Regulation of nurses and midwives in the United Kingdom - David Hubert


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  • Note: The trend of application from the EU has been growing steadily in the last 10 years. In the last two years we have seen a surge in applications from ‘old’ EU countries such as Ireland, Spain and Portugal, mainly for economic reasons. Ireland for example has had a freeze in its healthcare recruitment and large scale redundancies in the health sector.
  • The issue to note here is the very small number of individuals reported to FTP and subsequently struck off or subject to sanctions, as a proportion of the total number on the register.
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  • Regulation of nurses and midwives in the United Kingdom - David Hubert

    1. 1. Regulation of nurses and midwives in the United Kingdom David Hubert EU Policy Lead 17 November 2011
    2. 2. About the NMC <ul><ul><li>We are the nursing and midwifery regulator for the United Kingdom </li></ul></ul><ul><ul><li>We exist to safeguard the health and wellbeing of the public </li></ul></ul><ul><ul><li>In order to practise in the UK every nurse or midwife must hold current registration with the NMC </li></ul></ul>
    3. 3. What we do <ul><ul><li>We set standards of education, training, conduct and performance so nurses and midwives can deliver high quality healthcare consistently throughout their careers </li></ul></ul><ul><ul><li>We ensure that nurses and midwives keep their skills and knowledge up to date and uphold their professional standards </li></ul></ul>
    4. 4. What we do <ul><ul><li>We ensure that midwives are safe to practise by setting rules for their practice and supervision </li></ul></ul><ul><ul><li>We have clear and transparent processes to investigate complaints made against nurses and midwives </li></ul></ul>
    5. 5. How we protect the public Nursing and Midwifery Council Employers and managers Nurses and midwives
    6. 6. About the NMC register <ul><ul><li>We have over 660,000 nurses and midwives on the register </li></ul></ul><ul><ul><li>Around 33% of nurses and midwives hold more than one qualification </li></ul></ul><ul><ul><li>Almost 20% of people on the register are aged 55 years and over, and just 2% are aged under 25 years </li></ul></ul><ul><ul><li>20,000 people on the register live outside the UK </li></ul></ul>
    7. 7. About the NMC register <ul><ul><li>70250 individuals on the register were trained outside the EU. Top countries of origin are the Philippines, India, South Africa, Australia and New Zealand </li></ul></ul><ul><ul><li>12293 individuals on the register were trained in the EU. Top countries include Ireland, Spain and Poland </li></ul></ul><ul><ul><li>In the last year the NMC has issued 8180 registration information packs to EU trained applicants and registered 2713 EU nurses and midwives </li></ul></ul>
    8. 8. Maintenance of registration <ul><li>The NMC operates a system of periodic renewal of registration and continuous professional development: </li></ul><ul><ul><li>All nurses and midwives must pay an annual registration fee of £76 GBP </li></ul></ul><ul><ul><li>All nurses and midwives must renew their registration every three years and declare that they have met the NMC practice and continuous professional development (CPD) standard </li></ul></ul>
    9. 9. NMC practice and CPD standard <ul><li>At the three year renewal point all nurses and midwives must declare that they have: </li></ul><ul><ul><li>Undertaken 450 hours of registered practice in the previous three years </li></ul></ul><ul><ul><li>Undertaken at least 35 hours of learning activity (CPD) in the previous three years </li></ul></ul><ul><li>The 450 hours of practice can be met through administrative, supervisory, teaching, research and managerial roles as well as providing direct patient care </li></ul>
    10. 10. NMC practice and CPD standard <ul><li>Nurses and midwives who do not meet the NMC practice and CPD standard will not be able to work because their registration will lapse </li></ul><ul><li>In order to renew their registration such individuals will be required to undertake an NMC approved return to practice programme through a UK education institution </li></ul>
    11. 11. The register and employers <ul><li>The NMC does not issue a license to practice, instead the NMC register is the tool of public protection </li></ul><ul><li>Employers are required to check their employees registration status using the NMC registration confirmation service and by consulting the publicly available online register via the NMC website </li></ul>
    12. 12. The NMC code <ul><ul><li>All nurses and midwives are required to abide by the NMC code </li></ul></ul><ul><ul><li>Nurses and midwives are personally accountable for their practice and must always be able to justify their decisions and actions </li></ul></ul>
    13. 13. Fitness to Practise <ul><ul><li>The NMC investigates complaints about individual nurses and midwives </li></ul></ul><ul><ul><li>It is concerned with issues of: </li></ul></ul><ul><ul><ul><ul><li>professional misconduct </li></ul></ul></ul></ul><ul><ul><ul><ul><li>convictions and cautions </li></ul></ul></ul></ul><ul><ul><ul><ul><li>lack of competence </li></ul></ul></ul></ul><ul><ul><ul><ul><li>health related problems </li></ul></ul></ul></ul>
    14. 14. Fitness to practise statistics <ul><li>2008-2009 2009-2010 </li></ul><ul><li>On the register 663,656 (100%) 662,283 (100%) </li></ul><ul><li>Referrals 2,178 (0.3%) 2,988 (0.4%) </li></ul><ul><li>Investigation 1,759 (0.2%) 2,126 (0.3%) </li></ul><ul><li>Sanctions 740 (0.1%) 925 (0.1%) </li></ul><ul><li>Striking off 216 (0.03%) 202 (0.03%) </li></ul>
    15. 15. Areas of development <ul><ul><li>Regulation of health care support workers. Current debate ongoing in the UK about the scope and nature of possible regulation </li></ul></ul><ul><ul><li>Additional material to support the NMC code of conduct. This will be formed of examples of best practice from nurses and midwives in using the NMC code </li></ul></ul>
    16. 16. Areas of development <ul><ul><li>Revalidation: the NMC is exploring the introduction of a new system to assure itself of nurses and midwives continuing fitness to practise and CPD </li></ul></ul><ul><ul><li>In 2010 the NMC launched a new set of standards for pre-registration nursing education. All nursing programmes will in future be at degree level. Quality assurance approval of new programmes is currently taking place. </li></ul></ul>
    17. 17. International work <ul><ul><li>The NMC has been proactively taking part in the review of EU Directive 2005/36 on the recognition of professional qualifications </li></ul></ul><ul><ul><li>In 2010 on behalf of the European Commission we co-ordinated the feedback of all nursing regulators in the EU on how the directive has been operating </li></ul></ul>
    18. 18. International work <ul><ul><li>The NMC is actively taking part in the following phases of the review of the directive to suggest changes. These include: </li></ul></ul><ul><ul><ul><li>Updating the minimum training requirements for general nurses </li></ul></ul></ul><ul><ul><ul><li>A requirement on regulators to share fitness to practise information proactively </li></ul></ul></ul><ul><ul><ul><li>A requirement that regulators should be able to assure themselves of an individuals language competency. </li></ul></ul></ul>
    19. 19. Online presence <ul><ul><li>Sign up to our email newsletter at </li></ul></ul><ul><ul><li>Join our Facebook page at </li></ul></ul><ul><ul><li>Follow us on Twitter at </li></ul></ul>
    20. 20. Thank you