Front Line & Support Staff

Appraisal pack 2016 -17

Front Line & Support Staff

& who are also a

Registered Nursing and/or Midwifery Professional

Applicable to all Nurses and Midwives registered with the Nursing and Midwifery Council including

• Registered Nurses
• Registered Midwives
• Registered Nurse/Midwife and SCPHN (Specialist Community Public Health Nurse)

Appraisals are now directly linked to pay progression. This means that if it is identified at your appraisal that you have not successfully met all your objectives, you will remain at your existing A4C pay band point. It is therefore important to clearly understand and agree your objectives.

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From April 2016 all registered nurses and midwives are required to revalidate every 3 years.

For further information about your revalidation responsibilities and requirements please see

• How to revalidate with the NMC - NMC website
• NMC Code: Professional standards of practice and behaviour for nurses and midwives
• Verification of Registration of Clinical Staff policy
• Appraisal policy

Revalidation aims to achieve safe effective practice for nurses and midwives, through continuous professional development, participatory learning, feedback and reflection. This is a continuous learning process and will result in safe effective care for patients.

This is an important part of evaluating our professional practice and the Trust supports nurses and midwives to achieve this.

The appraisal process for nurses and midwives combines a professional appraisal with an organisation appraisal. This appraisal encompasses a professional conversation and anticipates your appraiser is a registrant (as is required for a professional conversation). Where your appraiser is not a registrant, you will need to have your professional conversation with another registrant first.

Your appraiser can still confirm your requirements providing you can evidence your professional conversation to your appraiser. This document will help you demonstrate this and ensure your appraiser can understand your professional achievements and future requirements.

Prior to your appraisal, please complete this pack as far as you are able so that you are prepared for your appraisal meeting, and give some thought to your objectives and personal development plan (PDP) for the coming year. This can be linked to your requirements for revalidation.

Please attend with your professional portfolio which should have evidence of requirements for revalidation. This will be proportionate to where you are in the three yearly process i.e. if you are due to revalidate in the next 6 months you will need all of your evidence, if you are due to revalidate in 2 years you will need a portion of your evidence.

You will also need a copy of ‘How to revalidate with the NMC’ as a detailed reference guide. The checklist for revalidation requirements can be found in the NMC guide (p6). You will also need a copy of the NMC code.

Your appraisals are linked to achieving your revalidation with the Nursing and Midwifery Council.

Your appraiser will need to revalidate and/or confirm your revalidation requirements.

This is done every 3 years and you are responsible for ensuring you provide all the necessary requirements to enable you to revalidate. You should know your own revalidation date.

If your appraisal is a final appraisal prior to revalidation you will need to jointly complete the

• Reflective Discussion Form
• Confirmation Form

You must use this prescribed version of the form.

These forms are part of this appraisal pack, and are also in the NMC: ‘How to revalidate with the NMC’ guidance.

These are particularly important documents and must be kept safely as a manual record of the actions having taken place. You may be asked to supply these documents to the NMC.

The appraiser should have a copy or have read and understood the requirements of the confirmer role. ‘Revalidation: information for confirmers’

We conduct staff surveys on the quality of appraisals; please complete the short questionnaire by clicking here.

For further information about changes to the Appraisal process, please speak to your line manager or refer to the Appraisal Policy which is available on the Intranet.

Name: / PIN:
Job Title: / Date for revalidation:
Department:
Name of Registered Professional conducting professional conversation / Confirmer Name:
Date of professional conversation: / Date of confirmation:
Appraiser Name:
Date of Appraisal:

Review last year - make notes here to discuss at your appraisal

Your objectives from last year

Objective / Achieved?
Met requirements/not achieved / Comments – provide brief comments on outcome of your learning, feedback and reflections. Provide comments on why you have not been able to achieve this and a plan for addressing this
Are you on target to achieve the required number of practice hours over 3 years (450 required over 3 years, 900 for dual qualified RN and Midwife)?
Have you achieved 12 – 15 hours of CPD (35 hours required over 3 years)?
Have you achieved 5 - 10 hours of participatory learning (20 hours required as part of your total 35 hours of CPD requirements, every 3 years)?
Have you achieved feedback on your practice
(Five pieces required over 3 years)?
Have you been able to positively reflect on a CPD experience, or feedback on your practice (Five pieces required over 3 years)?
Was your mandatory training compliance 80% to 100% at one month in the last 6 months?
Overall summary – have all objectives been achieved?
(Note: if your objectives have not all been successfully achieved, your pay progression may be affected.)

Your Personal Development Plan (PDP) from last year

PDP Activity / Achieved?
Met successfully / not met required standard / Comments
Include evidence to show why the PDP activity has or has not been achieved

NMC Code

The NMC Code describes the standards of practice and behaviour expected by a registrant.

Give consideration to the 4 elements of the Code. If there are gaps that the organisation can help to address you can discuss this with your appraiser. Your appraiser may need to discuss gaps that have been identified for you over the past year and set a relevant objective. For example if it has been highlighted that your record keeping skills could be improved you may want to set an objective to obtain further CPD to improve this to ensure you are practising effectively. You may also want to use this as one of your feedback pieces and provide a reflective account to discuss at your professional discussion.

PRIORITISE PEOPLE
I put the interests of people using or needing nursing or midwifery services first. I make their care and safety my main concern and make sure that their dignity is preserved and their needs are recognised, assessed and responded to. I make sure that those receiving care are treated with respect, that their rights are upheld and that any discriminatory attitudes and behaviours towards those receiving care are challenged.
PRACTICE EFFECTIVELY
I assess need and deliver or advise on treatment, or give help (including preventative or rehabilitative care) without too much delay and to the best of my abilities, on the basis of the best evidence available and best practice. I communicate effectively, keeping clear and accurate records and sharing skills, knowledge and experience where appropriate. I reflect and act on any feedback I receive to improve your practice.
PRESERVE SAFETY
I make sure that patient and public safety is protected. I work within the limits of my competence, exercising my professional ‘duty of candour’ and raising concerns immediately whenever I come across situations that put patients or public safety at risk. I take necessary action to deal with any concerns where appropriate.
PROMOTE PROFESSIONALISM AND TRUST
I uphold the reputation of my profession at all times. I display a personal commitment to the standards of practice and behaviour set out in the Code.

The following questions are to help you to prepare for your appraisal and to support you in working towards your revalidation

It is helpful for you to review these questions to prompt discussion during your appraisal meeting. However you will also need to keep a professional portfolio to support your revalidation. The NMC may ask for your revalidation evidence.

For notes on how to maintain your professional portfolio go to

We have provided the format below to help you reflect on application of The Code; Professional Standards of Practice for Nurses and Midwives in your work over the last year.

How would you describe the last year of working in your role? / How does this link to compliance with The Code?
What do you consider to be your most important achievements of the past year?
What have been the most significant challenges for you in the last year?
How have your CPD activities supported you in your practice?
How have you challenged and been challenged in your participatory learning activities
Are you participating in professional networks? How are you ensuring you are not isolated in your practice and thinking? Have you had opportunities to go to other organisations/events off the island?
Have you been involved in any incident reviews or complaints this year? What are your reflections and implications for practice?
How has your feedback helped you consider your nursing and approach to patient care?
How do your reflective accounts demonstrate your application of the NMC Code? You will need to discuss your reflective accounts with your confirmer or a registered nurse or midwife.
How has your practice improved and what impact has this made to patient care?
Do you feel part of a team? Do you meet regularly with your team? Could teamwork in your immediate team be improved?
What action could be taken to improve your performance in your current position by you, your manager or systems/processes?
What contribution would you love to make in your current role?
What are you really good at?
What opportunities do you see for growth and development in your existing role? Do you have career aspirations, if so, what area of personal development would be of benefit for you in your career aspirations?

We care

Identify a time when you have done something to care for a patient/service user, or a colleague, which made you feel proud. It might have been something that entailed you going the extra mile, made a big difference to one person, or proved to be a huge challenge that you had to overcome.

This may be one of your pieces of feedback or one of your reflective accounts which you may discuss with your registered colleague as part of your professional conversation

We are a team

Identify a really good example of teamwork that you have been a part of this year.

This may be one of your pieces of feedback or one of your reflective accounts which you may discuss with your registered colleague as part of your professional conversation

We innovate and improve

Describe an idea for doing things better – either something you have changed in the past, or something you’d love to do in the future. What ideas do you have for doing things differently?

This may be one of your pieces of feedback or one of your reflective accounts which you may discuss with your registered colleague as part of your professional conversation

The organisation, in all appraisals, is seeking to promote a set of behaviours expected of all staff who work in the Trust.

You are asked to reflect on a series of statements that are important to the Trust behaviour. These have been linked to the Code.

No / Sometimes / Yes
People would say that I am reliable, and do what I say I am going to do.
I’m not judgemental – I avoid making assumptions and recognise diversity and individual choice (Prioritise people; treat people as individuals and uphold their dignity 1.3)
I treat people with kindness, respect and compassion (Prioritise People treat people as individuals and uphold their dignity 1.1)
I provide honest, accurate and constructive feedback to colleagues ( Practise effectively: share skills, knowledge and experience for the benefit of patients and colleagues 9.1)
I recognise when people are anxious and respond compassionately and politely (Prioritise people; listen to people and respond to their concerns 2.6)
My behaviour matches my words – people would say I do what I say I will do.
I am clear about what my responsibilities are, and I ask for clarity if I am unsure.
I respect confidences, and would not gossip or talk about a colleague behind their back.
My colleagues would say they can count on me for support, even when things are difficult. I work co-operatively with others and am supportive of others without compromising patient care or public safety (Practise effectively: work co-operatively 8.7)

REFLECTIVE DISCUSSION FOR REVALIDATION

If you are also revalidating in the next 12 months you will want to either

a)Have a reflective discussion with your appraiser if they are an NMC Registered Nurse or Midwife or

b)You must have had a reflective discussion with another NMC Registered Nurse or Midwife to enable you to proceed to Confirmation, and then be able to revalidate your registration.

Your reflective discussion will cover your five written reflective accounts on your CPD and/or practice-related feedback and/or an event or experience in your practice and how this relates to the Code.

For further information on requirements you can go the document ‘How to revalidate’ or the trust webpage.

The reflective discussion is a requirement which will encourage a culture of sharing, reflection and improvement.It does this in two ways: by requiring nurses and midwives to discuss their professional development and improvement, and by ensuring that nurses and midwives do not practisein professional isolation.

You must ensure that the NMC registrant with whom you had your reflective discussionsigns the MANDATORYapproved form recording their name, NMC PIN and email, as well as the dateyou had the discussion. You can find this form on the NMC website –

The reflective discussion form should be signed and given to the registrant. A copy should NOT be taken to form part of this appraisal pack. It is kept with Registrant as part of their professional portfolio.

You should consider using outputs from your reflective discussion to set objectives or to influence your PDP.

CONFIRMATION FOR REVALIDATION

If you are revalidating in the next 12 months you will need Confirmation by your line manager that you have met all the requirements set out by the NMC to revalidate.

For further information on requirements for Confirmers you can go the document ‘Revalidation – Information for Confirmers’ Confirmers will need to sign that they have read this document

The Confirmer MUST sign the MANDATORYapproved form and checklist. You can find this form on the NMC website –

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Thinking about the future

We Care….ABOUT YOUR HEALTH & WELLBEING

Our lifestyles are not always as healthy as we think. Start the fight backto a healthier you. Take the One You quiz and see how you score. Follow this link to take the quiz.

DESCRIBE ONE THING THAT WOULD HELP IMPROVE YOUR HEALTH & WELLBEING AT WORK

(Occupational Health would like to receive your comments)

ARE YOU AWARE OF THE SUPPORT SERVICES AND ACTIVITIES AVAILABLE FOR YOU?

Please click here to find out more

FLU AWARENESS

FACTS ABOUT THE FLU VACCINE

Please click here to find out more

It is important that you protect patients and your family, as well as yourself, so please get vaccinated this year.

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Objectives for 2016-17

• The Appraisal Policy recommends that 4-6 objectives should be agreed; one related to values and behaviours, one to mandatory training, one related to quality improvement and one relating to integrated working with My Life a Full Life.
• Successfully meeting your objectives is directly linked to pay progression. This means that if it is identified at your appraisal that you have not successfully met all your objectives, you will remain at your existing A4C pay band point. It is therefore important to clearly understand and agree your objectives.

Objective
Make sure objectives are ‘SMART’; Specific, Measurable, Achievable, Realistic and Time-bound / Are there any resources or training needed for the individual to achieve the objective?
(Development should be added to the PDP) / When will the objective be reviewed/ monitored? / When should the objective be completed/achieved? / What will be the measure of success?
Mandatory training compliance should
be 80-100% for at least one month in
the 6 months prior to the next appraisal date.

Personal Development Plan (PDP)

Discuss here what training, development and other activity you might need to do in order to be more effective in your role or further develop your career. Please ensure that you discuss any study leave that may be required.

Personal Development Plan activity
All Mandatory Training must be completed or booked prior to any other development being agreed and undertaken. / Why is this development activity being set?
Reference to individual/department/Trust objectives and plans. / When should this activity be achieved by? / When will this development be reviewed/ monitored?

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