Recommendation 229

Revalidation system for nurses and midwives

It is highly desirable that the Nursing and Midwifery Council introduces a system of revalidation similar to that of the General Medical Council, as a means of reinforcing the status and competence of registered nurses, as well as providing additional protection to the public. It is essential that the Nursing and Midwifery Council has the resources and the administrative and leadership skills to ensure that this does not detract from its existing core function of regulating fitness to practise of registered nurses.

The Nursing and Midwifery Council has committed to introducing a proportionate and effective model of revalidation, which is affordable and value for money, to enhance public protection.  Subject to public consultation, the proposed model would require evidence that the nurse or midwife is fit to practise.   Under the current proposals, the Nursing and Midwifery Council Code and standards would be reviewed and revised to ensure they would be compatible with revalidation, and guidance for revalidation would also be developed.


In February 2013, the Nursing and Midwifery Council began a UK-wide programme of engagement on revalidation and has held two national consultations.

The first ran from January to March 2014 and focused on the proposed model of revalidation.  The second, which ran from May to August 2014, included a draft revised Code intended to address, for example, putting patients first (including a greater emphasis on providing the fundamentals of care, hydration and nutrition); dealing with complaints; raising concerns (‘whistle-blowing’); the professional duty of candour; and leadership, delegation and team working.

The Nursing and Midwifery Council will test the resulting revalidation model in a pilot during 2015 and full implementation of the model will commence by the end of 2015. The Nursing and Midwifery Council has established an oversight board that will drive forward the planning and confirm that the UK is sufficiently ready for implementation.