Bournemouth University facilitated a Strategic planning meeting to develop a Continuing Professional Development (CPD) Framework for Nepal last week in Kathmandu. The planning meeting was held on 30th July 2019 at the Institute of Medicine IOM Maharajgunj Nursing Campus. Midwifery is not formally recognised in Nepal, i.e. as a profession separate from nursing, therefore when refer to nursing CPD in this blog we mean both ‘nurses’ and ‘nurse-midwives’.
Bournemouth University is collaborating in this project with Liverpool John Moores University (LJMU) in the UK, the IOM Nursing Campus, the Nursing Association of Nepal (NAN), MIDSON, the Nepal Nursing Council (NNC) and several other key stakeholders in Nepal to support nursing regulatory bodies to establish mandatory CPD and/or post-registration training programmes relevant to their current practice in nursing.
The Bournemouth team (led by Dr. Bibha Simkhada with Prof. Edwin van Teijlingen and Dr.Pramod Regmi) argued that CPD offers nurses the opportunity to maintain, improve and broaden knowledge, expertise and develop their personal and professional qualities to enhance practice and career development. Nepal has had limited process and progress in ensuring CPD for nurses and the uptake of post-registration education and training programmes or CPD tends to be ad hoc. Generally, CPD in Nepal remains under-developed as showing evidence of having received CPD is not currently a requirement of nurses when they re-register every five year.
This project is a good example of a BU FUSION project as our earlier Research in the form of a needs assessment will to the introduction of CPD which is of course, post-registration Education in nursing, helping to improve Practice in a low-income country. We think we have had at least some impact on nursing in Nepal as the general feeling of our strategic planning meeting positive towards introducing CPD in the near future in Nepal.
In December 2018 The Education Committee reviewed nursing degree apprenticeships and produced the report Nursing degree apprenticeships: in poor health? The Committee warned that the uptake of nursing degree apprenticeships has been too slow (only 30 started last year) and that the DfE won’t meet their target of 400 nursing associates progressing to degree apprenticeships from 2019. The Committee stated that nursing degree apprenticeships was more of a ‘mirage’ than a successful and sustainable route into the profession unless delivery barriers are resolved. You can read the recommendations from the Committee’s report here.
The Government have now responded to the Committee’s report (Government response here) largely agreeing with several of the Committee’s recommendations. The response:
- Agrees with recommendations 1 and 2 on maintaining support to develop a sufficient number of quality nursing apprenticeships. It outlines intent of current reforms in achieving this.
- Agrees with recommendation 3 that Nurse Degree apprenticeship cannot act as the lone route to train the nursing workforce and adds “that has never been the intention”. Further outlining reforms in place to achieve this.
- Agrees with recommendation 4 on the need to incentive the NHS to spend time and resource building nursing apprenticeships and outlines the case and plan for making sure “apprenticeships to meet the needs of employers, as well as apprentices and training providers.”
- On recommendation 5 and the NMC’s consultation on whether nursing associate students should remain supernumerary, Government outline that the NMC agreed in 26th September “they have approved proposals for an additional approach to nursing associate training, which is a different choice for employers to the supernumerary approach to training. This alternative option will enable employers to work in partnership with approved education institutions, to identify the proportion of time the organisation will be able to support protected learning time for the trainees.” State the NMC will consider whether to extend this training model to the other professions they regulate once they have undertaken evaluation and review.
- On recommendation 6 and 9, response outlines the incentives for employers to invest in workforce and the role of the levy.
- Does not agree with recommendation 7, on the funding band for nursing degree apprenticeships remaining at a minimum of £27,000 and the IfA should consider increasing. Government say nursing degree apprenticeships are in the highest funding band and “The Institute for Apprenticeships is responsible for regularly reviewing standards to make sure they are high quality, continue to meet the needs of employers, and are value for money.”
- Agrees with recommendation 8 on investment in CPD and state this was recognised in the NHS long-term plan.