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NMC Reflection Guides

Two separate assessment frameworks for registered nurses (revalidation) and student nurses (placement training)

For Registered Nurses

Maintaining your NMC registration every 3 years through revalidation

Your Assessment

  • 5 Written Reflective Accounts (over 3 years)
  • Official NMC 4-Question Form (not Gibbs)
  • Link to The Code (4 pillars)
  • Reflective Discussion with another NMC registrant

For Student Nurses

Building your practice portfolio during placement and training

Your Assessment

  • Gibbs, Driscoll, or Other Frameworks (your choice)
  • Episode of Care Documents (clinical evidence)
  • NMC Platform Evidence (across 7 platforms)
  • Practice Supervisor Feedback on development
For Registered NursesFree from NMC

NMC Revalidation: Reflective Account Form

The NMC Provides Everything Free

The NMC publishes completed revalidation forms and templates with real examples from nurses and midwives who have already revalidated successfully.

Download NMC's Free Completed Examples (PDF)

Revalidation Requirements

5 Written Reflective Accounts

Over 3 years, using the official form

Must Link to The Code

Select relevant themes from 4 pillars

Cover CPD, Feedback & Events

Mix of all three types recommended

Reflective Discussion

With another NMC registrant (confirmer)

The Official NMC 4-Question Form

Complete this form for each of your 5 reflective accounts:

Q1

What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in your practice?

Describe WHAT happened. Include date, setting, and context.

Q2

What did you learn from the CPD activity and/or feedback and/or event or experience in your practice?

Explain what new knowledge, skills, or insights you gained.

Q3

How did you change or improve your practice as a result?

Describe specific actions you took or will take differently.

Q4

How is this relevant to the Code?

Select one or more themes: Prioritise people | Practise effectively | Preserve safety | Promote professionalism and trust

Completed Example: Manual Handling Training (District Nurse)

This example follows the exact NMC form format. Adapted from the NMC's published examples.

NMC Reflective Account Form — Q1-Q4

Q1: What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in your practice?

CPD participatory activity. Attending a Manual Handler Transfer Specialist course. As an experienced community nurse I have had to adapt to various environments to deliver care safely and effectively. Working within the community team we provide care for patients with complex health care needs at home, most presenting with limited ability to mobilise and transfer independently. I participated in the manual handling transfer specialist training course to develop the team's knowledge and skills in patient handling.

Q2: What did you learn?

The statistics highlighting that 24% of NHS staff are injured through poor manual handling practice emphasise the need for raising awareness of the consequences. The cost to the NHS for compensation claims is approximately £150 million a year; money that should go directly to patient care. Staff will complete a structured manual handling passport and will be assessed carrying out practical modules relevant to their workplace.

Q3: How did you change or improve your practice?

We arranged a teaching programme including individual task assessments, control measures, risk assessments, care plans and review dates. We offered to accompany colleagues on home visits to carry out complex assessments, enabling us to initiate safer handling practice immediately. We revised the ordering system for manual handling equipment to ensure the right equipment is provided for individual patients.

Q4: How is this relevant to the Code?

Code themes selected:

Practise effectivelyPreserve safety

This activity is relevant to "Preserve safety" as it directly addresses the prevention of harm to both staff and patients through proper manual handling techniques. It also relates to "Practise effectively" by ensuring evidence-based, up-to-date practice is disseminated across the team.

The Four Code Themes

Every reflective account must link to at least one of these themes from The Code (NMC 2018):

Prioritise people

Treat people as individuals, respect dignity, ensure needs are met

Practise effectively

Evidence-based care, communication, teamwork, delegation

Preserve safety

Work within competence, raise concerns, emergencies, infection control

Promote professionalism and trust

Uphold reputation, act with integrity, cooperate with investigations

Revalidation Resources

Build Your Revalidation Portfolio

Generate professional portfolio documents from your clinical notes. Structure reflections using the NMC's 4-question format, map learning to The Code, and build your revalidation evidence systematically.

Start Building Your Portfolio →
For Student NursesDuring Placement

Student Nursing: Reflective Practice During Training

Your Reflection Framework

During your placement and training, you CAN use Gibbs Reflective Cycle, Driscoll's model, or other reflective frameworks. The NMC explicitly supports these frameworks in their practice learning case studies. Choose what works best for your learning style and clinical environment.

Your Assessment Requirements

Reflective Accounts

Using Gibbs, Driscoll, or frameworks of your choice

Episode of Care Documents

Clinical evidence mapped to NMC Platforms

NMC Platform Evidence

Across all 7 domains of practice

Practice Supervisor Feedback

On your development and competence

Gibbs Reflective Cycle (For Student Placements)

The NMC case studies explicitly feature Gibbs. Here are the 6 steps:

1

Description

What happened? When? Where? Who was involved? What did you do?

2

Feelings

What were you thinking and feeling during and after the event?

3

Evaluation

What was good about the experience? What was difficult? What would you do differently?

4

Analysis

Why did things happen this way? What does the evidence or theory tell you about this?

5

Conclusion

What have you learned? How has your thinking changed?

6

Action Plan

What will you do next time? How will you apply this learning?

Student Nursing Resources

Quick Tips for Student Reflections

Use Gibbs or other frameworks — the NMC explicitly supports them for student learning

Be specific — include dates, settings, and concrete clinical details

Show learning — explain what you learned and how your thinking changed

Map to NMC Platforms — link your reflections to the 7 domains of practice

Preserve anonymity — never include patient or colleague names

Now you know the difference. Ready to get started?