Council Papers March 2018
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1 Meeting of the Council To be held from 09:30am on Wednesday 28 March 2018 at 23 Portland Place, London, W1B 1PZ Agenda Dame Janet Finch Fionnuala Gill Chair Secretary 1 Welcome and Chair’s opening remarks NMC/18/19 09:30 2 Apologies for absence NMC/18/20 3 Declarations of interest NMC/18/21 4 Minutes of the previous meeting NMC/18/22 Chair 5 Summary of actions NMC/18/23 Secretary 6 Chief Executive’s report NMC/18/24 Chief Executive and Registrar Matters for decision 7 Educatio n NMC/18/25 09:40 7a. Standards of proficiency for registered nurses and standards for education and training 7b. Standards for prescribing and medicines management Director of Education, Standards and Policy 8 Education quality assurance framework NMC/18/26 10:30 Director of Education, Standards and Policy 2 Coffee 10:50–11:05 9 Consulting on the regulation of nursing associates NMC/18/27 11:05 Director of Education, Standards and Policy 10 Council Scheme of Delegation NMC/18/28 11:50 Secretariat 11 Panel member reappointments, transfers and removal NMC/18/29 Director of Fitness to Practise Matters for discussion 12 Midwifery update NMC/18/30 12:00 Director of Education, Standards and Policy Corporate reporting 13 Performance and Risk report NMC/18/31 12:15 Interim Director of Resources 14 Financial monitoring report NMC/18/32 Interim Director of Resources Comments from Observers 12:50–13:00 Lunch 13:00–13:45 Matters for decision 15 Ensuring patient safety, enabling professionalism: a NMC/18/33 13:45 new strategic direction for fitness to practise Director of Fitness to Practise 16 Corporate Plan and budget 2018–2021 NMC/18/34 14:15 Interim Director of Resources Page 2 of 3 3 Matters for discussion 17 Audit Committee Report NMC/18/35 14:45 Chair of the Audit Committee Matters for information Matters for information will normally be taken without discussion. Members should notify the Chair or the Secretary to the Council in advance of the meeting should they wish for any item to be opened for discussion. 18 Council appointments NMC/18/36 Secretariat 19 Chair’s action taken since the last meeting NMC/18/37 Chair of the Council 20 Questions from observers NMC/18/38 14:55 Chair of the Council (Oral) Close 15:00 Page 3 of 3 4 5 Item 4 NMC/18/22 28 March 2018 Meeting of the Council Held on 31 January 2018 at 23 Portland Place, London, W1B 1PZ Minutes Present Members: Dame Janet Finch Chair* Sir Hugh Bayley Member Karen Cox Member Maura Devlin Member Maureen Morgan Member Robert Parry Member Marta Phillips Member Derek Pretty Member Stephen Thornton Member Lorna Tinsley Member Ruth Walker Member Anne Wright Member NMC Officers: Jackie Smith Chief Executive and Registrar Adam Broome Director of Resources Emma Broadbent Director of Registration and Revalidation Sarah Daniels Director of People and Organisational Development Matthew McClelland Director of Fitness to Practise Geraldine Walters Director of Education, Standards and Policy Clare Padley General Counsel Alison Neyle Strategic Adviser Fionnuala Gill Secretary to the Council Pernilla White Governance and Committee Manager *Not present for NMC/18/11 Page 1 of 14 6 Minutes NMC/18/01 Welcome and Chair’s opening remarks 1. The Chair welcomed all attendees to the meeting and expressed a particular welcome to the student nurses and trainee nursing associates in attendance. 2. The Chair congratulated Jackie Smith on her appointment to the Independent Parliamentary Standards Authority. The Chair also congratulated those nurses, midwives and other partners recognised in the New Year’s Honours List 2018. 3. The Council welcomed the appointment of the former Chief Nursing Officer, Dame Sarah Mullally as the new Bishop of London and endorsed the Chair’s proposal to send its congratulations. NMC/18/02 Apologies for absence 1. There were none. NMC/18/03 Declarations of interest 1. The following declarations of interest were made. a) NMC/18/07: Education quality assurance and NMC/18/13: Education consultation update – Dame Janet Finch, Karen Cox, Maureen Morgan, Robert Parry, Lorna Tinsley and Ruth Walker declared an interest given their involvement in education. This was not considered material as the individuals were not affected any more than other individuals. b) NMC/18/10: Review of Council Allowances – All members declared an interest. This was not considered prejudicial as the Order (Schedule 1, Part 1 paragraph 15(2)(e)(i)) expressly gives the Council power to determine its own allowances and conflicts had been further addressed by the use of an Independent Panel. c) NMC/18/11: Review of Chair’s allowance 2017 – Dame Janet Finch declared an interest and would withdraw for the discussion of this item. d) NMC/18/13: Midwifery Update - Lorna Tinsley, as a registered midwife and Ruth Walker, as an employer of midwives. This was not considered prejudicial as the individuals were not affected any more than other registrants. NMC/18/04 Minutes of the previous meeting 1. The minutes of the meeting on 29 November 2017 were agreed as an accurate record. Page 2 of 14 7 NMC/18/05 Summary of actions 1. The Council noted progress on actions from the previous meetings. 2. Arising from NMC/17/104 – Midwifery update, the Council requested that the briefing note requested on midwifery qualification entry routes be circulated to members prior to the February 2018 seminar. 3. The Council agreed that NMC/17/80 ii: Nursing Associates had been addressed satisfactorily and could be closed. The Council had discussed the draft skills annexe the previous day in seminar. Subject to taking account of the Council’s comments, this could now be shared more widely. Action: Provide the previously requested briefing note on routes into midwifery in advance of the Council’s seminar in February 2018 For: Director of Education Standards and Policy By: 12 February 2018 NMC/18/06 Chief Executive’s report 1. The Council considered a report from the Chief Executive and Registrar on key external developments, strategic engagement, and media activity since the previous Council meeting. The following points were noted in discussion: a) The new Minister of State with responsibility for professional regulation is Stephen Barclay M.P. An early meeting is being sought. b) The consultation on nursing associate fees is still open and responses to the consultation are encouraged. An update on the quality assurance of the nursing associate training would be provided to the Council’s February seminar. c) The Department of Health’s round table had identified challenges around costs and time commitment affecting the take up of apprenticeships by health and care sector employers. The NMC was engaging with the Institute of Apprenticeships. d) The Chair and a number of Council members had visited Manchester University Foundation Trust in December 2017 and had an opportunity to meet those who had cared for the victims of the Manchester Arena bombing. The Council expressed its thanks to everyone involved in the visit. It was a real privilege for the Council to spend time at the Hospital and meet such an inspirational group of colleagues. Page 3 of 14 8 NMC/18/07 Education quality assurance: Programme approvals for the 2018– 2019 academic year 1. The Director of Education, Standards and Policy introduced the paper on the proposed approach to programme approvals for the 2018–2019 academic year only. 2. Alongside the development of new proficiency standards for the Registered Nurse degree, and new standards for the education framework which applies to Approved Educational Institutions (AEI), an independent review of the scope and shape of future quality assurance (QA) had been commissioned in 2016. The Council had discussed the main findings and options from the review during 2017 and had asked that elements of the proposals be developed further. The intention now is to implement them for programmes with a start date from September 2019. The aim was to present the full future model to the Council for approval in March 2018. 3. Meanwhile in the academic year 2018–2019, a significant number of programmes will need to be approved, including all AEIs who wish to offer the Registered Nurse degree, and all who wish to offer the Nursing Associate qualification, for which the NMC is to be the regulator. The QA proposals in this paper cover this transitional year. During this year all proposed new programmes would be subject to both documentary review and a visit. In discussion the following points, relating to the proposals for 2018– 2019 were noted: a) The intention to include greater focus on practice placements to ensure standards were maintained was welcome. This would be an important element of assurance, given workforce pressures and the need to find new and innovative ways of providing practice placements. b) The proposal for all approvals to include a visit to aid intelligence gathering and inform a future risk based approach was welcome. c) For Universities/institutions not currently holding AEI status, the proposal was for a single process that includes documentary review, and a single visit, which would cover both institution and programme approval. d) In relation to delivery of programmes by non-degree awarding institutions such as further education colleges, as at present there would need to be a consortium arrangement. To provide the necessary level of assurance the NMC would approve the AEI, with the other education institution acting as a delivery partner. e) The initial costs of developing QA for initial programmes for trainee nursing associates would be recoverable through the DH funding. 4. The following points were noted which relate to the development of the Page 4 of 14 9 new model of QA a) There is no power in the Order for the NMC to charge for any QA related activity.