www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 1
Realising professionalism:
Standards for education and training
Part 3: Standards
for pre-registration
nursing programmes
Published 17 May 2018
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 2
About these standards
Realising professionalism: Standards for education
and training includes the Standards framework for
nursing and midwifery education, Standards for
student supervision and assessment, and programme
standards specific to each approved programme.
Our Standards for education and training are set out in
three parts:
Part 1: Standards framework for nursing and
midwifery education
Part 2: Standards for student supervision and
assessment
Part 3: Programme standards
Standards for pre-registration nursing education
Standards for prescribing programmes
These standards help nursing and midwifery students achieve
the NMC proficiencies and programme outcomes. All nursing and
midwifery professionals must practise in line with the requirements
of the Code (2015), the professional standards of practice and
behaviour that nurses and midwives are expected to uphold.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 3
Introduction
Our Standards for pre-registration nursing programmes set
out the legal requirements, entry requirements, availability of
recognition of prior learning, length of programme, methods of
assessment and information on the award for all pre-registration
nursing education programmes.
Student nurses must successfully complete an NMC approved
pre-registration programme in order to meet the Standards of
proficiency for registered nurses and to be eligible to apply, and
be entered onto, the NMC register.
Public safety is central to our standards. Students will be in
contact with people throughout their education and it’s important
that they learn in a safe and eective way.
These programme standards should be read with the NMC
Standards framework for nursing and midwifery education and
Standards for student supervision and assessment which apply to
all NMC approved programmes. There must be compliance with all
these standards for an education institution to be approved and
to run any NMC approved programme.
Standards
for education
and training
Standards
of profi ciency
for nursing
and midwifery
professions
Pre Post
Standards
framework
for nursing
and midwifery
education
Standards
for student
supervision
and assessment
Programme
standards
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 4
Education providers structure their educational programmes
to comply with our programme standards. They also design their
curricula around the published proficiencies for a particular
programme and students are assessed against these proficiencies
to make sure they are capable of providing safe and eective care.
Proficiencies are the knowledge, skills and behaviours that nurses
and midwives need in order to practise. We publish standards of
proficiency for the nursing and midwifery professions as well as
proficiencies for NMC approved post-registration programmes.
Through our quality assurance (QA) processes we check that
education programmes meet all of our standards regarding
the structure and delivery of educational programmes, that
the programme outcomes relate to the expected proficiencies
for particular qualifications and that the approved education
institutions (AEIs) and practice learning partners are managing
risks eectively. Using internal and external intelligence we monitor
risks to quality in education and training; this intelligence gathering
includes analysis of system regulator reports.
Before any programme can be run, we make sure it meets our
standards. We do this through an approvals process, in accordance
with our Quality assurance framework.
Legislative framework
Article 15(1) of the Nursing and Midwifery Order 2001
(‘the Order) requires the Council to establish standards for
education and training which are necessary to achieve the
standards of proficiency for admission to the register, as required
by Article 5(2) of the Order. The standards for pre-registration
nursing programmes are established under the provision of
Article 15(1) of the Order.
Overall responsibility for the day-to-day management of the quality
of any educational programme lies with an AEI in partnership with
practice learning partners.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 5
Four fields of nursing practice
In accordance with the Nurses & Midwives (Part and Entries in the
Register) Order of Council 2004 (SI 2004/1765), which states that
entries in the register are to include a registrant’s field of practice,
UK students that qualify in a specific field of practice as a level 1
nurse may apply to enter the NMC register as a nurse in one or
more of the four fields of nursing practice: adult, children, learning
disabilities and mental health.
AEIs and their practice learning partners have ownership and
accountability for the development, delivery and management of pre
registration nursing programme curricula. Pre-registration nursing
programmes may oer various routes to registration however, all
programmes leading to registration must include routes within the
programme specific to the relevant fields of nursing practice for
which approval is being sought.
The Standards framework for nursing and midwifery education
and these programme requirements give AEIs in partnership with
practice partners the flexibility to design their own curriculum
and the autonomy to decide on the proportion of generic and field
specific hours provided. In designing curricula for dual award (that
is, a programme of study that leads to registration in two fields
of nursing practice) the NMC expects the AEI to design and deliver
a programme of suitable length that ensures the student
is proficient in delivering safe and eective care in both fields
of nursing.
Programme curricula must cover the outcomes set out in
platforms 1-7 of Standards of proficiency for registered nurses and
the communication and relationship management skills and nursing
procedures set out in the Annexes to that document. All nursing
students across all fields of nursing must have the necessary
learning supervision and assessment in preparation for
professional practice as a registered nurse. The adult nursing
field must also include the content and competencies specified
in relevant EU legislation.
We believe that involving our service users and members of the
public in the planning and delivery of curricula will promote public
confidence in the education of future nurses. We encourage the
use of supportive evidence and engagement from people who have
experienced care by adult, children’s, learning disabilities or mental
health nurses to inform programme design and delivery for all
fields of nursing practice.
Nursing students will learn and be assessed in theory, simulation
and practice environments. AEIs and practice placement partners
must ensure that students meet the proficiencies relevant to
their anticipated field(s) of nursing practice by the end of the
programme. On successful completion of a programme students
will be registered by the NMC as qualifying in one or more field
of nursing practice.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 6
The student journey
Standards for pre-registration nursing programmes
follow the student journey and are grouped under the
following ve headings:
1. Selection, admission and progression
Standards about an applicants suitability and continued
participation in a pre-registration nursing programme
2. Curriculum
Standards for the content, delivery and evaluation of
the pre-registration nursing programme
3. Practice learning
Standards specific to pre-registration learning for nurses
that takes place in practice settings
4. Supervision and assessment
Standards for safe and eective supervision and assessment
for pre-registration nursing programmes
5. Qualification to be awarded
Standards which state the award and information for
the NMC register.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 7
1 Selection, admission
and progression
Approved education institutions together with practice learning
partners must:
1.1 Confirm on entry to the programme that students:
1.1.1 are suitable for their intended field of nursing practice:
adult, mental health, learning disabilities and
children’s nursing
1.1.2 demonstrate values in accordance with
the Code (2015)
1.1.3 have capability to learn behaviours in accordance with
the Code (2015)
1.1.4 have capability to develop numeracy skills required to
meet programme outcomes
1.1.5 can demonstrate proficiency in English language
1.1.6 have capability in literacy to meet
programme outcomes
1.1.7 have capability for digital and technological literacy
to meet programme outcomes.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 8
1.2 ensure students’ health and character are sucient to enable
safe and eective practice on entering the programme,
throughout the programme and when submitting the
supporting declaration of health and character in line with
the NMCs health and character decision-making guidance.
This includes satisfactory occupational health assessment and
criminal record checks
1.3 ensure students are fully informed of the requirement to
declare immediately any cautions or convictions, pending
charges or adverse determinations made by other regulators,
professional bodies and educational establishments, and that
any declarations are dealt with promptly, fairly and lawfully
1.4 ensure the registered nurse responsible for directing the
educational programme or their designated registered nurse
substitute are able to provide supporting declarations of
health and character for students who have completed a
pre-registration nursing programme
1
1.5 permit recognition of prior learning that is capable of being
mapped to the Standards of proficiency for registered nurses
and programme outcomes, up to a maximum of 50 percent
of the programme and comply with Article 31(3) of Directive
2005/36/EC (included in Annexe 1 of this document)
1.6 for NMC registered nurses permit recognition of prior
learning that is capable of being mapped to the Standards of
proficiency for registered nurses and programme outcomes
that may be more than 50 percent of the programme
1.7 support students throughout the programme in continuously
developing their abilities in numeracy, literacy, digital and
technological literacy to meet programme outcomes, and
1.8 ensure that all those enrolled on pre-registration nursing
programmes are compliant with Article 31(1) of Directive
2005/36/EC regarding general education length as outlined
in Annexe 1 of this document.
1
Rule 6(1)(a)(i) of the Nursing and Midwifery Council
(Education, Registration and Registration Appeals) Rules 2004 (SI 2004/1767)
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 9
2 Curriculum
Approved education institutions together with practice learning
partners must:
2.1 ensure that programmes comply with the NMC Standards
framework for nursing and midwifery education
2.2 comply with the NMC Standards for student supervision
and assessment
2.3 ensure that programme learning outcomes reflect the
Standards of proficiency for registered nurses and each of the
four fields of nursing practice: adult, mental health, learning
disabilities and children’s nursing
2.4 design and deliver a programme that supports students and
provides exposure across all four fields of nursing practice:
adult, mental health, learning disabilities and children’s nursing
2.5 state routes within their pre-registration nursing programme
that allows students to enter the register in one or more of
the specific fields of nursing practice: adult, mental health,
learning disabilities or children’s nursing
2.6 set out the general and professional content necessary to
meet the Standards of proficiency for registered nurses and
programme outcomes
2.7 set out the content necessary to meet the programme
outcomes for each field of nursing practice: adult, mental
health, learning disabilities and children’s nursing
2.8 ensure that field specific content in relation to the law,
safeguarding, consent, pharmacology and medicines
administration and optimisation is included for entry to
the register in one or more fields of nursing practice
2.9 ensure the curriculum provides an equal balance of
theory and practice learning using a range of learning
and teaching strategies
2.10 ensure that programmes delivered in Wales comply with
legislation which supports use of the Welsh language
2.11 ensure pre-registration nursing programmes leading to
registration in the adult field of practice are mapped to the
content for nurses responsible for general care as set out
in Annexe V.2 point 5.2.1 of Directive 2005/36/EC (included in
Annexe 1 of this document)
2.12 ensure that all pre-registration nursing programmes meet
the equivalent of minimum programme length for nurses
responsible for general care in Article 31(3) of Directive
2005/36/EC (included in Annexe 1 of this document)
2.13 ensure programmes leading to registration in two fields of
nursing practice are of suitable length to ensure proficiency
in both fields of nursing, and
2.14 ensure programmes leading to nursing registration and
registration in another profession, are of suitable length
and nursing proficiencies and outcomes are achieved in a
nursing context.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 10
3 Practice learning
Approved education institutions together with practice learning
partners must:
3.1 provide practice learning opportunities that allow students to
develop and meet the Standards of proficiency for registered
nurses to deliver safe and eective care to a diverse range
of people, across the four fields of nursing practice: adult,
mental health, learning disabilities and children’s nursing
3.2 ensure that students experience the variety of practice
expected of registered nurses to meet the holistic needs of
people of all ages
3.3 provide practice learning opportunities that allow students
to meet the communication and relationship management
skills and nursing procedures, as set out in Standards of
proficiency for registered nurses, within their selected fields of
nursing practice: adult, mental health, learning disabilities and
children’s nursing
3.4 ensure technology enhanced and simulation-based learning
opportunities are used eectively and proportionately to
support learning and assessment and pre-registration
nursing programmes leading to registration in the adult field
of practice comply with Article 31(5) of Directive 2005/36/EC
(included in Annexe 1 of this document)
3.5 take account of students’ individual needs and personal
circumstances when allocating their practice learning
including making reasonable adjustments for students
with disabilities
3.6 ensure students experience the range of hours expected
of registered nurses, and
3.7 ensure that students are supernumerary.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 11
4 Supervision and
assessment
Approved education institutions together with practice learning
partners must:
4.1 ensure that support, supervision, learning and assessment
provided complies with the NMC Standards framework for
nursing and midwifery education
4.2 ensure that support, supervision, learning and assessment
provided complies with the NMC Standards for student
supervision and assessment
4.3 ensure they inform the NMC of the name of the registered
nurse responsible for directing the education programme
4.4 provide students with feedback throughout the programme to
support their development
4.5 ensure throughout the programme that students meet the
Standards of proficiency for registered nurses and programme
outcomes for their fields of nursing practice: adult, mental
health, learning disabilities and children’s nursing
4.6 ensure that all programmes include a health numeracy
assessment related to nursing proficiencies and calculation
of medicines which must be passed with a score of 100%
4.7 ensure that students meet all communication and relationship
management skills and nursing procedures within their fields
of nursing practice: adult, mental health, learning disabilities
and children’s nursing
4.8 assess students to confirm proficiency in preparation
for professional practice as a registered nurse
4.9 ensure that there is equal weighting in the assessment of
theory and practice
4.10 ensure that all proficiencies are recorded in an ongoing record
of achievement which must demonstrate the achievement of
proficiencies and skills set out in Standards of proficiency for
registered nurses, and
4.11 ensure the knowledge and skills for nurses responsible
for general care set out in Article 31(6) and the competencies
for nurses responsible for general care set out in
Article 31(7) of Directive 2005/36/EC for pre-registration
nursing programmes leading to registration in the adult field
of practice have been met. (Annexe 1 of this document).
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 12
5 Qualification to
be awarded
Approved education institutions together with practice learning
partners must:
5.1 ensure that the minimum award for a pre-registration nursing
programme is a bachelor’s degree, and
5.2 notify students during and before completion of the
programme that they have ve years to register their award
with the NMC. In the event of a student failing to register
their qualification within five years they will have to undertake
additional education and training or gain such experience as
specified in our standards.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 13
Annexe 1
DIRECTIVE 2005/36/EC OF THE EUROPEAN
PARLIAMENT AND OF THE COUNCIL on the
recognition of professional qualifications
(as amended by Directive 2013/55/EU)
Article 31
Training of nurses responsible for general care
1. Admission to training for nurses responsible for general care
shall be contingent upon either:
a completion of general education of 12 years, as attested
by a diploma, certificate or other evidence issued by the
competent authorities or bodies in a Member State or
a certificate attesting success in an examination of an
equivalent level and giving access to universities or to
higher education institutions of a level recognised as
equivalent; or
b completion of general education of at least 10 years, as
attested by a diploma, certificate or other evidence issued
by the competent authorities or bodies in a Member State
or a certificate attesting success in an examination of an
equivalent level and giving access to a vocational school or
vocational training programme for nursing.
2. Training of nurses responsible for general care shall be given
on a full-time basis and shall include at least the programme
described in Annex V, point 5.2.1.
The Commission shall be empowered to adopt delegated acts
in accordance with Article 57c concerning amendments to the
list set out in point 5.2.1 of Annex V with a view to adapting it to
scientific and technical progress.
The amendments referred to in the second subparagraph
shall not entail an amendment of existing essential legislative
principles in Member States regarding the structure of
professions as regards training and conditions of access
by natural persons. Such amendments shall respect the
responsibility of the Member States for the organisation of
education systems, as set out in Article 165(1) TFEU.
3. The training of nurses responsible for general care shall
comprise a total of at least three years of study, which may in
addition be expressed with the equivalent ECTS credits, and
shall consist of at least 4,600 hours of theoretical and clinical
training, the duration of the theoretical training representing
at least one third and the duration of the clinical training at
least one half of the minimum duration of the training. Member
States may grant partial exemptions to professionals who have
received part of their training on courses which are of at least
an equivalent level.
The Member States shall ensure that institutions providing
nursing training are responsible for the coordination of
theoretical and clinical training throughout the entire
study programme.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 14
4. Theoretical education is that part of nurse training from
which trainee nurses acquire the professional knowledge,
skills and competences required under paragraphs 6 and 7.
The training shall be given by teachers of nursing care and by
other competent persons, at universities, higher education
institutions of a level recognised as equivalent or at vocational
schools or through vocational training programmes for nursing.
5. Clinical training is that part of nurse training in which trainee
nurses learn, as part of a team and in direct contact with
a healthy or sick individual and/or community, to organise,
dispense and evaluate the required comprehensive nursing
care, on the basis of the knowledge, skills and competences
which they have acquired. The trainee nurse shall learn not only
how to work in a team, but also how to lead a team and organise
overall nursing care, including health education for individuals
and small groups, within health institutes or in the community.
This training shall take place in hospitals and other health
institutions and in the community, under the responsibility of
nursing teachers, in cooperation with and assisted by other
qualified nurses. Other qualified personnel may also take part in
the teaching process.
Trainee nurses shall participate in the activities of the
department in question insofar as those activities are
appropriate to their training, enabling them to learn to assume
the responsibilities involved in nursing care.
6. Training for nurses responsible for general care shall provide an
assurance that the professional in question has acquired the
following knowledge and skills:
a comprehensive knowledge of the sciences on which general
nursing is based, including sucient understanding of the
structure, physiological functions and behaviour of healthy
and sick persons, and of the relationship between the state
of health and the physical and social environment of the
human being;
b knowledge of the nature and ethics of the profession and
of the general principles of health and nursing;
c adequate clinical experience; such experience, which should
be selected for its training value, should be gained under
the supervision of qualified nursing sta and in places
where the number of qualified sta and equipment are
appropriate for the nursing care of the patient;
d the ability to participate in the practical training
of health personnel and experience of working with
such personnel;
e experience of working together with members of
other professions in the health sector.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 15
7. Formal qualifications as a nurse responsible for general care
shall provide evidence that the professional in question is
able to apply at least the following competences regardless
of whether the training took place at universities, higher
education institutions of a level recognised as equivalent or at
vocational schools or through vocational training programmes
for nursing:
a competence to independently diagnose the nursing care
required using current theoretical and clinical knowledge
and to plan, organise and implement nursing care when
treating patients on the basis of the knowledge and
skills acquired in accordance with points (a), (b) and (c) of
paragraph 6 in order to improve professional practice;
b competence to work together eectively with other actors
in the health sector, including participation in the practical
training of health personnel on the basis of the knowledge
and skills acquired in accordance with points (d) and (e) of
paragraph 6;
c competence to empower individuals, families and groups
towards healthy lifestyles and self-care on the basis of
the knowledge and skills acquired in accordance with points
(a) and (b) of paragraph 6;
d competence to independently initiate life-preserving
immediate measures and to carry out measures in crises
and disaster situations;
e competence to independently give advice to, instruct and
support persons needing care and their attachment figures;
f competence to independently assure the quality of, and to
evaluate, nursing care;
g competence to comprehensively communicate
professionally and to cooperate with members of other
professions in the health sector;
h competence to analyse the care quality to improve their
own professional practice as a nurse responsible for
general care.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 16
V.2. NURSE RESPONSIBLE FOR GENERAL CARE
5.2.1. Training programme for nurses responsible for general care
The training leading to the award of a formal qualification of nurses
responsible for general care shall consist of the following two parts.
A. Theoretical instruction
a. Nursing:
Nature and ethics of the profession
General principles of health and nursing
Nursing principles in relation to:
general and specialist medicine
general and specialist surgery
child care and paediatrics
maternity care
mental health and psychiatry
care of the old and geriatrics
b. Basic sciences:
Anatomy and physiology
Pathology
Bacteriology, virology and parasitology
Biophysics, biochemistry and radiology
Dietetics
Hygiene:
preventive medicine
health education
Pharmacology
c. Social sciences:
Sociology
Psychology
Principles of administration
Principles of teaching
Social and health legislation
Legal aspects of nursing
B. Clinical instruction
Nursing in relation to:
general and specialist medicine
general and specialist surgery
child care and paediatrics
maternity care
mental health and psychiatry
care of the old and geriatrics
home nursing
One or more of these subjects may be taught in the context of the
other disciplines or in conjunction therewith.
The theoretical instruction must be weighted and coordinated with
the clinical instruction in such a way that the knowledge and skills
referred to in this Annex can be acquired in an adequate fashion.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 17
Glossary
Reasonable adjustments:
where a student requires
reasonable adjustment related
to a disability or adjustment
relating to any protected
characteristics as set out in
the equalities and human
rights legislation.
Approved education
institutions (AEIs): the status
awarded by the NMC to an
institution, or part of an
institution, or combination
of institutions that works
in partnership with practice
placement and work placed
learning providers. AEIs will
have provided us with
assurance that they are
accountable and capable of
delivering NMC approved
education programmes.
Educators: in the context
of the NMC Standards
for education and training
educators are those who
deliver, support, supervise and
assess theory, practice and/or
work placed learning.
Equalities and human
rights legislation: prohibits
unlawful discrimination on the
basis of age, disability, gender
reassignment, marriage and
civil partnership, pregnancy
and maternity, race, religion or
belief, sex, sexual orientation
and other characteristics.
Anti-discrimination laws
can be country specific and
there are some legally binding
international protections.
(Good) health and
character requirements: as
stipulated in NMC legislation
(Articles 9(2)(b) and 5(2)(b) of
the Nursing and Midwifery
Order 2001) ‘good health’
means that the applicant is
capable of safe and eective
practice either with or without
reasonable adjustments. It
does not mean the absence of
a health condition or disability.
Each applicant seeking
admission to the register
or to renew registration,
whether or not they have been
registered before, is required
to declare any pending charges,
convictions, police cautions and
determinations made by other
regulatory bodies.
People: individuals or groups
who receive services from
nurses and midwives, healthy
and sick people, parents,
children, families, carers,
representatives, also including
educators and students and
others within and outside the
learning environment.
Practice learning partners:
organisations that provide
practice learning necessary
for supporting pre-registration
and post- registration
students in meeting
proficiencies and
programme outcomes.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 18
Quality assurance: NMC
processes for making sure
all AEIs and their approved
education programmes comply
with our standards.
Recognition of
prior learning (RPL):
a process that enables previous
certificated or experiential
learning to be recognised and
accepted as meeting some
programme outcomes, this
means it includes both theory
and practice achievement.
Simulation: an artificial
representation of a real
world practice scenario that
supports student development
through experiential learning
with the opportunity for
repetition, feedback,
evaluation and reflection.
Eective simulation facilitates
safety by enhancing knowledge,
behaviours and skills.
Stakeholders: any person,
group or organisation that
has an interest or concern
in the situation in question,
and may aect or is aected
by its actions, objectives or
policies. In the context of the
NMC Standards for education
and training this includes
students, educators, partner
organisations, service users,
carers, employers, other
professionals, other regulators
and education commissioners.
Student: any individual enrolled
onto an NMC approved
education programme whether
full time or less than full time.
Supernumerary:
students in practice or work
placed learning must be
supported to learn without
being counted as part of the
stang required for safe and
eective care in that setting.
For apprentices, this includes
practice placements within
their place of employment; this
does not apply when they are
working in their substantive
role. Placements should enable
students to learn to provide
safe and eective care, not
merely to observe; students
can and should add real value to
care. The contribution students
make will increase over time
as they gain proficiency and
they will continue to benefit
from ongoing guidance and
feedback. Once a student
has demonstrated that
they are proficient, they
should be able to fulfil tasks
without direct oversight.
The level of supervision a
student needs is based on the
professional judgement of
their supervisors, taking into
account any associated risks
and the students’ knowledge,
proficiency and confidence.
www.nmc.org.uk Programme standards: Standards for pre-registration nursing programmes 19
The role of the
Nursing and
Midwifery Council
What we do
We regulate nurses and midwives in the UK. We exist to
protect the public. We set standards of education, training,
conduct and performance so that nurses and midwives can
deliver high quality care throughout their careers.
We make sure nurses and midwives keep their skills and
knowledge up to date and uphold our professional standards.
We have clear and transparent processes to investigate
nurses and midwives who fall short of our standards.
We maintain a register of nurses and midwives allowed to
practise in the UK.
These standards were approved by Council at their
meeting on 28 March 2018.