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Revalidation case study: Denise Jonas at Royal Manchester Children’s Hospital

Denise Jonas, Matron for Education and Staff Development at Royal Manchester Children’s Hospital

Denise Jonas, Matron for Education and Staff Development at Royal Manchester Children's Hospital has been a confirmer for the revalidation process, as well as a registrant. Here she talks about her experiences and offers her advice to both registrants and confirmers. 

“I went through the revalidation process to understand what it was like before I became a confirmer, if you don’t understand it yourself, how will you explain it to others.

“I took on the role of revalidation champion and then became a confirmer for several members of staff including three in my own team.

“If you manage an individual it is easy to look at development and to think about how you move forward. I can understand why the trust wants the appraisals linked to revalidation. Revalidation has differences to appraisals but it is important to see how they work together. 

“I think revalidation is a useful process because a lot of nurses will not have thought about gathering feedback before and how we keep it and use it. This feedback could be from a colleague, a parent; it is important people start to think now about what they collect together for revalidation. 

“I also think it is important to remember that taking part in the revalidation process in an acute hospital is a completely different situation than in other areas of nursing work – you will be given support and opportunities to work on it, so it should be easier to complete. One member of staff I confirmed had only been qualified one and a half years but met the CPD requirements as they had been to meetings and other activities that contributed. The people who may struggle are for example, a single nurse in a GP surgery or if you work for an agency or in isolation, however, the guidance the NMC has produced will help all nurses regardless of where they work.

“To be a confirmer you need to be able to understand the Code and read it thoroughly. Revalidation makes you look back at the Code and I think this is a good thing as I am not sure how much the Code would have been reviewed before that. 

“The reflective discussion is the most valuable part of the process. The face to face aspect to confirmation is also really important. I really enjoyed doing it as a process.

“The confirmer is there to confirm if a nurse fulfils the revalidation requirements set by the NMC, but it may expose other things. We would take these up as a separate process; they would be followed up and managed separately according to your trust policies.  If the criteria is met, we can still revalidate.

“It took about four hours to gather information to do my own revalidation process for three years of work. In the future I will make sure information is in the right place.  

“Also now, when I am doing any teaching, I do think to let colleagues know that this is the sort of information they should be keeping for NMC Revalidation.

“It could be an issue if people prepare their revalidation evidence at the last minute – you need to be prepared. 

“During the confirmation process, it is really good if staff submit their revalidation evidence beforehand so I could pre-read them and then would need about an hour to discuss them. If I have to sit and read the notes there and then as well, it can take a lot longer. 

“There is a lot of supportive information out there from the NMC and RCN websites and from the Trust in relation to revalidation.

“My top tips would be to photocopy the confirmation form of who you are confirming for your own records, also in case the NMC asks you to verify that you did provide confirmation for someone – you will be able to find this information quickly. Make sure you give enough time for the process and if you are stuck in terms of whether or not to confirm someone – seek advice.

“Revalidation is not an arduous job and we do not want people to be upset or too concerned about it. It is things that nurses will be doing already – but it is just making sure you have a formal record of it.”