able to practically apply to my work :•
human error theory
• commissioning and setting terms of reference
• securing and collating written evidence
• investigative tools and models
• establishing a comprehensive chronology
• analysing data
• Writing the report and developing recommendations that are specific, measurable,
achievable, relevant and timescaled (SMART).
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How is this relevant to the Code?
Select one or more themes: Prioritise people – Practise effectively – Preserve safety –
Promote professionalism and trust
• Practice effectively
• Preserve safety
• Promote professionalism and trust
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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: Secondary Care – NHS hospital nurse
What was the nature of the CPD activity and/or practice-related feedback
and/or event or experience in your practice?
CPD participatory activity – Attending a Manual Handler Transfer Specialist course.
What did you learn from the CPD activity and/or feedback and/or event or
experience in your practice?
As an experienced community nurse I have had to adapt to various environments to deliver
care safely and effectively. Working within the community team we are involved in providing
care for patients with complex health care needs at home, most presenting with limited
ability to mobilise and transfer independently. I was approached by the lead ANP to
participate in the manual handling transfer specialist training course to help develop the
team’s knowledge and skills in patient handling safely and effectively. The role of transfer
specialist will also promote the team’s compliance with the Trusts mandatory training
programme.
The startling statistics highlighting that 24% of NHS staff are injured through poor manual
handling practice and contributes to 40% of sickness and absence emphasises the need for
raising awareness of the consequences of poor practice. The cost to the NHS for
compensation claims is approximately 150million a year, money that should go directly to
patient care.
The role of transfer specialist will focus on organisational and individual training needs to
continue to move safer handling practice forward across the organisation in line with current
best practice. Each trainer will be expected to attend a minimum of one update training
session every year facilitated by a board manual handling advisor.
Standards for training staff entail completing a structured manual handling passport and the
assessment of staff members involves carrying out practical modules relevant to their
workplace. For new staff an induction will be carried out and a checklist of training needs
must be met prior to commencement of work. Self-assessments will be carried out every 2
years and training if required provided by the transfer specialist.
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The various legislation regarding risk assessments and safety at work were discussed and
the importance of assessment prior to performing any task was reinforced, with the aim to
reduce risk of injury to both patient and staff member
How did you change or improve your practice as a result?
Along with another team member we have arranged a teaching programme which includes
individual task assessments, control measures, risk assessments, care plans that are
suitable and review dates. We have offered support in accompanying colleagues on home
visits to carry out complex assessments which enables us to initiate safer handling
principles. We will act as a resource to the team in relation to the ordering of equipment
with the purpose of reducing the risk of injury to colleagues and patients as a result of poor
manual handling practice
How is this relevant to the Code?
Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote
professionalism and trust
All 4 themes of the NMC Code are linked to this CPD activity:
Prioritise people - the majority of people referred to the CRT are older with chronic
limitations including social needs. In order for some patients to remain at home safely
functional assessments are necessary to perform the fundamentals of care safely. The
extended knowledge and skills in identifying appropriate aids such as hoists for transferring
patients enables those individuals to have a choice to remain independent with formal
support at home.
Practise effectively – the ongoing manual handling updates enables staff members to
maintain their knowledge and skills needed for safe and effective practice.
Preserve safety – As a transfer specialist I am to be a resource for the team, supporting
colleagues to take account of their own personal safety as well as patient safety by
attending manual handling training sessions.
Promote professionalism and trust - I intend to be a model of integrity and leadership by
being committed to the standards of safer handling practice.
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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?
Annual appraisal discussion with my line manager – health & safety manager. I
rated each of my objectives and my line manager agreed on the rating and
suggested an upgrade to one of the objectives on ‘healthy company’.
The most constructive feedback was how to manage my head of department who
does like to get involved with lots of initiatives and then needs me to provide
information, advice and support on top of day job.
The organisation has an online performance management system that is completed
by the employee, reviewed by the manager and allows for comments on
performance as part of end of year discussion.
The discussion lasted about 45 minutes and we ran through each of the objectives,
what has been achieved and how it was achieved. We then reviewed my
competencies against the Competency Framework, reflecting on current and
required level. Any gaps would then form part of ongoing development. We also
discussed the development plan and agree learning needs.
What did you learn from the CPD activity and/or feedback and/or event or
experience in your practice?
I have a lot of work to do and need to close out the systems work I have been doing
to start concentrating more time on the three key projects that have been identified
for occupational health of the next 2-3 years
Finally I have learnt how to more effectively manage the expectations of our Head
of Department, in terms of my time and ability to deliver on the priorities. He does
take push back well and usually allows me to make the final decision ie mental
health providers, implementing health assessment standards and working with the
alcohol network.
How did you change or improve your practice as a result?
I developed my skills in the area of audit; air quality and fatigue through the
attendance at courses, conferences and self-directed learning.
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• Audit – ISO 9001 Lead Auditor course. Part of internal audit team –
developed tools and new style of delivery
• Air quality – conducted research, reviewed external technical research
project, lead working group developing good practice guide
• Fatigue – conducted research, lead small-scale research project and
provided feedback and advice.
How is this relevant to the Code?
Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote
professionalism and trust
The related to all four themes;
1. Prioritise people – I put great credence on the personal development
programme as it provides formal feedback and helps me understand needs
and try to deliver.
2. Practise effectively – provides an opportunity to identify areas for
improvement and development activities
3. Preserve safety – able to discuss gaps in knowledge and seek advice and
support on filling those gaps
4. Promote professionalism – conducting myself professionally in the reflective
discussion, choosing my words appropriately and linking my work objectives
with those of my profession.
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