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Jhurlow

Jhurlow

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  1. Jhurlow

    Avoid the UK

    Awesome Phil!! If we don't make our concerns heard then nothing will ever change for the better. Thank you for taking your valuable time to make your voice heard. I've submitted as well.
  2. Jhurlow

    Avoid the UK

    Please consider submitting your thoughts about the UK NMC at the link below. Parliament is examining the ongoing nursing shortage in the UK. Perhaps you can make a difference for UK nursing and for UK patients who need nurses. Jenny You can a submission to the Health Select Committee before 12th October: Nursing workforce inquiry - UK Parliament
  3. Jhurlow

    Avoid the UK

    Hi Phil It sounds like my post upset you. Im sorry. Didn't mean to Firstly I'm happy to forward to you the email I received from the Professional Standards Authority 6 days ago stating 'the NMC is the regulator and is empowered in law to make its decisions as an independent body.' Secondly, NMC application processes for non EU trained nurses changed very significantly in 2015. I wonder how many of the foreign nurses you know entered UK practice before then There are several posts on this site from many international nursing applicants who agree with concerns about the profound shortcoming of NMC OSCE testing process. Thirdly, ink will fill the creases of some fingerprints making them inconclusive evidence. I do think that the UK's lack of more sophisticated digital technology may put it at risk. Local or less sophisticated regulators may mistakenly accept evidence that they should not, though I must say that UK Immigration is very professional and efficient in their processes. The US FBI found my UK taken ink prints to be unacceptable. The US requires digital prints from nurses moving even from state to state. I could have easily obtained digital prints for NMC clearance before leaving the US, if I had known of the need. But the NMC had two different and undistinguished guidances on their website. I inadvertent followed the 'old' ones which guided international applicants before the recent changes in NMC regulation. Lastly, I agree that the US is very unsafe. I am embarrassed by the gun use and by the president. I feel much safer living here in the UK. I just profoundly miss being able to work as a nurse we while living here All my best to you and praise for the valuable work you do Jenny
  4. Jhurlow

    Avoid the UK

    i'm happy your challenges were relatively straight forward and are now resolved. California is a lovely state. Re UK Funding: The NMC chief executive just gave herself huge pay raise yet, as you state, ERs are closing down and nurses are overworked. Elders in my village complain about not receiving basic community health support and elder care options are sorely lacking in the UK. Not sure an NMC with accountability to no one, whose big boss gives herself a raise is truly focused solving UK healthcare challenges. I've been told there are no longer nurses running the NMC, perhaps this is the problem. Also been told that nurses are leaving NHS for Private work because Private pays more, yet NHS funds are what pay more for these Private nurses. This sounds nonsensical when basic NHS funding is dwindling! As an experienced NP I would love to help the situation here but I can't afford another 992 GBP to take an OSCE test for which I cannot receive accurate guidance to study. I think UK nursing is in particularly sad shape right now. Just my opinion. You have great opportunities as a US nurse. All the best to you!
  5. Jhurlow

    Avoid the UK

    nternationally trained nurses may want to consider avoiding the UK unless you are desperate, have special connections, or long for a uniquely frustrating experience. The people of the UK are wonderful and there is a profound nursing shortage here. However, the UK's Nursing and Midwifery Council (NMC) is costly and dysfunctional, especially when it comes to evaluating the skills of internationally trained nurses YET it has been confirmed to me by the UK's Professional Standards Authority that the NMC functions without any accountability to any other UK governing body. The UK's NMC can do and decide whatever it wants. I have moved to the UK to follow my husband who was transferred for work. I successfully completed a complex and costly immigration process to become a UK resident. 1. However, the NMC has their own far less sophistocated Immigration process. They DO NOT recognize any information collected by the county's Immigration system. 2. If you are an experienced nurse (lots of hand washing) it may be difficult for you to obtain ink fingerprints. However, digital fingerprinting in the UK is only available for criminals, not for nurses needing to prove to the UK that they are not criminals 3. If you suffer extra cost or time waste due to an NMC related error or confusion, that is simply too bad. The NMC will never apologize or even state recognition that they may have done anything wrong. If they present a hoop for you to jump through, a hoop that you have paid significant monies for, and they move the hoop so you miss it then this is your fault and you must pay to try again. Regardless of how redundant this hoop may be, it MUST be jumped simply because the NMC says it must be jumped. 4. The final qualification exam is called an Objective Structured Clinical Exam (OSCE). This exam costs 992 GBP. Most US university trained nurses passed such an exam to graduate. Typically this involves performing skills which you were taught and that you practiced during your training. However, for the NMCs OSCE, the training materials show processes that are inconsistent with the testing scenario. This is particularly problematic for International applicants who've not learned the required procedure in the first place! Further, there is no opportunity to practice prior to being tested. If you fail the NMC will tell you how sorry they are and they will offer you an opportunity to pay another 992 GBP to retest. Some candidates have paid again and passed. The challenge is that the NMC can decide just what is required to pass. There is no recourse, even if you suspect favoritism, and the NMC can be very particular. 5. I was told that the best way for an international nurse to enter the UK system is to take a job as a base level Health Care Associate (HCA). This is minimum pay and may not be particularly satisfying work for master's prepared nurses, but this role is not yet NMC regulated and will provide access to their test practice stations. This is not what I would consider an International application process. 6. Lastly, UK nursing pay is low and capped in the UK while cost of living is quite high, especially in London. And safety is become a greater and greater issue. I have fought my way through NMC processes, standing up for my rights when I've felt I was wronged but my MP (now a key member of the governing parliament) and the Professional Standards Authority have simply redirected my concerns back to the NMC, an agency which must answer to no one. I have been left with the impression that the nursing profession is not respected here in the UK. Nursing in the UK is profoundly over regulated with little autonomy and even less practice sophistocation. In fact the NMC spends most of its government funding to discipline nurses who have successfully completed their NMC testing processes. (think about that) Yes it is possible for internationally trained nurses to enter the UK system. But, please do think twice especially if you were trained and have been practicing in the US. Certainly the US has its problems, but US trained nurses are some of the best in the world and I do believe that nursing in the US offers more opportunity to our profession than any where else on this planet. If you are bored and looking for a nursing adventure, consider getting a masters or a PhD or moving to another state or opening your own business. But whatever you do, this nurse recommends that you try everything else first and try very hard to Avoid the UK!!
  6. Jhurlow

    Are you angry about the NMC OSCE???

    I want everyone in this chain and any other well trained international nurses that I have climbed the full ladder on this issue. I have directly communicated with my MP (currently an influential member of the Teresa May's parliament), the Professional Standards Authority, the Department of Health, NMC senior leadership, and I've filed a Level 3 complaint about the OSCE (and the complex, redundant application processes leading up to this testing scenario). I want you all to know that NO ONE in this chain has any interest in evaluating or improving anything about the International Nursing Application process. My MP has excused himself, the Professional Standards Authority representative has no response, NMC leadership defauts to lower level processes, and my Level 3 complaint, for which I waited 4 months, made no specific mention of any of my specific concerns, instead again completely responded with narcisistic NMC rhetoric. If you are in love and are willing to meet any level of challenge to achieve NMC PIN then by all means, consider coming to the UK. But for simple adventure, this is NOT the spot! Nursing pay is capped, nursing practice is way over regulated with essentially no autonomy, nurses cannot afford cost of living especially in London, nurses are overworked and I believe under valued, and safety is a growing issue especially in the larger cities. I'm going to get a PhD instead, which should just fill the remainder of my time here in the UK. Please spread the word. Nurses and the nursing profession is too valuable to any healthcare system to be wasted by UK's apparently disinterested bureaucracy. Poor Florence is probably turning in her grave about now!!
  7. Jhurlow

    Are you angry about the NMC OSCE???

    -------------, MPs and the Dept of Health have both told me that the NMC is an independently functioning agency. There are no Lobbies in the UK. They all have told me that the best initial option is to file a complaint with the NMC, which I have found to be essentially useless; more on that shortly. The Professional Standards Authority will take complaints then provide recommendations about the NMC to the MPs who can decide to act or not act. My Professional Standards Authority contact, to whom I have sent numberous complaints, is-----------------. After taking the OSCE I complained with great detail to the NMC International representative ------------------------------. This resulted in her filing a Level 2 complaint with the NMC Complaints department, which resulted in a jibberish response. I then complained to ------------- and my MP and ---------------- all in one email about the response I received. This resulted in ------------- filing a Level 3 complaint for me. The NMC complaints department reported I would receive response to this complaint by April 8, but I received nothing. After contacting them again they stated the usual meaningless apologies then told me I would receive response by May 8. Again I heard nothing. I contacted the NMC again but heard nothing, so again sent emails to --------------- and my MP. ----------------------- from the Professional Standards Authority sent the NMC an email on my behalf to which the NMC has now responded they will have an answer to my concerns by July 8; they report they have been too busy with a 'severe problem' which is likely the lawsuit being taken up against them in High Court by a nurse whose career has been destroyed by the NMC processes after she stepped up to report bad care being delivered in a UK nursing home (whistleblowing). UK nursing is a terrible mess which is very sad amidst an ageing population which could benefit from the care of nurses. The NMC is dysfunctional and runs essentially with no oversight. Best I've been able to figure out, the NMC spends the bulk of the money given to them by the UK government disciplining the nurses who happen to make it through their dysfunctional regulatory processes. I am an experienced, US trained nurse practitioner with specialties in geriatrics, wounds, continence. I have tried to work through NMC processes for 1 1/2 years, since my husband was transferred here to the UK. I am a UK resident, I have struggled to learn and proceed through all of the correct channels and still cannot practice here in the UK. I've been told by UK nurse that internationally trained nurses can either repeat the OSCE until they pass or take employment as a Health Care Associate (like a nursing assistant, no qualifications required) which will allow access to NMC testing practice centers. I will certainly let you know if and how the NMC responds on July 8. But my recommendation is that, unless you are despirate to work as a nurse in the UK, consider going to a different country. Processes here are far too bureaucratic and dysfunctional, pay is low, and housing especially in London is way to expensive and generally unsafe.
  8. Jhurlow

    Are you angry about the NMC OSCE???

    As you likely have seen, there are several complaints posted about the UK NMC processes, including their OSCE. In March of this year I filed a Level 3 complaint with the NMC which included very specific concerns about this rather expensive exam. The NMC Complaints division told me they would respond to my concerns by April 8. When that date came and left without response I emailed them. They then reported that they will have final response by May 8. When that date came and went without response I queried again. I still have received NO RESPONSE from the NMC nearly 4 months after filing my initial complaint. I have communicated this with the UK's Professional Standards Authority, apparently the only UK organization with any authority over the NMC, but have received no response from them either. Neither this UK nursing regulatory agency nor the agency which has the only authority to regulate it appear to be very professional! So sorry for the UK which is experiencing a profound nursing shortage yet their NMC is more of a road block than a regulator. I've been told that the only way an internationally trained nurse can be assured of a good chance of passing the OSCE is to start work as a Healthcare Assistant (HCA), which is like a US nursing assistant. The NMC does not yet 'regulate' HCA's though they want to. This venue is NOT an NMC International Application process. This is a default process which the NMC is taking monies for. The UK NMC is a run away train functioning within a double standard while the NHS and UK citizens suffer for lack of well trained nurses. Travesty!!
  9. Jhurlow

    Are you angry about the NMC OSCE???

    I am now learning that UK NMC processes are a bit of a scam. I tested at Northampton. A UK trained nurse who took the exam with me told me that the preparation documents on the NILE website are catagorically inadequate to pass the OSCE exam they are presented by the Northamption OSCE as preparation for. This nurse told me that actual practice is require to pass this exam; which, if you look at the research on OSCE examinations, is the only way that this type of exam has been show to be valid....think about that. The NMC is taking our money for a testing strategy which they use inappropriately to judge our nursing competency. This UK nurse told me that the only way to feel somewhat confident about passing this NMC OSCE exam to first take on UK nursing employment as an International/Return to work Band 3 nurse. This role, which I believe is similar to being a nursing assistant in the US, will then give an Internationally trained RN access to a Trust's training facilities. There is NOTHING about this in the NMC guidance for Non EU trained candidates! I'm not sure about the legality of NMC processes in the UK but this level of misrepresentation would be considered a very questionable practice in the US. The Professional Standards Authority apparently has some ability to comment and report to parliament about NMC practices. We all may be able to help future nursing candidates as well as UK citizens if all on this list serve consider contacting the Professional Standards Authority to share their experiences and express their concerns. At the very least, no harm can be done. I've communicated with David Martin at david.martin@professionalstandards.org.uk.
  10. Jhurlow

    Are you angry about the NMC OSCE???

    Did you have any luck with your appeal. I've complained to the NMC, the UK Department of Health, and to the Professional Standards Authority (they apparently have some NMC oversight) yet receiving responses no more valuable than double talk. Have you seen a lawyer? I am happy to join you and perhaps others in such a venture. There is power in numbers. This abuse of power and the human suffering it is causing in this country needs to be discussed with someone who cares and can take action.
  11. Jhurlow

    Are you angry about the NMC OSCE???

    I have now filed two complaints with the NMC about this OSCE exam. Their responses sound scripted and cryptic. They will not respond directly to my concerns. Their guidance documents were not consistent with either the testing scenario or national guidelines. I also do not believe they are using the OSCE process correctly. This test setting requires understanding of a completely new nursing theory (Roper, Logan, Tierney. I spent 4 yrs learning Orem Self Care) and a nursing process that is different from what is used in the US. Though NANDA is now internation, the UK does not use nursing diagnoses (ADPIE). I still don't fully understand the flow of their nursing process but this was required for the OSCE. This test seemed to me to be very bias toward UK trained nurses as responses were expected that were never intitially clarified. In Fact, even after paying 992 GBP for this test, they refuse to provide full test feed back, 'to protect the integrity of the test'. There are no advanced knowledge or critical thinking skills tested. It is all cryptically explained process. For an advanced practice nurse this process held no challenge except that of enduring a situation that involved a complete lack of logic or clarity. US trained nurses/nurse practitioners please take heed. Save your money, time, and frustration. UK nurses are over regulated and poorly paid. If you want to see this country then use vacation time!! Looking at Canadian OSCE guidance; they are more expensive because their guidance is more refined and sticks to the definition of an OSCE
  12. Jhurlow

    Are you angry about the NMC OSCE???

    I agree 100% with your comments about the demands and ridiculous redundancy. Did you ever get any where with you complaints? Ive found that talking to the NNC is like talking to a recorded message.
  13. Jhurlow

    Are you angry about the NMC OSCE???

    NMC OSCE testing was disjointed and not consistent with national guidelines. I'm not sure that safety is their testing goal. The NMC spends the bulk of their time and government monies disciplining the nurses they deem qualified to practice. What does that say about the quality of their mandates? I'm growing suspicious that this agency is all about the money.
  14. Jhurlow

    Are you angry about the NMC OSCE???

    I have made my voice heard to my local MP, to the Ministry of Health (Jeremy Hunt) and to the Professional Practice Authority. No one responds with anything helpful. They all say there is nothing they can do because the NMC has full authority. And the NMC staff just parrot the rules established by The Order. 18 months of payment after payment only resulting in recurrent frustration. Trying to be a nurse in the UK is a game not worth playing. NMC processes are almost like thievery
  15. Jhurlow

    Are you angry about the NMC OSCE???

    Filing a complaint is like trying to have a discussion with a voice recording. The NMC has no significant oversight here in the UK. They are their own reality. But don't let me discourage you. Maybe you will be the lucky one
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