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| Introduction and instructions |
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Welcome to the KPMG organisation survey for the revalidation of nurses and midwives.
Thank you for taking part in this. It forms an important part of the work KPMG has been commissioned to undertake for the NMC, in assessing the impact of revalidation on the health and care system.
The survey deadline is Thursday 04 June 2015.
Confidentiality
Please be assured that all information provided will be treated in the strictest of confidence. The responses that KPMG receive will be used to form a view of the impact and costs and benefits across groups of similar organisations. KPMG will not specifically identify or attribute responses to individual organisations.
How to complete this survey
In summary, the survey has been split into three areas:
1) Background information - To obtain a better picture of your organisation, the number of nurses and midwives you employ, and setting in which you operate.
2) Specific changes in requirements -
To determine the impact that the specific changes of revalidation will bring to existing requirements. In this section we ask what changes you are making within your organisation, for estimated costs and for financial information. This will allow us to understand in more detail the new model of revalidation, the incremental changes it brings and the financial costs involved.
3) Key themes - To provide information on overall changes you expect as a result of the implementation of revalidation.
The survey questions have been provided in a PDF document to allow you to review this in advance. We hope that this will assist you in completion
Please note that in order to complete the survey you may need to source data from other individuals within your organisation to allow you to answer the questions as well as you reasonably can. Therefore, we recommend that you review the survey in full in advance and plan any additional input that may be required to allow you sufficient time to include this ahead of the survey deadline.
The survey will allow you to save your progress and complete it in stages. This will allow you to return and complete any missing aspects at a later time.
Please also note that some of the questions in this survey will ask you for data and figures. We understand that you will not always have exact numbers or evidenced data. However, it is extremely valuable to KPMG's analysis to have answers to as many of the questions as possible. Therefore, in these circumstances, please provide your best estimate.
Finally, there are some questions that will ask for levels of awareness. Where these questions are asked, please use the following descriptions:
Description of levels of awareness
• High awareness - A high level of understanding and awareness of the proposed changes to current requirements and how it will impact registered nurses and midwives in the organisation
• Medium awareness - Some understanding and awareness of the proposed changes to current requirements and how it will impact registered nurses and midwives in the organisation
• Low awareness - Very little understanding and awareness of the proposed changes to current requirements and how this might impact upon registered nurses and midwives in their organisation
• No awareness - No awareness of revalidation
If you need any help completing this survey, please contact the KPMG team at [email protected].
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| This section is to allow us to obtain a better picture of your organisation, the number of nurses and midwives you employ. |
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| * 1. Name of your organisation | | |
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| 2. Address of your organisation
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| 3. Has your organisation taken part in the NMC's Revalidation pilot programme? |
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| 4. In total, how many employees are there in your organisation?
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| 5. In total, in terms of headcount, how many NMC registered nurses and midwives do you employ in your organisation?
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| 6. Approximately what proportion of registered nurses and midwives in your organisation have line managers? |
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| 7. Of those registered nurses and midwives in your organisation with a line manager, approximately what proportion have a line manager who is another NMC registrant? |
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| 8. Approximately what proportion of the total number of registered nurses and midwives in your organisation have an annual review or appraisal? |
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| Continuing professional development (CPD) requirements |
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Under the new revalidation requirements, registered nurses and midwives will need to undertake a minimum of 40 hours of continuing professional development (CPD) relevant to their scope of practice. Of these 40 hours, at least 20 hours must be participatory learning. Participatory learning is any activity where the registrant interacts with other people.
They will also need to provide a record of their CPD if they are requested to provide further information.
The main changes in the requirements are outlined below. We would like to understand and assess what the impact might be on your organisations specifically as a result of these CPD changes.
Changes associated with revalidation
• Registered nurses and midwives must undertake 5 extra hours of CPD over 3 years (40 hours in total)
• Of the 40 hours of CPD, registered nurses and midwives must now undertake at least 20 hours of participatory learning over 3 years
• Registered nurses and midwives are required to maintain a CPD record in their portfolio, including recording how their CPD is relevant to the Code |
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| 9. What was your level of awareness of the changes associated with revalidation prior to reading the above? |
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| 10. Below is a list of some possible benefits from the change in CPD requirements under revalidation. To what extent do you agree or disagree that the changes will…?
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| 10a. Please provide details of any other benefits you think there may be that are not outlined above | | |
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| 11. In order to support your registered nurses and midwives to meet the new CPD requirements, do you have plans to release any communications about the changed requirements? |
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| 11a. If Yes, please estimate the costs associated with the communication activity (£) | | |
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| 12. As a result of the new requirements, do you have any plans to support your registered nurses and midwives to record their CPD, over and above what you already provide? |
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| 12a. Please indicate the types of support you expect to provide to your registered nurses and midwives in order to maintain a record of their CPD over and above support you already provide. Please also indicate whether you expect there to be any costs to your organisation as a result of this.
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| 12b. Other (please provide further details) | | |
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12c. If you plan to/have already put support in place and you expect there to be costs associated with this, please could you provide an estimate of these costs, if any, for each area.
We are interested to know:
a. the approximate one-off upfront costs you expect to incur to put the support in place before revalidation is introduced
b. the approximate costs you expect to incur through the first three year cycle of revalidation
c. the approximate costs you expect to incur on an ongoing basis each year, once revalidation is up and running
Where you are unsure, please give your best estimates as this will still be useful for our cost-benefit analysis. |
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| 13. Do you have any plans to help your registered nurses and midwives to increase their participatory learning hours, by providing more participatory CPD opportunities? This is over and above what you may or may not already provide. |
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13a. If you plan to/have already put support in place and you expect there to be costs associated with this, please could you provide an estimate of these costs, if any, for each area.
We are interested to know:
a. the approximate one-off upfront costs you expect to incur to put the support in place before revalidation is introduced
b. the approximate costs you expect to incur through the first three year cycle of revalidation
c. the approximate costs you expect to incur on an ongoing basis each year, once revalidation is up and running
Where you are unsure, please give your best estimates as this will still be useful for our cost-benefit analysis. |
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14. Please indicate, on average, what proportion of CPD undertaken by registered nurses and midwives in your organisation is undertaken in contracted working hours.
Please provide this for the current CPD requirements under post-registration education and practice (PREP) and what you expect this to be when the new revalidation requirements for CPD are introduced.
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| 14a. Do you have any additional comments on the CPD requirements of revalidation and their likely impact on your organisation? | | |
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| Practice hour requirements |
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Under the new revalidation requirements, registered nurses and midwives will need to undertake a minimum of 450 practice hours over the three year prior to revalidation if they are a nurse or a midwife, or a minimum of 900 hours if they are both a nurse and a midwife.
Registered nurses and midwives will also need to provide information on their practice hours when completing the online application, or for the purposes of providing further information to the NMC if requested.
The NMC recommends that registered nurses and midwives collect the following details about their practice:
· Dates of practice
· The number of hours undertaken
· Name, address and postcode of the organisations
· Scope of practice
· Work setting
· A description of the work undertaken
· Evidence of those practice hours, such as timesheets, job specifications and role profiles
The changes to the practice hour requirements are set out below. We would like to understand and assess what the impact might be on your organisation specifically as a result of these.
Changes associated with revalidation
•The NMC recommends that registered nurses and midwives maintain a record of practice hours in a portfolio including: dates of practice; number of hours undertaken; details of organisations; scope of practice; work setting; description of work undertaken; and evidence of practice hours
• Reduction in the practice hours for registered midwives who are Specialist Community Public Health Nurses (SCPHN) from 900 hours to 450 hours
• Registered midwives who are practicing only as SCPHNs do not need to submit an Intention to Practice notification; however, if they choose to return to midwifery practice they must successfully complete a return to practice programme |
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| 15. What was your level of awareness of the changes associated with revalidation prior to reading the above? |
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| 16. Please indicate any support you expect to provide to your registered nurses and midwives in order to maintain a record of their practice hours, over and above support you already provide. Please also indicate whether you expect there to be any costs to your organisation as a result of this.
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| 16a. Other (please provide further details) | | |
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16b. If you plan to/have already put support in place and you expect there to be costs associated with this, please could you provide an estimate of these costs, if any, for each area.
We are interested to know:
a. the approximate one-off upfront costs you expect to incur to put the support in place before revalidation is introduced
b. the approximate costs you expect to incur through the first three year cycle of revalidation
c. the approximate costs you expect to incur on an ongoing basis each year, once revalidation is up and running
Where you are unsure, please give your best estimates as this will still be useful for our cost-benefit analysis. |
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| 16c. Do you have any additional comments on the practice hours requirements of revalidation and their likely impact on your organisation? | | |
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| Feedback, reflection and professional development discussion (PDD) requirements |
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Under new revalidation requirements registered nurses and midwives will need to obtain a minimum of five pieces of practice-related feedback in the three year period prior to revalidation. This could include feedback from patients, service users, carers, students or colleagues. They will also need to record a minimum of five written reflections on the Code, CPD activities, and/or practice-related feedback in the three-year period prior to revalidation and will need to have a professional development discussion with another NMC registrant (either their confirmer or a peer). The NMC confirmer or peer will need to sign a form to confirm the discussion has taken place.
The changes are set out below. We would like to understand and assess what the impact might be on your organisation specifically as a result of these changes.
Changes associated with revalidation
• Registered nurses and midwives must obtain at least 5 pieces of practice-related feedback over the 3 years prior to the renewal of their registration.
• Registered nurses and midwives must record a minimum of 5 written reflections over the 3 years prior to the renewal of their registration
• Registered nurses and midwives must have a professional development discussion with another NMC registrant |
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| 17. What was your level of awareness of the changes associated with revalidation prior to reading the above? |
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| 18. Below is a list of some possible benefits that the revalidation requirements around feedback, reflection and discussion may lead to. To what extent do you agree or disagree that the changes will... ?
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| 18a. Please provide details of any other benefits you think there may be that are not outlined above | | |
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19. At present, approximately what proportion of your registered nurses and midwives actively seek 5 pieces of practice-related feedback as part of their annual review, appraisal, or for other purposes?
‘Actively’ seeking feedback means actively looking at or consulting a source of feedback, such as a complaints log, patient survey or approaching colleagues directly for practice-related feedback.
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| 20. As part of revalidation, on average, approximately how much time during contracted work hours do you expect will be spent by each registered nurse/midwife, on the following activities?
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| 21. As part of revalidation, on average, approximately how much time during contracted work hours do you expect will be spent by each clinician/peer supporting registered nurses/midwives, on the following activities?
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| 22. Do you plan to use line managers (where they are NMC registrants) to support professional development discussions? |
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| 23. Do you plan to use your current appraisal programme (where in place) to support professional development discussions? |
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| 24. Please indicate below any support you expect to provide to your registered nurses and midwives in order to help them with the feedback, reflection and professional development discussion requirements,over and above support you already provide. Please also indicate whether you expect there to be any costs to your organisation as a result of this.
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| 24a. Other (please provide further details) | | |
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24b. If you plan to/have already put support in place and you expect there to be costs associated with this, please could you provide an estimate of these costs, if any, for each area.
We are interested to know:
a. the approximate one-off upfront costs you expect to incur to put the support in place before revalidation is introduced
b. the approximate costs you expect to incur through the first three year cycle of revalidation
c. the approximate costs you expect to incur on an ongoing basis each year, once revalidation is up and running
Where you are unsure, please give your best estimates as this will still be useful for our cost-benefit analysis. |
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| 24c. Do you have any additional comments on the feedback, reflection and discussion requirements of revalidation and their likely impact on your organisation? | | |
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| Third party confirmation requirements |
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Under the new revalidation requirements, in order to revalidate registered nurses and midwives will need to obtain signed confirmation from an appropriate third party to confirm compliance with the revalidation requirements. An appropriate confirmer would be a line manager. Where this is not possible, confirmation can be obtained from another NMC registered nurse or midwife the registrant works with. If that is not possible, confirmation can be obtained from another healthcare professional they work with who is regulated in the UK.
The changes are set out below. We would like to understand and assess what the impact might be on your organisations specifically as a result of these changes.
Changes associated with revalidation
• Declaration that the registered nurse or midwife has demonstrated to an appropriate third party that they have complied with the revalidation requirements
• Confirmation must take place via a face-to-face conversation or video conference
• Registered nurses and midwives must provide the name, NMC PIN or other professional identification number (where relevant), email, professional address and postcode of the third party confirmer |
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| 25. What was your level of awareness of the changes associated with revalidation prior to reading the above? |
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| 26. Below is a list of some possible benefits that requirements around third party confirmation under revalidation may lead to. To what extent do you agree or disagree that the changes will...?
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| 26a. Please provide details of any other benefits you think there may be that are not outlined above | | |
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| 27. Approximately, how much time do you expect confirmers will need to spend preparing for the third party conversation per registered nurse/midwife?
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| 28. Approximately how much time do you expect registered nurses and midwives will spend with confirmers in their confirmation discussion per registered nurse/midwife?
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| 29. And of this total time, on average, approximately what proportion of this do you expect will be conducted during contracted work hours?
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| 30. Do you plan to use line managers to support confirmation discussions? |
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| 31. Do you plan to use your current appraisal programme (where in place) to support confirmation discussions? |
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31a. Please indicate below any support you expect to provide to your registered nurses and midwives to help them meet the requirements for third party confirmation, over and above support you already provide.
Please also indicate whether you expect there to be any costs to your organisation as a result of this.
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| 31b. Other (please provide further details) | | |
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32. If you plan to/have already put support in place and you expect there to be costs associated with this, please could you provide an estimate of these costs, if any, for each area.
We are interested to know:
a. the approximate one-off upfront costs you expect to incur to put the support in place before revalidation is introduced
b. the approximate costs you expect to incur through the first three year cycle of revalidation
c. the approximate costs you expect to incur on an ongoing basis each year, once revalidation is up and running
Where you are unsure, please give your best estimates as this will still be useful for our cost-benefit analysis. |
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| 32a. Do you have any additional comments on the third party confirmation requirements of revalidation and their likely impact on your organisation? | | |
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| Online revalidation application and requests for further information |
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Under revalidation there will be changes to requirements around registering online and submitting further information to the NMC as part of the revalidation process. The changes for nurses and midwives are set out below. We would like to understand and assess what the impact might be on your organisations specifically as a result of these changes.
Changes associated with revalidation
• Registered nurses and midwives must register with NMC online and submit their revalidation form for maintaining their ongoing registration online
• The NMC may request further information to verify / support the declarations made by registered nurses and midwives as part of the revalidation process. This will be submitted through the online portal (NMC online) |
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| 33. What was your level of awareness of the changes associated with revalidation prior to reading the above? |
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| 34. Please indicate below any support you expect to provide to your registered nurses and midwives to help them meet the requirements for submitting online applications and providing further information to the NMC where requested. Please also indicate whether you expect there to be any costs to your organisation as a result of this.
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| 34a. Other (please provide further details) | | |
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35. If you plan to/have already put support in place and you expect there to be costs associated with this, please could you provide an estimate of these costs, if any, for each area.
We are interested to know:
a. the approximate one-off upfront costs you expect to incur to put the support in place before revalidation is introduced
b. the approximate costs you expect to incur through the first three year cycle of revalidation
c. the approximate costs you expect to incur on an ongoing basis each year, once revalidation is up and running
Where you are unsure, please give your best estimates as this will still be useful for our cost-benefit analysis. |
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| 36. When your registered nurses and midwives are selected to provide further information, approximately how much time do you expect this to involve per registrant providing further information?
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| 36a. Do you have any additional comments on the online submission requirement of revalidation and the NMC request for further information proposals and their likely impact on your organisation? | | |
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| Preparation for revalidation and general information on the new requirements |
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| This section is to provide us with information on the overall changes resulting from revalidation and any preparation you expect to undertake as a result of the implementation of revalidation for nurses and midwives. Your responses will also provide us with further information on the impact of revalidation. |
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| 37. Please use the scale below to indicate your perception of the level of awareness of the requirements of revalidation of the following groups:
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| 38. Are you aware of the materials available on the NMC website in relation to revalidation? |
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| 39. Do you consider that you need additional staff to take forward the project management aspect of implementing revalidation? |
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40. How many additional staff will you need to take forward the project management of revalidation?
What are the likely grades of these staff and what would be the approximate annual costs?
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| 41. Have you taken, or do you plan to take, any action to prepare for the implementation of revalidation within your organisation? |
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| 42. What is the estimated cost (£) of the actions you plan to undertake/have undertaken to prepare for revalidation?
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| 43. Are you aware of the current three-yearly renewal dates for registered nurses and/or midwives that work within your organisation? |
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| 44. If you are currently aware of, or plan to monitor, the current renewal dates for nurses and/or midwives that work within your organisation, please indicate below the measures you have in place/plan to put in place to obtain and monitor this information. Please also indicate whether you expect there to be any additional costs to your organisation as a result of this.
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| 44a. Other (please provide further details) | | |
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45. If you plan to/have already put support in place and you expect there to be costs associated with this, please could you provide an estimate of these costs, if any, for each area.
We are interested to know:
a. the approximate one-off upfront costs you expect to incur to put the support in place before revalidation is introduced
b. the approximate costs you expect to incur through the first three year cycle of revalidation
c. the approximate costs you expect to incur on an ongoing basis each year, once revalidation is up and running
Where you are unsure, please give your best estimates as this will still be useful for our cost-benefit analysis. |
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| 46. Do you plan to monitor and report internally the successful revalidation of registered nurses and/or midwives that work within your organisation? |
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| 47. Which, if any, of the following measures do you consider are required to support this and do you expect your organisation to incur costs as a result of this?
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| 47a. Other (please provide further details) | | |
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48. If you plan to/have already put support in place and you expect there to be costs associated with this, please could you provide an estimate of these costs, if any, for each area.
We are interested to know:
a. the approximate one-off upfront costs you expect to incur to put the support in place before revalidation is introduced
b. the approximate costs you expect to incur through the first three year cycle of revalidation
c. the approximate costs you expect to incur on an ongoing basis each year, once revalidation is up and running
Where you are unsure, please give your best estimates as this will still be useful for our cost-benefit analysis. |
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| Thank you for taking the time to complete this survey. |
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| 49. Would you like to provide any additional comments on the revalidation requirements as a whole or any aspects of it? This may include any identified areas of best practice that may benefit your peers, or your comments on your organisation self-assessment on the introduction of nurse and midwife revalidation. | | |
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