Revalidation for UK Nurses



This on-demand teaching session is relevant to medical professionals, and will provide them with an in-depth discussion and understanding of revalidation. With a qualified nurse and manager leading the talk and welcoming questions, participants will understand what is involved in the process, including the practice hours, CPD, practice-related feedback, reflective accounts, and more. They will also learn how to maintain their professional registration by understanding the law, as well as how to complete their CPD and reflective notes to suit their requirements.
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Revalidation for UK nurses.

Delivered in a 40-minute bite-sized webinar by LWN Operations Manager Una O’Connor RGN and Naomi Stetson RGN

All delegates who attend will have the opportunity to receive a certificate of participation for CPD and access to presentation slides on submission of evaluation via MedAll.

You will need to be verified to participate in the chat on webinars and for future access to your certificates and any reflective notes you make in your profile.

Verification is available to healthcare professionals globally, you can find out how by clicking here

Learning objectives

Learning Objectives: 1. Understand the purpose and process of nurse revalidation 2. Learn key requirements including log hours, CPD, and practice related feedback 3. Outline the available resources for logging CPD and reflective accounts 4. Demonstrate how to audit one’s practice and reflect on experiences 5. Utilize NMC's achievements tab to log certificates and reflective notes for webinars attended
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Computer generated transcript

The following transcript was generated automatically from the content and has not been checked or corrected manually.

Hi, everyone. My name is o'connor and I'm a nurse, uh, learn my nurses. And today I'm delighted to be, um, um accompanied by Naomi who's going to talk about revalidation, but I'll just pass over to Naomi quickly to introduce herself. Hello to you all. Um, I'm Naomi Stetson. I'm a nurse. Um, I have worked for quite a long time in cardiovascular disease, um, and been a manager. So I have had the honor and the privilege to um, revalidated several nurses. Um, and it's a role that is so, um important. So, and, and the whole process of revalidation we thought was a good idea for one of the webinars. So, stick your questions on the chat. I'm going to start talking about revalidation just very slowly and how we go through it. Um It's a process that lots of people are very anxious about and they really shouldn't be having said that the first time I did it. I was also very nervous and then I realized how easy it was. So, um, please, please, you're very welcome to put a question in anywhere, any time interrupt as much as you'd like. And uner and I will pick the questions up and address them as we go through, right? This is obviously an in conversation one. So it's very different to our normal format where we do a presentation, but there are a couple of slides today um because of the um content that's involved. So we thought that some you may need just a visual um you know, a visual reference to go with the conversation. Um I shall pop the first one up for you, Naomi. I'm gonna just whi through the other ones that are just standard ones about med all actually. So if you want to start talking about revalidation, that would be great, Naomi. So what is revalidation? Um It's the process that allows you to maintain your professional registration with the N MC. And in 2016 and 17, this was decided it was going to be the best way forward. There had been several problems with nurses that potentially hadn't had enough CPD. And I think we all know that education is the most important factor to maintaining our knowledge and skills. And the N MC decided it was the best way to keep everything professional and to assist nurses with the the processing of the information that was required for revalidation and they changed the law. It was also to make sure that we all knew the code. Um So let's go through to the next slide if we could. So it demons oh, sorry, sorry. You know, let's go back one, it demonstrates your continued ability to practice safely and effectively. So the CPD that is required for revalidation, demonstrates your knowledge and skills and your practice hours relate to this as well. The most important part of that slide is the last, last point. And that is that it continues throughout your career. So it, it's not just now, it's not just once in three years again, in three years. It is throughout your career. Uh And this is what I get asked all the time. Is it just this once? No, sorry guys, it is throughout your career. So you'll be doing this forever. And that's why this is so important and why we thought it might be helpful to help you actually develop your own portfolios and how to write them. So practice hours 450/3 years. Now, those of you that work in regular jobs as in hospitals, primary care you're gonna have and you work full time, you're gonna have lots of hours to document. You need to keep a log. Um And any log will do so that you understand it. That that's the most important thing. You're the ones that need to understand this log. You need to keep a record of all the hours that you have worked. The problem comes or the queries come when you're not in a regular full time job, any part time work is fine, it can be from primary care. It can be from a school, it can be from teaching education. It can be from absolutely anything at all that is related to nursing. So we have colleagues that are legal nurses, they advise to the insurance company and the legal companies. We have colleagues that work and teach and that work in all sorts of consulting um processes that all counts every single hour counts. So it shouldn't be too difficult to, to actually log log 450 hours. Number two, the CPD 35 hours over the three years. Now, 20 of these must be participatory. Now, you may, you may or may you may not know these webinars are plan cluster CPD. If you ask a question and get involved with a conversation, it then becomes participatory. So get involved and get online because then you can class it as participatory if you sit back quietly and it's not really part class. The N MC, don't class it as participatory and out of those CPD hours, they can be webinars, they can be face to face, they can be your own um research providing, you have some form of online record of the test or the completion of what you've done. So in primary care, there are all sorts of um there are all sorts of organizations that enable you to do half an hour, quarter of an hour, 20 minutes, whatever it may be, every single one of those will count, it doesn't have to be an old fashioned study day. It used to be 6.5, 7 hours. UA and I were just talking before we started and saying that we are finding now that we're going back out into teaching um situations that most of, of the nurses are absolutely um embracing face to face education because of COVID. And I think that unfortunately, over the last 2.5 years, we've all had to embrace a different way of completing our CPD and any form of education. But anything that you've done in the last three years, if you're about to revalidated this year. Absolutely. Anything. So, keep a log. Absolutely. Keep a log. Can we go back please? Enough? And again, I'm just gonna to encourage you any questions as we go along, please do, put them on the chat and I can both see the chat, we can both, you know, er, intervene with the questions. So five pieces of practice related feedback. And I'm often asked, well, what is that? This can be positive or negative? Um It doesn't all have to be positive or negative. It should be a mixture because the negative pieces of feedback can often make you reflect in a more inde way and I think you can get more out of it. I'm not suggesting that we will want negative feedback, but in a real life world, there's gonna be something that we don't do quite Right, because none of us get it right all of the time. Um And it's also good to acknowledge if you've made a mistake, it doesn't have to be a big mistake. It can just be something small that you realize doesn't work quite so well in your place of work. Um And then you are able to doc log it, discuss it and look how it works. A positive feedback can be from one of your managers, a colleague, a patient, even a member of the family. So if you get a little note, an old fashioned note or an email from a family member, who of a patient that you've looked after, that's positive feedback very much. So, um So it doesn't have to be anything big. It can be the tiniest little thing. Can we go back, please? Sorry. Thank you. Five written reflective accounts. So this is a way of you demonstrating uh your reflection uh about your feedback about what you've done in depth. So I'll give you some form of a uh of an example here in the fact that if you've set up a new process at work, if you've taken on a new role at work, for instance, and you've followed the protocol, you've followed the instructions, you've been part of that team that's actually introduced it. And then when you come to audit it, you're not quite sure if it's been 100% right? Can you improve it? That's what audit's all about. So, a practice, um, a reflective discussion is often a way of auditing your own thoughts and your own work. So, in that sort of situation, you could write a paragraph about what had been introduced, the way it was introduced and your reflections of how it had worked. Not so well, or maybe it had worked well and what you would do to make the changes. Um, and it could just be a very small change that you think would be worthwhile. Such as if you're working, let's say, in, in secondary care, if you're looking at patient care, you'll take a piece of evidence maybe and just say, well, I think that perhaps according to this evidence, maybe we should be doing it this way instead of that way. Um And maybe you've got some more current evidence that you see in this process. Christine, thank you. Although the N MC says you can have verbal food, but I try to discourage this as it can't be evidence. You are absolutely correct, Christine. So the only way you can evidence it is to write it when it's given. So if you're given some verbal feedback, go home and log it immediately, you put the date and the time and the person who's given it to you. And actually, I think most of your confirm or your colleagues would accept that. I certainly would if someone brought it to me, I would, especially if I know my colleague. So yes, I, I it, it, it is discouraged, but I wouldn't get rid of it altogether. I would say that if you get a really nice piece of verbal feedback, if it's negative, you're often going to say to that person. Or could you put it in writing anyway? And I would say that if you're given ne negative feedback by a colleague, you should ask for it in writing because you want to keep that on your log. So you could also ask whoever gave you the verbal feedback, positive to write it too. But I do take your point. It's a very good point. Going back to the um reflective. I don't know if the um attendees are aware that by using, I can't share my screen because I've shared the slides unfortunately, but there is um in your profile under achievements where your certificates are logged. Um There is an area there where you can actually add in your reflective notes on the webinars that you've attended. So um say for instance, I attended one of the learner nurses, ones on atrial fibrillation. I was able to say how that I felt that, you know, it had helped me to um it updated my knowledge to help with um the, the um safety of the patient. And I was able to um also go back and reflect on the fact that I'd use this in practice when I was doing. So the vay taxi health checks because we were screening, um, actually putting fingers on wrist and screening people's pulses to see if their rate was, um, was regular and to check what their heart rate was doing. And I was able to actually include that as an example. Is that correct, Naomi? Yes, absolutely. It is correct. So, you do have that pause. We're going to have a little discussion at the end of all this as to how you should start logging all your information. We've spoken about it as we go along, but I'm going to add a little comment at the end. Yeah. Can we go back? So then you're gonna have a reflective discussion with your chosen. Confirm that's something that's can be about anything. It's just going to be a way of your confirm understanding how you've really achieved what you've achieved and what you've done and your thoughts, the other point is health and um declaration of your character, health and character declaration. Now this was put in originally because of NM er the N MC. I think realizing that mental health was a huge problem and nurses as well as every other professionals, especially at the moment can be suffering with their mental health. So don't be afraid to declare if there is a problem if it's logged because your professional registration needs to know if you do have a serious condition and it, it, it does affect the way we work and it does affect the way that you are registered. So if you have a serious mental health condition, you really should um declare it. So, Emil, thank you. Do the reflective accounts have to be on things. You have logged in your CE PD or feedback. No, absolutely not. You can use other things. Absolutely. You can lose, use another, another point if you wish to, if you've got lots and lots of reflective points through your three years, you can pick some from each different area and yes, it can be something different. That's a very good point actually, isn't it about a very good point? With reflective accounts have to be on the things you have logged on your CPD or feedback. That's a very good point. No, it depends on what sort of job you have because as I was explaining at the, at the top of the, the discussion that we do have nurses that have jobs and they're made up of lots of different components. So you, for those that are doing some management, some teaching, um, some hands on some consulting. The, I would encourage you to try and find a reflective feed, a reflective account from each component of your work. That's quite helpful because it actually demonstrates your um widespread skills and knowledge. So, um if you have several parts of your job, do, do demonstrate that in your feedback and in your CPD and in your, um whole of your, your revalidation, can you flip that. Thank you, evidence of professional indemnity insurance. So we are all required to show and prove our indemnity insurance. Now, when I started my training, we had to belong to the Royal College of Nursing, that of course is very different now. And there are many, many different organizations where nurses can acquire inde indemnity insurance right the way across the board. And I don't want to get into politics now, but there are from the Royal College, there's unison, there are many other far more um left wing, right wing organizations. And as I said, I'm not here to discuss the politics of those organizations. You just have to make sure and ensure that on your form that you are able to demonstrate that you have adequate insurance. I know we should all be evidence based, but I'm going to just offer you a very small opinion because I have worked in nursing for 40 years. So indulge me and that is that if you are a prescriber, a nurse prescriber, the RCN will cover you because you are registered on a different register with the N MC. I would encourage you if you chose not to join the n the Royal College of Nursing to ensure as a nurse prescriber that your indemnity insurance is absolutely adequate because I have seen, I used to teach with teach nurse prescribers. Um and actually I think that there are some little issues with others. Thank you, Rachel Shields. I changed jobs last year and spent a few weeks working alongside a colleague and learning from her. Does this? Yes. Absolutely. Yes, it does. The last part was, does this count as participating? Training? Unfortunately, when it goes out as recording, I don't see the chat part learning. Yes, it does. Um, and also I would encourage you to do a feedback, a positive feedback, a reflection about what you learnt. Christine. There are agency of Substantive nurses that don't get certification for any course they have been to. So I encourage them to reflect on the topic and show something that shows they have attended. You are absolutely right. That's a very good point. I'm, I'm a little surprised that there are agency nurses that don't get any certification at all. I thought that actually it had become legislation that every, every form of course, that you have to attend, even as you said, if it's mandatory substantive, whatever it is, they're supposed to have some form of certification even if it's online and you have to print it yourself. Um, I, I would question that but yes, it's a very good point. A very good point. And the other one is I'm a practice nurse and the RCN does not give us full protection in our area. No. Now that's something I've become aware of. I was a practice nurse as well. So, um, ahi. Do you have, you can just answer me in the box? Do you have special um inde indemnity from your GP insurance. I'm gonna wait for the answer MD U. Yes. The Medical Defense Union, which is far more expensive than the Royal College of Nursing. But yes, but the nurses are covered with the MD U. Yeah, excellent. But that's ok. That's absolutely fine. Just make sure you've got your number to hand and that you can demonstrate your membership on your revalidation form. Yes, sorry. OK. And here we are. The last part of this is the confirmation form signed by your confirm. Ashi says you're still also with the RCN as you were told to for legal purposes. I think that's very, very good advice, Shifa. I think that everybody should belong to the RCN as well as another er union if that's what they wish, but it's becoming a cost issue. It's very expensive all of this and currently we're all struggling. Um, and I know with the, with the pay and the striking and that sort of discussion which I'd like to keep away from. But I'm very aware that it's very much in the news to belong to two different unions, to have two different organizations to back you is very expensive. Yeah. So the other question that's not on the slide is, and I'm asked this so many times. When shall I start to? I was gonna ask you that next. Oh, go on. How far in advance should you start preparing for revalidation immediately? You've submitted your last lot of documentation. So I actually think that this should be an ongoing process. And every time something happens that fits into one of your boxes. And one of the things that we've discussed today, I would encourage you to write it. So have a log, have a file, paper, old fashioned paper, files are ok or log it on the computer, whatever works for you. But make sure that you have a log of all your CPD and that every time you go to anything, join a webinar, you make a, a note that today you did 40 minutes, you asked a question, it was participatory. Um But that is really important. Does this, does this webinar being that as a discussion as opposed to a um presentation where we're just running through and teaching, would that actually count the CPD as well? Yes, absolutely. Absolutely. Because this is very relevant to our professional background, our backbone as nurses, the, the, the N MC want the revalidation process to be exactly that. So, yes, I knew the answer to that because obviously at LA and nurses, we will actually um have the facility through me for you to generate a certificate after you've either attended this webinar or um if you're watching it on demand, you'll also be able to do that as well. And um as Naomi said, if you, if you have joined in with the chat, then, you know, log that as participatory. So that's brilliant. Um Can you use, you were saying about the feedback from a teaching session? So do you want to give an example of how you can use that as, as um part of your revalidation? Yeah, it was that in relation to um I'm just trying to look whose point you can use feedback. Yes, you can. So if you've had a, for instance, if you've had a small group tutorial in your workplace because they are still taking place. Um Even if it's just like a lunchtime session, a learning session, all of that and the feedback from that can be used as how you've achieved what you need to do. Where do you need to go next? What's the next thing that you need to learn? And that's actually that can lead into a reflective account because you can come away from that sort of feedback and think, OK, where shall I go next? What shall I do in the next two years, et cetera? There's some new messages. Um Same time. Yeah, that was saying hi. I have very interesting question about if you've been working overseas, can you record those hours um to contribute towards your, your um hours for revalidation? If you my understanding um of this question and this is complex. If you're working with your N MC code as the governance for where you are working, then yes. If you're working in America, it is, for instance, nursing else but they have different legislation and they would want you to rev validate their. So, if you, yeah. So, but if you, if you've actually, um, I presume that if you've been working overseas and you're working within the United Kingdom that you would have gone through the N MC to, um, check all your credentials anyway. Right. Of course. Yes. So, nurses that come from overseas, um, have to go through the whole process when they register in the first place and then they have to reid after the three years. So, yes, that's, they'd have three years grace to do that. Yeah, they'd have to demonstrate their, um, their ability and their governance to practice in this country. And there are certain countries where we know that nurses can't come here without retraining and re qualifying. So I guess the problem would be for somebody who is, has been working in the UK, goes overseas during their three year period and then comes back. It would be for them. That's very complex then, isn't it for them to prove their hours and the, um, quality of their hours, wasn't it? Yes, it would. There are some countries in the southern part of Africa and Nigeria that have their own N MC, which is linked with the UK N MC. So if, yes, if you've done some work in those countries and I actually did some work in Malawi where they have their own N MC and it is linked with the UK N MC. So, where there is that tangible link? Then I believe that you can use those hours when you're logging, practice hours here. Well, that's good. So, the another question is, um, I've returned to practice. Can I revalidated? Absolutely. Definitely. And you must, this is just a question. Um, I know that I've seen that, um, that, um, if somebody has returned to practice, they can actually use their hours, can't they as they go along? Um As soon as they returned, obviously, it's a whole process, isn't it for return to practice? You have a different process that is also listed on the N MC. So I think this is another good point. The N MC portal is absolutely fascinating. It has so much um information on it that will answer every question that you might want to ask and return to practice. They have to take the amount of hours in a certain time frame anyway, don't they to be able to return to practice without having to do the return to practice course, isn't it? Yes, that's the thing to avoid. Now, we've got another quest comment here. Can you see it? I'm due to revalidated next year and I found this webinar very helpful. Thank you. I'm delighted. There's one question that came up beforehand when we were discussing this and that was how do you find a confirm, how do you choose your confirm and what do you do when you can't find a confirm. So you can choose anyone that you work with. That is of the same profession as you. Midwife needs a midwife, a nurse needs a nurse. I think that the, the, the um nurse, the assistant practitioners, the band fours need to have and my understanding is that they need to have a band five or above to confirm them. But you, if someone declines to actually assist you, II, I think that's very unprofessional. Um You can contact the N MC and they will help you. They have a lot of um staff there that would a help you and B act as your confirm. Yeah. So this just leads me to the last point because I know we're, it's already half past one. And that is barriers really and challenges and not finding a confirm which was a big problem in the first phase of revalidation. And it, it worries people. And I think the other point that I I is a barrier is not having recorded your information for three years and then you're scrambling two weeks beforehand to quickly do your revalidation documentation. So this would bring me back just to say start it and have it ongoing the whole time, which leads to a question actually, that was um submitted, which um is quite interesting with, in relation to that is what to do if you do need more time and have not completed the revalidation requirements, you need to contact the uh the N MC and you have to do it before the date. Don't leave it till your absolute date. I think they ask you to do it a month beforehand. And how long does the process take, Naomi from once I've submitted to the N MC? Um, recently it's been done within 4 to 6 hours. So, yes, the last person that I confirmed, um I got a response and I think they got a response very, very quickly. Interesting one on the chat. Do you need to work with the person to revalidated you? This is, this is I work with as an agency nurse and still occasionally work with my old colleagues when I was full time in the NHS. Would one of them be able to confirm me? Um And just as a point of view, she, she doesn't have to validate it for two years. So very, very prepared. You are very prepared. Well done. Is it? Um Yes, the answer is, yes. Absolutely. As long as that person is registered with the N MC, you can get any colleague to confirm it. It doesn't have to be somebody that directly works with you. It can be a friend providing you go through this in a professional manner if it's an old colleague. Yes, my manager, my manager is non clinical. Can she confirm you? You n Yeah, Leon, is she a nurse or, or is she an actually a, a manager as opposed to a, no, she's not a nurse. So the answer is no, you do need someone who belongs to the N MC to confirm you. Oh, this is a very interesting, um, Christine, this is really good. She's encouraged the agency she works for, to have a revalidation team to help agency nurses for reflective discussion and confirmation. Oh, Christ, that is absolutely brilliant. Well done. That's fantastic. So, going back to the non clinical manager, it's part of a PC N. Is there anybody else in the PC N though? That would be able to rev validate as a con to be a confirm? There should be, there should be because you do have, um you will have a senior nurse in your primary care network. The GPS. No, they can't confirm you because they don't belong to the N MC. You're supposed to have another nurse. There must be nurses in your primary care network. Maybe in another practice. Is there a practice nurse lead in one of your other practices that could help you any more question with that one? Going back to them being, oh, yes, there is because if you're in that situation, there's absolutely no one at work. Um, but you do have friends that are nurses and you're saying you deal with it in a professional way. But can they do that? Do they actually have to work with you in the last three years? No, they don't have to this, er, excellent le and are great. Um, she says she's gonna get the nurse from the PC in to do it. Yes, just call them in. Um, it doesn't have to be somebody you work with. This process is an independent process to demonstrate that you are fit to practice. So it doesn't, it's not a feedback from someone you've worked with. It is a way of you as a professional demonstrating to whoever it may be who practices the same code as you. That's all practices to the same code to validate. So yes, it doesn't have to be a close colleague. It can be somebody that you know who's a nurse, similar grade is validating herself can demonstrate that she can act as a confirm too. Just you discussing your participatory, discussing all your requirements that you can validate and them saying yes, they've discussed it with me and I'm happy with what they've told me is that the gist of it? Yes, absolutely. So the the confirm has to write on the form that you um you declare that you have seen every piece of documentation that you are required to see and you will have to submit all of those documentations to your confirm. So just another point as a confirm, I was gonna say, yeah, the last minute and submit 57 documents the night before because your confirm won't be very happy. But also as a confirm, do you, it's about the um what reassurance would you give to people who are, who are nervous about confirming? Being the, confirm to be a confirm. What, what, what reassurance would you give for people who are nervous about stepping up as a confirm? I think that if you are an, um, er, if you've been qualified for a few years and that you have gone through the process of, perhaps you need to manage someone else in your team. I'd say it's probably quite hard to be a confirm if you don't manage anybody. I'm not saying it's impossible, but I think you have to understand how that person, whoever it may be um the process for that person. So you're not looking at it from your own eyes. The confirm has to see the process from the other professionals eyes. So you need a little bit of experience to be able to do that, but people shouldn't be nervous at all. Um Not at all because the A, the N MC are so grateful for anybody who acts as a confirm. You shouldn't be afraid, you shouldn't be afraid at all. It's got a very interesting question now because obviously um in the UK, we actually do have quite a high um nurse population from the Philippines. So this is going to be quite relevant. I am now living outside the UK. I had two years of experience with the NHS. I'm from the Philippines. Can I be confirmed through virtual means by my previous colleagues in the UK. Um Is this to return to the UK? Can I ask Ruth as an s this is very relevant. Yes. Are you Ruth? Are you hoping to come back to work in the NHS so that you want to rev validate so that you've got the opportunity to come back if you wish to? I'm just waiting for the answer. So Ruth, you can um confirm virtually. I think everything can be done virtually by like this on the phone providing, you've submitted all the documentation, you can prove your 450 working hours, your practice based feedback, your CPD, et cetera. Yes. Um Ruth says yes, she would like to prepare for coming back into the UK. And the answer is yes, you just need to find a colleague who's willing to do it for you. Um And you need to submit the documentation. The N MC is all online. All your forms can be downloaded wherever you are in the world. So yes, there is no problem with that. You can do it virtually. Um And in fact, the last person I confirmed I did it virtually and you just sign the form, scan it in, everything can be done virtually. Now, I'm guessing a lot of them have to be done virtually over the, especially in lockdown and over that sort of the last 2.5 years period. Yes, I mean, um follow sort of procedures isn't that. Yes. Yes. The only thing that the N MC require, there are no electronic signatures required. You have to sign it properly. You are required. Yeah. Yeah. To download your paperwork, sign it properly and scan it and put it back in again. So I'm guessing that the electronic signature will follow because that's just progress, isn't it? Yeah. Do we have any more questions coming to come through on the chat? These have been really good questions. Actually, you've made it very easy for us by being so um involved with the participation. So thank you so much to all of you and we do welcome feedback because um you know, we want to know how we can improve, how we can change, how we can add. And the only way that we get better is through your responses and then our reflection. Yeah, we're nurses just helping nurses, isn't it? Yeah, that's all we are. We are we are nurses, helping nurses. Um That's exactly what we are. Mhm It seems less scary now I'm the first. Yeah. Go on Naomi. I thought it had to be done. Face to face virtual or whatsapp. Yeah, it can be done virtually. That's what I'm saying. It doesn't have to be done face to face. We've, we've stopped that. Um If you can't get to someone face to face, I think you'll find that a teams and a video call. We're all in the same room together, aren't we really like now, as you say, it's the importance is getting the documentation and so that your confirm can check everything that you've done. So you need to keep records of everything. Yeah, it is about the records that you keep. Well. Good luck. Good luck Jackie. I'm so glad that you're prepared. So you've got a whole year to start um getting your um documentation together already. So, yeah. Oh Any closing thoughts, Naomi. um it's been a pleasure because you've all been so, you know, um engaged and, and submitted so many questions and that always helps. Um I'm sorry that we can't actually talk to you and that you can't all physically join into the room. Um I think that revalidation, the more you do it, the easier it becomes. And also as Jackie says it, it's the first time for her. So it is nerve wracking the first time. But if you've kept all your documentation, I know I've repeated that line so many times and I apologize. But I think that keeping your documentation from day one for your three years is your key to making the process easy for you. Such a busy profession, isn't it? It's just like trying to keep on top of it, isn't it? It is. And it's very difficult to keep on top of everything. However, as we, we put in the first slide, it is um going to be something you are going to be doing for the rest of your careers. So, you, you've got to get your head round it somewhere along the line. Well, this is a good fabulous question. How many revalidation forms get taken for further scrutiny? So I can't give you for 2022 but for 2021 I believe it was very few, very few. I can't give you an exact number on the portal if you search and I will, I will have a look, they'll tell you. Um, sorry, I got sidetracked. I was gonna ask one more question actually. Um I do hope that, that everyone's found this really um helpful because as you say, I think that a lot of people find it scary. Um Just gonna give this, if you're gonna say if you're gonna ask any more questions, can you just er, just put them on in the next minute or so? Just because of time, a lot of people are saying thank you. Um It's been our pleasure. Yeah, we, if, if the feedback is good because you will get sent the feedback. Um We're always always open to um additional areas that we can address if there's. Yeah, I remember I came to my mind especially if somebody is new to confirming. Um What happens if um the nurse and the confirm, do it incorrectly and send it all in, it will be sent back again. So will the timeline then be adjusted accordingly? That's a very good question. I haven't had it happen. So I don't know. Um but I do encourage nurses to try and confirm and have their confirming meeting maybe a month before their date and then it gives you the chance because any of us can make a mistake on the documentation, not quite put enough information of, then it gives you enough time. I do at the end of the day, the N MC do not want to prevent anybody from practicing. That is not the idea of this. They just want safety, isn't it? So they're not gonna make life difficult for you unless there's a very good reason they need the nurses badly. So they're trying to enable this process not to disable the process. Yeah, I think that's um pretty much er, everything now, I think because all the questions have been asked, I really do hope everyone's enjoyed it and hopefully, um this will go on to um encourage many more to be more proactive with their revalidation and less scared um proactive in getting the preparation done early and then less scared about the process. And maybe people who um have always been a little bit um dubious about becoming a confirm and may actually um look into the prospect of doing. So, do you think? I think so and that's a really good one perhaps between our team, we could work on a short webinar about becoming a confirm to try to encourage, trying to encourage others to do it. We'll do that in the New Year. Yeah, we'll do that in the next another in conversation. Yeah, to encourage confirm, brilliant. All right then everybody I'm going to uh we're gonna leave now, but thank you so much. Um I do hope you all enjoyed it. Bye guys. Lovely to see you all. Lovely to meet you all. Bye bye.