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National changes to nurse pre-registration education- FAQs Key Messages Nurses are the largest single profession within the Health Service, and are critical to providing care of the highest standard. The decision for change came following the Nursing and Midwifery Council’s (NMC) review of pre-registration nurse education. These changes will enable nurses to provide high quality person centred care and more health care provision closer to home Nursing is dynamic. The NHS is ensuring that the future workforce is prepared for tomorrow. New education standards, including degreelevel registration will ensure future nurses continue to be equipped to work in a modern healthcare system and will bring nursing more into line with other countries and healthcare professions in the UK. Your experience, skills and knowledge are paramount to improving quality of care and creating a positive patient experience. You have a valuable role in setting an example for the future generation of nurses and supporting and mentoring new students. The move to degree only pre-registration programmes continues the direction of travel, which has seen an increasing proportion of new nurses qualifying with degrees. The national framework for preceptorship, continuing professional development, and ongoing appraisals will support jobs and working lives that are more rewarding, with better career opportunities, and greater job satisfaction for current and future nurses. The changes to pre-registration programmes are not just about a change in level from diploma to degree. More nurses need to take on leadership and management roles, and be able to meet more complex needs of an aging population. They need to work alongside other healthcare professionals as equal partners in the health care team. Q&A Will new nurses be registered on a different part of the register? No. There will remain a single part of the register for newly qualified nurses. Will I still be able to remain as a registered nurse even though I qualified with a diploma/degree against the ‘old’ standards? Yes. Your registration status will not change and you will not be required to undertake any additional training. The new standards apply only to new preregistration nursing programmes. However, as a registered nurse you will still need to meet the NMC post-registration education and practice (PREP) requirements. I qualified with a diploma; will I have the opportunity or need to ‘top up’ to the degree and/or ‘new’ standards? There is no requirement to ‘top-up’ to degree level or to the new standards, although, many nurses have chosen to ‘top-up’ their diplomas to degree level as part of their continuous professional development (CPD). Regardless of qualification, all existing nurses have developed their skills - clinical, management and otherwise - following their initial registration. Will Continuous Professional Development (CPD) continue to be available to me? The changes to pre-registration nurse education do not affect CPD arrangements. Will I be able to mentor new degree students? In principle, mentors should be at a level equivalent to or higher than the students they are supporting and assessing and it is acknowledged that this can be demonstrated in a variety of different ways through both academic and practice learning and development. Whether your CPD and level of practice meets this criteria, will be determined locally by your programme provider. What role does preceptorship play in all this? Preceptorship is a transition phase for newly registered practitioners when continuing their professional development, building their confidence and further developing competence to practice. New arrangements are in place in the NHS in England. The NMC currently issues guidance on preceptorship, which is being reviewed as part of work on revalidation. The Preceptorship Framework is also available on the DH website which outlines standards for preceptorship and expected outcomes and benefits. Does this mean existing graduates and diplomates are not fit for purpose? No. All existing nurses have developed their skills – clinical, management and otherwise – following their registration and have skills and knowledge above the level of their original nursing qualification. Will the new students be ‘fit for purpose’? Yes: Local curricula will be developed in partnership between universities, the commissioners (those buying the programmes) and practice placement providers in the NHS, independent and voluntary sectors. Half of the programme has to include learning in the direct care of clients and patients. Will half of the programme still be theory and half practice? Yes: Students will need to undergo a three-year programme and will undertake 50% of their education in practice placements, supervised by a range of professionals and mentored by practicing nurses. They will have a mix of placements and skills assessments in both acute and community settings. What will be the impact on my career progression? Continuing professional development and ongoing appraisals will support jobs and working lives that are more rewarding, with better career opportunities, and greater job satisfaction for current and future nurses. However, as a registered nurse you will still need to meet the NMC postregistration education and practice (PREP) requirements.