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Revalidation for UK Nurses

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Summary

This online session will cover the NMC's revalidation process and provide practical advice to medical professionals who are looking to maintain their professional registration. Led by nurse Una O'Connor and experienced nurse Naomi Stetson, they will discuss the requirements - 450 practice hours and 35 CPD hours across three years, as well as feedback and reflective accounts - and provide useful advice on how to keep track of the information and evidence needed, how to log and evidence practice hours, how to use webinars and face-to-face education for CPD and how best to document reflections. The conversation-style session will be interactive, with discussion and questions encouraged, providing advice on the revalidation process, which will be recorded for attendees to watch and refer back to.
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Description

Revalidation for UK nurses.

Delivered in a 40-minute bite-sized webinar by LWN Operations Manager Una O’Connor RGN and Naomi Stetson RGN

All delegates who attend will have the opportunity to receive a certificate of participation for CPD and access to presentation slides on submission of evaluation via MedAll.

You will need to be verified to participate in the chat on webinars and for future access to your certificates and any reflective notes you make in your profile.

Verification is available to healthcare professionals globally, you can find out how by clicking here

Learning objectives

Learning Objectives 1. Understand the purpose of revalidation and how it relates to professional registration with the NMC. 2. Recognize how continuing education is important for maintaining nursing knowledge and skills. 3. Demonstrate familiarity with the requirements for a successful revalidation, including log keeping and CPD. 4. Explain the purpose of practice related feedback and how it can stimulate reflection and knowledge. 5. Outline the importance of written reflective accounts in revalidation practice and methods of evidencing verbal feedback.
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Computer generated transcript

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The following transcript was generated automatically from the content and has not been checked or corrected manually.

Hello, everyone. I'm just gonna give a few minutes for others to join. We've got some people on board already. Um, just give a couple of minutes, and then we'll start the weather. Now, if you want to say, um who where you're from, um, in the chat, introduce yourself. That would be great. And hello, Zoe, we can see you in there. Hi, Christine Shiban. You're a familiar face. Hi, Jackie. Oh, brilliant. And newly qualified now fat, Fabulous. Yeah. I mean, the more the area I think we'll start, actually, because they don't want too much of a pause beforehand, because obviously, this is gonna be recorded and sent out afterwards. Um, so hi, everyone. My name is Una O'Connor, and I'm a nurse. Uh, the nurses. And today I'm delighted to be, uh, accompanied by Naomi, who's going to talk about revalidation, but I'll just pass over to Naomi quickly to introduce herself. Hello to you all. I'm Naomi Stetson. I'm a nurse. Um, I have worked for quite a long time in cardiovascular disease, um, and been a manager. So I have had the honor and the privilege to re validate several nurses. Um, and it's a role that is so important. So and and the whole process of revalidation, we thought was a good idea for one of the webinars. So stick your questions on the chat. I'm going to start talking about revalidation just very slowly and how we go through it. Um, it's a process that lots of people are very anxious about, and they really shouldn't be. Having said that the first time I did it, I was also very nervous. And then I realized how easy it was. So, um, please, please, you're very welcome to put a question in anywhere anytime. Interrupt as much as you like, and, you know, and I will pick the questions up and address them as we go through. All right, this is obviously an in conversation one. So it's very different to our normal format where we do a presentation. But there are a couple of slides today, um, because of the content that's involved. So we thought that something you may need just a visual, um, uh, you know, visual reference to go with the conversation. Um, I shall pop the first one up for you. Naomi. I'm gonna whisper through the other ones that are just standard ones about middle, actually. So if you want to start talking about revalidation, that would be great. Naomi. So what is revalidation? Um, it's the process that allows you to maintain your professional registration with the NMC. And in 2016 and 17, this was decided it was going to be the best way forward. There had been several problems with nurses that potentially hadn't had enough CPD and I think we all know that education is the most important factor to maintaining our knowledge and skills. Um, and the NMC decided it was the best way to keep everything professional and to assist nurses with the the processing of the information that was required for revalidation. And they changed the law. It was also to make sure that we all knew the code. Um, so let's go through to the next slide if we could. So it Devon's no sorry sorry. Una Let's go back one. It demonstrates your continued ability to practice safely and effectively, so the C P. D. That is required for revalidation demonstrates your knowledge and skills, and your practice hours relate to this as well. The most important part of that slide is the last last point, and that is that it continues throughout your career. So it it's not just now. It's not just once in three years again into these. It is throughout your career. Uh, and this is what I get asked all the time. Is it just this once? No, sorry, guys, it is throughout your career, so you'll be doing this forever. And that's why this is so important and why we thought it might be helpful to help you to actually develop your own portfolios and how to write them. So practice hours 450 over three years. Now, those of you that work in regular jobs, as in hospitals, primary care, you're going to have any work full time. You're gonna have lots of hours to document. You need to keep a log. Um, and any log will do so that you understand it, that that's the most important thing. You're the ones that need to understand this log. You need to keep a record. Of all the hours that you have worked. The problem comes or the queries come when you're not in a regular full time job. any part time work is fine. It can be from primary care. It can be from the school. It can be from teaching education. It can be from absolutely anything at all that is related to nursing. So we have colleagues that are legal nurses. They advised to the insurance company and the legal companies. We have colleagues that work and teach and that work in all sorts of consulting, um, processes that all counts. Every single hour counts, so it shouldn't be too difficult to to actually log 450 hours. Number two, the CPD 35 hours Over the three years now, 20 of these must be participatory. Now you may. You may or may. You may not note these webinars are plant plaster CPD. If you ask a question and get involved with a conversation, it then becomes participatory. So get involved and get online, because then you can class it as participatory. If you sit back quietly, then it's not really part class. The NMC don't class it as participatory, and out of those CPD hours they can be webinars. They can be face to face. They can be your own, um, research providing you have some form of online record of the test or the completion of what you've done. So in primary care, there are all sorts of, um, there are all sorts of organizations that enable you to do half an hour quarter of an hour, 20 minutes, whatever it may be, every single one of those will count. It doesn't have to be an old fashioned study day, which used to be 6.5 7 hours, you know, and I were just talking before we started and saying that we are finding now that we're going back out into teaching, um, situations that most of the nurses are absolutely, um, embracing face to face education because of covid. And I think that unfortunately, over the last 2.5 years, we've all had to embrace a different way of completing our CPD and any form of education. But anything that you've done in the last three years, if you're about to re validate this year absolutely anything, so keep a log. Absolutely. Keep a log. Can we go back, please? Enough and again, I'm just going to encourage you any questions as we go along. Please do put them on the chat, you know, and I can both see the chat. We can both, you know, uh, intervene with the questions. So five pieces of practice related feedback, and I'm often asked, Well, what is that? This can be positive or negative. Um, it doesn't all have to be positive or negative. It should be a mixture, because the negative pieces of feedback can often make you reflect in a more in deep way. And I think you can get more out of it. I'm not suggesting that we will want negative feedback, but in a real life world, there's going to be something that we don't do quite right, because none of us get it right all of the time. Um, and it's also good to acknowledge. If you've made a mistake, doesn't have to be a big mistake. It can just be something small that you realize doesn't work quite so well in your place of work. Um, and then you are able to doctor, uh, log it, discuss it, and look how it works. A positive feedback can be from one of your managers, a colleague, a patient, even a member of the family. So if you get a little note, an old fashioned note or an email from a family member who of a patient that you've looked after, that's positive feedback. Very much, though. Um, so it doesn't have to be anything big. It can be the tiniest little thing. Can we go back, please? Sorry. Thank you. Five written, reflective accounts. So this is a way of you demonstrating, uh, your reflection about your feedback about what you've done in depth. So I'll give you some form of of an example here in the fact that if you've set up a new process at work, if you've taken on a new role at work for instants and you've followed the protocol, you follow the instructions. You've been part of that team that's actually introduced it. And then when you come to audit it, you're not quite sure if it's been 100% right, Can you improve it? That's what audits all about. So a practice, a reflective discussion is often a way of auditing your own sorts and your own work. So in that sort of situation, you could write a paragraph about what had been introduced the way it was introduced and your reflections of how it had worked not so well. Or maybe it had worked well and what you would do to make the changes. Um, and it could just be a very small change that you think would be worthwhile, such as if you're working, let's say in in secondary care, if you're looking at patient care, you'll take a piece of evidence. Maybe and just say, Well, I think that perhaps according to this evidence, maybe we should be doing it this way instead of that way. Um, and maybe you've got some more current evidence that you see in this process. Christine, Thank you. Although the NMC says you can have verbal food, I try to discourage this as it can't be evidence. You are absolutely correct, Christine. So the only way you can evidence it is to write it when it's given. So if you're given some verbal feedback, go home and log it immediately. You put the date and the time and the person who's given it to you. And actually I think most of your confirm ear's or your colleagues would accept that I certainly would if someone brought it to me. I would, especially if I know my colleague. So, yes, I it is discouraged, but I wouldn't get rid of it altogether. I would say that if you get a really nice piece of verbal feedback, if it's negative, you're often going to say to that person, or could you put it in writing anyway? And I would say that if you're given a negative feedback by a colleague, you should ask for it in writing because you want to keep that on your log So you could also ask whoever gave you the verbal feedback positive to write it, too. But I do take your point. It's a very good point going back to the reflective. I don't know if the attendees are aware that by using, I can't stay in my spring because I've shed the slides, unfortunately, but there is, um, in your profile, under achievements where your certificates a lot, Um, there is an area there where you can actually add in your reflective notes on the webinars that you've attended. So, uh, say for instants. I attended one of the lemon nurses ones on atrial fibrillation. I was able to say how that I felt that, you know, it had helped me to, um It updated my my knowledge to help with the the safety of the patient. And I was able to also go back and reflect on the fact that I'd use this in practice when I was doing so. The vaccine taxi health checks because we were screening. Um, actually, putting fingers on risk and screening people's pulse is to see if their rate was, um, was regular and to check what their heart rate was doing. And I was able to actually include that as an example. Was that correct? Know me? Yes, absolutely. Is correct. So you do have that course, we're going to have a little discussion at the end of all this as to how you should start logging All your information. We've spoken about it as we go along, but I'm going to add a little comment at the end of March. Perfect. Yeah. Can we go back? Thank you. So then you're going to have a reflective discussion with your chosen confirm. Er, that's something that can be about anything. It's just going to be a way of your confirm, er understanding how you've really achieved what you've achieved and what you've done in your thoughts. The other point is health and, um, declaration of your character, health and character declaration. Now this was put in originally because of N m. Uh, the NMC, I think, realizing that mental health was a huge problem, and nurses as well as every other professionals, especially at the moment, can be suffering with their mental health. So don't be afraid to declare if there is a problem if it's locked, because your professional registration needs to know if you do have a serious condition and it it does affect the way we work, and it does affect the way that you are registered. So if you have a serious mental health condition, you really should, um, declare it so a meal. Thank you. Do the reflective accounts have to be on things you have logged in your CPD or fever? No, absolutely not. You can use other things. Absolutely. You can use another. Another point if you wish to. If you've got lots and lots of reflective points through your three years, you can pick some from each different area. And yes, it can be something different. That's a very good point, actually. Isn't it about a very good point with reflective accounts Have to be on the things you have logged on your COPD. Your feedback. That's very good point. No, uh, it depends on what sort of job you have. Because, as I was explaining at the at the top of the the discussion that we do have nurses that have jobs and they're made up of lots of different components. So you for those that are doing some managements and teaching, um, some hands on some consulting the I would encourage you to try and find a reflective feed, a reflective account from each component of your work. That's quite helpful because it actually demonstrates your, um, widespread skills and knowledge. So, um, if you have several parts of your job, do do demonstrate that in your feedback and in your CPD and in your, um, whole of your your revalidation, can you click that Thank you. Evidence of professional indemnity insurance. So we are all required to show and prove our indemnity insurance. Now, when I started my training, we had to belong to the Royal College of Nursing. That, of course, is very different now. And there are many, many different organizations where nurses can acquire indemnity insurance right the way across the board. And I don't want to get into politics now. But there are from the Royal College there's unison. There are many other, far more left wing right wing organizations. And as I said, I'm not here to discuss the politics of those organizations. You just have to make sure and ensure that on your form that you are able to demonstrate that you have adequate insurance. I know we should all be evidence based, but I'm going to just offer you a very small opinion because I have worked in nursing for 40 years. So indulge me, and that is that if you are a prescriber, a nurse prescriber, the RCN will cover you because you are registered up on a different register with the NMC. I would encourage you if you chose not to join the the Royal College of Nursing to ensure, as a nurse, prescriber that your indemnity insurance is absolutely adequate because I have seen I used to teach with the teach nurse prescribers and actually I think that there are some little issues with others. Thank you. Rachel Shields. I changed jobs last year and spent a few weeks working alongside a colleague and learning from her. Does this? Yes. Absolutely. Yes, it does. The last part was does this count as participate training? Unfortunate. When it goes out as recording, I don't see the chat. Sorry. Does participatory learning? Yes, it does. Um, and also, I would encourage you to do a feedback. Positive feedback. A reflection about what you learned. Christine. There are agency of substantive nurses that don't get certification for any course they have been to. So I encourage them to reflect on the topic and show something that shows they have attended. You're absolutely right. That's a very good point. I'm I'm a little surprised that there are agency Nurse is that don't get any certification at all. I thought that actually, it had become legislation that every every form, of course, that you have to attend. Even as you said, if it's mandatory, substantial, whatever it is, they're supposed to have some form of certification, even if it's online, and you have to print it yourself. Um, I would question that, but yes, it's a very good point a very good point. And then the other one is on practice. Nurse. And the RCN does not give us full protection in our area. No. Now, that's something I've become aware of. I was a practice nurse as well. So, um, Ashish to do you have, you can just answer me in the box. Do you have special, um, indemnity from your GP insurance? I'm gonna wait for the answer. M D U. Yes. The medical defence union, which is far more expensive than the Royal College of Nursing. But yes, but the real is not covered because nurses are covered with the M D U. Yeah, excellent. But that's okay. That's absolutely fine. Just make sure you've got your number to hand and that you can demonstrate your membership on your revalidation form. Yes. Sorry. Last one. Okay. And here we are. The last part of this is the confirmation form signed by your confirm. Er. Ashish Jha says you're still also with the RCN, as you were told to for legal purposes. I think that's very, very good advice. The Shifa. I think that everybody should belong to the RCN as well as another union. If that's what they wish, but it's becoming a cost issue. It's very expensive. All of this and, uh, currently, we're all struggling. Um, and I know with the with the pay and the striking and that sort of discussion, which I'd like to keep away from. But I'm very aware that it's very much in the news to belong to two different unions. To have two different organizations to back you is very expensive. Yeah. So the other question that's not on the slide is and I'm asked this so many times when shall I start to like going to ask you that? Next? Oh, go on. Just how far in advance should you start preparing for revalidation immediately? You submitted your last lot of documentation, so I actually think that this should be an ongoing process. And every time something happens that fits into one of your boxes and one of the things that we've discussed today, I would encourage you to write it. So have a log. Have a file paper. Old fashioned paper files are okay or log it on the computer, whatever works for you, but make sure that you have a log of all your CPD and that every time you go to anything, join a webinar. You make a note that today you did 40 minutes, you asked a question. It was participatory. Um, but yes, that's really important. Does this web does this Webinar being that is a discussion as opposed to a presentation where we're just running through and teaching. Would that actually count the CPD as well? Yes, absolutely. Absolutely. Because this is very relevant to our professional background, our backbone as nurses, The NMC want the revalidation process to be exactly that. So, yes, I knew the answer that because obviously at Loma Nurses, we will actually have the facility through medal for you to generate the certificate after you've either attended this webinar or, um, if you're watching it on demand, you'll also be able to do that as well. And as Naomi said, if you if you have joined in with the chat, then you know, log that as participatory. So that's brilliant. Um, can you use you were saying about the feedback from a teaching session? So do you want to give an example of how you can use that as as, um, part of your revalidation? Yeah, it was that in relation to, um I'm just trying to look who's point. Did you use feedback? Yes, you can. So if you've had a, for instance, if you had a small group tutorial in your workplace because they are still taking place, Um, even if it's just like a lunchtime session, a learning session, all of that and the feedback from that can be used as how you've achieved what you need to do. Where do you need to go next? What's the next thing that you need to learn? And that's actually that can lead into a reflective account because you can come away from that sort of feedback and think. Okay, where should I go next? What shall I do in the next two years, etcetera? There's some new messages. Um, so, uh, yeah, that was saying hi. I had very interesting question about if you've been working overseas, can you record those hours, um, to contribute towards your your hours for revalidation if you my understanding, um, of this question and this is complex. If you're working with your NMC code as the governance for where you are working, then yes. If you're working in America. It is, for instance, nursing else. But they have different legislation, and they would want you to re validate there. So if you're if you're back, Yeah, so But if you've if you've actually, um I presume that if you've been working overseas and you're working within the United Kingdom that you would have gone through the NMC, too. Check all your credentials anyway. All right. Cool. Yes. So nurses that come from overseas, um, have to go through the whole process when they register in the first place, and then they have to re validate after the three years. So, yes, that's what they I'd have three years Grace to do that. Yeah. They'd have to demonstrate their, um their ability and their governance to practice in this country. And there are certain countries where we know that nurses can't come here without re training and re qualifying. So I guess in the problem would be for somebody who is has been working in the UK, goes overseas during their three year period and then comes back, it would be for them. That's very complex. Then, isn't it for them to prove the hours and the quality of their hours, wasn't it? Yes, it would. There are some countries in the southern part of Africa and Nigeria that have their own NMC, which is linked with the UK NMC. So, yes, if you've done some work in those countries. And I actually did some work in Malawi where they have their own NMC and it is linked with the UK NMC. So where there is that tangible link, then I believe that you can use those hours when you're logging, practice ours here. Well, that's good. So another question is I've returned to practice. Can I re validate? Absolutely. Definitely. And you must. This is just a question. I know that. I've seen that that if somebody has returned to practice, they can actually use their hours, Can't they as they go along? Um, as soon as they returned. Obviously it's a whole process, isn't it? For return to practice? Yes. You have a different process that is also listed on the NMC. So I think this is another good point. The NMC portal is absolutely fascinating. It has so much, um, information on it that will answer every question that you you might want to ask. Yeah, practice. They have to take the amount of hours in a certain time frame anyway, don't they? To be able to return to practice without having to do the return to practice course, isn't it? Yes, that's the thing to avoid. Now we've got another question. Comment here. Can you see it? I'm due to re validate next year. And I found this Webinar very helpful. Thank you. I'm delighted. There's one question that came up beforehand when we were discussing this. And that was how do you find a confirm? Er how do you choose your confirm? Er and what do you do when you can't find a confirm? Er so you can choose anyone that you work with? That is of the same profession as you midwife needs A midwife. A nurse needs a nurse. I think that the the nurse, the assistant practitioners, the band fours need to have, um and my understanding is that they need to have a band five or above to confirm them. But you, if someone declines to actually assist you, I think that's very unprofessional. Um, you can contact the NMC and they will help you. They have a lot of um, staff that that would help you and be act as your confirm Ear's. Yeah. So this just leads me to the last point, cause I know it's already half past one. Um and that is barriers really and challenges and not finding a confirm er, which was a big problem in the first phase of revalidation, and it it worries people. And I think the other point that is a barrier is not having recorded your information for three years. And then you're scrambling two weeks beforehand too quickly. Do your revalidation documentation. So this would bring me back just to say start it and have it on going the whole time. Which leads to a question. Actually that was submitted, which it's quite interesting with in relation to that is what to do. If you do need more time and have not completed the revalidation requirements, you need to contact the the NMC, and you have to do it before the date. Don't leave it till your absolute date. I think they ask you to do it a month beforehand. And how long does the process take Naomi From once I've submitted to the NMC Uh, recently, it's been done within 4 to 6 hours. So yes, the last person that I confirmed, um, I got a response, and I think they got a response very, very quickly. Wow. Yeah, but, uh, interesting one on the chat. Do you need to work with the person to re validate you? Uh, this is this is I work with as an agency nurse and still occasionally work with my old colleagues. When I was full time in the NHS, would one of them be able to confirm me? Um, and just as a point of view, she doesn't have to re validate it for two years. So very, very prepared. You are very prepared. Well done. Is it shabaan? Um, yes. The answer is yes. Absolutely. As long as that person is registered with the NMC, you can get any colleague to confirm it. It doesn't have to be somebody that directly works with you. It can be a friend providing you go through this in a professional manner. If it's an old colleague. Yes, my manager. My manager is non clinical. Can she confirm you know what to do with us? Yeah. Leana. Is she a nurse or is she an actually a manage a manager, as opposed to? No, she's not a nurse. So the answer is no. You do need someone who belongs to the NMC to confirm you. Oh, this is very interesting. Um, Christine, this is really good. She's encouraged the agency she works for, to have a revalidation team to help agency nurses for reflective discussion and confirmation. Christine, that is absolutely brilliant. Well done. That's fantastic. So going back to the non clinical manager, it's part of a PCN. Is there anybody else the PCN, though that would be able to re validate as a, uh, to be a confirm er there should be there should be because you do have, um you will have a senior nurse in your primary care network. The GPS know they can't confirm you because they don't belong to the NMC. You're supposed to have another nurse. There must be nurses in your primary care network. Maybe in another practice, is there a practice nurse lead in one of your other practices that could help you. Any more question with that one going back to them being, uh oh, yes, there is because, say, if you're in that situation. There's absolutely no one at work. But you do have friends that are nurses, and you're saying you deal with it in a professional way. But can they do that? Do they actually have to work with you in the last three years? No, they don't have to. This, uh, excellently and a great She says she's gonna get the nurse from the PCN to do it. Yes, just pull them in. Um, it doesn't have to be somebody you work with. This process is an independent process to demonstrate that you are fit to practice so it doesn't. It's not a feedback from someone you worked with. It is a way of you as a professional, demonstrating to whoever it may be who practices the same code as you. That's all practices to the same code to re validate. So, yes, it doesn't have to be a close colleague. It can be somebody that you know who's a nurse. Similar grade is re validating herself can demonstrate that she can act as a confirm er to It's just you discussing your participating as discussing all your requirements that you can re validate and them saying yes, they've discussed it with me, and I'm happy with what they've told me. Is that the gist of it? Yes, absolutely. So the the confirm er has to write on the form that you, um You declare that you have seen every piece of documentation that you are required to see, and you will have to submit all of those documentations to your confirm. Er so just another point as a confirm, er I was Yeah, don't leave, uh, and submit 57 documents the night before because your confirm, er won't be very happy, but also as a confirm, er it's about the what reassurance would you give to people who who are nervous about confirming being the confirm er, to be a confirm? Er what? What? What reassurance would you give for people who are nervous about stepping up as a confirm? Er, I think that if you are, uh, if you've been qualified for a few years and that you have gone through the process of, perhaps you need to manage someone else in your team, I'd say it's probably quite hard to be a confirm. Er if you don't manage anybody, I'm not saying it's impossible, but I think you have to understand how that person, whoever it may be, um, the process for that person. So you're not looking at it from your own eyes. The confirm er has to see the process from the other professionals. I So you need a little bit of experience to be able to do that. But people shouldn't be nervous at all. Um, not at all, because the the NMC are so grateful for anybody who acts as a confirm. Er, you shouldn't be afraid You shouldn't be afraid at all. Got a very interesting question now because obviously, um, in the UK, we actually do have quite a high, um, nurse population from the Philippines. So this is gonna be quite relevant. I am now living outside the UK. I had two years of experience with the N h s. I'm from the Philippines. Can I be confirmed through virtual means by my previous colleagues in the UK? Um, is this to return to the UK? Can I ask Ruth as an s? This is very relevant. Yes. Are you Ruth? Are you hoping to come back to work in the NHS so that you want to re validate so that you've got the opportunity to come back if you wish to. I'm just waiting for the so, Ruth. You can, um, confirm virtually. I think everything can be done virtually by like this on the phone, providing you submitted all the documentation you can prove. You're 450 working hours. Your practice based feedback. Your CPD etcetera? Yes. Um, Ruth says yes. She she would like to prepare for coming back into the UK, and the answer is yes. You just need to find a colleague who's willing to do it for you. Um, and you need to submit the documentation. The NMC is all online. All your forms can be downloaded wherever you are in the world. Lovely. So, yes, there is no problem with that. You can do it virtually, Um, and in fact, the last person I confirmed, I did it virtually. And you just sign the form, scan it in. Everything can be done virtually now. I'm guessing a lot for that to be done virtually over the especially in lockdown. And over that sort of the last 2.5 years period. Yes. I mean, people find out I did, um, follow sort of procedures, Doesn't that Yes. Yes. The only thing that the NMC require there are no electronic signatures required. You have to sign it properly. You are required. Yeah. Yeah. To download your paperwork, sign it properly, and scan it and put it back in again. So I'm guessing that the electronic signature will follow, because that's just progress, isn't it? Yeah. Do we have any more questions coming to come through on the track? Things have been really good questions. Actually, you've made it very easy for us by being so involved with the participation. So thank you so much to all of you. And we do welcome feedback because, um, you know, we want to know how we can improve how we can change how we can add. And the only way that we get better is through your responses and then our reflection. Yeah. Where nurses? Just helping nurses, isn't it? Yeah, that's all we are. We are We are nurses helping nurses. Um, that's exactly what we are. Mhm. It seems less scary now. I'm pleased. Uh, yeah. Get the first. Yeah. Go on, Naomi. I thought it had to be done. face to face. Virtual or WhatsApp? Yeah, it can be done virtually. That's what I'm saying. It doesn't have to be done face to face. We've We've stopped that. Um if you can't get to someone face to face, I think you'll find that a teams in a video call, we're all in the same room together. Aren't we really like now? As you say, the importance is getting the documentation. Absolutely. And so that your confirm er can check everything that you've done. So you need to keep records of everything. Yeah, it is about the records that you keep. Good luck. Good luck. Jackie. I'm so glad that you're prepared to go a whole year to start getting your documentation together already. So yeah. Uh, protein thought Naomi, um, it's been a pleasure, because you've all been so, you know, engaged and submitted so many questions, and that always helps. I'm sorry that we can't actually talk to you and that you can't all physically join into the room. Um, I think that revalidation the more you do it, the easier it becomes. And also, as Jackie says it, it's the first time for her. So it is nerve racking the first time. But if you've kept all your documentation, I know I've repeated that line so many times, and I apologize. But I think that keeping your documentation from Day one for your three years is your key to making the process easy for you. I suppose it's difficult. It's such a busy profession, isn't it? It's just like trying to keep on top of it, isn't it? It is. And it's very difficult to keep on top of everything. However, as we we put in the first slide, it is, um, going to be something you are going to be doing for the rest of your careers. So you you've got to get your head around it somewhere on the line. Well, this is a good, fabulous question. How many revalidation forms get taken for further scrutiny? So I can't give you for 2022 But for 2021 I believe it was very few. Very few. I can't give you an exact number on the portal if you search and I will, I will have a look. They'll tell you. And so I got sidetracked. I was gonna ask one more question. Actually, um I do hope that everyone's found this really helpful because, as you say, I think a lot of people find it scary. Um, just gonna give this. If you're gonna say if you're gonna ask anymore questions, can you just just put them all in the next minute or so? Just because of time? A lot of people saying thank you. Um, it's been our pleasure. Yeah, we if the feedback is good because you will get sent the feedback We're always always open to additional areas that we can address. If there's anything else that you remember, what what came to my mind? Especially if somebody is new to confirming what happens if, um, the nurse and the confirm, er do it incorrectly and send it all in it will be sent back again. So will the timeline then be adjusted accordingly? That's a very good question. I haven't had it happen, so I don't know, um but I do encourage nurses to try and confirm and have their confirming meeting maybe a month before their date, and then it gives you the chance because any of us can make a mistake on the documentation not quite put enough information and then it gives you enough time. I do. At the end of the day, the NMC do not want to prevent anybody from practicing. That is not the idea of this. They just want people to safety, isn't it? So they're not going to make life difficult for you unless there's a very good reason they need the nurses badly. So they're trying to enable this process not to disable the process. Yeah, I think. Yes. Um, pretty much everything now is because all the questions have been asked, Really? Do hope everyone's enjoyed it. And hopefully, um, this will go on to, um, encourage many more to be more proactive with their revalidation and less scared, um, proactive in getting the preparation done early and then less scared about the process. And maybe people who um, have always been a little bit dubious about becoming a confirm and may actually, um, look into the prospect of doing side. Do you think I think so. That's a really good one. Perhaps between our team, we could work on a short webinar about becoming a confirm er to try to encourage amazing trying to encourage others to do it. We'll do that in the new year. When Naomi Yeah, we'll do that for the next another. In conversation? Yeah. To encourage confirm Ear's brilliant. Alright. And everybody, I'm going to, uh we're going to leave now, But thank you so much. Um, I do hope you all enjoyed it. Bye, guys. Lovely to see you. All were lovely to meet you all. Bye bye.

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