Once registered as an adult nurse, there are on-going requirements for education and skills development and a host of opportunities to go further and learn more. During your first year as a newly qualified nurse, you'll get extra support and guidance through the Flying Start programme.
All nursing roles, along with rates of pay, are outlined in a national document – the Career Framework for Health
A registered nurse enters the profession as a ‘Level 5 Practitioner.’ They can choose to stay at that level, keeping up-to-date through Continuing Professional Development (CPD) or undertake further learning and development, both in the workplace and through courses. This can lead to progression through the career pathway to Senior, Advanced or Consultant level.
Nurses at all levels need to show strong clinical leadership. Students and healthcare support workers look to staff nurses for guidance and support, while at higher levels nurses may lead teams, departments or services. This leadership role includes motivating and empowering staff to treat all patients with dignity, privacy and compassion and taking responsibility for ensuring excellence in clinical care.
Senior nurses bring key knowledge and skills to specialist and multidisciplinary teams, while Nurse Consultants lead whole departments and services, informing practice and policy development at regional and national levels.
Once you've qualified and gained experience as a registered adult nurse, there are a wide variety of specialisms to choose from, including: district nurse, general practice nurse, rehabilitation nurse, older people's nurse, accident and emergency nurse, intensive care nurse, theatre nurse, cancer and palliative care nurse, community staff nurse and occupational health nurse.
Revalidation is a new process which nurses need to follow to maintain their registration with the NMC every 3 years.
The requirements for revalidation are:
- 450 practice hours
- 35 hours of CPD including 20 hours of participatory learning
- Five pieces of practice-related feedback
- Five written reflective accounts
- Reflective discussion
- Health and character declaration
- Professional indemnity arrangement
Revalidation will be an ongoing process throughout your career and aims to promote good practice and to maintain and strengthen public confidence in the profession.