NMC Annual Report and Accounts 2013 - 14
NMC Annual Report and Accounts 2013 - 14
NMC Annual Report and Accounts 2013 - 14
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AEIs to involve patients <strong>and</strong> the public in the design <strong>and</strong> development of<br />
training programmes.<br />
• Published for the first time, the list of AEIs <strong>and</strong> LSAs to be visited during <strong>2013</strong>-<br />
20<strong>14</strong> to improve openness <strong>and</strong> transparency about this important area of<br />
regulation. Outcomes from the quality assurance monitoring will be published<br />
in a separate annual report.<br />
• Published details of the approach we will take when concerns are identified.<br />
This involves a graduated response depending on the nature <strong>and</strong> seriousness<br />
of the issue guided by the need to protect the public.<br />
• Introduced a new webpage to provide an easily accessible guide for patients<br />
<strong>and</strong> the public on our role in relation to the education <strong>and</strong> training of nurses<br />
<strong>and</strong> midwives. This includes information about how the public can get involved<br />
in quality assurance of nursing <strong>and</strong> midwifery programmes.<br />
17 We are working closely with partner bodies across the four countries who also<br />
have a role in education, workforce or commissioning matters such as Health<br />
Education Engl<strong>and</strong>, local education <strong>and</strong> training boards <strong>and</strong> NHS Education<br />
Scotl<strong>and</strong> to ensure that our work is complementary <strong>and</strong> secures the best<br />
outcomes for patients <strong>and</strong> the public.<br />
St<strong>and</strong>ards<br />
18 The Francis report <strong>and</strong> related reviews reinforced the importance of ensuring our<br />
st<strong>and</strong>ards <strong>and</strong> guidance are focused on patient safety <strong>and</strong> public protection. We<br />
have sought to ensure that this is reflected in our st<strong>and</strong>ards <strong>and</strong> guidance to<br />
influence the behaviour of nurses <strong>and</strong> midwives.<br />
19 Our work this year has focused on strengthening our approach including:<br />
• Setting an overarching policy which requires our st<strong>and</strong>ards <strong>and</strong> guidance to be<br />
patient-centred, outcome-focused <strong>and</strong> in line with right touch regulation.<br />
• Developing clear methodologies (including criteria) for the development <strong>and</strong><br />
review of st<strong>and</strong>ards <strong>and</strong> guidance <strong>and</strong> evaluating their impact on public<br />
protection.<br />
• Agreeing a cycle of planned reviews of existing st<strong>and</strong>ards based on an<br />
analysis of risk.<br />
20 In response to the Liverpool Care Pathway review, More Care, Less Pathway<br />
(<strong>2013</strong>), we looked closely at how best to provide guidance on ensuring end of life<br />
care meets the wishes <strong>and</strong> needs of patients <strong>and</strong> their families. We concluded that<br />
the most effective <strong>and</strong> proportionate approach would be to address this in our<br />
review of the Code for nurses <strong>and</strong> midwives (see below). We also worked<br />
collaboratively with the Leadership Alliance for the Care of Dying People to<br />
develop a system-wide approach to improving end of life care <strong>and</strong> the outcomes of<br />
this work will be launched shortly.<br />
21 Nurses <strong>and</strong> midwives have a professional duty to take action if they have concerns<br />
about the safety or well-being of those in their care. To help them, we refreshed<br />
9